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Psych Exam 2 > Personality Disorders > Flashcards

Personality Disorders Flashcards

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1
Q

Personality

A

a unique blend of traits

  • attitudes
  • thoughts
  • behaviors
  • moods
  • expression
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2
Q

Personality disorder

A

certain personality traits become too rigid and inflexible

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3
Q

Characteristics

A

inherited and shaped by life experiences

  • long standing patterns of thinking/behavior outside of norm
  • inflexibility
  • poor coping skills
  • difficulty forming healthy relationships
  • unaware problem exists
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4
Q

Four Defining Features

A
  • distorted thinking
  • problematic emotional responses
  • dysregulated impulse control
  • interpersonal difficulties
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5
Q

Required for Diagnosis

A
  • significant difficulties
  • difficulties across time
  • meet minimum number of criteria
  • functional impairment or subjective distress
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6
Q

Cultural Considerations

A
  • cultural competence and being aware of one’s own biases
  • cultural traits-individualist vs collectivist
  • cultural influence-expressive vs reserved
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7
Q

Role of Trauma

A
  • physical/sexual etiologic factor
  • individuals experiencing childhood trauma
  • co-morbid PTSD often occurs and individuals may experience heightened anxiety, flashbacks, and dissociative
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8
Q

Personality Disorders Cluster A

A

odd or eccentric

  • paranoid personality disorder
  • schizoid personality disorder
  • schizotypal personality disorder
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9
Q

paranoid personality disorder

A

irrational suspicions, mistrust of others

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10
Q

schizoid personality disorder

A

lack of interest in social relationships

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11
Q

schizotypal personality disorder

A

odd behaviors or thinking

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12
Q

Personality Disorders Cluster B

A

emotional or erratic

  • antisocial personality disorder
  • borderline personality disorder
  • histrionic personality disorder
  • narcissistic personality disorder
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13
Q

Antisocial personality disorder

A

lack of regard for individual’s rights and society laws

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14
Q

Borderline personality disorder

A

impulsivity, instability in social relationships, identity and behavior

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15
Q

Histrionic personality disorder

A

attention seeking behavior, extreme emotions, dramatic behavior

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16
Q

Narcissistic personality disorder

A

preoccupation with self, belief in one’s own superiority, lack of empathy towards others

17
Q

Personality Disorders Cluster C

A
  • avoidant personality disorder
  • dependent personality disorder
  • obsessive-compulsive personality disorder
18
Q

Avoidant personality disorder

A

social inhibitions, feelings of inadequacy, avoidance of social interaction

19
Q

Dependent personality disorder

A

pervasive dependence on others

20
Q

obsessive-compulsive personality disorder

A

rigid conformity to rules, excessive orderliness

21
Q

Assessment of Personality Disorders

A

-lack of insight and self-awareness, denial of problem, lack of trust, lack of communication skills or ability can all make this a challenge

22
Q

Goal of psychosocial assessment

A

identify problematic behaviors, beliefs and thought patterns

23
Q

Nursing Diagnoses for Personality Disorders

A
  • Risk for self-directed or other-directed violence
  • ineffective impulse control
  • ineffective coping
  • anxiety
  • social isolation
  • disturbed personal identity
  • interrupted family processes
24
Q

Plans/Goals of Personality Disorders

A
  • identify behaviors leading to hospitalization
  • will have an increased in frequency of expressing needs directly without ulterior motives
  • learn and master skills that facilitate functional behavior
  • will demonstrate an increase in impulse control
  • use of a newly learned coping skill to modify anxiety and frustation
  • demonstrate decreased manipulative, attention seeking behaviors
25
Q

Independent Interventions for Personality Disorders

A
  • Monitor patient closely for suicidal or self-injurious ideation or actions
  • help patient to prepare a safety plan before discharge
  • teach anxiety management techniques and activities
  • encourage other-focused interactions and activities
  • develop therapeutic relationship based on trust, consistency and respect
  • help patient to identify and explore feelings
  • encourage patient in developing healthy coping skills
  • set limits on inappropriate behavior
26
Q

Personality Disorder treatments

A
  • psychotherapy
  • goals are to examine and improve perceptions and responses in various situations
  • psychodynamic psychotherapy
  • DBT
  • CBT
  • group therapy
  • interpersonal therapy
27
Q

Antidepressant Meds

A
  • depressed mood
  • anger or lability
  • irritability
  • impulse control
28
Q

Mood-Stabilizing Meds

A
  • emotional lability
  • irritability
  • aggression
  • impulse control
29
Q

Anti-Anxiety Meds

A
  • Reducing anxiety
  • agitation
  • insomnia
  • must be used in caution with individuals at risk for impulsivity
30
Q

Antipsychotic Meds

A
  • generally brief to tx psychotic sx’s or transient psychotic episodes
  • be effective with anger and anxiety

Psych Exam 2 (3 decks)

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