Personality Disorders

Question 1

Personality

Answer 1

a unique blend of traits

• attitudes
• thoughts
• behaviors
• moods
• expression

Question 2

Personality disorder

Answer 2

certain personality traits become too rigid and inflexible

Question 3

Characteristics

Answer 3

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

Question 4

Four Defining Features

Answer 4

• distorted thinking
• problematic emotional responses
• dysregulated impulse control
• interpersonal difficulties

Question 5

Required for Diagnosis

Answer 5

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

Question 6

Cultural Considerations

Answer 6

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

Question 7

Role of Trauma

Answer 7

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

Question 8

Personality Disorders Cluster A

Answer 8

odd or eccentric

• paranoid personality disorder
• schizoid personality disorder
• schizotypal personality disorder

Question 9

paranoid personality disorder

Answer 9

irrational suspicions, mistrust of others

Question 10

schizoid personality disorder

Answer 10

lack of interest in social relationships

Question 11

schizotypal personality disorder

Answer 11

odd behaviors or thinking

Question 12

Personality Disorders Cluster B

Answer 12

emotional or erratic

• antisocial personality disorder
• borderline personality disorder
• histrionic personality disorder
• narcissistic personality disorder

Question 13

Antisocial personality disorder

Answer 13

lack of regard for individual’s rights and society laws

Question 14

Borderline personality disorder

Answer 14

impulsivity, instability in social relationships, identity and behavior

Question 15

Histrionic personality disorder

Answer 15

attention seeking behavior, extreme emotions, dramatic behavior

Question 16

Narcissistic personality disorder

Answer 16

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

Question 17

Personality Disorders Cluster C

Answer 17

• avoidant personality disorder
• dependent personality disorder
• obsessive-compulsive personality disorder

Question 18

Avoidant personality disorder

Answer 18

social inhibitions, feelings of inadequacy, avoidance of social interaction

Question 19

Dependent personality disorder

Answer 19

pervasive dependence on others

Question 20

obsessive-compulsive personality disorder

Answer 20

rigid conformity to rules, excessive orderliness

Question 21

Assessment of Personality Disorders

Answer 21

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

Question 22

Goal of psychosocial assessment

Answer 22

identify problematic behaviors, beliefs and thought patterns

Question 23

Nursing Diagnoses for Personality Disorders

Answer 23

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

Question 24

Plans/Goals of Personality Disorders

Answer 24

• 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

Question 25

Independent Interventions for Personality Disorders

Answer 25

- 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

Question 26

Personality Disorder treatments

Answer 26

- psychotherapy - goals are to examine and improve perceptions and responses in various situations - psychodynamic psychotherapy - DBT - CBT - group therapy - interpersonal therapy

Question 27

Antidepressant Meds

Answer 27

- depressed mood - anger or lability - irritability - impulse control

Question 28

Mood-Stabilizing Meds

Answer 28

- emotional lability - irritability - aggression - impulse control

Question 29

Anti-Anxiety Meds

Answer 29

- Reducing anxiety - agitation - insomnia - must be used in caution with individuals at risk for impulsivity

Question 30

Antipsychotic Meds

Answer 30

- generally brief to tx psychotic sx's or transient psychotic episodes - be effective with anger and anxiety