Personality disorders Flashcards
What are the common features of all personality disorders?
abnormal and inflexible behaviour pattern, traced to adolescence, causes significant distress in life
appears in at least 2 areas: cognitive, emotional, impaired self id, interpersonal functions and impulsively/destructive behaviour
What is tenuous stability?
fragile personality, lack of resilience, exaggerated emotional response, don’t learn coping skills easily, overwhelmed
What is adaptive inflexibility?
cannot cope, avoid stressors, never develop new coping methods, stuck at younger developmental stage, views tend to be inflexible
What is tendency to become trapped?
behaviour creates difficult cycles, normal stressful event comes a series of difficult interpersonal conflicts
What are the 3 types of severity of personality disorders?
tenuous stability, adaptive inflexibility and tendency to become trapped
What are the 3 types of cluster A? and what words generally describe this cluster?
paranoid, schizoid and schizotypal
odd and eccentric behaviour
What are the 3 types of cluster C? and what words generally describe this cluster?
avoidant, dependent and obsessive compulsive
anxious and fearful behaviour
What are the 4 types of cluster B? and what words generally describe this cluster?
borderline, histrionic, narcissistic and antisocial
dramatic emotional behaviour
What are the s&s of borderline personality disorder?
rage, abandonment, chronic depression, high suicide, clinging and distancing, manipulative, splitting, unable to be positive and negative at the same time, identity disturbances, impulsivity, inappropriate anger, psychotic during stress, substance abuse
What are the s&s of histrionic personality disorder?
dramatic and attention seeking
What are the s&s of antisocial personality disorder?
aggrandizing, psychopathic, disregard for others, violent, impulsive, irritable, aggressive, reckless, drinking a lot, lack of remorse, conduct disorder as a kid, sees self as victim, cocky, superficial charm, exploitive in sexual relationships, tense, bored, depressed, unable to delay immediate gratification
what is aggrandizing pattern?
act or practice of enhancing or exaggerating own importance, power or reputation
what is psychopathic?
characterized by abnormal lack of empathy masked by an ability to appear outwardly normal
what meds are used to tx personality disorders?
antidepressants, mood stabilizers, benzos
Nursing interventions for personality disorders (general)?
teach appropriate expression of emotion, increase awareness of types of thinking, assist with decreased need for dissociation, teach stress management, teach problem solving
Nursing interventions for personality disorders (spiritual)?
increase sense of value and hope, DBT, offer comfort
Nursing interventions for personality disorders (bio)?
monitor meds, prevent harm, sleep, nutrition, increase emotional tolerance, identify emotional distress
Nursing interventions for personality disorders (social)?
teach social skills, assertiveness and interpersonal relationship skills
Nursing interventions for personality disorders (psychological)?
id dysfunctional thinking, problem solving skills, recognize abandonment, stress, triggers
track emotions, increase self esteem, reinforce desires, anger management, hold pt responsible for actions
