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Personality disorders Flashcards

1
Q

Personality disorders are independent of…

A

mental disorders

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2
Q

what are two important aspects of personality?

A
  • -Character

- -temperament

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3
Q

This aspect of personality is based on the patients ethical/moral judgment…

A

character

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4
Q

this aspect of personality is based on innate characteristics such as nervousness, sensitivity

A

Temperament

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5
Q

elements that comprise an individuals personality is…

A

Personality traits

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6
Q

When someones personality becomes distorted they have manifestations of…

A
  • -manipulation
  • -narcissism
  • -impulsiveness
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7
Q

What are 3 common traits with all types of personality disorders?

A
  • -manage stress by changing environment, not themselves
  • -don’t take responsibility for their actions
  • -doesn’t understand how behavior affects others
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8
Q

What are some intrapersonal factors a person with a personality disorder display?

A
  • -project feelings onto others
  • -have problems developing intimate relationships
  • -lack of guilt
  • -behave like a child
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9
Q

Risk factors for personality disorders are:

A
  • -Family hx. (genetic, environmental)
  • -Unstable family life during childhood
  • -hx. of abuse/neglect
  • -substance abuse
  • -low socioeconomic class
  • -hx. of violent/non-violent crimes (sex offenses)
  • -high testosterone, low cortisol
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10
Q

What are the 5 domains under the DSM-5 approach?

A
  • -antagonism
  • -detachment
  • -disinhibition
  • -negative affectivity
  • -psychoticism
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11
Q

Clinical manifestations are categorized into three major clusters. What disorders fall under cluster A?

A
  • -paranoid
  • -schizoid
  • -schizotypal
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12
Q

Cluster A the person presents with what type of behavior?

A

Odd or eccentric behavior

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13
Q

What personality disorders fall under Cluster B?

A
  • -antisocial
  • -Borderline
  • -Histrionic
  • -Narcissistic
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14
Q

Cluster B personalities will display what type of behavior?

A
  • -dramatic
  • -erratic
  • -emotional
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15
Q

what personality disorders fall under cluster C?

A
  • -avoidant
  • -dependent
  • -OCD
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16
Q

Cluster C personalities will display what type of behavior?

A
  • -anxious/fearful

- -insecurity/inadequacy

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17
Q

This personality disorder has a disregard for the violation of others, ego-centric, pleasure seeking, unlawful, lack empathy and remorse, disinhibition, and antagonism…

A

Antisocial Personality disorder (ASPD)

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18
Q

ASPD is often seen more in which gender? where are they normally seen?

A
  • -men

- -prisons, substance abuse programs

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19
Q

what personality disorder would a patient be diagnosed with if they displayed shy behavior or a fear of rejection?

A

Avoidant Personality Disorder (APD)

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20
Q

What are some things the nurse may see in a patient that has APD?

A
  • -low self-esteem
  • -sensitive to criticism
  • -unrealistic goals
  • -detached
  • -negative
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21
Q

This disorder is mainly seen in women, and they will display impulsive behaviors, depression, suicidal (cutting), splitting, low self esteem, intense self criticism, and antagonism…

A

Borderline personality disorder (BPD)

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22
Q

What may a nurse see in someone with a dependent personality disorder (DPD)?

A
  • -excessive need to be cared for
  • -difficulty making decision on own
  • -separation anxiety
  • -low self confidence
  • -urge to find relationship when one ends
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23
Q

What type of person would a person with DPD need?

A

–dominant person (take control)

24
Q

A person with histrionic personality disorder (HPD) will display what behaviors?

A
  • -self centered
  • -egocentric
  • -dramatic
  • -erratic
  • -sense of inadequacy
  • -searches for excitement
  • -highly sexualized behavior
  • -suicidal behaviors
  • -seductive and flirtatious
25
what type of disorder occurs in more men than women and displays behaviors of grandiosity, no empathy, attention seeker, substance abuse/eating disorder, inflated sense of self, arrogant, antagonist?
Narcissistic Personality Disorder (NPD)
26
A person that has Obsessive Compulsive disorder may display what type of behavior?
- -impaired social fx. - -desire for perfection - -fear of losing control - -focuses on career - -compulsive and negative affectivity
27
This personality disorder displays behaviors such as mistrust, others viewed deceptive/disloyal, judgemental, rigid/inflexible worldview.
--Paranoid Personality disorder (PPD)
28
What type of behavior would a person with Schizoid Personlaity Disorder display?
- -detached - -aloof social style - -prefer solitary activities - -no humor - -doesn't want relationships - -uncooperative
29
This type of disorder displays social anxiety, eccentric, magical thinking, depersonalization, derealization, no boundaries, unrealistic goals, psychoticism, detached, negative affectivity.
Schizotypal Personality Disorder
30
What disorder can lead to Schizophrenia?
--Schizotypal Personality disorder
31
What are the diagnostic criteria for personality disorders?
- -cognition - -affect (negative emotions) - -interpersonal relationships - -impulse control
32
What lab test can be done to rule out other issues?
Tox screen
33
Medications can control symptoms but it cannot cure a personality disorder, What meds can be given to help the pt.?
- -Antidepressants | - -Antipsychotics
34
what complimentary therapies can be done for anxiety?
- -chamomile tea - -yoga - -meditation
35
what complimentary therapies can be used as a natural antidepressant?
- -B12 | - -Omega 3 (not proven)
36
Psychotherapy can be used to help a pt. with a personality disorder. What can Cognitive Behavioral Therapy(CBT) do?
- -Reframe negative thinking | - -learn new coping mechanisms
37
CBT is aimed to...
reduce symptoms
38
What is Dialectical Behavior therapy (DBT) used for
--reduce suicidal behavior
39
DBT focuses on...
- -education - -behavior analysis - -skills training/coaching
40
What does Schema-focused therapy (SFT) consist of?
group, family, expressive, animal, psychodynamic therapy
41
When doing the assessment and collecting data from the patient, What info. does the nurse want to collect?
- -work hx - -behavior problems - -suicidal ideations - -alcohol/drug hx - -relationships
42
What should the nurse ask to encourage self description?
Open ended questions
43
Physical signs during an assessment may include..
- -signs of self violence (cutting) | - -evidence drug/alcohol abuse
44
What are three nursing dx. for a pt. with a personality disorder?
- -Risk for injury - -Risk for self/other directed violence - -self mutilation
45
The nurse must promote...
SAFETY!
46
The nurses priority is to prevent...
injury to patient or others
47
If a patient is self destructive the nurse may need to increase safety measures, this can include...
one on one care (sitter)
48
- What can an unplanned admission of a patient can create? | - The nurse must be sure to...
- -anxiety, and mistrust - -be consistent with care - -respect client at all times - -monitor client activities (are they attending therapy) - -ensure safe environment
49
The nurse needs to establish boundaries with the patient. The nurse should...
- -teach the client about healthy boundaries - -help client set, maintain boundaries - -be on alert for exploitive behaviors
50
When communicating with a client the nurse needs to have a therapeutic nurse client relationship. The nurse should...
- -use firm, supportive approach - -provide consistent care - -set limits with manipulative clients
51
What two personlaity disorders are the clients manipulative?
- -borderline | - -antisocial
52
What two disorders is best for assertiveness training and modeling?
- -dependent | - -histrionic
53
What should the nurse do with the pt. that displays dependent behavior?
self-assess frequently for countertransference reactions
54
The nurse must maintain professional boundaries and communication, especially those patients that are flirtatious. What disorder would this client best fit into?
histrionic
55
The nurse should respect the patients need for isolation with what two personality disorders?
--schizoid/schizotypal
56
What does the nurse need to remember for herself when taking care of patients with personality disorders?
Take care of you! self assessments should be done prior to caring for a client --be aware of personal reactions to stress

Exam 4 (10 decks)

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