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Exam 4 > Personality disorders > Flashcards

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
Q

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?

A

Narcissistic Personality Disorder (NPD)

26
Q

A person that has Obsessive Compulsive disorder may display what type of behavior?

A
  • -impaired social fx.
  • -desire for perfection
  • -fear of losing control
  • -focuses on career
  • -compulsive and negative affectivity
27
Q

This personality disorder displays behaviors such as mistrust, others viewed deceptive/disloyal, judgemental, rigid/inflexible worldview.

A

–Paranoid Personality disorder (PPD)

28
Q

What type of behavior would a person with Schizoid Personlaity Disorder display?

A
  • -detached
  • -aloof social style
  • -prefer solitary activities
  • -no humor
  • -doesn’t want relationships
  • -uncooperative
29
Q

This type of disorder displays social anxiety, eccentric, magical thinking, depersonalization, derealization, no boundaries, unrealistic goals, psychoticism, detached, negative affectivity.

A

Schizotypal Personality Disorder

30
Q

What disorder can lead to Schizophrenia?

A

–Schizotypal Personality disorder

31
Q

What are the diagnostic criteria for personality disorders?

A
  • -cognition
  • -affect (negative emotions)
  • -interpersonal relationships
  • -impulse control
32
Q

What lab test can be done to rule out other issues?

A

Tox screen

33
Q

Medications can control symptoms but it cannot cure a personality disorder, What meds can be given to help the pt.?

A
  • -Antidepressants

- -Antipsychotics

34
Q

what complimentary therapies can be done for anxiety?

A
  • -chamomile tea
  • -yoga
  • -meditation
35
Q

what complimentary therapies can be used as a natural antidepressant?

A
  • -B12

- -Omega 3 (not proven)

36
Q

Psychotherapy can be used to help a pt. with a personality disorder. What can Cognitive Behavioral Therapy(CBT) do?

A
  • -Reframe negative thinking

- -learn new coping mechanisms

37
Q

CBT is aimed to…

A

reduce symptoms

38
Q

What is Dialectical Behavior therapy (DBT) used for

A

–reduce suicidal behavior

39
Q

DBT focuses on…

A
  • -education
  • -behavior analysis
  • -skills training/coaching
40
Q

What does Schema-focused therapy (SFT) consist of?

A

group, family, expressive, animal, psychodynamic therapy

41
Q

When doing the assessment and collecting data from the patient, What info. does the nurse want to collect?

A
  • -work hx
  • -behavior problems
  • -suicidal ideations
  • -alcohol/drug hx
  • -relationships
42
Q

What should the nurse ask to encourage self description?

A

Open ended questions

43
Q

Physical signs during an assessment may include..

A
  • -signs of self violence (cutting)

- -evidence drug/alcohol abuse

44
Q

What are three nursing dx. for a pt. with a personality disorder?

A
  • -Risk for injury
  • -Risk for self/other directed violence
  • -self mutilation
45
Q

The nurse must promote…

A

SAFETY!

46
Q

The nurses priority is to prevent…

A

injury to patient or others

47
Q

If a patient is self destructive the nurse may need to increase safety measures, this can include…

A

one on one care (sitter)

48
Q
  • What can an unplanned admission of a patient can create?

- The nurse must be sure to…

A
  • -anxiety, and mistrust
  • -be consistent with care
  • -respect client at all times
  • -monitor client activities (are they attending therapy)
  • -ensure safe environment
49
Q

The nurse needs to establish boundaries with the patient. The nurse should…

A
  • -teach the client about healthy boundaries
  • -help client set, maintain boundaries
  • -be on alert for exploitive behaviors
50
Q

When communicating with a client the nurse needs to have a therapeutic nurse client relationship. The nurse should…

A
  • -use firm, supportive approach
  • -provide consistent care
  • -set limits with manipulative clients
51
Q

What two personlaity disorders are the clients manipulative?

A
  • -borderline

- -antisocial

52
Q

What two disorders is best for assertiveness training and modeling?

A
  • -dependent

- -histrionic

53
Q

What should the nurse do with the pt. that displays dependent behavior?

A

self-assess frequently for countertransference reactions

54
Q

The nurse must maintain professional boundaries and communication, especially those patients that are flirtatious. What disorder would this client best fit into?

A

histrionic

55
Q

The nurse should respect the patients need for isolation with what two personality disorders?

A

–schizoid/schizotypal

56
Q

What does the nurse need to remember for herself when taking care of patients with personality disorders?

A

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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