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Nurs 1456 > Personality Disorders Chap 24 > Flashcards

Personality Disorders Chap 24 Flashcards

1
Q

At which age can a personality disorder be diagnosed

A

18

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2
Q

Personality Disorders a long time behavior that deviants from cultural norm.

Affects these 4 areas

A

Cognition (perceiving & interpretation)
Affectivity (range, intensity, lability)
Interpersonal functioning
Impulse control

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3
Q

Cluster A:

Describe

3 diagnosis

A

Odd, eccentric

Schizotypical
Schizoid
Paranoid

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4
Q

Cluster B:

Describe

4 types

A

Drama, Erratic , Emotional

Antisocial
Borderline
Histonic
Narcissistic

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5
Q

Cluster C:
Describe

3 examples

A

Obsessive- compulsive Personality
Avoidant
Dependent

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6
Q

Mistrust, restricted affect, guarded

Suspicious & Bears grude

A

Paranoid

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7
Q

Projection is their primary defense mechanism

Tend to reject treatment

Psychotherapy is treatment of choice

A

Paranoid

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8
Q

Detachment from social relationships

Chooses to be alone

Cold & Detached

A

Schizoid Batman

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9
Q

This disease

Group / Therapy not helpful- cannot relate to others

Problem solving is treatment of choice

A

Schizoid Batman

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10
Q

Short-term

Risperdal / Zyprexa if under extreme stress

Wellbutrin to increase pleasure in life

A

Schizoid Batman

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11
Q

Magical thinking

Severe interpersonal anxiety & interpersonal defects

A

Schizotypical Will Wonka

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12
Q

Primary defense of borderline personality

A

Splitting

All good or All bad

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13
Q

Profound lack of empathy

Shallow, unexpressive, & superficial affect

A

Antisocial personality

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14
Q

How to handle antisocial personality

A

Set limits on behavior with consistency

Speak: Matter of Factly - No I statements

Support care manager

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15
Q

This personality disorder will respond well to mood stabilizer to help with aggression & Impulses

A

Antisocial ted bundy

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16
Q

Intolerant with abandonment, frantic to avoid

Chronic suicide attempts

Cutting

Sex & Drugs

A

Borderline

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17
Q

Diabetes
HTN
Back pain
Fibromyalgia
Arthritis

Comorbidies for….

A

Borderline

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18
Q

Seperated from mother at <1 yr

A

Borderline

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19
Q

Identify & change false core beliefs about themselves…

A

CBT

20
Q

Difference between CBT & DBT

A

CBT: Identify & change false core beliefs about themselves

DBT: Uses CBT & mindfulness

21
Q

Grandioso

Lack of empathy

Self-Esteem is Low

A

Narcissistic

22
Q

Which personality type is most likely to have a high prestige career

A

Narcissistic

23
Q

Life of the party

Over the top

Overdressed, flirtatious, seductive

A

Histrionic

24
Q

High need to be taken care of by others

A

Dependent

25
Q

How do we manage dependent personality disorder

A

Psychotherapy

Promote independence & limit setting

26
Q

Desires relationships but has low self esteem and poor social functioning

Fears rejection

A

Avoidant

27
Q

Avoidant personality wants relationships but fears rejection

Treatment

Group & ind therapy

Assertiveness training

Meds…

A

SSRI & SNRI

B-adrenergic (Atenolol) reduce autonomic hyperactive

28
Q

Perfectionist

Not bothered by their own behavior

Think it is correct

A

OC personality disorder

29
Q

Avoid power struggles- need for control is high

Meds

Clomipramine & SSRI
Risperdone
Aripiprazole

A

OC personality Disorders

30
Q

_________ is used to evaluate personality

A

Minnesota multiphasic personality inventory

31
Q

Difference between antisocial & narcissistic personality disorder

A

Narcissistic has low self esteem

Antisocial has high self esteem

32
Q

Which cluster can become psychotic from stress

A

Odd

Schizoid, Schizotypical, Paranoid

33
Q

Psycho therapy and benzos maybe used in this personality Disorder

A

Paranoid

34
Q

Never use Lithium for narcissistic

T or F

A

F use it

Don’t use benzos

35
Q

Delirium is always 2nd to another condition

T or F

A

T

36
Q

What is the most common mental disorder found in medical practice

A

Delirium

37
Q

Most common type of hallucinations in delirium

A

Visual

38
Q

Severe social anxiety & interpersonal deficits

Rarely seeks help unless for depression

Genetically linked to schizophrenia

A

Schizotypical

39
Q

Gray matter in prefrontal cotrex & temporal lobes diminished

Genetic abnormalities with MAOA: Cannot break down DA or S

A

Antisocial

40
Q

In antisocial personality disorder use “I” statements to convey messages

A

False

Don’t use I statements. They don’t care about you

41
Q

PD most likely to have sex, cut self, suicide. Fear of abandonment

A

Borderline

42
Q

Mood stabilizers, low dose antipsychotics, Omega 3, & Naltrexone has been found to stop self injury behavior

This PD

A

Borderline

43
Q

Begins at 3 - 5 with a intense attachment to opposite sex parent and fear of retaliation from same sex parent

A

Histrionic

44
Q

Does delirium wax and wane?

A

Yeppers

45
Q

Does dementia change levels of consciousness?

A

No

It changes Cognitive function & intellect

Nurs 1456 (5 decks)

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