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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

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20
Q

Difference between CBT & DBT

A

CBT: Identify & change false core beliefs about themselves

DBT: Uses CBT & mindfulness

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21
Q

Grandioso

Lack of empathy

Self-Esteem is Low

A

Narcissistic

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22
Q

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

A

Narcissistic

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23
Q

Life of the party

Over the top

Overdressed, flirtatious, seductive

A

Histrionic

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24
Q

High need to be taken care of by others

A

Dependent

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25
Q

How do we manage dependent personality disorder

A

Psychotherapy

Promote independence & limit setting

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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

46
Q

A model that aims to provide effective mental health services by taking into account a person’s past experiences with trauma

A

Trauma informed care

47
Q

Give some of the principles of trauma informed care (6)

A

Safety: Ensuring the physical and emotional safety of the patient

Trustworthiness: Establishing trust through consistent, candid, and friendly demeanor

Empowerment: Helping patients make their own choices and tap into their strengths and resilience

Inclusiveness: Ensuring that all people are included, including those from historically marginalized groups and people with disabilities

Collaboration: Developing care plans collaboratively between staff and service users

Peer support: Providing opportunities for people to support each other through grieving and mourning

48
Q

Can PTSD have genetic components

A

Yes

49
Q

When experiencing trauma, the ____ release CRH, which attaches to the Pituitary Gland to release adrenocorticotropic hormone ACTH.

ACTH stimulates the adrenal glands to release….

A

Hypothalamus

Cortisol

50
Q

Elevated stress hormones affect these (2) systems

A

Immune

Inflammatory

51
Q

The Polyvagal theory siggest the autonomic NS has 3 responses and is governed by this never

A

CN 10 Vagus

52
Q

Child dissociative checklist
Trauma symptoms checklist for children
Child sexual behavior inventory

All can be used to assess for…

A

PTSD

53
Q

First nursing diagnosis for PTSD in youths

2nd?

3rd

A

1st: post trauma response

2nd: impaired caregiver-child attachment

3rd impaired adolescente development

54
Q

3 staged model for trauma includes

Reducing arousal and regulating emtion through symptom reduction & memory work. Finding comfort in others, tolerating affect, integration of disallowed emotions, accepting ambivalence, working with memories and transferring memory

Developmental skills catchup by enhancing problem solving skills, nurturing self-awareness, social skills training, Development of Value system, Coping Skills to deal with Trauma, Development and integration into healthy social support system

Providing safety and Stabilization through a predictable environment, stop self-destructive behavior, Provide education about trauma and its effects

Which Stage?

A
  1. Reducing arousal and regulating emtion through symptom reduction & memory work. Finding comfort in others, tolerating affect, integration of disallowed emotions, accepting ambivalence, working with memories and transferring memory
  2. Developmental skills catchup by enhancing problem solving skills, nurturing self-awareness, social skills training, Development of Value system, Coping Skills to deal with Trauma, Development and integration into healthy social support system
  3. Providing safety and Stabilization through a predictable environment, stop self-destructive behavior, Provide education about trauma and its effects
55
Q

Windows of tolerance….

A

Is balance between sympathetic and Parasympathetic NS

56
Q

When can PTSD symptoms begin to appear

A

1 month After incident. Before 1 month it is an Acute Stress Reaction

57
Q

Standard treatment for PTSD

Adults & Children

A

Stage model treatment

58
Q

SSRIs that are approved for PTSD

A

Sertraline & paroxetine

59
Q

When can Acute Stress Disorder be diagnosed

A

3 days - 1 month After traumatic event

60
Q

Key psychological symptom of Acute Stress Disorder that sets it apart from PTSD

A

Derealization- sense the environment isn’t real

61
Q

Key nursing diagnosis for Acute Stress Disorder

A

Post trauma response

Also

Impaired adaption/ anxiety

62
Q

Events such as retirement, chronic illness, or a breakup may cause this disorder

A

Adjustment Disorder

63
Q

Standard interview for Adjustment Disorder.

Goal…

A

Reality orientation, crisis intervention, family therapy, group treatment

Goal: encourage verbalizing of emotions related to the stressor

Nurs 1456 (5 decks)

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