Personality Disorders Unit 3

Question 1

What needs does BPD and APD effect?

Answer 1

1. Safety and Security needs r/t violence and judgment problems
2. Love and Belonging
3. Self Esteem

Question 2

BPD Assessment

Answer 2

1. Weak, unstable ego causing poor sense of self and identity confusion/diffusion
2. Demanding and needy
3. Fear of abandonment
4. Inability to sublimate causing chronic boredom and feelings of emptiness

Question 3

APD Assessment

Answer 3

1. Poorly developed superego and strong id tendencies
2. Persuasive and charming personality
3. Articulate, verbal, convincing arguments
4. Con artists who do not seem to care about people, have no empathy and exhibit lack of remorse regarding their behaviors
5. Involved in illegal, criminal activities

Question 4

APD Behaviors

Answer 4

1. Property destruction
2. Legal and illegal substance abuse/dependency
3. Promiscuity
4. Legal Problems
5. Spouse/child abuse
6. Lying, truency, fights, thefts, animal abuse in children (diagnosed as Conduct Disorder before age 15)

Question 5

Common defense mechanisms in APD

Answer 5

1. Denial
2. Projection
3. Rationalization

Question 6

BPD

Answer 6

1. Individual cannot cope with stress of young/middle adulthood
2. Recurring crises of chronic boredom, anger, depression, self-destructive acts and transient (intermittent) psychosis
3. Substance/people abuse may occur

Question 7

Common Defense Mechanisms in BPD

Answer 7

1. Primitive Idealization
2. Splitting
3. Projective Identification

Question 8

Primitive Idealization

Answer 8

Unrealistically views others outside the self as “all good”

Question 9

Splitting

Answer 9

Others viewed as fluctating between good or bad

Question 10

Projective Identification

Answer 10

Projection with behaviors that control others and reinforce the projected thought

Ex. Telling someone they hate you so much until they actually do

Question 11

APD Nursing Diagnosis

Answer 11

Risk for other directed violence

Question 12

BPD Nursing Diagnoses

Answer 12

1. Risk for Suicide
2. Risk for self-directed violence
3. Risk for Self-Mutilation
4. Risk for other directed violence (more in APD)

Question 13

Outcomes for APD and BPD

Answer 13

1. Express feelings appropriately
2. Demonstrate frustration tolerance
3. Demonstrate increased responsibility and enhanced role performance
4. Identify and seek out appropriate support person(s)/resources

Question 14

TNIs APD and BPD

Answer 14

1. Maintain consistent and structured approach to decrease staff splitting
2. State reality simply and in a neutral tone of voice
3. Set limits and boundaries in relationship
4. Clarify client distortions and misinterpretations
5. Encourage client to seek out/ work with the appropriate staff member who is assigned to him/her
6. Assist client to strengthen ego by helping client acknowledge/express eelings appropriately and accept responsibility for actions
7. Help client cope with control of emotions
8. Utlize medications for symptoms relief

Question 15

Teaching BPD and APD

Answer 15

1. Signs and symptoms
2. Employment and interpersonal issues
3. Self-awareness and communication
4. Crises intervention
5. Medication teaching
6. Group therapy
7. Assistance for substance abuse problems
8. Long term therapy and follow up

Question 16

APD Traits

Answer 16

1. Legal problems
2. Usually male
3. “Acts out” by turning feelings outward in a destructive manner and hurting others
4. Not psychotic
5. Forced (mandated) treatment
6. Lack of awareness of interpersonal issues
7. Rationalization, denial of problems, projection, blaming others
8. Substance abuse

Question 17

BPD Traits

Answer 17

1. Legal problems rare
2. Usually female
3. “Acts out” by turning feelings inward in a self-destructive manner
4. Transient psychosis
5. Wants treatment - needy and dependent
6. Many interpersonal issues and fears of abandonment
7. Idealization, splitting, and projection/projective identification
8. Substance abuse