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Mental Health-MJ > T3-Blueprint: Personality Disorders > Flashcards

T3-Blueprint: Personality Disorders Flashcards

1
Q

What are symptoms associated with cluster A: odd or eccentric?

A
  • Decreased prefrontal grey matter
  • Decreased posterior hippocampal volume
  • Increased corpus callosum white matter
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2
Q

What are the 3 types of cluster A: odd or eccentric?

A
  • Paranoid personality
  • Schizoid personality
  • Schizotypal personality
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3
Q

Neuroimaging suggests a correlation between cluster B symptoms and what 3 things?

A
  • Abnormal prefrontal cortex
  • Dysfunction in the right temporal lobe
  • Dysfunction within the limbic system
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4
Q

What is cluster B class?

A

Dramatic, emotional, erratic

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5
Q

What are the 4 types of cluster B: dramatic, emotional, erratic

A

Antisocial
Borderline
Histrionic
Narcissistic

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6
Q

What is cluster C classed as?

A

Anxious, fearful, insecure, feelings of inadequacy

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7
Q

Cluster C: Anxiety and inhibiton are mediated and moderated by the ____ and the _____.

A

Amygdala and prefrontal cortex (anterior portion of frontal lobes)

*specific patho of cluster= UNKNOWN

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8
Q

What are the 3 types of cluster C: anxious, fearful, insecure, feelings of inadequacy

A

Avoidant
Dependent
Obsessive-compulsive

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9
Q

What cluster and personality?

  • Extreme need to be taken care of
  • Passive compliance
  • Defers/avoids responsibility
  • Difficulty making decisions and seek others to protect them
  • Strong need for reassurance
A

Dependent; cluster C

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10
Q

What cluster and personality?

  • Instability in interpersonal relationships, mood, behavior, and self-image
  • Emotions overwhelm cognitive functioning
  • Intense agner; rage
  • Impulsivity
  • Splitting
A

Borderline; cluster B

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11
Q

What cluster and personality?

  • Mistrustful, suspicious, watchful
  • Irritable, short-fuse, bad temper
  • Hostile attitude
  • Accusatory communication style
  • Externalizes blame for problems
A

Paranoid; cluster A

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12
Q

What personality and cluster is this?

  • Odd though and behavioral patterns
  • Persistent pattern of social and interpersonal deficits
  • Severe social anxiety
  • Doesnt respond to normal interpersonal cues
  • Suspicious and paranoid ideas
A

Schizotypical; cluster A

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13
Q

What cluster and personality?

  • Arrogant, haughty
  • Extremely self-centered
  • believes they are superior and entitled
  • Lack empathy
  • Easily takes advantage of others
A

Narcissistic; cluster B

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14
Q

What personality and disorder?

  • Vain
  • Attention seeking
  • Praise seeking
  • Dramatic
  • Demanding
  • Manipulative
  • Shallow
  • Theatrical
  • Provocative
  • Lacks fidelity and loyality
A

Histrionic; cluster B

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15
Q

What personality and cluster is this?

  • Extreme shyness
  • Feelings of inadequacy
  • Hypersensitivity to others’ opinions
  • Paucity of emotions; bland affect
  • Wants relationships but too fearful
  • Will not take a personal risk
  • Prefers solitary activities
A

Avoidant; cluster C

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16
Q

What cluster and personality?

  • Detachment, social withdrawal
  • Indifference to other’s feelings
  • Restricted emotional range
  • Prefers solitary interests and occupations
  • No close friends; loner
A

Schizoid personality; cluster A

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17
Q

What personality and cluster?

  • Chronic antisocial behavior
  • Violates the rights of others
  • Violates social norms and laws, criminal behavior
  • Lack empathy
  • Manipulative
  • Deceitful
  • Narcissistic
A

Antisocial; cluster B

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18
Q

What personality and cluster?

  • Not the same as OCD which is anxiety disorder
  • No obsessions or compulsions
  • Perfectionistic
  • Conscientious, trustworthy
  • Disciplined and orderly
A

Obsessive-compulsive; cluster C

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19
Q

The ability to form a lasting bond of trust with a primary caregiver is theorized to be an important landmark in early human development and a critical aspect to personality devlopment

A

Object constancy

20
Q

Splitting is a characteristic of what personality?

A

Borderline

21
Q

Splitting: Tend to have ______ relationships alternating between all good or all bad view of others

A

Stormy, intense

22
Q

Splitting: Unable to incorporate ____ and ____ attributes into a whole picture of an individual

A

Positive and negative attributes

23
Q

Splitting: How does perceptions of family members or friends shift?

A

Shift suddenly from great admiration and helpfulness to intense anger and dislike

24
Q

What is management for most personality disorders?

A

A combo of long term individual therapy and medications

25
Q

What are some helpful therapies for personalty disorders?

A

Individual psychotherapy

Cognitive behavior therapy

Dialectical behavior therapy

26
Q

How should the interview ask questions?

A

Open ended; ask patient how the family or colleagues perceive them

27
Q

What are 2 standardized assessments for personality disorders?

A
  • Minnesota Multiphasic Personality Inventory (MMPI) self reporting tool
  • Mental Status Exam (cognitive functioning)
28
Q

It is important to ask history because _____ can exacerbate certain personality traits of a personality disorder that could mislead diagnosing

A

Medical illness

29
Q

What does DSM5 recommend about medical conditions?

A

Med. conditions must be managed well or resolved before making a diagnosis of a personality disorder

30
Q

What can a perceived threat to security or increased stress do?

A
  • Exacerbate personality traits of PD

- Mislead diagnosing of PD

31
Q

What kind of approach should we use to someone with paranoid personality?

A

Straightforward, honest, professional approach rather than a casual or friendly approach

32
Q

Schizoid personality we need to respect the need for ____

A

Privacy

*they need physical and emotional distance

33
Q

T/F: Patients with schizotypal personality may relate well to some nurses but not others

A

TRUE

*offer persistent, consistent care

34
Q

What are 2 important interventions for patients with antisocial personality?

A
  • Set limits and establish boundaries

- Apply the rules consistently–communicate with other staff anger management

35
Q

What personality disorder will attempt to split staff?

A

Borderline

*we need to practice good communicating with staff

36
Q

What should we get from a patient with borderline personality?

A

Get a no suicide contract

37
Q

Borderline personality interventions: convey empathy or sympathy? What should we encourage?

A

Empathy!! Encourage patient to solve own problems

38
Q

Borderline personality: We need to encourage patient to take responsibility for ____ and the _____

A

Behavior and consequences of their behavior

39
Q

Borderline personality patients are demanding. What do we do about this?

A

Set limis

40
Q

Histrionic personality interventions: Give patient choices in care. How?

A

-Incorporate their wishes in the plan of care to give them a sense of control and lower her anxiety

41
Q

Histrionic personality intervention: How should we teach?

A

By role modeling appropriate social skills and encourage accountability for behavior and consequences

42
Q

What should we monitor for in patients with histrionic personality?

A

Monitor for suicidal thoughts and behavior

43
Q

What is the nursing intervention goal for patients with narcissistic personality?

A

-To place the pts. exaggerated self importance in perspective, help develop empathy

44
Q

What is the nursing intervention for avoidant personality?

A

Individual psychotherapy/cognitive and behavioral therapy

45
Q

What is the nursing intervention for dependent personality?

A

Assertiveness training self-help support groups

Mental Health-MJ (39 decks)

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