T3 - Cluster B Personality Disorders Flashcards
Cluster B PD are grouped as –
Dramatic / Emotional / Erratic
Cluster B symptoms affect which part of the brain?
prefrontal cortex
right temporal lobe
limbic system
Which Personality Disorder?
Chronic antisocial behavior
Violates the rights of others
Violates social norms and laws, criminal behavior
Lack empathy
Manipulative
Deceitful
Narcissistic
Antisocial Personality
- Cluster B: Dramatic/Emotional
Lying politician who has not empathy or who is not bothered at all by his lies.
ex. of mild form of Antisocial PD
What does Antisocial Personality Disorder act like?
indifferent to the needs of others,
completely lack empathy, and manipulate through deceit or intimidation.
He or she shows a blatant disregard for what is right and wrong (the rules do not apply to them)
How much of population does Antisocial PD affect?
2-3% of pop.
50% of prison pop.
When do the intensity of symptoms for Antisocial PD peak?
teen years through early 20s
Does Antisocial PD become less likely to commit crimes as they age?
Yes, but that person may continue to be an inadequate spouse or parent and an unreliable employee.
Hereditary factors w/ Antisocial PD?
Environmental factors w/ Antisocial PD?
Yes to both
Treatment for Antisocial PD
Psychoterapy
ETOH/Drug rehab
Consequences
Are meds typically used for Antisocial PD?
no
Lithium or Propanolol for aggression
Which Personality Disorder?
- Instability in interpersonal relationships, mood, behavior, and self-image
- Emotions overwhelm cognitive functioning
- Intense anger; rage
- Impulsivity
- Splitting
Borderline Personality Disorder
- Cluster B: Dramatic/Emotional
Which PD are we most likely to see on NCLEX and ATI?
Borderline PD
- Cluster B: Dramatic/Emotional
– tend to act impulsively without considering the consequences.
- promiscuity
- substance abuse
- eating/spending binges
- self-mutilation
- suicide threats/attempts
Borderline PD
- Cluster B: Dramatic/Emotional
What are the impulse behaviors of Borderline PD triggered by?
fear of abandonment
People with – have extreme sensitivity to rejection
- reacts with anger and distress to even brief separations from loved ones such as vacations, business trips, or a sudden change of plans.
Borderline PD
- Cluster B: Dramatic/Emotional
– tend to have stormy intense relationships alternating b/t all good or all bad view of others (aka: —)
Borderline PD
aka: Splitting
The – manipulates by pitting people against one another.
Borderline PD
Treatment plan for Borderline PD:
- Individual psychotherapy
- Group therapy
- Family therapy
- Milieu therapy
- Medication for specific symptoms – depression, anxiety (busparone), antimanic (Valproic Acid, Eskalith), self-harm (naltrexone )
– are manipulative and will attempt to split staff, so we need to —
Borderline PD
practice good communication among staff
Borderline PD affects – of population and is more common in whom?
2-3%
women (3x’s more likely)
T/F: Borderline PD typically begins in early adulthood.
False
begins in childhood
Which Personality Disorder?
- Vain
- Attention seeking
- Praise seeking
- Dramatic
- Demanding
- Manipulative
- Shallow
- Theatrical
- Provocative
- Lacks fidelity and loyalty
Histrionic Personality Disorder
- Cluster B: Dramatic/Emotional
Think of — when thinking of Histrionic PD.
actors (self-absorbed)
Histrionic PD affects – of the population
2-3% (men and women equally)
Histrionic PD is usually comorbid w/
depression
Which meds for Histrionic PD?
none
- they would try to OD for attention
Use individual Psychotherapy
How effective are Insight Orientation and Cognitive approaches w/ Histrionic PD?
Not effective
- because this patient lacks the capacity or inclination to examine their thoughts and conscious or unconscious motives.
Nursing interventions for Histrionic PD:
- Give pt. choices in care, incorporate her wishes in the plan of care to give her a sense of control and lower her anxiety
- Do not allow dependence
- Teach by role modeling, appropriate social skills
- Encourage accountability for behavior and consequences
- Monitor for suicidal thoughts and behavior
Which Personality Disorder?
- Arrogant, haughty
- Extremely self-centered
- Believes they are superior and entitled
- Lack empathy
- Easily takes advantage of others
Narcissistic Personality Disorder
- Cluster B: Dramatic/Emotional
What are the Cluster B Personality Disorders?
- Narcissistic PD
- Histrionic PD
- Borderline PD
- Antisocial PD
