Test 3 Mental health notes personality disorders

Question 1

our thoughts, feelings, and beliefs formed together to develop a consistent set of traits; makes each of us unique

Answer 1

personality

Question 2

Five qualities of a health personality

Answer 2

positive and accurate body image
realistic self ideal
high self esteem
satisfying role performance
clear sense of identity

Question 2

Five qualities of a health personality

Answer 2

positive and accurate body image
realistic self ideal
high self esteem
satisfying role performance
clear sense of identity

Question 3

The father of psychoanalysis. he also says there are three levels of the mind: 1) conscious- thoughts and motives you are currently aware. 2) subconscious-thoughts that exist just beneath the surface of awareness 3) unconscious-stored repressed urges and primitive impulses

Answer 3

Sigmund Freud

Question 4

Freud’s three structures of personality

Answer 4

1) Id-early childhood experiences “pleasure principle”
2) ego-develops around 2 becomes self aware “decision making”
3) superego-attitudes, values, role expectations, taboos, rules, ideals, standards

Question 5

Freud’s stages of personality development

Answer 5

oral stage
anal stage
phallic stage
latency stage
genital stage

Question 5

Freud’s stages of personality development

Answer 5

oral stage
anal stage
phallic stage
latency stage
genital stage

Question 6

Erik Erikson’s 8 psychosocial stages

Answer 6

Trust vs mistrust
autonomy vs shame and doubt
initiative vs guilt industry vs inferiority
identity vs role confusion
intimacy vs isolation
generatively vs stagnation
integrity vs despair

Question 7

Infancy (0-1.5) a sense of trust requires a feeling of physical comfort and minimal amount of fear about the future,. Infants basic needs are met by responsive sensitive caregivers

Answer 7

trust vs mistrust

Question 8

toddler (1.5-3) after gaining trust infants discover. they have a will. They assert their sense of autonomy or independence;. If restrained or punished too harshly, they are likely to develop a sense of shame an doubt

Answer 8

autonomy vs shame and doubt

Question 9

3-5 yrs preschool learn to initiate tasks and carry out plans or they fell guilty about efforts to be independent

Answer 9

initiative vs guilt

Question 10

middle/late childhood (6 yr to puberty) children direct their energy toward mastering knowledge and intellectual skills the danger at this stage involves feeling incompetent and unproductive

Answer 10

industry vs inferiority

Question 11

teens-20s. teenagers work at refining a sense of self by testing roles and then integrating them in to form a single identity or become confused about who they are

Answer 11

identity vs role confusion

Question 12

20s-40s. young adults struggle to form close relationships and to gain the capacity for intimate love, or they feel socially isolated

Answer 12

intimacy vs isolation

Question 13

40-65 we establish our careers, settle down within a relationship begin our own families give back to society through raising our own children

Answer 13

generatively vs stagnation

Question 14

the older adult late life final stage of life ability to accept the fact that one’s life and to face death without great fear

Answer 14

integrity vs despair

Question 15

Category A personality disorder
mistrust and suspiciousness of others ; believe that others will hurt or deceive them, even if there is no factual evidence that this is true; have difficulty with interpersonal relationships (hallmark)

Answer 15

paranoid disorder

Question 16

Category A personality disorder
emotional detachment and detachment from social relationships, disinterest in close relationships, indifference to praise or criticism; often uncooperative; involved with things more than people; restricted range of emotional expression; prefers to be alone; lack friends and appear indifferent to opinions of others

Answer 16

Schizoid disorder

Question 17

Category A personality disorder
odd beliefs that lead to interpersonal difficulties; magical thinking; discomfort for close relationships and usually do not have friends; misinterpret everyday events as having a personal meaning for them; may be superstitious and preoccupied with paranormal activity; inappropriate affect;behavior and appearance is strange and peculiar

Answer 17

schizotypal disorder

Question 18

Category B (dramatic, emotional or erratic traits) Personality disorder
disregard for others with mistreatment; repeated unlawful actions, deceit and failure to accept personal responsibility ; manipulate other for their personal gain or pleasure ; lie repeatedly; impulsiveness (make decisions without planning ahead); may be friendly and likable until they are frustrated; irresponsibility (live in the moment and not concerned with past or the future) show little remorse for the negative consequences of their behavior

Answer 18

antisocial personality disorder

Question 19

Category B personality disorder

Instability of affect, identity, and relationships; fear of abandonment; splitting behaviors (characterize people or things as all good or all bad); manipulation; impulsiveness; often tries self mutilation and may be suicidal: emotional vulnerability (a pattern of difficulty managing negative emotions); set unrealistic high expectations for self; experience frequent , stressful, negative events; unstable self image and sense of self; unstable emotions

Answer 19

Borderline personality disorder

Question 20

Category B personality disorder

Emotional attention seeking behavior, in which the person needs to be the center of attention; often seductive and flirtatious; often create a scene to bring attention to themselves; emotions are exaggerated theatrically; Dramatic emotions are turned on and off quickly

Answer 20

histrionic personality disorder

Question 21

Category B personality disorder

arrogant: grandiose view of self importance; need for consistent admiration; lack of empathy for others that strains most relationships; often sensitive to criticism but quick to criticize others; routinely overestimates their abilities and inflates their accomplishments but underestimate the abilities of others; only the best is good enough; have a sense of entitlement

Answer 21

narcissistic personality disorder

Question 22

Category C personality (anxious or fearful traits; insecurity and inadequacy)

social inhibition and avoidance of all situations that require interpersonal contact, despite wanting close relationships due to extreme fear of rejection; often very anxious in social situations; feelings of inadequacy ; hypersensitive to negative evaluation; social shyness; assume other people to be critical and disapproving ; low self esteem

Answer 22

avoidant personality disorder

Question 23

Category C personality personality disorder

extreme dependency in a close relationship with an urgent search to find a replacement when one relationship ends; excessive need to be taken care of; submissive and clinging behavior; fear separation and abandonment have difficulty making everyday decision without excessive help and advice from others; little self confidence ; avoid positions in which they will be required to make decisions; tend to be warm and giving

Answer 23

Dependent personality disorder

Question 24

Category C personality disorder

perfectionism with a focus on orderliness and control to the extent that the individual may not be able to accomplish a given task; cannot be open, flexible or efficient ; extraordinary attention is paid to detail and to checking repeatedly for possible mistakes ; excessively devoted to work; reluctant to delegate task to others ; rigid, indecisive, and stubborn

Answer 24

Obsessive- compulsive personality disorder

Question 25

Treatments for personality disorder

Answer 25

Psychotherapy, group therapy, assertiveness training

Question 26

Nursing care assessment for personality disorder:

Answer 26

signs/symptoms of disorders

Question 27

___________________ is always concern; may be at risk for self or other directed violence

Answer 27

Safety
(nursing interventions)

Question 28

This personality is very mistrustful, form a therauptic relationship. Approach in a business like matter. Do what you tell them you are going to do. Do not ignore but don’t over implieze their suspicions. Be reliable and don’t trick the patient. Involve in the plan of care and help them validate their ideas before taking action

Answer 28

paranoid personality

Question 29

This personality needs you to focus on improve function in the community. Respect the need of social isolation

Answer 29

Schizoid personality

Question 30

Nursing care is focused on development of self care and social skills for this personality

Answer 30

schizotypal personality

Question 31

Establish therapeutic relationship, needs structure and help identify acceptable behaviors, minimize attempts of manipulation. Avoid discussing other staff members unless the other nurse is present, limit settings have to have a firm setting, identify consequences, and expected behavior - teaching problem solving and anger management when calm for this personality

Answer 31

antisocial personality

Question 31

Establish therapeutic relationship, needs structure and help identify acceptable behaviors, minimize attempts of manipulation. Avoid discussing other staff members unless the other nurse is present, limit settings have to have a firm setting, identify consequences, and expected behavior - teaching problem solving and anger management when calm for this personality

Answer 31

antisocial personality

Question 32

Need to promote safety, no self harm contract, therapeutic relationship, establish borders, teach effective and expertness communication, keep a journal, reshape thinking pattern and positive thoughts; decentralize limit setting and thought stopping stops in a negative thoughts for this personality

Answer 32

borderline personality

Question 33

This personality feedback on social interactions especially dress and behavior, maintain boundaries

Answer 33

Histrionic personality

Question 34

This personality needs to make self-aware of their abusive behavior and set limits and don’t take it personal

Answer 34

narcissistic personality

Question 35

This personality-help explore positive self-aspects, reshaping positive talk

Answer 35

Aviodant personality

Question 36

This personality reshapes, problem solving, decision making, refrain from giving advice, and may need help with ADL’d

Answer 36

Dependent personality

Question 37

This personality helps accept and tolerate a less perfect work. Encourage to delegate activities

Answer 37

Obsessive compulsive personality

Question 38

severe forms of mental illness that result in abnormal perceptions, thoughts, and behaviors

Answer 38

Psychotic disorders

Question 39

most common psychotic disorder is

Answer 39

schizophrenia

Question 40

Types of delusions
Delusions of __________________________ =characterized by the client’s claim to association with famous people or celebrities or the client’s belief that he or she is famous or capable of great feats

Answer 40

delusions of grandeur

Question 41

Delusions of -___________________________ =involves the client’s belief that “others” are planning to harm the client or are spying , following, ridiculing, or belittling the client in some way (sometimes the client cannot define who these others are

Answer 41

delusions of persecution

Question 42

Delusions of _______________________ =involve the client’s belief that television broadcasts, music or newspaper articles have special meaning for him or her

Answer 42

Delusions of reference

Question 43

___________________________delusions =generally vague and unrealistic beliefs about the client’s health or bodily function.

Answer 43

somatic delusions