Test 3 Mental health notes personality disorders Flashcards
our thoughts, feelings, and beliefs formed together to develop a consistent set of traits; makes each of us unique
personality
Five qualities of a health personality
positive and accurate body image
realistic self ideal
high self esteem
satisfying role performance
clear sense of identity
Five qualities of a health personality
positive and accurate body image
realistic self ideal
high self esteem
satisfying role performance
clear sense of identity
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
Sigmund Freud
Freud’s three structures of personality
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
Freud’s stages of personality development
oral stage
anal stage
phallic stage
latency stage
genital stage
Freud’s stages of personality development
oral stage
anal stage
phallic stage
latency stage
genital stage
Erik Erikson’s 8 psychosocial stages
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
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
trust vs mistrust
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
autonomy vs shame and doubt
3-5 yrs preschool learn to initiate tasks and carry out plans or they fell guilty about efforts to be independent
initiative vs guilt
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
industry vs inferiority
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
identity vs role confusion
20s-40s. young adults struggle to form close relationships and to gain the capacity for intimate love, or they feel socially isolated
intimacy vs isolation
40-65 we establish our careers, settle down within a relationship begin our own families give back to society through raising our own children
generatively vs stagnation
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
integrity vs despair
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)
paranoid disorder
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
Schizoid disorder
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
schizotypal disorder
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
antisocial personality disorder
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
Borderline personality disorder
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
histrionic personality disorder
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
narcissistic personality disorder
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
avoidant personality disorder
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
Dependent personality disorder
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
Obsessive- compulsive personality disorder
Treatments for personality disorder
Psychotherapy, group therapy, assertiveness training
Nursing care assessment for personality disorder:
signs/symptoms of disorders
___________________ is always concern; may be at risk for self or other directed violence
Safety
(nursing interventions)
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
paranoid personality
This personality needs you to focus on improve function in the community. Respect the need of social isolation
Schizoid personality
Nursing care is focused on development of self care and social skills for this personality
schizotypal personality
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
antisocial personality
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
antisocial personality
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
borderline personality
This personality feedback on social interactions especially dress and behavior, maintain boundaries
Histrionic personality
This personality needs to make self-aware of their abusive behavior and set limits and don’t take it personal
narcissistic personality
This personality-help explore positive self-aspects, reshaping positive talk
Aviodant personality
This personality reshapes, problem solving, decision making, refrain from giving advice, and may need help with ADL’d
Dependent personality
This personality helps accept and tolerate a less perfect work. Encourage to delegate activities
Obsessive compulsive personality
severe forms of mental illness that result in abnormal perceptions, thoughts, and behaviors
Psychotic disorders
most common psychotic disorder is
schizophrenia
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
delusions of grandeur
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
delusions of persecution
Delusions of _______________________ =involve the client’s belief that television broadcasts, music or newspaper articles have special meaning for him or her
Delusions of reference
___________________________delusions =generally vague and unrealistic beliefs about the client’s health or bodily function.
somatic delusions
