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unit 3 personality do Flashcards

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1
Q

PD common char-4

A
  1. inflexible and maladaptive response to stress
  2. disability in working and loving
  3. ability to provoke interpersonal conflict in HCPs, fy, and friends
  4. capacity to have an intense effect on others-unconscious and undesireable
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2
Q

paranoid PD sym-7

A
  1. vigilant and suspicious of others
  2. bears grudges/unforgiving of insults
  3. reads hidden threats into benign remarks
  4. diff w close relationships/works alone
  5. cold/impersonable, does not share thoughts, no sense of humor
  6. critical of others but can’t take criticism
  7. prone to file lawsuits
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3
Q

Paranoid PD RN guidelines-6

A
  1. avoid too nice/friendly
  2. give clear explanations for tests and proceedures
  3. simple/clear language, avoid ambiguity
  4. project neutral but kind affect
  5. warn of any changes/side effects
  6. written plan of tx
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4
Q

paranoid pd treatment -4

A
  • initial mistrust
  • cognitive and behavioral
  • focus on counteracting fear and relieving stress
  • severe paranoia-antipsychotic
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5
Q

schizoid PD sym-5

A
  1. neither desires nor enjoys close rel, even w fy
  2. solitary/loner
  3. eccentric, flat affect
  4. occupation involves little interpersonal contact
  5. may also develop schizophrenia or delusional do
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6
Q

schizoid pd rn guidelines-3

A
  1. avoid too nice/friendly
  2. don’t resocialize
  3. thourough assessment needed-reluctant to discuss
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7
Q

schizoid pd tx-3

A
  1. only in crisis and to relieve symptoms
  2. group tx
  3. social skills training
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8
Q

schizotypal pd sym-8

A
  1. high suicide and schizophrenia
  2. withdrawn/aloof
  3. ideas of reference, odd beliefs, magical thinking
  4. social anxiety ass w paranoid fears
  5. lack of close friends
  6. inappropriate or constricted affect
  7. behavior odd/eccentric/peculiar
  8. illogical speech/unkempt appearance
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9
Q

schizotypal pd rn guidelines-3

A
  1. respect need for social isolation
  2. be aware of pt suspiciousness
  3. careful assessment needed (suicidal thoughts)
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10
Q

schizotypal pd tx-2

A
  1. cognitive behavior tx

2. atypical (second gen) antipsychotics

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11
Q

antisocial pd sym-10

A
  1. extended hx of antisocial behaviors begining before 15 and into adulthood
  2. deceitfulness
  3. blames others for problems
  4. consistent irresponsibility
  5. impassive/aggressive toward others
  6. lack of remorse/empathy
  7. can be charming
  8. manipulation/aggressive/ exploitive
  9. sub abuse common
  10. familial pattern/criminality
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12
Q

antisocial pd rn guidelines-3

A
  1. prevent/reduce manipulation
  2. aware of instilling guilt when not getting their way
  3. sub abuse tx first
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13
Q

antisocial pd tx-3

A
  1. little success
  2. treat specific behaviors that can be modified
  3. milieu programs-token/therapeutic
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14
Q

boderline pd sym-7

A
  1. most have another do
  2. rel are intense, unstable and alternate between dependance and rejection
  3. impulsive and self-damaging behaviors (sex, spending)
  4. recurrent suicidal/self-mutilation
  5. intense anger/rage/hostility
  6. uses splitting
  7. rapid idealization-devaluation
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15
Q

borderline pd rn guidelines-7

A
  1. set realistic goals w clear action words
  2. be aware of manipulation
  3. provide clear/consistent boundaries and limits
  4. use clear straightforward communication
  5. review therapeutic goals in response to behaviors
  6. avoid rejecting/rescuing
  7. assess for suicide and self-mutilation
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16
Q

borderline pd tx-4

A
  1. dialectical behavioral therapy
  2. hospitalization common
  3. antidepressants/antipsychotics
  4. anticonvulsant- carbamzepine
17
Q

histrionic pd sym-7

A
  1. draw attention to self- attractive
  2. excessive emotionality and attention-getting behavior
  3. intense emotional expressions are shallow w rapid shifts
  4. describe rel as more intimate than reality
  5. suggestible
  6. smothering/destructive
  7. w/o instant gratification can become depressed/suicidal
18
Q

histrionic pd rn guide-4

A
  1. understand seductive behavior as response to stress
  2. stay professional
  3. encourage and model concrete and descriptive
  4. teach/role model assertiveness
19
Q

histrionic tx-2

A
  1. use indirect means to get others to take car of them

2. psychoanalytic and behavioral approach

20
Q

Narcissistic pd sym-6

A
  1. exploit others to meet own needs
  2. arrogant, entitled
  3. gradiosity, need for admiration, lack empathy
  4. will agree then sabatage others
  5. begrudge others for success
  6. rel are superficial/ argumentative/controlling
21
Q

narcissistic rn guide-2

A
  1. remain neutral to avoid power struggles/defensive

2. convey unassuming self-confidence

22
Q

narcissistic tx

A
  1. insight oriented psychotherapy

2. difficult to treat because can’t see anothers POV

23
Q

dependent pd sym-8

A
  1. unusual degree of agreeableness or friendliness
  2. use to attach to another as protector
  3. clingy- takes precedence over outside interests
  4. can’t make decisions
  5. will suffer self-sacrifice to obtain nurture and support from others
  6. need others to assume responibility
  7. difficulty expressing disagreements
  8. want everything done for them
24
Q

dependent pd rn guide-4

A
  1. id and help address current stressors
  2. satisfy needs w limits
  3. need supervision for countertranference
  4. teach/role model assertiveness
25
Q

dependent tx-3

A

-supportive, cognitive-behavioral, and group

26
Q

obsessive compulsive personality pd sym-9

A
  1. inflexible, rigid, needs to be in control
  2. perfectionist to point of incompletion
  3. overemphasis on work to the exclusion of rel and pleasure leisure
  4. preoccupied w details-can’t make decision
  5. intimacy rigidly controlled
  6. financial stingyness, can’t part w objects
  7. highly critical
  8. preoccupation w lists, rules, schedules
  9. need to dominate people and situations
27
Q

OCPD rn guide-2

A
  1. guard against power struggles

2. intellectualization, rationalization, and reaction formation most common defense mech

28
Q

avoidant pd sym-5

A
  1. pervasive pattern of social inhibition/phobias
  2. strong feelings of inadequacy
  3. avoid interpersonal contact out of fear of critisim/rejection
  4. view self as socially inept/unappealing/inferior
  5. don’t push into social situations
29
Q

pd assessments-3

A
  1. culture/social background
  2. change in personality in middle adulthood signals need for medical workup
  3. be cognizant of social stereotypes
30
Q

RN diagnoses-8

A
  1. risk for self-mutilation
  2. chronic low self esteem
  3. impaired social interaction
  4. ineffective coping
  5. manipulation
  6. suicide
  7. anger and hostility
  8. nonadherance to meds or treatment

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