Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Mental Health Care > Week 10 - Important Concepts > Flashcards

Week 10 - Important Concepts Flashcards

1
Q

Complex pattern of characteristics, largely outside of the person’s awareness

A

Personality

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

An enduring pattern of deviant (i.e. differing from _______ expectations) inner experiences and behaviour

A

Personality disorder

cultural expectations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How are personality disorders often picked up?

A

Not typically the thing that patients will go to in-patient settings for. Personality disorders often get picked up when they seek care.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Personality disorders are _______ and ________ (across a broad range of situations), and ______ (over time)

A

pervasive, inflexible

stable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the core components of adaptive/maladaptive functioning?

A 
Self control
Identity integration
Relational capacities
responsibility
Social concordance
(disruption in the above being the criteria for maladaptive functioning)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

An issue in this, would mean that the client didn’t find themselves in adolescence/early adulthood

A

identity integration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the 3 main groupings of PDs?

A

Cluster A - odd-eccentric
Cluster B - dramatic-emotional
Cluster C - anxious-fearfulness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the Cluster A PDs?

A

Schizoid
schizotypal
Paranoid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the Cluster B PDs?

A

Borderline PD
ASPD
Histrionic PD
Narcissistic PD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the Cluster C PDs?

A

Avoidant PD
Dependent PD
Obsessive-compulsive PD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Paranoid PD:
- Features?
Epidemiology:
- found in ___-____ of the general population
Although the etiology is unclear, there is a _______ predisposition

A

mistrustful
persistent ideas of self-importance

0.5-2.5%

Genetic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Nursing considerations for Paranoid PD:

  • The PD is not usually the reason for ______ ______
  • can be difficult to establish this
  • changing thought patterns takes time, but sometimes change _____ take place
A

seeking care
NC relationship
doesn’t

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Schizoid PD
- Features (main)
Epidemiology
Etiology

A

Features:

  • introverted and reclusive
  • minimum introspection and self-awareness
  • symptoms sometimes mimic schizophrenia

Rarely diagnosed in clinical settings

Etiology unknown

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Unlike other disorders, we know what can help schizoid PD patients, however, it often doesn;t help. Why?
What time of interventions do help?

A

Don’t present to the healthcare system in the first place
Cannot establish NC relationship

Social skill training and encouragement of social interactions helps

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Schizotypal PD
- Describe the features
Epidemiology?
Etiology?

A

Eccentric end of cluster A
Resembles schizophrenia greatly during psychotic episodes
Social deficits - hard to establish NC relationship

0.6-1.5% prevalence

unknown etiology

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Nursing considerations schizotypal PD

  • one of the main considerations?
  • care similar to that of?
A

may not be able to help this person

care similar to that of schizophrenics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Pervasive patterns of instability, marked impulsivity that begins by early adulthood and is present in a variety of contexts

A

Borderline PD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

These individuals live from crisis to crisis, but appear more competent than they are.

A

Borderline PD

19
Q

What are some problem areas for pts of MPD?

A
  • Regulating moods, impulsivity/destructive tendency
  • Developing identity
  • Maintaining interpersonal relationships
  • Connection to reality
20
Q

A key component of MPD patients is the idea of unstable interpersonal relationships. Describe.

A 
Fear of abandonment
Attachment problems (unstable, insecure)
Over-idealize relationships - e.g. greatest relationship, worst breakup
21
Q

Clinical course of MPD includes the concept of painful incoherence, or?

A

internal disharmony

22
Q

What are some cognitive dysfunctions associated with MPD?

A

Dichotomous thinking - all or nothing

Dissociation - detached from self; outside looking in

23
Q

Many ______ and ______ show symptoms similar to those with BPD.
Symptoms of BPD being in _________.

A

Children and adolescents - may be due to tumultuous times

Symptoms begin in adolescence

24
Q

Epidemiology of MPD:

  • ___-____% prevalence in general population
  • In clinical populations, is it the _______ frequently diagnosed PD
  • Mean age of diagnosis is _____
  • Coexistence of PD with mood, substance abuse, eating, dissociative, and anxiety disorders
A

0.4-2.0%
most frequently
mid-20s

25
Q

What are some risk factors for BPD?

A

Childhood physical/sexual abuse

Parental loss/separation

26
Q

This theory is prominent in the explanation of BPD.

A

Psychoanalytic theory

27
Q

Range of medications used to treat BPD.

Psychotherapy of choice for BPD.

A

Mood stabilizers, antidepressants and at times anxiolytics

Dialectical behavioural therapy (DBT) - psychotherapy of choice

28
Q

Describe DBT.

A

Similar to CBT, but more structured with mindfulness component
4 stages/tiers - individual, group-skills training, telephone connection, debriefing (therapy for therapist)

29
Q

Pervasive pattern of disregard for, and violation of, the rights of others that begins in childhood or early adolescence.

A

Antisocial PD

30
Q

Interpersoanlly engaging, but apathetic.

Lack empathy, compassion and remorse.

A

Antisocial PD

31
Q 
ASPD
Epidemiology:
- _-_% of the population
- No diagnosis before \_\_\_
- Need a Hx of \_\_\_\_\_\_\_ \_\_\_\_\_\_ prior to \_\_\_

Risk factors:

  • ____ more often diagnosed
  • Present in all ______
  • Comorbid with ______ and ______ abuse
A

2-3%
18
conduct disorder prior to 15

Men more often diagnosed
Present in all cultures
Comorbid with alcohol and drug abuse

32
Q

Etiology:

  • Biologic:
    • ______ component - ____ times more common in first-degree relatives
  • Psychological
    • ________ attachments
    • _________ temperament
  • Social
    • ______ families
    • Abuse
A

genetic
5 times more likely in first-degree relatives
insecure attachments
difficulty (aggressive, inattentive, hyperactive, impulsive)
chaotic families

33
Q

Grandiose sense of self-importance
inexhaustible need for attention
lack empathy
everything about suiting the narcissist’s needs

A

Narcissistic PD

34
Q

Narcissistic PD
Epidemiology:
- _% of the population
Etiology?

A

1%

unknown

35
Q

Not as many obsessions and compulsions, but rigidity, perfectionism, and control.

A

Obsessive-compulsive

36
Q

Submissive pattern

cling to others to be taken care of

A

Dependent

37
Q

Desire for social life but avoid interpersonal contacts and social situations
perceive themselves as socially inept

A

Avoidant PD

38
Q

Cluster C disorder that is prevalent in clinical samples

A

dependent PD

39
Q

Not just needy, but very submissive person, unable to look after themselves and external focus on someone else having to do things for them

A

Dependent

40
Q

Odd + magical beliefs, behaviours, not paranoid

Dramatic, seductive, but not chaotic

Unemotional, cold, indifferent

A

schizotypal

Histrionic

Schizoid

41
Q

Suspicious, jealous, but not psychotic or unlawlful

Aggressive, unlawful, impulsive

Unstable chaotic, impulsive, not aggressive or unlawful

A

Paranoid

ASPD

BPD

42
Q

Needs relationships, indecisive, fears abandonment

Needs people but fears relationships

Self-centered, entitled, lacks empathy but not unlawful or chaotic

Perfectionists, need structure, highly organized

A

Dependent

Avoidant

Narcissistic

OCPD

43
Q

Cross referenced to ASPD.

A

conduct disorders

Mental Health Care (11 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions