Brainscape's Knowledge GenomeTM

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


See full index

HNN222 Exam > Week 6 - Personality disorders > Flashcards

Week 6 - Personality disorders Flashcards

1
Q

Derfine personality

A

The integration of
* subjective experiences of themselves and their environment
* conscious behaviours
* unconscious beliefs

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

Identify the 5 personality traits and their characteristics

A

Neuroticism - anger, anxiety, moody
Agreeableness - kindness, compassion, naivety
Extraversion - assertive, talkative, attention seeking
Openess - curious, creative, emotive
Conscientiousness - organised, reliable, self disciplined

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

Define General personality disorder

A

A condition associated with impaired cognition, and therefore affectivity, which leads to difficulty in impulse control and interpersonal functioning

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

What are the signs and symptoms of a general personality disorder

A
  • general imbalanced or disordered presentation of personality traits

could be
* isolating or paranoid
* emotional
* manipulative
* unpredictable
* anxious
* fearful

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

Identify the three clusters of personality disorders and the characteristics of each cluster

A

Cluster A - detachment, paranoid, isolating, impaired perception of others which leads to lack of concern for others
Cluster B - emotional, impulsive, grandiosity, lack of empathy
Cluster C - anxiousness, fear, obsession with control, social withdrawal/inhibition

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Define Antisocial personality disorder

A

A personality disorder characterised by impulsivity, lack of regard for others, and disordered behaviours of conduct
* behaviours often associated with illegal consequences - antisocial behaviours

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

Define conduct disorder

A

A disruptive impulse-control disorder where the person exhibits behaviours including
* aggression
* theft
* property damage
* rule violations

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

Identify signs and symptoms of antisocial personality disorder

A
  • evicence of conduct disorder behaviours in adolescence (< 15)
  • confidence
  • lack of empathy
  • lack of regard for consequences
  • difficulty maintaining relationships
  • arrogant
  • impulsive
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Biological causes of antisocial personality disorder

A
  • The personality traits of APD are highly heritable
  • White matter and frontal lobe differences
  • poor nutrition -> negative impact on cognition and executive functioning

In conjunction with environmental factors

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

Psychological causes of antisocial personality disorder

A
  • poor affective regulation
  • personality traits of neuroticism and openess
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Environmental causes of antisocial personality disorder

A
  • dysfunctional family environment (child abuse, neglect, violence)
  • substances in the home in childhood
  • lack of parental discipline to regulate impulsive behaviours
  • cycle of unemployment -> homelessness -> antisocial behaviour
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Timeline of antisocial personality disorder

A

< 8 - disruptive behaviours may emerge (start of CD)
11 - symptoms of APD may begin developing
18 - potential diagnosis of APD from CD

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

Identify non pharmacological treatments for antisocial personality disorder

A

Medication not indicated

Important to understand consumers motivation to seek treatment - people with ADP rarely seek help

CBT
* puts strategies in place for consumer to refrain from antisocial behaviours

Psychoeducation
* consumer is educated about their condtion
* empowers and leads to more informed decision making

Reasoning and rehabilitation
* manages offending behaviours and trains social skills
* develops ideals necessary for positive engagement
* works on impulse control

Other concurrent treatments
* AOD treeatment
* behavioural modification
* social skills training
* anger management

Prevention
* of childhood trauma
* of behaviours through discipline

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

Identify nursing interventions and rationale for people experiencing antisocial personality disorder

A

MSE and risk assessment

Develop trusting therapeutic relationship

Psychoeducation

Set clear boundaries and limitations

Intervene in antisocial behviours where safe and appropriate to help support employment of coping strategies
* eg developing social skills, calming techniques

encourage commitment to therapies and provide words of support

Provide resources to assist consumer when recovering whilst in community

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

Define borderline personality disorder

A

A personality disorder characterised by abrupt mood fluctuations, impulsivity, and dysfunctional emotional regulation. See people as GOOD or BAD (fluctuate between idealisation and devaluation)

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

Identify signs and symptoms of borderline personality disorder

A
  • low self esteem
  • mood instability
  • self harming/suicidal tendencies - maladaptive coping mechanism to stress
  • impulsivity
  • argumentative
  • unstable interpersonal relationships
  • insecurity - due to fear of abandonment
  • dependence - due to fear of abandonment
  • auditory hallucinations in times of stress “you are worthless” “kill yourself”
17
Q

Biological causes of borderline personality disorder

A
  • genetic heritability
  • family history of substance misuse and other affective disorders
  • inability to cope with stress

Brain
* abnormal emotional centre
* control mechanisms over the emotional brain are impaired
* * dopamine and serotonin dysfunction

alongside environmental factors

18
Q

Psychological causes of borderline personality disorder

A

Ability to cope with stress

19
Q

Environmental causes of borderline personality disorder

A
  • Childhood trauma
  • SEXUAL ABUSE
  • low socioeconomic status
  • bullying
  • family instability (separation, death, strange dynamics)
20
Q

Timeline of borderline personality disorder

A

Childhood - dysfunctional behaviours emerge
Early adulthood - severe mood an impulse control issues = unpredictability and risk of suicide
Adulthood - behaviour patterns stabilises by 40 and sometimes no longer meet criteria

21
Q

Suicide and self-harm

A

Common feature of BPD
* oftenan attempt to communicate distress or cope with crisis
* 10% die by suicide

Signs of impending suicide or self harm
* discharge (coming up, recently happened)
* variations to normal self harm patterns
* metal decline
* increased substance misuse
* recent adverse life changes
* past suicide attempts (and lethality)

22
Q

Identify and explain non pharmacological treatments for borderline personality disorder

A

Dialectical behavioural therapy
* teaches consumer how to sit through distress and employ self soothing
* teaches delaying techniques eg. wait an hour to cut
* teaches interpersonal skills (active listening, communicating, healthy relationships)
* diffuses black and white thinking of people
* may help consumer identify enablers in their life
* helps in minimising self harm

Cognitive behavioural therapy
* identifies faulty thinking
* supports reconstructing ways of thinking and forming postive coping strategies
* for anger and impulse management, and maintaining self esteem
* diffuses black and white thinking of people

Acceptance commitment therapy
* allows consumer to accept their potential and feel empowered
* mindfulness
* helpful in minimising the negative impacts of painful experiences

23
Q

Pharmacological interventions as an adjunct therapy

A

Antipsychotics
* manages agitation and anger
* therefore improves general interpersonal functioning

Antidepressants
* hostility and emotional variances of BPD
* does not effectively treat self harming behaviours

Mood stabilisers
* controls mood instability
* therefore interpersonal functioning

24
Q

Identify nursing intervention and rationale for people experiencing borderline personality disorder

A

Inpatient treatment is only effective for unavoidable crisis management

Understand and maintain boundaries
* protects consumer and physician

Exercuse firm limit setting (appointment times, treatment)
* mitigates abandonment issues

Collaborate with consumer to follow management plan - consistency, trust, patient centred

Build rapport and trust - builds comfort, allows consumer to open up about urges

MSE and risk assessment

medication management

Encourage self soothing mechanisms in times of distress- supports recovery via productive coping
* using ice instead of cutting
* journal writing
* exercising
* relaxation techniques

Close visual obs (15/60) if necesary - this could be comforting or distressing

25
Q

Mental health management plans

A

Developed by the consumer and their community case manager
* diagnosis
* goals (short and long term)
* coping strategies
* emergency contacts
* roles and responsiblities of the care providers, family, and support systems
* risk factors to their care

26
Q

Transferrance and countertransferrance

A

Transferance - when a patient imposes feelings or emotions onto the nurse because they remind them of someone
* can be positive or negative

Countertransferace - when a nurse imposes feelnigs or emotions onto the patient because they remind them of another patient
* most usually negative

Be aware so as to not
* impact care
* impact consumer
* divide staff

HNN222 Exam (8 decks)

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