Week Six: Personality Disorders

Question 1

What is personality?

Answer 1

patterns of behaving and relating to self, others, and environment
- perceptions, attitudes, and emotions

Question 2

What is a personality disorder?

Answer 2

impairment of personality functioning, personality traits are maladaptive, identify problems, relationships are dysfunctional

Question 3

How old do you have to be to perform a PD test?

Answer 3

18

Question 4

What is the three types of clusters in a PD diagnosis?

Answer 4

Cluster A, B, and C

Question 5

What is a Cluster A diagnoses?

Answer 5

odd or eccentric behaviours
- paranoid personality disorders
- schizoid personality disorders
- schizotypical personality disorders

Question 6

What is a Cluster B diagnoses?

Answer 6

erratic or dramatic behaviours
- antisocial personality disorders
- boarderline personality disorders
- histrionic personality disorders
- narcissistic personality disorders

Question 7

What is a Cluster C diagnoses?

Answer 7

anxious or fearful behaviours
- avoidant personality disorders
- dependent personality disorders
- obsessive personality disorders

Question 8

What is the biological theories for personality disorders?

Answer 8

develop through the interaction of hereditary dispositions and environmental influences
temperament: biologic processes of sensation, association, and motivation that underlie the integration of skills and habits based on emotion

Question 9

What are the four temperament traits?

Answer 9

1. harm avoidance
2. novelty seeking
3. reward dependance
4. persistence
   these influence traits of a persons automatic responses to certain situations

Question 10

What is the psychodynamic theories for personality disorders?

Answer 10

focues on character.
Character concepts about the self and the external; word that develops over time as one comes into contact with people and situations

Question 11

What are the three major character traits for psychodynamic theories?

Answer 11

1. self directness(responsible, goal oriented)
2. cooperativeness (integral part of society)
3. self-transcendence (integral part of universe)

Question 12

What are the two treatment options for personality disorders?

Answer 12

psychopharmacology and psychotherapy

Question 13

What is psychopharmacology treatment for personality disorders?

Answer 13

focus on clients symptoms rather than the particulate subtype
medications used: lithium, anticonvulsant, mood stabilizers, benzo, neuroleptics

Question 14

What is psychotherapy treatment for personality disorders?

Answer 14

• individual and group therapy
• cognitive- behavioural therapy
• thought stopping
• positive self talk
• dialectical behavioural therapy

Question 15

What is paranoid personality disorder? Nursing interventions?

Answer 15

pervasive, mistrust/suspicious, projection as defence mechanisms, conflict with authority figures, appear aloof and withdrawn
Nursing interventions: formal, business type approach, client involvement, validate idea before action

Question 16

What is schizoid personality disorder? Nursing interventions?

Answer 16

\people avoid social activities and consistently shy away from interaction with others and have a limited range of emotional expression
nursing interventions: focus on improved functioning in community, greater chance of success if pt can relate needs to one person

Question 17

What is schizotypal personality disorder? Nursing interventions?

Answer 17

consistent pattern of intense discomfort with close relationships and social interactions, behavioural eccentricities, odd appearance, wander , frequently use words incorrectly
nursing interventions:focus on self care, social skills, improve functioning in the community, encourage diary routines, identify inappropriate outlet

Question 18

What is antisocial personality disorder? Nursing interventions?

Answer 18

disregard for rights of others, deceit, and manipulation. Not care for others feelings
nursing interventions: therapeutic relationships, enhancing problem solving, role performance

Question 19

What is borderline personality disorder? Nursing interventions?

Answer 19

pervasive pattern of unstable interpersonal relationships, self image, affect, impulsive. impacts a person’s ability to regulate their emotions.
nursing interventions: safety, therapeutic interventions, strict adherence to boundaries, communication skills, coping, emotion control, reshaping thinking patterns, structuring of daily activities

Question 20

What is histrionic personality disorder? Nursing interventions?

Answer 20

pattern of exaggerated emotionality and attention-seeking behaviors
nursing interventions: feedback about social interactions, social skills training, role playing, exploration of strengths and assets

Question 21

What is narcissistic personality disorder? Nursing interventions?

Answer 21

unreasonably high sense of their own importance, belittle or discount the feelings of others
nursing interventions: self awareness skills to avoid anger and frustration, matter of fact approach, limit settings

Question 22

What is avoidant personality disorder? Nursing interventions?

Answer 22

feelings of inadequacy and are highly sensitive to being negatively judged by others causing social discomfort, low self esteem, hypersensitivity to negative evaluation
nursing interventions: self affirmations, positive self talk, social skills training, be careful and patient with these clients

Question 23

What is dependent personality disorder? Nursing interventions?

Answer 23

feel helpless, submissive or incapable of taking care of themselves. Excessive need to be taken care of.
Nursing interventions: help ct express feelings of grief and loss over the end of a relationship while fostering autonomy and self reliance, assistance in daily functioning, teaching problem solving, nurse must refrain from giving advice

Question 24

What is obsessive-compulsive personality disorder? Nursing interventions?

Answer 24

extensive preoccupation with perfectionism, organization and control.
Nursing interventions: ct to view decision making and completion of projects from a different perspective, cognitive restructuring techniques

Question 25

What are elder considerations for personality disorders?

Answer 25

continue from a young age and not diagnoses in elders, some may stabilize while others may age badly, have a higher risk for depression, suicide, and dementia