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30 Cards in this Set

  • Front
  • Back
types and personality
2 ways to classify patients
classification differentiated by behavior, focuses on difficult behavior
type
classification based on deeper understanding of the underlying causes
personality
odd-eccentric, dramatic-erratic and anxious-inhibited
3 major personality groups
seductive, overly-emotional, need reassurance
histrionic
suspicious, mistrustful, misinterprets normal actions, critical evasive
paranoid
unusual beliefs, withdrawn, unable to express feelings
schizoid, schizotypal
superior attitude, abrupt, rude, arrogant, demanding, may idealize doctor at first, decision maker
narcissistic
manipulative, charming, need secondary gain, violent towards others
anti-social
manipulative, charming, need secondary gain, violent towards self
borderline
need attention, never reassured, urgent calls
dependent
isolated, difficulty with intimacy, doesn't do tx
avoidant
paranoid, schizoid and schizotypal
odd-eccentric
narcissistic, borderline, anti-social
dramatic-erratic
dependent, avoidant, OCD
anxious-inhibited
respectful, distant approach, explain procedures, avoid becoming defensive
paranoid
listen, take active role, use direct questions, focus on sx
schizoid, schizotypal
stay calm and reassuring, call in staff, focus on sx
histrionic
don't be sucked in, take control, regulate own emotions, stay adult, focus on sx
narcissistic
set limits, call in staff, maintain appropriate suspicion (drug seeking)
anti-social
set limits, call in staff, maintain appropriate suspicion (drug seeking)
borderline
firm limits with reassurance, ask pt to review situation, don't get flustered
dependent
respect limits, don't expect them to be as concerned as you are
avoidant
orderly, punctual, detail oriented, aloof, need to be in control
OCD
include them in care, focus on big picture, explain procedures
OCD
critical, condescending, caring, loving, negative
parent
logical, facts, no emotion, in charge
adult
rebellious, resistant, fun-loving, demanding, seductive, non-compliant, care-free
child
patient, doctor and the system
3 factors in the difficult patient schema
behavior and personality
2 classifications of patients