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unusual beliefs, withdrawn, unable to express feelings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