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36 Cards in this Set
- Front
- Back
- 3rd side (hint)
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An impairment of personality functioning and personality traits that are maladaptive |
Personality disorder |
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Maladaptive or dysfunctional personality traits exhibited by individuals with a personality disorder may include |
1. Negative behavior toward others 2. Anger and hostility 3. Irritable, labile mood 4. Lack of guilt or remorse cools uncaring 5. Impulsivity, poor judgement 6. Irresponsible not accounting for own actions 7. Risk-taking, thrill-seeking behaviors 8. Mistrust 9. Exhibitionism 10. Entitlement 11. Dependency 12. Eccentric perceptions |
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Personality disorders are not diagnosed until... |
Age 18 |
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No specific medication alters... |
Personality |
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Many people with personality disorder also have coexisting... |
Mental illnesses |
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People with personality disorder don't realize their own behavior as the source of difficulty, which makes these patients... |
Hard to treat |
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Characterized by a pervasive pattern of depressive cognitions and behaviors in various context |
Depressive behavior |
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Characterized by a negative attitude and a pervasive pattern of passive resistance to demands for adequate social and occupational performance |
Passive-aggressive behavior |
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For personality disorder, the focus of treatment is... |
Behavior change |
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Possible treatment outcomes for personality disorder |
1. The client will demonstrate nondestructive ways to express feelings and frustration 2. The client will identity ways to meet his or her own needs that do not infringe on the rights of others 3. The client will achieve or maintain satisfactory role performance |
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The 3 steps to limiting setting |
1. Stating the behavioral limit (describing the unacceptable behavior) 2. Identifying the consequences of the limit is exceeded 3. Identifying the expected or desired behavior |
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_______ limit setting in a __________ manner is crucial to success of extinguishing behavior |
Consistent; matter-of-fact nonjudgmental |
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During inappropriate behavior, it is important that the nurse does not... |
Get angry or respond harshly or punitively |
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The nurse points out a client's problematic behavior while remaining neutral and matter-of-fact; avoids accusing the client. |
Confrontation |
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Problem solving skills for anti social personality disorder |
1. Identify the problem 2. Explore alternative solutions 3. Choose and implement alternative 4. Evaluate the results |
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Leaving the area and going to a neutral place to regain internal control |
Time out |
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_________ help clients avoid impulsive reactions and angry outburst in emotionally charged situations, regain control of emotions, and engage in constructive problem solving |
Time-out |
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Antisocial clients tend to blame others for their... |
Failures and difficultues |
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Outcomes for treatment of borderline personality disorder |
1. Client will be safe and free from significant injury 2. Client will not harm others or destroy property 3. The client demonstrate increased control of impulse behavior 4. The client will take appropriate steps to meet his or her own needs 5. The client will demonstrate problem solving skill 6. The client will verbalize greater satisfaction with relationships |
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Clients with borderline personality disorder are often involved in long term psychotherapy to address issues of... |
Family dysfunction and abuse |
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A paper that states that a client promises not to engage in self-harm and to report to the nurse when he or she is losing control |
No-self-harm contract |
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No self harm contracts are thought hts to be beneficial to the client's treatment by promoting... |
Self-responsibility and encouraging dialogue between client and nurse |
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Lecturing and chastising clients for self harm has... |
No positive effect |
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When bought upon the scene with a self harm injury client, you should... |
Deflecting attention from the actual physical act |
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The nurse must be clear about establishing boundaries of therapeutic relationship to ensure that neither the client's nor the nurse's _________ are violated |
Boundaries |
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What basic communication skills will help communicating? |
1. Eye contact 2.active listening 3. Taking turns talking 4. Validating the meaning of another's communication |
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When clients have an immediate desire or request, they must learn that it is... |
Unreasonable to expect it to be granted without delay |
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A technique useful in changing patterns of thinking by helping clients to recognize negative thoughts and feelings and to replace them with positive patterns thinking |
Cognitive restructuring |
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A technique to alter the process of negative or self critical thought patterns such as "I'm dumb, I'm stupid" by start with yell out loud "Stop!" To progressing to more subtle things |
Thought stopping |
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The client reframes negative thoughts into positive ones |
Positive self-talk |
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A technique that involves learning to assess situations realistically rather than always assuming a catastrophe will happen |
Decatastrophizing |
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Minimizing unstructured time by planning activities can help clients... |
Manage time alone |
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Techniques that are good for Dependant personality disorder |
Cognitive restructuring; reframing and decatastrophizing |
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For dependent personality disorder, the nurse may also need to teach __________ and ___________ and help clients apply them to daily |
Problem solving; decision-making |
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Nurse must discuss feelings of anger or frustrations with colleagues to help them... |
Recognize and cope with own feelings |
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Clients with antisocial and borderline personality disorder often manipulate staff members by... |
Splitting them |
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