N352 Test 3 Personality Disorders And Eating Disorders

Front 1

Personality Disorder Key point for DSM coding

Back 1

1. Behavioral trait causes you to relate to people very differently
2. Enduring (meaning trait always there)
3. Inflexible (difficult to change behaviors)

Front 2

Onset for personality disorder

Back 2

adolescence and early adulthood

Front 3

Healthy Personality

Back 3

1. intimacy
2. sensitive to others needs
3. balance needs
4. communicate honestly
5. respect boundaries
6. move through obstacles during stress

Front 4

Cluster A personality disorders

Back 4

1. Paranoid PD: distrust, suspicious
2. Schizoid PD: detachment from social relationships, flat emotional expression, does not desire enjoy relationships. ASEXUAL
3. shizotypal PD: Perceptual distortions, discomfort to close relationships cognitive
or perpetual.

GENERALLY DO NOT SEE THEM SEEKING HELP BC PARANOIA

Front 5

Cluster B personality disorders

Back 5

Cluster B: emotional, dramatic, erratic
1. antisocial PD: don't consider rights of others at 18 yrs (occurs more in males)
2. Borderline personality disorder: unstable, intense relationships; unsure of identity; unstable effect; impulsive (more often female); suicidal or engages in self-mutilation. May be seductive until approached and will cast away relationship. There is some genetic tendency (but cannot confirm yet)
3. Histrionic PD: very emotional and attention seeking; love distant attention
4. Narcissistic PD: grandoise; seeking admiration; lack of empathy.

Front 6

Cluster C personality disorders

Back 6

cluster C: anxious and fearful

1. Avoidant PD: Social inhibition; feeling of inadequacy; hypersensitive
2. Dependent PD: submissive and clinging behavior; excessive need to be taken care of
3. Obsessive-Compulsive PD: Preoccupied with orderliness and control; perfectionism

Front 7

nursing interventions for personality disorders

Back 7

1. Assess for suicidal ideation and self harm
2. encourage longterm relationship with an outpatient therapist; dialectical behavioral therapy
3. Validate feelings and build on client strengths
4. Monitor splitting and projection

Front 8

emotional pain accompanied with physical pain through self harm is associated with

Back 8

dopamine response for some

Front 9

dialectical behavioral therapy (DBT)

Back 9

DBT: Originally implemented for BPD; combines standard cognitive-behavioral techniques for emotion regulation and reality-testing with concepts of distress tolerance, acceptance, and mindful awareness largely derived from Buddhist meditative practice

Front 10

When staff starts arguing over treatment plan you begin?

Back 10

looking at how the PT may be manipulating staff through personality disorder

Front 11

antisocial personality disorder: nursing disorders

Back 11

1. set clear limits to prevent manipulation
2. maintain professional boundaries
3. Monitor substance abuse
4. teach anger management
5. encourage think of consequences
6. reinforce positive behaviors

Front 12

Nursing interventions with OCD-PD

Back 12

1. client identify impact of behav.
2. discuss control and perfect.
3. encour. pleasurable activities
4. help see bigger picture
5. teach relax. and emo expression

Front 13

OCD-PD sometimes it doesn't physically manifest, but rather is

Back 13

reoccurring thought

Front 14

PD Cluster A meds

Back 14

antipsychotic - however won't come into treat. or trust med

Front 15

PD Cluster B meds

Back 15

respond to mood stabilizerrs and atyp antipsych

Front 16

PD Cluster C meds

Back 16

SSRI

Front 17

NANDAS for PD

Back 17

1. chronically low self-esteem
2. inability to relate to others
3. defensive coping
4. risk for harm
5. ineffective coping

Front 18

Person with Bulemia is usually what?

Back 18

normal weight

Front 19

Difference between anorexia and Bulemia is

Back 19

weight

Front 20

Begin looking at anorexia when person is less than _________ of expected weight

Back 20

85%

Front 21

Dysmorphia

Back 21

looking at self in mirror and seeing body image that is something other than true

Front 22

Anorexia may result in this physiologically?

Back 22

Amenorrhea: absence of menstrual cycle

Front 23

Bulemia characteristics

Back 23

1. may eat a tremendous amount of food to gain emotional comfort, binge
2. compensatory behavior: vomitting or purging must occur at least twice a week over three month period for DSM code

Front 24

two types of bulemia

Back 24

purging type - vomitting, laxatives, diuretics
nonpurging type - compensatory mech by excessive exercise or starvation

Front 25

Eating disorder NOS

Back 25

physiologically ok but there is an odd behavioral routine

Front 26

Factors in eating disorders

Back 26

1. genetic predisposition
2. appetite reg in hypothal changed
3. NT imbalances
4. comorbid disorders may occur w/ eating disorders; not helping
5. psychological factors: ritualism, rigidity about way appear
6. environ factors, i.e., cultural

Front 27

S/S of anorexia nervosa

Back 27

*refusal to eat
*bradycardia
*electrolyte imbalance
*rituals r/t eating
*lanugo: grow more vellus hair to keep warm
*constipation

Front 28

Bulimia Nervosa S/S

Back 28

fluid & electrolyte imbal
CARDIAC ARRHYTHMIA
Delayed gastric emptying
PAROTID GLAND ENLARGEMENT

Front 29

anorexia nervosa nursing interventions

Back 29

1. restore fluid and electrolyte imbalance
2. behavioral program
3. Monitor mood and admin meds
4. encourage positive interests and activities to transfer focus to something else
5. CBT control issues

Front 30

bulimia nervosa nursing interventions

Back 30

1. restore fluid and electrolyte
2. behavioral program to stop purging
3. CBT
4. relaxation training
5. DANCE AND MOVEMENT THERAPY TO BURN CALORIES W/O PURGING

Front 31

20% of those suffering from true anorexia will?

Back 31

commit suicide