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49 Cards in this Set

  • Front
  • Back
Personality disorders occur when perceiving, relating and thinking become
inflexible, maladaptive, and impair function
T or F: Personality Disorders are easy to treat
F. Difficult to treat because personality characteristics do not change easily – it’s “who they are”
Personality disorders are usually diagnosed in childhood or adulthood?
adulthood
Cluster A personality disorder: odd or eccentric
Paranoid, Schizoid, and Schizotypal
Cluster B personality disorders: dramatic, emotional, erratic
Antisocial, Borderline, Histrionic, Narcissistic
Cluster 3 personality disorders: anxious or fearful
Avoidant, Obsessive compulsive, Dependent
Describe Paranoid personality
Pervasive distrust/suspiciousness of others.
Interprets others’ actions as potentially harmful.
-Constantly on guard
-Hypervigilant
-Ready for any real or imagined threat
-Trusts no one
-Constantly tests the honesty of others
-Oversensitive
-Tends to misinterpret minute cues
-Magnifies and distorts cues in the environment
Paranoid personality more common in
men
Nursing interventions for Paranoid personality
Form a therapeutic/effective working relationship.
Keep commitments, be consistent.
Involve client - give control.
Describe Schizoid personality
Profound defect in the ability to form personal relationships.
Failure to respond to others in a meaningful emotional way.
Indifferent to others.
Client aloof/flat
Client emotionally cold
In presence of others, clients appear shy, anxious, or uneasy
They avoid treatment as much as they avoid relationships.
Inappropriately serious about everything and have difficulty acting in a light-hearted manner
Remains in parental home well into adulthood.
Nursing interventions for Schizoid personality
Improve client’s functioning in the community
Assist the client to find a case manager
Needs to have trusted family member or support person
Describe Schizotypal personality
Worse than Schizoid.
Clients aloof and isolated
Unkempt, dishelved
Behave in a bland and apathetic manner
Magical thinking
Ideas of reference
Illusions
Depersonalization
Bizarre speech pattern
May have psychotic features
Nursing interventions for Schizotypal personality
Development of self care, social skills & improve function.
Daily routine of hygiene & grooming
Role Play interactions in social setting
Describe Antisocial personality
Pattern of socially irresponsible
Exploitative
Guiltless behavior that reflects a disregard for the rights of others.
Socially irresponsible
Exploitative
Disregard for the rights of others
Fail to conform to the law
Cold, callous, intimidating
Inconsistent work or academic performance
Failure to conform to societal norms
Cruel and malicious
Inability to form lasting monogamous relationship
Nursing Dx for Antisocial personality
Risk for other-directed violence
Defensive coping
Chronic Low self esteem
Impaired social interaction
Deficient knowledge
Client goals for Antisocial personality
Discuss angry feelings
No harm to self/others
Show regard for rights of others
Follow rules/regulations of milieu
Refrain from manipulative behavior
Nursing interventions for Antisocial personality
Ensuring safety of client and others
Helping adopt coping strategies for delaying personal gratification
Helping client understand importance personal regard for rights of others
Provide structure.
Stating the behavioral limit (describing unacceptable behavior)
Identify consequences.
Identify the expected or desired behavior.
Define Borderline personality disorder
Pattern of intense/chaotic relationships with affective instability
Fluctuating and extreme attitudes regarding other people
Clients highly impulsive
Emotionally unstable
Lacks a clear sense of identity
On the border between neuroses & psychoses.
Self-destructive
Constant state of crisis
Inability to be alone
two key terms in borderline personality
instability and intensity
Nursing diagnoses for Borderline personality
Risk for self-mutilation
Anxiety
Chronic Low Self-esteem
Impaired Social Interaction
Disturbed personal identity
Client goals for Antisocial personality
Discuss angry feelings
No harm to self/others
Show regard for rights of others
Follow rules/regulations of milieu
Refrain from manipulative behavior
Nursing interventions for Antisocial personality
Ensuring safety of client and others
Helping adopt coping strategies for delaying personal gratification
Helping client understand importance personal regard for rights of others
Provide structure.
Stating the behavioral limit (describing unacceptable behavior)
Identify consequences.
Identify the expected or desired behavior.
Define Borderline personality disorder
Pattern of intense/chaotic relationships with affective instability
Fluctuating and extreme attitudes regarding other people
Clients highly impulsive
Emotionally unstable
Lacks a clear sense of identity
On the border between neuroses & psychoses.
Self-destructive
Constant state of crisis
Inability to be alone
two key terms in borderline personality
instability and intensity
Nursing diagnoses for Borderline personality
Risk for self-mutilation
Anxiety
Chronic Low Self-esteem
Impaired Social Interaction
Disturbed personal identity
Goals for borderline patients
Will not harm self
Seeks out staff when desire for self-mutilation is strong
Able to ID source of anger
Expresses anger appropriately
Relates to more than one staff member
Completes ADL's independently
Doesn't manipulate one staff member against the other
Define Histrionic personality disorder
Excitable
Emotional
Colorful
Dramatic
Extroverted in behavior
Attention Seeking
Self-dramatizing
Attention-seeking
Overly gregarious
Seductive
Manipulative
Exhibitionistic
Distractible
Difficulty paying attention to detail
Easily influenced by others
Have difficulty forming close relationships
Nursing interventions for histrionic personality
Teach social skills & role playing in a safe non-threatening environment.
Give feedback about appropriate or inappropriate social interactions
Define Narcissistic personality disorder
Characterized by an exaggerated sense of self-worth
Lacks empathy
Believes has inalienable right to receive special consideration
Client overly self-centered
Exploits others in an effort to fulfill own desires
Mood, which is often grounded in grandiosity, is usually optimistic
Client relaxed, cheerful, and care-free
Mood can easily change if client does not meet self-expectations (fragile)
Responds to negative feedback from others with rage, shame, humiliation
Nursing interventions for Narcissistic personality
Goal is to gain cooperation
Set limits for rude or verbally abusive behavior
Explain expectations
Define Avoidant personality disorder
Extreme sensitivity to rejection
Social withdrawal
Awkward and uncomfortable in social situations
Low self esteem
Shy
Fearful
Desires close relationships but avoid them because of fear of being rejected
Nursing interventions for Avoidant personality
Explore positive self aspects, positive responses from others & possible reasons for self criticism.
Help the client with positive self talk
Teach social skills
Define Dependent personality disorder
Pervasive and excessive need to be taken care of that leads to submissive and clinging behavior and fears of separation.
Lack of self-confidence that is apparent in posture, voice
mannerisms
Typically passive and goes along with the desires of others
Overly generous and thoughtful while underplaying own attractiveness and achievements
Feelings of low self worth
Assumes passive and submissive roles in relationships
Avoids positions of responsibility
Nursing interventions for Dependent personality
Help clients to express feelings of grief & loss over the end of a relationship while fostering autonomy & self reliance.
Teach problem solving & decision making.
Refrain from giving advice about problems or making decisions for clients
Define Obsessive Compulsive personality disorder
Inflexibility about the way in which things must be done.
Devotion to productivity at the exclusion of personal pleasure.
Especially concerned with matters of organization and efficiency
Tends to be rigid and unbending
Client polite and formal
Client rank-conscious (ingratiating with authority figures)
Strives for perfection
Check & recheck details
Low self esteem
Appears to be very calm and controlled
Underneath there is a great deal of ambivalence, conflict, hostility
Nursing interventions for Obsessive Compulsive personality
Help the clients accept or to tolerate less than perfect work.
Restructuring Techniques
“What is the worse that can happen?”
Enc. clients to take risks, such as letting some else plan a family/group activity
Define Passive Aggressive personality disorder
Exhibits a pervasive pattern of negativistic attitudes and passive resistance
Reacts badly to demands for adequate performance
Able to vent anger and resentment subtly while gaining the attention, reassurance, and dependency that are craved.
They tend to blame others for their own misfortune
Nursing interventions for Passive Aggressive personality
Examine relationships between feelings & actions
Express appropriate ways to express feelings especially negative feelings such as anger
Treatment modalities for personaliy disorders
-Interpersonal psychotherapy
-Psychoanalytical psychotherapy
-Milieu or group therapy
-Cognitive-Behavioral therapy
Medications for personality disorders cannot _____ the illness, but rather ___________
cure
treat symptoms
Nursing interventions for Obsessive Compulsive personality
Help the clients accept or to tolerate less than perfect work.
Restructuring Techniques
“What is the worse that can happen?”
Enc. clients to take risks, such as letting some else plan a family/group activity
Define Passive Aggressive personality disorder
Exhibits a pervasive pattern of negativistic attitudes and passive resistance
Reacts badly to demands for adequate performance
Able to vent anger and resentment subtly while gaining the attention, reassurance, and dependency that are craved.
They tend to blame others for their own misfortune
Nursing interventions for Passive Aggressive personality
Examine relationships between feelings & actions
Express appropriate ways to express feelings especially negative feelings such as anger
Treatment modalities for personaliy disorders
-Interpersonal psychotherapy
-Psychoanalytical psychotherapy
-Milieu or group therapy
-Cognitive-Behavioral therapy
Medications for personality disorders cannot _____ the illness, but rather ___________
cure
treat symptoms
Medication used for Borderline
SSRI's, MAOI's, sometimes Antipsychotics
Medications used for Avoidant
Anxiolytics
Medications used for Paranoid, Schizotypal
Sometimes Antipsychotics
Medications used for Antisocial
Lithium, Propranolol (Inderal)