Personality Disorders

Front 1

Personality Disorders often occur with what other disorders?

Back 1

They often co-occur with mood, anxiety and substance abuse along with other personality disorders. The onset of personality disorders usually occur before the onset of other psychiatric disorders

Front 2

What are the 3 personality disorder clusters?

Back 2

-Cluster A: Odd or eccentric
-Cluster B: Dramatic, emotional, erratic
-Cluster C: Anxious or fearful

Front 3

What personality disorders are found in Cluster A?

Back 3

-Paranoid personality
-Schizoid personality
-Schizotypal personality

Front 4

What personality disorders are found in Cluster B?

Back 4

-Antisocial personality
-Borderline personality
-Histrionic personality
-Narcissistic personality

Front 5

What personality disorders are found in Cluster C?

Back 5

-Avoidant personlity
-Dependent personality
-Obsessive-compulsive personality

Front 6

This is a characteristic of which personalty disorder:

Hypervigilant and suspicious of others

Back 6

Paranoid Personality Disorder

Front 7

This is a characteristic of which personalty disorder:

Reading of hidden demeaning or threatening meanings into benign remarks or events

Back 7

Paranoid Personality Disorder

Front 8

This is a characteristic of which personalty disorder:

Very critical of others but has a great deal of difficulty accepting criticism

Back 8

Paranoid Personality Disorder

Front 9

This is a characteristic of which personalty disorder:

Are prone to file lawsuits

Back 9

Paranoid Personality Disorder

Front 10

This is a characteristic of which personalty disorder:

Have difficulty establishing close relationships; usually works alone

Back 10

Paranoid Personality Disorder

Front 11

This is a characteristic of which personalty disorder:

Do not lose touch with reality

Back 11

Paranoid Personality Disorder

Front 12

What are some nursing interventions for a pt with Paranoid Personality Disorder?

Back 12

-Avoid being too "nice" or "friendly"; be neutral
-Give clear and straightforward explanation of test and procedures beforehand
-Warn of any changes, side effects of medication, test or delays
-A written plan of treatment might help encourage cooperation

Front 13

This is a characteristic of which personalty disorder:

A grandiose sense of self-importance

Back 13

Narcissistic Personality Disorder

Front 14

This is a characteristic of which personalty disorder:

Preoccupation with fantasies of unlimited success, power, brilliance, beauty, or ideal love

Back 14

Narcissistic Personality Disorder

Front 15

This is a characteristic of which personalty disorder:

sense of entitlement

Back 15

Narcissistic Personality Disorder

Front 16

This is a characteristic of which personalty disorder:

Interpersonal exploitation

Back 16

Narcissistic Personality Disorder

Front 17

This is a characteristic of which personalty disorder:

Lack of empathy

Back 17

Narcissistic Personality Disorder

Front 18

This is a characteristic of which personalty disorder:

Arrogant, haughty behaviors or attitudes

Back 18

Narcissistic Personality Disorder

Front 19

What are some nursing interventions for Narcissistic Personality Disorder?

Back 19

-Mirror what the person sounds like
-Use supportive confrontation to point out discrepancies between what pt says and what actually exist
-Consistency in limit setting to decrease manipulation and entitlement

Front 20

This is a characteristic of which personalty disorder:

Submissive, clinging behaviors

Back 20

Dependent Personality Disorder

Front 21

This is a characteristic of which personalty disorder:

Difficulty making independent decisions

Back 21

Dependent Personality Disorder

Front 22

This is a characteristic of which personalty disorder:

Difficulty expressing disagreement with others

Back 22

Dependent Personality Disorder

Front 23

This is a characteristic of which personalty disorder:

Difficulty initiating projects or doing things on his/her own

Back 23

Dependent Personality Disorder

Front 24

This is a characteristic of which personalty disorder:

Pt states: "Do it for me"
"I don't know"
"I like everybody"

Back 24

Dependent Personality Disorder

Front 25

What are some nursing interventions for Dependent Personality Disorders?

Back 25

-ID what stresses them and help address stressors
-Care for client while maintaining boundaries
-Watch for counter-transference
-Role-model assertiveness
-Take baby steps
*more regression if abruptly push them

Front 26

This is a characteristic of which personalty disorder:

Preoccupied with perfection, organization, structure and control

Back 26

Obsessive-compulsive personality disorder

Front 27

This is a characteristic of which personalty disorder:

Insistence on others conforming to own methods

Back 27

Obsessive-compulsive personality disorder

Front 28

This is a characteristic of which personalty disorder:

Reluctant to spend money

Back 28

Obsessive-compulsive personality disorder

Front 29

This is a characteristic of which personalty disorder:

Rigid and stubborn

Back 29

Obsessive-compulsive personality disorder

Front 30

This is a characteristic of which personalty disorder:

Excessive devotion to work

Back 30

Obsessive-compulsive personality disorder

Front 31

This is a characteristic of which personalty disorder:

Hoards items

Back 31

Obsessive-compulsive personality disorder

Front 32

This is a characteristic of which personalty disorder:

Reluctant to delegate

Back 32

Obsessive-compulsive personality disorder

Front 33

What are nursing interventions for a pt with Obsessive-compulsive personality disorder?

Back 33

-Guard against power struggles
-Remember the pt needs control

Front 34

What are the goals of tx for paranoid personality disorder?

Back 34

Solve immediate crisis or problem

Front 35

What are the goals of tx for schizoid personality disorder?

Back 35

solve immediate crisis or problem

Front 36

What are the goals of tx for schizotypal personality disorder?

Back 36

Complete social training

Front 37

What are the goals of tx for antisocial personality disorder?

Back 37

-Improve social relationships
-Enhance insight into antisocial feelings and behaviors
-If client is incarcerated, develop goals for life when released from custody

Front 38

What are the goals of tx for borderline personality disorder?

Back 38

-Prevent suicide
-Function independently, maintain emotional balance and engage in cognitive restructuring

Front 39

What are the goals of tx for histrionic personality disorder?

Back 39

-Prevent suicide
-Gain insight into unrealistic expectations and fears

Front 40

What are the goals of tx for Narcissistic personality disorder?

Back 40

-Develop a healthier sense of individuality
-Recognize others as separate people
-Improve coping mechanism

Front 41

What are the goals of tx for avoidant personality disorder?

Back 41

-Enhance social functioning
-Solve immediate crisis or problem

Front 42

What are the goals of tx for dependent personality disorder?

Back 42

-Complete assertiveness training
-Engage in cognitive restructuring

Front 43

What are the goals of tx for obsessive-compulsive personality disorder?

Back 43

experience specific symptom relief

Front 44

What are expected outcomes of pt with personality disorders?

Back 44

-Pt will demonstrate trust in nurse and health team
-Pt will attend therapy regularly
-Pt models more adaptive coping skills and greater tolerance of stress
-Pt has no suicide crises
-Pt voices insight into thoughts, feelings and behaviors

Front 45

What constitutes a healthy personality?

Back 45

-Sees own strengths/weaknesses
-IDs own boundaries
-Recognizes interactions & thoughts that lead to strong emotions such as joy or anger
-Interacts w/others w/o expecting them to meet all needs
-Seeks a balance of work and play
-Accomplishes goals
-Defines and expresses spirituality

Front 46

What are the theories on the formation of personality?

Back 46

-Psychoanalytic theories
-Biological models
-Social learning and cognitive-behavioral perspectives

Front 47

What is the psychoanalytic theory?

Back 47

Generally emphasizes the importance of nurturance from immediate caregivers and loved ones in fostering personality traits

Front 48

What are the biological models?

Back 48

Stresses the influence of genetic transmission combined with environmental exposures in the formation of personality

Front 49

What are the social learning and cognitive-behavioral perspectives?

Back 49

Personality characteristics are acquired through various cognitive processes interacting with the environment

Front 50

DEF
Personality Disorder

Back 50

-A collection of personality traits that have become so fixed and rigid that they cause inner distress and behavioral dysfunction
-Not produced by another disorder or illness
-Deviates markedly from the expectations of the individual's culture

Front 51

What are the 4 common characteristics of personality disorders?

Back 51

-Inflexible and maladaptive response to stress
-Disability in working and loving
-*Ability to evoke interpersonal conflict in healthcare providers as well as in family & friends
-Capacity yo have an intense effect on others (this is usually done unconsciously and generally results in undesirable results)

Front 52

What are the theories of causes of personality disorders?

Back 52

-Abuse, neglect, trauma, and inadequate parenting may produce personality disorders
-Nature, not nurture, is responsible
-A combination of psychological and biologic factors are responsible for personality and personality disorders

Front 53

What are the manifestations of personality disorder?

Back 53

-Cognition: way of perceiving and assigning meaning to self, others and events
-Affectivity: the range, intensity and appropriateness of emotionality
-Interpersonal behavior
-Impulse control

Front 54

This is a characteristic of which personalty disorder:

Indifferent to social relationships

Back 54

Schizoid Personality Disorder

Front 55

This is a characteristic of which personalty disorder:

Flattened affectivity

Back 55

Schizoid Personality Disorder

Front 56

This is a characteristic of which personalty disorder:

Cold, unsociable, seclusive demeanor

Back 56

Schizoid Personality Disorder

Front 57

This is a characteristic of which personalty disorder:

Little interest in their sexuality

Back 57

Schizoid Personality Disorder

Front 58

This is a characteristic of which personalty disorder:

Frequently live as adult children w/parents or siblings

Back 58

Schizoid Personality Disorder

Front 59

This is a characteristic of which personalty disorder:

Can distinguish fantasy from reality

Back 59

Schizoid Personality Disorder

Front 60

What are nursing interventions for a pt w/schizoid personality disorder?

Back 60

-Do not try to re-socialize (it's part of their personality)
-Remain neutral, do not be overly nice
-Slowly involve mileu and group activities
-Teach social skills

Front 61

This is a characteristic of which personalty disorder:

Withdrawn, aloof, and socially distant (similar to schizoid)

Back 61

Schizotypal Personality Disorder

Front 62

This is a characteristic of which personalty disorder:

Ideas of reference, odd beliefs, magical thinking or unusual perceptual experiences, including bodily illusions

Back 62

Schizotypal Personality Disorder

Front 63

This is a characteristic of which personalty disorder:

Excessive and unrelieved social anxiety frequently associated with paranoid fears

Back 63

Schizotypal Personality Disorder

Front 64

This is a characteristic of which personalty disorder:

Lack of close friends and confidants

Back 64

Schizoid Personality Disorder

Schizotypal Personality Disorder

Front 65

This is a characteristic of which personalty disorder:

Behavior or appearance that is odd, eccentric or peculiar

Back 65

Schizotypal Personality Disorder

Front 66

What are some nursing interventions for a pt with schizotypal personality disorder?

Back 66

-Respect pt need for social isolation
-be aware of pt suspiciousness and employ appropriate interventions
-Does not tolerate group therapies (emotional/confrontational)
-A careful diagnostic assessment

Front 67

This is a characteristic of which personalty disorder:

50% of incarcerated population has this disorder

Back 67

Antisocial Personality Disorder

Front 68

This is a characteristic of which personalty disorder:

An extended hx of stealing, persistent lying, cruelty to animals or people, vandalism, substance abuse usually beginning before the age of 15 and cont. to adulthood

Back 68

Antisocial Personality Disorder

Front 69

This is a characteristic of which personalty disorder:

Impassively and repeated aggressiveness toward others

Back 69

Antisocial Personality Disorder

Front 70

This is a characteristic of which personalty disorder:

Total lack of remorse for physically or emotionally hurting or mistreating others or stealing from others

Back 70

Antisocial Personality Disorder

Front 71

This is a characteristic of which personalty disorder:

Consistent irresponsibility (failure to honor financial obligations, work responsibilities, family/parenting obligations)

Back 71

Antisocial Personality Disorder

Front 72

This is a characteristic of which personalty disorder:

Superficially charming, lack genuine warmth

Back 72

Antisocial Personality Disorder

Front 73

This is a characteristic of which personalty disorder:

Interacts w/others through manipulation, aggressiveness and exploitation: totally lacking in empathy or concern for others

Back 73

Antisocial Personality Disorder

Front 74

This is a characteristic of which personalty disorder:

By early adulthood evidence of instability in mood, impulse control and interpersonal relationships

Back 74

Borderline Personality Disorder

Front 75

This is a characteristic of which personalty disorder:

Overall behavior is unpredictable and erratic (ex:self mutilation)

Back 75

Borderline Personality Disorder

Front 76

This is a characteristic of which personalty disorder:

View life experiences as all good or all bad

Back 76

Borderline Personality Disorder

Front 77

This is a characteristic of which personalty disorder:

Pt may attempt splitting (split one staff member against another consciously

Back 77

Borderline Personality Disorder

Front 78

What are nursing interventions for pt with Borderline Personality Disorder?

Back 78

*BOUNDARIES*
-Give clear boundaries
-Avoid rejecting to rescuing
-Avoid flattery, seductiveness, instilling of guilt
-Assess for suicidal and self-mutilating behaviors (b/c they don't feel real)

Front 79

This is a characteristic of which personalty disorder:

Strives to constantly be center of attention

Back 79

Histrionic Personality Disorder

Front 80

This is a characteristic of which personalty disorder:

Provocative dress

Back 80

Histrionic Personality Disorder

Front 81

This is a characteristic of which personalty disorder:

Dramatic and highly emotional behaviors

Back 81

Histrionic Personality Disorder

Front 82

What are some nursing interventions for a pt with Histrionic Personality Disorder?

Back 82

-Understand seductive behavior as a response to distress
-Explanation should be clear
-Remain professional
-Do not reinforce attention-seeking behavior (no compliments)

Front 83

What factors affect prognosis of personality disorders?

Back 83

-Degree of functional impairment
-The pt's motivation to change

Front 84

What are methods of tx for personality disorders?

Back 84

-Psychopharmacology (aimed at symptoms)
-Individual psychotherapy
-Dialectical behavioral therapy
-Group therapy
-Family Education and therapy