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19 Cards in this Set
- Front
- Back
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What are cluster A disorders?
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"mad"
paranoid schizoid shizotypal more males |
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What are cluster B disorders?
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"bad"
antisocial borderline histrionic narcissistic |
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What are cluster C disorders?
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"sad"
avoidant dependent obsessive-compulsive |
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Nursing interventions for cluster A personalities.
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1. Explain expected behaviors, limits, and personal responsibilities
2. Set limits on any manipulative and inappropriate behaviors 3. Consistent plan among the staff 4. Role play acceptable social skills |
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Nursing interventions for cluster B personalities.
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1. Assess suicidality
2. Encourage attendance at group. 3. Assess escaltion of anger 4. Assess impulsivity, self-mutilation 5. Contract concerning threatening behavior, self-mutilation 6. Encourage journal writing 7. Teach: Anger/impulse management, recognition of faulty thought patterns, alternative behaviors |
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How to react to manipulative behaviors of cluster B personalities.
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Calm approach
Follow unit safety protocols Staff agreement on plan for expectations, limits, and consequences of behaviors Support positive behaviors Identify triggers for unacceptable behaviors Role play appropriate responses |
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How to deal with low self-esteem in cluster b patients.
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Maintain neutral manner
Assist pt in accurate self-perception Work with pt to recognize cognitive distortions Give honest and genuine feedback Help pt focus on present actions, not past mistakes..."What could you do differently now?" |
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What is dialectic behavioral therapy?
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Uses dialog to rework destructive ways to deal with crisis
Teaches there are choices to decrease suicidal thoughts and emotionally reactive patterns Pt learn s new patterns of thinking and behaving-"the middle path" Takes years of commitment on part of pt and therapist |
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Discharge criteria for pt with personality disorder.
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Consider risk factor of safety for pt and others
Have plan for follow-up Provide psychoeducation |
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Interventions for cluster C pts.
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Treat anxiety:
safe, calm environment Reframe problems so that they are solvable Identify anxiety triggers Relaxation techniques Group therapy Counter negative self-talk |
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Schizoid
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Cluster A
odd, solitary behavior choose not to be involved with others usually do not seek treatment |
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What is schizotypal?
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Cluster A
symptoms overlap with schizophrenia but are less severe |
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What is antisocial?
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Cluster B
Lying, stealing, aggressive, reckless behaviors, poor relationships, lacks remorse mostly males |
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What is borderline?
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Cluster B
Instability in behavior, mood, interpersonal relationships more often female |
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What is histrionic?
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Cluster B
Dramatic, shallow emotions, sexually seductive 'female caricature' |
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What is narcissistic?
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Cluster B
Grandiosity, poor empathy, feels deserves special treatment, sense of entitlement Mostly males |
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What is avoidant?
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Cluster C
Timid, easily hurt, fear of criticism, convinced that they are unexceptable to others |
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What is dependent?
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Cluster C
Avoids being alone, relies on others for decisions, fears being abandoned More females |
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What is obsessive-compulsive?
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Cluster C
Perfection, organization, insists on order in work, relationships More males |
