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19 Cards in this Set

  • Front
  • Back
What are cluster A disorders?
"mad"
paranoid
schizoid
shizotypal
more males
What are cluster B disorders?
"bad"
antisocial
borderline
histrionic
narcissistic
What are cluster C disorders?
"sad"
avoidant
dependent
obsessive-compulsive
Nursing interventions for cluster A personalities.
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
Nursing interventions for cluster B personalities.
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
How to react to manipulative behaviors of cluster B personalities.
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
How to deal with low self-esteem in cluster b patients.
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?"
What is dialectic behavioral therapy?
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
Discharge criteria for pt with personality disorder.
Consider risk factor of safety for pt and others
Have plan for follow-up
Provide psychoeducation
Interventions for cluster C pts.
Treat anxiety:
safe, calm environment
Reframe problems so that they are solvable
Identify anxiety triggers
Relaxation techniques
Group therapy
Counter negative self-talk
Schizoid
Cluster A
odd, solitary behavior
choose not to be involved with others
usually do not seek treatment
What is schizotypal?
Cluster A
symptoms overlap with schizophrenia but are less severe
What is antisocial?
Cluster B
Lying, stealing, aggressive, reckless behaviors, poor relationships, lacks remorse
mostly males
What is borderline?
Cluster B
Instability in behavior, mood, interpersonal relationships
more often female
What is histrionic?
Cluster B
Dramatic, shallow emotions, sexually seductive
'female caricature'
What is narcissistic?
Cluster B
Grandiosity, poor empathy, feels deserves special treatment, sense of entitlement
Mostly males
What is avoidant?
Cluster C
Timid, easily hurt, fear of criticism, convinced that they are unexceptable to others
What is dependent?
Cluster C
Avoids being alone, relies on others for decisions, fears being abandoned
More females
What is obsessive-compulsive?
Cluster C
Perfection, organization, insists on order in work, relationships
More males