Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
84 Cards in this Set
- Front
- Back
Personality Disorders often occur with what other disorders?
|
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
|
|
What are the 3 personality disorder clusters?
|
-Cluster A: Odd or eccentric
-Cluster B: Dramatic, emotional, erratic -Cluster C: Anxious or fearful |
|
What personality disorders are found in Cluster A?
|
-Paranoid personality
-Schizoid personality -Schizotypal personality |
|
What personality disorders are found in Cluster B?
|
-Antisocial personality
-Borderline personality -Histrionic personality -Narcissistic personality |
|
What personality disorders are found in Cluster C?
|
-Avoidant personlity
-Dependent personality -Obsessive-compulsive personality |
|
This is a characteristic of which personalty disorder:
Hypervigilant and suspicious of others |
Paranoid Personality Disorder
|
|
This is a characteristic of which personalty disorder:
Reading of hidden demeaning or threatening meanings into benign remarks or events |
Paranoid Personality Disorder
|
|
This is a characteristic of which personalty disorder:
Very critical of others but has a great deal of difficulty accepting criticism |
Paranoid Personality Disorder
|
|
This is a characteristic of which personalty disorder:
Are prone to file lawsuits |
Paranoid Personality Disorder
|
|
This is a characteristic of which personalty disorder:
Have difficulty establishing close relationships; usually works alone |
Paranoid Personality Disorder
|
|
This is a characteristic of which personalty disorder:
Do not lose touch with reality |
Paranoid Personality Disorder
|
|
What are some nursing interventions for a pt with Paranoid Personality Disorder?
|
-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 |
|
This is a characteristic of which personalty disorder:
A grandiose sense of self-importance |
Narcissistic Personality Disorder
|
|
This is a characteristic of which personalty disorder:
Preoccupation with fantasies of unlimited success, power, brilliance, beauty, or ideal love |
Narcissistic Personality Disorder
|
|
This is a characteristic of which personalty disorder:
sense of entitlement |
Narcissistic Personality Disorder
|
|
This is a characteristic of which personalty disorder:
Interpersonal exploitation |
Narcissistic Personality Disorder
|
|
This is a characteristic of which personalty disorder:
Lack of empathy |
Narcissistic Personality Disorder
|
|
This is a characteristic of which personalty disorder:
Arrogant, haughty behaviors or attitudes |
Narcissistic Personality Disorder
|
|
What are some nursing interventions for Narcissistic Personality Disorder?
|
-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 |
|
This is a characteristic of which personalty disorder:
Submissive, clinging behaviors |
Dependent Personality Disorder
|
|
This is a characteristic of which personalty disorder:
Difficulty making independent decisions |
Dependent Personality Disorder
|
|
This is a characteristic of which personalty disorder:
Difficulty expressing disagreement with others |
Dependent Personality Disorder
|
|
This is a characteristic of which personalty disorder:
Difficulty initiating projects or doing things on his/her own |
Dependent Personality Disorder
|
|
This is a characteristic of which personalty disorder:
Pt states: "Do it for me" "I don't know" "I like everybody" |
Dependent Personality Disorder
|
|
What are some nursing interventions for Dependent Personality Disorders?
|
-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 |
|
This is a characteristic of which personalty disorder:
Preoccupied with perfection, organization, structure and control |
Obsessive-compulsive personality disorder
|
|
This is a characteristic of which personalty disorder:
Insistence on others conforming to own methods |
Obsessive-compulsive personality disorder
|
|
This is a characteristic of which personalty disorder:
Reluctant to spend money |
Obsessive-compulsive personality disorder
|
|
This is a characteristic of which personalty disorder:
Rigid and stubborn |
Obsessive-compulsive personality disorder
|
|
This is a characteristic of which personalty disorder:
Excessive devotion to work |
Obsessive-compulsive personality disorder
|
|
This is a characteristic of which personalty disorder:
Hoards items |
Obsessive-compulsive personality disorder
|
|
This is a characteristic of which personalty disorder:
Reluctant to delegate |
Obsessive-compulsive personality disorder
|
|
What are nursing interventions for a pt with Obsessive-compulsive personality disorder?
|
-Guard against power struggles
-Remember the pt needs control |
|
What are the goals of tx for paranoid personality disorder?
|
Solve immediate crisis or problem
|
|
What are the goals of tx for schizoid personality disorder?
|
solve immediate crisis or problem
|
|
What are the goals of tx for schizotypal personality disorder?
|
Complete social training
|
|
What are the goals of tx for antisocial personality disorder?
|
-Improve social relationships
-Enhance insight into antisocial feelings and behaviors -If client is incarcerated, develop goals for life when released from custody |
|
What are the goals of tx for borderline personality disorder?
|
-Prevent suicide
-Function independently, maintain emotional balance and engage in cognitive restructuring |
|
What are the goals of tx for histrionic personality disorder?
|
-Prevent suicide
-Gain insight into unrealistic expectations and fears |
|
What are the goals of tx for Narcissistic personality disorder?
|
-Develop a healthier sense of individuality
-Recognize others as separate people -Improve coping mechanism |
|
What are the goals of tx for avoidant personality disorder?
|
-Enhance social functioning
-Solve immediate crisis or problem |
|
What are the goals of tx for dependent personality disorder?
|
-Complete assertiveness training
-Engage in cognitive restructuring |
|
What are the goals of tx for obsessive-compulsive personality disorder?
|
experience specific symptom relief
|
|
What are expected outcomes of pt with personality disorders?
|
-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 |
|
What constitutes a healthy personality?
|
-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 |
|
What are the theories on the formation of personality?
|
-Psychoanalytic theories
-Biological models -Social learning and cognitive-behavioral perspectives |
|
What is the psychoanalytic theory?
|
Generally emphasizes the importance of nurturance from immediate caregivers and loved ones in fostering personality traits
|
|
What are the biological models?
|
Stresses the influence of genetic transmission combined with environmental exposures in the formation of personality
|
|
What are the social learning and cognitive-behavioral perspectives?
|
Personality characteristics are acquired through various cognitive processes interacting with the environment
|
|
DEF
Personality Disorder |
-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 |
|
What are the 4 common characteristics of personality disorders?
|
-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) |
|
What are the theories of causes of personality disorders?
|
-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 |
|
What are the manifestations of personality disorder?
|
-Cognition: way of perceiving and assigning meaning to self, others and events
-Affectivity: the range, intensity and appropriateness of emotionality -Interpersonal behavior -Impulse control |
|
This is a characteristic of which personalty disorder:
Indifferent to social relationships |
Schizoid Personality Disorder
|
|
This is a characteristic of which personalty disorder:
Flattened affectivity |
Schizoid Personality Disorder
|
|
This is a characteristic of which personalty disorder:
Cold, unsociable, seclusive demeanor |
Schizoid Personality Disorder
|
|
This is a characteristic of which personalty disorder:
Little interest in their sexuality |
Schizoid Personality Disorder
|
|
This is a characteristic of which personalty disorder:
Frequently live as adult children w/parents or siblings |
Schizoid Personality Disorder
|
|
This is a characteristic of which personalty disorder:
Can distinguish fantasy from reality |
Schizoid Personality Disorder
|
|
What are nursing interventions for a pt w/schizoid personality disorder?
|
-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 |
|
This is a characteristic of which personalty disorder:
Withdrawn, aloof, and socially distant (similar to schizoid) |
Schizotypal Personality Disorder
|
|
This is a characteristic of which personalty disorder:
Ideas of reference, odd beliefs, magical thinking or unusual perceptual experiences, including bodily illusions |
Schizotypal Personality Disorder
|
|
This is a characteristic of which personalty disorder:
Excessive and unrelieved social anxiety frequently associated with paranoid fears |
Schizotypal Personality Disorder
|
|
This is a characteristic of which personalty disorder:
Lack of close friends and confidants |
Schizoid Personality Disorder
Schizotypal Personality Disorder |
|
This is a characteristic of which personalty disorder:
Behavior or appearance that is odd, eccentric or peculiar |
Schizotypal Personality Disorder
|
|
What are some nursing interventions for a pt with schizotypal personality disorder?
|
-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 |
|
This is a characteristic of which personalty disorder:
50% of incarcerated population has this disorder |
Antisocial Personality Disorder
|
|
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 |
Antisocial Personality Disorder
|
|
This is a characteristic of which personalty disorder:
Impassively and repeated aggressiveness toward others |
Antisocial Personality Disorder
|
|
This is a characteristic of which personalty disorder:
Total lack of remorse for physically or emotionally hurting or mistreating others or stealing from others |
Antisocial Personality Disorder
|
|
This is a characteristic of which personalty disorder:
Consistent irresponsibility (failure to honor financial obligations, work responsibilities, family/parenting obligations) |
Antisocial Personality Disorder
|
|
This is a characteristic of which personalty disorder:
Superficially charming, lack genuine warmth |
Antisocial Personality Disorder
|
|
This is a characteristic of which personalty disorder:
Interacts w/others through manipulation, aggressiveness and exploitation: totally lacking in empathy or concern for others |
Antisocial Personality Disorder
|
|
This is a characteristic of which personalty disorder:
By early adulthood evidence of instability in mood, impulse control and interpersonal relationships |
Borderline Personality Disorder
|
|
This is a characteristic of which personalty disorder:
Overall behavior is unpredictable and erratic (ex:self mutilation) |
Borderline Personality Disorder
|
|
This is a characteristic of which personalty disorder:
View life experiences as all good or all bad |
Borderline Personality Disorder
|
|
This is a characteristic of which personalty disorder:
Pt may attempt splitting (split one staff member against another consciously |
Borderline Personality Disorder
|
|
What are nursing interventions for pt with Borderline Personality Disorder?
|
*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) |
|
This is a characteristic of which personalty disorder:
Strives to constantly be center of attention |
Histrionic Personality Disorder
|
|
This is a characteristic of which personalty disorder:
Provocative dress |
Histrionic Personality Disorder
|
|
This is a characteristic of which personalty disorder:
Dramatic and highly emotional behaviors |
Histrionic Personality Disorder
|
|
What are some nursing interventions for a pt with Histrionic Personality Disorder?
|
-Understand seductive behavior as a response to distress
-Explanation should be clear -Remain professional -Do not reinforce attention-seeking behavior (no compliments) |
|
What factors affect prognosis of personality disorders?
|
-Degree of functional impairment
-The pt's motivation to change |
|
What are methods of tx for personality disorders?
|
-Psychopharmacology (aimed at symptoms)
-Individual psychotherapy -Dialectical behavioral therapy -Group therapy -Family Education and therapy |