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31 Cards in this Set
- Front
- Back
Personality Disorder Key point for DSM coding
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1. Behavioral trait causes you to relate to people very differently
2. Enduring (meaning trait always there) 3. Inflexible (difficult to change behaviors) |
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Onset for personality disorder
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adolescence and early adulthood
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Healthy Personality
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1. intimacy
2. sensitive to others needs 3. balance needs 4. communicate honestly 5. respect boundaries 6. move through obstacles during stress |
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Cluster A personality disorders
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1. Paranoid PD: distrust, suspicious
2. Schizoid PD: detachment from social relationships, flat emotional expression, does not desire enjoy relationships. ASEXUAL 3. shizotypal PD: Perceptual distortions, discomfort to close relationships cognitive or perpetual. GENERALLY DO NOT SEE THEM SEEKING HELP BC PARANOIA |
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Cluster B personality disorders
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Cluster B: emotional, dramatic, erratic
1. antisocial PD: don't consider rights of others at 18 yrs (occurs more in males) 2. Borderline personality disorder: unstable, intense relationships; unsure of identity; unstable effect; impulsive (more often female); suicidal or engages in self-mutilation. May be seductive until approached and will cast away relationship. There is some genetic tendency (but cannot confirm yet) 3. Histrionic PD: very emotional and attention seeking; love distant attention 4. Narcissistic PD: grandoise; seeking admiration; lack of empathy. |
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Cluster C personality disorders
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cluster C: anxious and fearful
1. Avoidant PD: Social inhibition; feeling of inadequacy; hypersensitive 2. Dependent PD: submissive and clinging behavior; excessive need to be taken care of 3. Obsessive-Compulsive PD: Preoccupied with orderliness and control; perfectionism |
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nursing interventions for personality disorders
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1. Assess for suicidal ideation and self harm
2. encourage longterm relationship with an outpatient therapist; dialectical behavioral therapy 3. Validate feelings and build on client strengths 4. Monitor splitting and projection |
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emotional pain accompanied with physical pain through self harm is associated with
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dopamine response for some
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dialectical behavioral therapy (DBT)
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DBT: Originally implemented for BPD; combines standard cognitive-behavioral techniques for emotion regulation and reality-testing with concepts of distress tolerance, acceptance, and mindful awareness largely derived from Buddhist meditative practice
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When staff starts arguing over treatment plan you begin?
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looking at how the PT may be manipulating staff through personality disorder
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antisocial personality disorder: nursing disorders
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1. set clear limits to prevent manipulation
2. maintain professional boundaries 3. Monitor substance abuse 4. teach anger management 5. encourage think of consequences 6. reinforce positive behaviors |
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Nursing interventions with OCD-PD
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1. client identify impact of behav.
2. discuss control and perfect. 3. encour. pleasurable activities 4. help see bigger picture 5. teach relax. and emo expression |
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OCD-PD sometimes it doesn't physically manifest, but rather is
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reoccurring thought
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PD Cluster A meds
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antipsychotic - however won't come into treat. or trust med
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PD Cluster B meds
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respond to mood stabilizerrs and atyp antipsych
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PD Cluster C meds
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SSRI
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NANDAS for PD
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1. chronically low self-esteem
2. inability to relate to others 3. defensive coping 4. risk for harm 5. ineffective coping |
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Person with Bulemia is usually what?
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normal weight
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Difference between anorexia and Bulemia is
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weight
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Begin looking at anorexia when person is less than _________ of expected weight
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85%
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Dysmorphia
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looking at self in mirror and seeing body image that is something other than true
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Anorexia may result in this physiologically?
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Amenorrhea: absence of menstrual cycle
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Bulemia characteristics
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1. may eat a tremendous amount of food to gain emotional comfort, binge
2. compensatory behavior: vomitting or purging must occur at least twice a week over three month period for DSM code |
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two types of bulemia
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purging type - vomitting, laxatives, diuretics
nonpurging type - compensatory mech by excessive exercise or starvation |
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Eating disorder NOS
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physiologically ok but there is an odd behavioral routine
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Factors in eating disorders
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1. genetic predisposition
2. appetite reg in hypothal changed 3. NT imbalances 4. comorbid disorders may occur w/ eating disorders; not helping 5. psychological factors: ritualism, rigidity about way appear 6. environ factors, i.e., cultural |
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S/S of anorexia nervosa
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*refusal to eat
*bradycardia *electrolyte imbalance *rituals r/t eating *lanugo: grow more vellus hair to keep warm *constipation |
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Bulimia Nervosa S/S
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fluid & electrolyte imbal
CARDIAC ARRHYTHMIA Delayed gastric emptying PAROTID GLAND ENLARGEMENT |
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anorexia nervosa nursing interventions
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1. restore fluid and electrolyte imbalance
2. behavioral program 3. Monitor mood and admin meds 4. encourage positive interests and activities to transfer focus to something else 5. CBT control issues |
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bulimia nervosa nursing interventions
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1. restore fluid and electrolyte
2. behavioral program to stop purging 3. CBT 4. relaxation training 5. DANCE AND MOVEMENT THERAPY TO BURN CALORIES W/O PURGING |
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20% of those suffering from true anorexia will?
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commit suicide
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