Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
*N126-U4-Pers D/o*
Dobrisky-Personality Disorders
| Question | Answer |
|---|---|
| Enduring patterns of perceiving, relating to, and thinking about the environment and oneself that are exhibited in a wide range of social and personal contexts are collectively called | personality traits |
| If any of the personality traits become inflexible or maladaptive and cause significant functional impairment or subjective distress what is the result? | personality disorder |
| Personality Disorders are classified as Axis ___ diagnoses | II |
| Axis II classification was intended to focus attention on behavior patterns that | might be overlooked in the light of the more pronounced disorders of axis I |
| Axis II diagnosis frequently coexist with | an axis I diagnosis |
| Are Axis II diagnosis are hard or easy to treat? | hard |
| What makes Axis II diagnosis so hard to treat? | patient has poor insight into problem |
| A person who has a dependent personality disorder might also have symptoms of generalized anxiety disorder when faced with demands to function _______ | autonomously |
| Most people with Axis II diagnoses are seen in the hospital for what type of disorders? | axis I d/o |
| personality disorders are divided into three | clusters |
| paranoid, schizoid and schizotypal are all included in what cluster of personality disorders? | Cluster A |
| what are the characteristics of cluster A disorders | odd, eccentric, withdrawn |
| which cluster is often referred to as the schizophrenia spectrum? | cluster a |
| Schizoid is in what cluster? | cluster a |
| if a person exhibits odd or eccentric behaviour what cluster might his diagnosis be in? | cluster a |
| what are the personality disorders in cluster a? | paranoid personality disorder, schizoid personality disorder and schizotypal personality disorder |
| what are the personality disorders in cluster b? | antisocial, borderline, histrionic and narcissistic |
| what are the personality disorders in cluster c? | avoidant, dependent, obsessive-compulsive |
| when do most maladaptive personality traits begin to surface? | pre-adolescent or adolescent years |
| schizoid belongs to what cluster? | cluster a |
| dependent belongs to what cluster? | cluster c |
| antisocial is in what cluster? | cluster b |
| a withdrawn, odd person would belong to what cluster? | cluster a |
| a fearful, anxious person would belong to what cluster? | cluster c |
| an emotional, dramatic, irratic person would belong to what cluster? | cluster b |
| narcissistic belongs to what cluster? | cluster b |
| OCD belongs to what cluster? | cluster c |
| histrionic belongs to what cluster? | cluster b |
| schizotypal belongs to what cluster? | cluster a |
| borderline personality disorder belongs to what cluster? | cluster b |
| what is the basic component in developing a healthy personality? | trust |
| what personality traits may have a genetic link? | criminality and antisocial behavior |
| an innate, genetically based aspect of personality that is thought to influence personality development is | temperament |
| while personality ______ remain stable through life, tempermant ______ | personality not stable, temperament stable |
| clients with borderline personality disorders have a high rate of | early childhood traumas |
| early traumas include | chaotic families, abuse in all form for extended periods, rejection and attachment issues |
| the paranoid personality disorder is described in one word as | suspicious |
| the schizoid personality disorder is described in one word as | a-social |
| the schyizotypal personality disorder is described in one word as | eccentric |
| do symptoms overlap in personality disorders? | yes |
| can we control our temperament? | no |
| the person that is always looking for hidden meanings is considered to have what type of personality disorder? | paranoid |
| do paranoid personality clients have hallucinations? | no |
| anxiety, difficulty relaxing, short tempered, distrusting and difficulty adjusting to change are all clinical symptoms of what type of personality disorder? | paranoid |
| the best nursing intervention for the paranoid personality is to build | trust |
| what type of approach should be taken with the paranoid personality? | business like |
| the loners of the world are considered to have what personality disorder? | schizoid |
| lack of desire to socialize, enjoying solitude, difficulty expressing ange, has no close friends, no close family connections is | schizoid personality disorder |
| what type of skills training is best for the schizoid personality? | social skills |
| is being in a group all the time the best for the schizoid personality? | no |
| do patiens with schizoid personality disorder have hallucinations? | no |
| what is the major difference between schizotypal and schizophrenia? | ****need to clarify*****there is psychosis in schizotypal??? |
| if a person is superstitious or preoccupied with paranormal phenomena they are considered to have a clinical symptom of what type of personality disorder? | schizotypal |
| most schizotypal personality patients seek help for | anxiety or depression |
| which cluster a disorder is rarely seen? | schizotypal |
| most schizotypal patients are diagnosed with | a mild form of schizophrenia |
| 30-50% of schizotypal personality disorders also suffer from | major depression |
| the focus of nursing care for the schizotypal personality is | development of self care and social skills |
| to reduce bizarre conversations with others in the schizotypal personality what type of training should be included in their care? | social skills |
| if a patient complains that people keep bothering him to keep him from getting his work done what type of personality disorder might he have? | paranoid |
| if a patient states they eat alone, have no friends and visit their parents that live one mile away just once a year, what type of personality disorder might he have? | schizoid |
| "solitude" is another term used for this personality disorder | schizoid |
| cluster b personality disorders are described as being | dramatic, emotional and irratic |
| Antisocial personality disorder is described in one word as | grandiose |
| an "unstable pattern" describes this personality disorder | borderline |
| gregarious describes this personality disorder | histrionic |
| egotistical describes this personality disorder | narcissistic |
| which personality disorder is considered to be the sociopaths of the world? | antisocial |
| the antisocial personality disorder has a history of what? | conduct disorders before age 15 years of age |
| describe conduct disorders? | stealing, vandalism, running away |
| which personality disorder is usually diagnosed by age 18 | antisocial |
| this personality disorder patient is highly manipulative, an excellent liar and can convince you they've changed | antisocial |
| this personality cons others for their own gain | antisocial |
| what is the most important nursing intervention for antisocial personalities? | provide structure and identify acceptable and expected behaviors |
| limit setting and confrontation are effective techniques to use for this personality | antisocial |
| this technique used for antisocial personality disorders is successful only if done in a non-judgmental, matter of fact and consistent manner | limit setting |
| limit setting has three steps | 1-stating behavioral limit (describe the unacceptable behavior) 2-identify consequences if the limit is exceeded 3-identify the expected behavior |
| which personality disorder is the most common and the most difficult to treat? | borderline |
| this personality disorder patient has stormy relationships, pulling people in and then pushing them back | borderline |
| labile is defined as | rapid, extreme mood shifts |
| 75% of borderline personalities are of what gender? | female |
| most borderline personality disorder clients are diagnosed as having what type of history? | physical and sexual abuse, neglect or early parental losses or separation |
| what is the one clinical symptom that really sets borderline personality disorder apart? | self mutilation (cutting) |
| this personality has a hard time being alone and perceives people as all good or all bad | borderline |
| if a person drives recklessly, is impulsive and cuts what type of personality disorder might they have? | borderline |
| which approach is best used when you see signs of self mutilation? | direct, say "you've been cutting". do not say, oh, what happened? |
| what is the axis 1 diagnosis for most borderline personality disorder clients? | depression |
| a negative coping strategy used by clients with borderline personality disorder is | self mutilation |
| is self mutilation considered to be a suicide attempt? | no |
| borderline personalities will try to manipulate the staff by tearing one down and building another up...this is called | staff splitting |
| the number one nursing intervention for the borderline personality disorder client is | safety |
| this personality is considered to be the prince or princess in a relationship | histrionic |
| a clinical symptom of this client is to use suicidal gestures and threats or physical illness to get attention | histrionic |
| histrionic personality disorder patients will be | attention seeking and flaboyant, seductive |
| nursing interventions for the histrionic personality disorder are | to give feedback regarding manner of dress and non verbal behavior |
| 50-70% of those diagnosed with narcissistic personality disorder are of what gender? | males |
| clincial symptoms of this disorder include lack of empathy towards others, preoccupation with success, beauty and ideal love and an egotistical, arrogant since of entitlement | narcissistic |
| narcissistic personality disorder clients are like those of histrionics but with more | self confidence |
| what is the main goal with narcissistic personality disorder interventions? | to gain cooperation |
| what skill must a nurse have in order to avoid anger and frustration when dealing with narcissistic personalities? | self awareness |
| cluster c personality disorders include | avoidant, dependent and OCD |
| withdrawn describes this disorder | avoidant |
| submissive described this disorder | dependent |
| confirming describes this disorder | OCD |
| avoidant personalities are diagnosed more in what gender? | equally |
| client is very shy, very awkward, withdrawn and has little self esteem | avoidant |
| schizoid and avoidant are both withdrawn but what is the major difference? | avoidant personalities yearn for relationships and schizoids don't want them |
| the avoidant personality is fearful of | criticism, disapproval or rejection |
| this disorder client tends to withold thoughts or feelings | avoidant |
| avoidant personalities require what from the nurse? | lots of support and reassurance |
| helping a client practice self affirmations and positive talk are used to promote self esteem for what type of personality disorder? | avoidant |
| which type of personality disorder is the most frequently diagnosed? | dependent |
| which type of personality disorder is seen more in the hospital? | borderline with axis I depression |
| this personality disorder cannot make decisions independently, has difficulty following through on tasks and is very nonconfrontational | dependent personality |
| nursing interventions that help clients identify their stregths and needs and teaches problem solving skills will benefit which disorder | dependent |
| what must the nurse refrain from doing when caring for the dependent personality? | refrain from giving advice about problems or making decisions for clients |
| OCD is diagnosed twice as often in what gender? | males |
| this personality is inflexible, a perfectionist and they panic when things aren't perfect | ocd |
| what two personality disorders are described as not being able to relax? | ocd and paranoid |
| ocd personalities have the background of what type of relationships? | stiff and formal |
| nurses can help the ocd client not strive for the goal of perfection but to instead | set a goal of completing the project or making a decision by a specified deadline |
| nurses can help ocd clients by encouraging them to take what kinds of risks? | let someone else plan a family activity |
| to help clients with ocd relinquish some of their need for control the nurse can help them | practice negotiation with family or friends |
| risk for self mutilation is a nursing diagnosis for what cluster and disorder? | cluster b, borderline personality disorder |
| an rn diagnosis of chronic low self esteem would be appropriate for which type of personality disorder? | cluster c, avoidant personality disorder |
| ineffective coping could be a nursing diagnosis for which two clusters? | cluster a and c |
| impaired social interaction is appropriate for which cluster? | all three |
| disturbed thought process is an appropriate nursing diagnosis for which cluster of personality disorders? | cluster a |
| medications for personality disorders treat only the | symptoms of the disorder |
| can medications cure a personality disorder? | no |
| what types of medications are used for aggressiveness and impulsivity? | benzos and antipsychotics |
| medication to treat the symptoms of dyscontrol, rage, violence and impulsivity | mood stabilizers |
| antidepressants and antianxiety meds are also used to treat | the symptoms of personality disorders |
| which cluster improves better than the others? | cluster c |
| which cluster improves very little? | cluster a |
| of dependent personalities and narcissistic personalities which is more likely to improve? | dependent |
| if a client shows random traits of many personality disorders what will the disorder be? | personality disorder not otherwise specified |
| research is currently being done on two dsm-iv additions, what are they? | passive aggressive and depressive (glass is always half-empty) |
| what might cause a relapse for patients that seemed to improve in their personality disorder? | life stressors |
| it is important to teach the patient and their families that treatment for personality disorders is | very slow |
| what makes personality disorders so hard to treat? | little insight on the part of the patient |
| therapeutic approach to personality characteristics is to try not to change them but rather | decrease the inflexibility and reduce their interference with everyday functioning and relationships |
| disregards rights of others, initial charming then turns cold | antisocial personality disorder |
| groups are less effective | schizoid |
| detached from social relationships, likes solitude | schizoid |
| paranoid and mistrustful | paranoid |
| self mutilates | borderline |
| suddenly leaves town | dissociative fugue |
| disorder is the result of trauma | dissociative disorder |
| patient has two or more personalities | dissociative identity disorder |
| patient has grandiose view of self | narcissistic |
| somatization is | the process by which psychological needs are expressed in physical symptoms |
| somatoform disorders and dissociative disorders are | rare but may be on boards.....yuck! |
| changes in the structure and function of the brain because of prolonged stress or trauma can result in | somatoform disorders |
| somatoform disorders are the result of | altered individual's perceptions and interpretations of their bodily functions |
| this disorder was formerly called hysteria and briquet's syndrome | somatoform disorder |
| frequently seeking and obtaining medical treatment for multiple, clinically insignificant complaints is a characteristic pattern of what type of disorder? | somatoform disorder |
| this personality disorder will notice every little change in their body and go immediately to the dr | somatoform disorder |
| somatoform disorder patients are resistant to | reassurance |
| what is the primary concern for somatoform disorder patients? | they dr shop |
| somatoform disorder patients are at high risk for | dangerous complications of multiple medications |
| teach the patient with a somatoform disorder to recognize the relationship between | stress/coping and physical symptoms |
| what will ensure that clients stay with and receive care from one provider? | a trusting relationship |
| what is the focus of treatment of somatization disorder? | managing symptoms and improving quality of life |
| name the four types of dissociative disorders | dissociative amnesia, fugue, identity and depersonalization disorder |
| long term emotional symptoms after experiencing trauma make up the | dissociative disorders |
| dissociation is a ________ defense mechanism to help a person protect themself from recognizing the full effects of a traumatic event | dissociation |
| the most common dissociative disorder is | dissociative amnesia |
| when a person experiences a loss but can't remember finding the person dead or anything about the funeral is employing the defense mechanism of | dissociative amnesia |
| this client has episodes of suddenly leaving home without any explanation and being unable to remember his or her past or identity is | dissociative fugue |
| these patients assume new identities and new behaviors | dissociative fugue |
| dissociative identity disorder was previously known as | multiple personality disorder |
| what is considered the most serious of the dissociative disorders? | dissociative identity disorder (DID) |
| when a client has two or more distinct personalities they have | dissociative identity disorder |
| signs and symptoms of DID include personalities that differ in | ages, appearance, dress and voices |
| sadistic, sexual abuse often leads to what disorder in the victim? | dissociative identity disorder |
| this disorder is described as recurrent episodes of living in a dream, feeling detached from themselves but they know they arent | depersonalization disorder |
| what presenting symptom do most dissociative disorder clients presnt into the mental health system with? | depression |
| what types of meds might be used to help dissociative disorders? | antidepressants and atypical antipsychotics |
| ***what is the most effective treatment for the dissociative disorders? | intensive psychotherapy |
| nursing interventions for dissociative disorders include | relaxation techniques and grounding techniques |
| grounding techniques bring the patient | back to the present |
| what techniques are used in grounding? | let them know they are safe, put ice in their hands to help them be in the present, repeating "i am safe now" or counting forward or backward |
Created by:
Lori Dobrisky
Popular Nursing sets