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nurs 211

personality disorders TLO 2.3.11D

QuestionAnswer
personality definition the totality of emotional and behavioral characteristics of a specific person that remains stable and predictable over time. the real person
def personality traits patterns perceiving, relating to and thinking about the environment and oneself that are exhibited in social and personal contexts
personality disorders: do we look to cure them; what is the goal of tx for them; no; deal with coping behaviors when manageing problems
personality disorders: do we all exhibit some types of these; they occur when ___ becomes inflexible nd maladaptive; these cause what; yes; traits; significant functional impairement or subjective distress
personality disorders: what axis are these coded on; are they treated in acute care settings; is it the primary psych dx; what factors cause the development of this; II; not usually; no; heredity, temperament, experiential learning, social interaction,
personality disorders: how many clusters are there; name the 3; 3; cluster A- odd or eccentric, cluster B- dramatic, emotional, or erratic, cluster C- anxious or fearful
personality disorders: Cluster A, odd and eccentric: what are the 3 types of personality disorders in this group; with what 2 personality disorders equal schizophrenia; paranoid, schizoid, schizotypical; schizoid and schizotypical
personality disorders: cluster B, dramatic, emotional, or erratic: what are the types of personality disorders in this category; antisocial, borderline, histrionic, narcissistic
personality disorders: cluster C, anxious or fearful: what are the types of personality disorders in this category avoidant, dependent, obsessive-compulsive, passive-agressive
cluster A: paranoid- they are always ___; they are immune/insensitive to what; watching and looking,ready for a real or imagined threat; feelings of others;
cluster A: paranoid- they avoid what; feel loss of what; attribute ___ to others to maintain self esteem; interactions with others; loss of power; short-coming;
cluster A: paranoid- does not accept responsibility for what; trusts whom; tests the honesty of whom; their intimidating manner provokes ___ in others; behavior and feelings; no one; others; axasperation and anger in others;
cluster A: paranoid- they desire ___ from others and without it it causes anger; their outbursts are brief or long; they rationalize there what reprisal and vindication; brief; behaviors
cluster A: paranoid- is there a hereditary link; may have been subjected to parental __ &___; they may have served as scapegoats for displaced ___ aggression; learned to perceive the world as what; they anticipate what; yes; antagonism and harassment; parental; harsh and unkind; humiliation and betrayal by others;
cluster A: schizoid: there is a defect in ability to form ____; they also cannot respond to others how; there is a lifetime of what; more frequent in men or women; personal relationships; in a meaningful and emotional way; social withdrawal and discomfort with human interaction; men;
cluster A: schizoid: what are their behaviors; appear cold, aloof, and indifferent to others, difficulty acting in a lighthearted manner;
cluster A: schizoid: unable to experience ___; what is affect; they appear how with others around; preferstowork how; are they sociable; pleasure; bland and constricted; shy, anxious and uneasy; isolation; no;
cluster A: schizoid: the introversion could be ingeritable?; what type of early childhood interactions cause this; yes; cold and unsatisfying ones, lacking empathy
cluster A: schizotypical- how is behavior; although behavior is odd it is not to the level of what disease; is it more or less serious then schizoid; __% of ppl have this; odd and eccentric; schizophrenia; more; 3%;
cluster A: schizotypical- what is behavior; they display what type of thinking; aloof & isolated and behave in a bland and apathetic manner; magical;
cluster A: schizotypical- ex of magical thinking; this magical thinking is what separates this personality disorder from what superstitious, belief, clairovoyance, telepathy, or 6th sense; schizoid
cluster A: schizotypical- they have ideas of reference what are these; involve the belief that casual events, peoples remarks, are referring to oneself when in fact they are not
cluster A: schizotypical- how is there speech; under stress what type of psychotic s/s may they demonstrate; how long do these psychotic s/s last odd; delusional thoughts, hallucinations or bizarre behaviors; a short time
cluster A: schizotypical- what do they often do to themselves; how is affect; how is their affect inappropraite talk or gesture to themselves; it is bland or inappropriate; the laugh when others would not
cluster A: schizotypical: predisposing factors- how does heredity play a role; what are charecteristics of family that could cause this; what could have created low self esteem in the past; anatomical deficits or neurochemical dysfunction; they were inderrent, impassive, leading to discomfort with affection and closeness; when they were shunned, overlooked, rejected and humiliated by others
cluster A: schizotypical: predisposing factors-what do they do in situations or with ppl the evoke sadness and humiliation; what provides them with a more rewarding existence they withdraw and reduce contact with those ppl; their inner world
Cluster B: antisocial- what are they like socially; they disregard whom; why do they exploit and manipulate others; do they obey the law irresponsible, exploitative and guiltless; the rights of others; for personal gain; no;
Cluster B: antisocial- they have difficulty sustaining consistent ____; what are their relationships like; more common in men or women; do they lye; do they still; are they aggressive and violent; they have the disregard for the safety of whom employment; unstable; men; yes; yes; yes; self and others
Cluster B: antisocial: predisposing factors- biologically whom is it most common in; what substance abuse is it common in; what of disorders can it predispose someone to have this twins, children of antisocial parents- even when adopted; ETOH; ADHD, ODD;
Cluster B: antisocial: predisposing factors- what type of parental discipline did these ppl have growing up; socioeconomic class; what kids at risk; absence of it or erratic and inconsistent; extreme poverty; removal from home;
Cluster B: antisocial: predisposing factors- kids who do not suffer ____ but instead are rescued when in trouble suffer from this; what parental deprivation can cause this consequences; both
Cluster B: antisocial- sociopath: a disregard for and violation of whom; since what age has this occurred; how many s/s does one need to have in order to be dx with this other; 15 yo; 3 or more
Cluster B: antisocial- sociopath: s/s- they fail to conform to what; they repeatedly break what; they con others for what; how are they impulsive; how are they aggressive social norms; the law; profit or pleasure; they fail to plan ahead; repeated fights
what is the most difficult personality disorder to treat Cluster B: antisocial- sociopath:
Cluster B: antisocial- sociopath: s/s- reckless disregard for what; can they hold a job or honor financial obligations; they have lack or __; safety of self and others; no; remorse;
Cluster B: antisocial- sociopath: when is dx officially made; when do s/s peak; there was evidence of this disorder since when; this behavior is not exclusesive during what episodes at 18 yo; at 18 yo; 15 yo; schizo or manic episodes
cluster B: borderline- there is a pattern of what kind of relationships; are they stable; how are their attitudes towards others; are they impulsive; what behavior causes them to be admitted; chaotic; no; they fluctuate; yes; self-destruction;
cluster B: borderline- there is a lack of sense of ____; there is a fear of what; what is anger like; identity; abandonment; intense;
cluster B: borderline- often view themselves how; what behavior do they display when s/s are most acute; what impulsive behaviors do they display; as unworthy; when they are isolated; splurging, binge eating, reckless driving, reckless sex,
cluster B: borderline- what other disorders may they have; they frequently change what; what are relationships like; addictions, other personality disorders; jobs, friends ect; intense but end fast;
cluster B: borderline- there is a hx of what as a child; some say aggression is caused by abnormalities in what; how common; abuse, separation and neglect; the brain; 1-2% of population;
cluster B: borderline- more common in men or women; they are always in a state of what; their relationships range how; what is unstable; what is emotions; women; crisis; from clingy to distancing; their mood; intense anger, temper and recurrent physical fights;
cluster B: borderline- why are the suicidal/self mutilationg; they have a fear of what; they have chronic ___; they are looking for a rescue; being alone; depression;
cluster B: borderline: predisposing factors- what neurotransmitter defect is there; what condition is common in the family; when in life did trauma occur; what was family environment growing up serotonin; depression; childhood trauma; caotic;
cluster B: borderline: predisposing factors- what type of abuse and trauma occurred in the home; phys. and sexual;
borderline patterns of interaction: ex of clinging; they will act out self-mutilation when? helpless, dependent or childlike behavior, wants to spend all of their time with this person; when they cannot be with this person
borderline patterns of interaction: ex of distancing; what does distancing come from hostility, anger, and devaluation of others; arises from feelings of discomfort with closeness
borderline patterns of interaction: splitting- def; is this a defense mechanism; this decides if a person is what they play whom in psych setting term that describes difficulty with the ability to hold opposing thoughts feelings or beliefs about oneself or others; yes; good or bad; one staff member against another
borderline patterns of interaction: splitting- as staff what should we do; suggest what to client not listen as client tries to degrade other staff members; to discuss problems with the staff person involved
borderline patterns of interaction: manipulation- this is an effort to prevent what; in clients mind any ___ becomes an acceptable means to achieve result; they play what separation; behavior; one individual against another
borderline patterns of interaction: self destructive behaviors- examples; is this common with borderline; why do ppl do it cutting, scratching, burning; yes; manipulative to elicit a rescue
borderline patterns of interaction: impulsivity- def; examples of impulsive behaviors; poor impulse control; substance abuse, gambling, purging
cluster B: borderline: nursing dx- why risk for self mutilation; what is ST goal; r/t intense emotions ex; client will seek out staff member if feeling harming self or others;
cluster B: borderline: safety interventions- how should pt be observed on inpatient setting; what contract should be made; frequently Q15min irregular times; verbal on to seek out staf when urge to harm self;
cluster B: borderline: safety interventions- how should nurse treat wound care; encourage client to verbalize what treat in a matter of fact manner, no positive reinforcement by offering sympathy or additional attention for this behavior; feelings;
cluster B: borderline: safety interventions- act as a role model for the appropriate expression of what feelings; remove what from environment; redirect violent behaviors with what type of outlets; administer what meds prn for violence; angry; dangerous objects; physical like exercise; tranquilizer meds;
cluster B: borderline: safety interventions- if pt is not calmed down by talking down or meds what needs to be used; why do we not leave alone at stressful times; mechanical restraints; can lead to increased anxiety and agitation
cluster B: historian- what is behavior like; they have difficulty maintaining what relationships; require constant what colorful, dramatic and extroverted, excitable, emotional ppl; long-lasting; affirmation and acceptance
cluster B: historian- what % of the population have this; more common in men or women; are they dramatice; they seek what; are they seductive; 2-3%; women; yes; attention; yes;
cluster B: historian- they display exhibitionistic and manipulative behaviors to be what; they are excessively ____; they are sensitive to others ___; unstable what; center of attention; emotional; approval; mood;
cluster B: historian- they have an excessive concern with ___ appearance physical
cluster B: narcissistic- def; they fantasize about what; they exaggerate what; believe that you're better than others; power, success and attractiveness; achievements or talents
cluster B: narcissistic- expect constant what; they fail to recognize what; how are they arrogant; praise and admiration; others emotions and feelings; they feel entitled to special rights and privileges;
cluster B: narcissistic- what is mood like; they have grandiose distortions of what; they respond how when criticized or not given positive feedback optimistic, relaxed cheerful and carefree; reality; rage, shame, humiliation
cluster B: narcissistic- they have impaired ___ relationships; they choose a partner that provides what personal; praise
cluster B: narcissistic- as children they fear what; dependency needs were responded to with what; as a result they cannot provide what to others; failures; criticism, disdain or neglect; comfort and support;
cluster B: narcissistic- what was parents personality; what types of abuse did they receive as a child narcissistic as well- demanding, perfectionhistic and critical with unrealistic expectations on child; emotional and physical
cluster B: narcissistic- pampered and indulged children feel they can receive with out what; giving in return
cluster C: avoidant- hypersensitive to what 2 things; they feel what; they isolate how; although they isolate socially what do they desire; criticism or rejection; inadequate; socially; companionship;
cluster C: avoidant- they have a fear of what; they are extremely shy when; view others as how; rejections; in social situations; critical, betraying and humiliating;
cluster C: avoidant- what do they feel due to failure to develop social relationships; depression, anxiety, and anger;
cluster C: avoidant- is it hereditary; what rejections attribute to this; as children what causes this; they learn to view world as how yes; parental rejection, peer rejection later; belittling, abandonment, criticism; hostile and dangerous
cluster C: dependent- they have excessive dependence on whom; lacks what; they are submissive when; they have a desire to be what; they have difficulty making decisions without what others; self confidence; towards others; taken care of; reassurance
cluster C: dependent- they tolerate what type of tx; urgent need to do what when a relationship has ended poor and abusive tx; start a new one;
cluster C: dependent- is it hereditary; dependency is fostered when in a childs life; what type of learning is discouraged in they children yes; infancy and childhood; learning by experience
cluster C: obsessive compulsive- more men or women have this; what sibling most likely to have this; what is affect; preoccupation with what men; oldest; serious and formal with difficulty expressing emotion; orderliness and rules
cluster C: obsessive compulsive- they are extreme ___; they fear what; desire to be in control of what; perfectionism; making mistakes; situation;
cluster C: obsessive compulsive- inability to discard what objects; inflexibility on the way things should be __; this is not the same as what other disorder; broken or worthless objects; done; obsessive compulsive disorder;
cluster C: obsessive compulsive- what one the personality disorder or the disorder is and anxiety disorder; children get this when parent is over ___; there are high parental what; are they punished or praised more as a child the disorder; controlling; standards and expectations; punished
passive-aggressive: they feel un___; they express envy and resentment towards whom; they unreasonably criticize whom; when they feel wronged they go to great lengths to do what; they passively resists what; they alternate between what unappreciated; those more fortunate; authority; get even; routine social and occupational tasks; hostile defiance andcontrition
cluster C- passive-aggressive: child have parents the contradict what 2 things; they have inconsistent response from whom growing up; parental attitudes and behaviors; parents;
cluster A: name them; what one is supspicious cold and humorless; what one likes 1st generation families, has metaphoric speech, aloof and isolated and magical thinking; what one has few frieds, loner and indeferent to praise and criticism schizotypical, paranoid, schizoid; paranoid; schizotypical; schizoid;
cluster B: name them; what one is self destructive, impulsive, erratic emotions, sexual, extreme intensity, always in crisis; what one breaks laws no remorse, appears friendly on the surface; borderline, antisocial, historian, narcissistic; borderline; antisocial
cluster B: what one is impulsive, false emotions, dramatic, inappropriate sexual behavior, center of attention; what one cant apologize, grandiose, exploite others in effort to fulfill their own wants, emotions are not erratic historian; narcissistic
cluster C: name them; what one lacks confidence- apparent in posture, voice, mannerism; what one socially withdraws, awkward and uncomfortable in social situations passive aggressive, obsessive compulsive, avoidant, dependent; dependent; avoidant
cluster C: what one is a perfectionist, preoccupied with details, rules and schedules; what one is forceful, stubborn, dependent on others, procrastinates obsessive-compulsive; passive agressive
medication tx for personality disorders: do meds cure; what do they treat; no; s/s of disorder;
medication tx for personality disorders: antipsychotics- used for what disorders; they treat what thoughts paranoid, schizotypical, borderline; dillusional
medication tx for borderline: why are SSRIs and MAOIs used; why are atypical antipsychotics used; to decrease impusivity and self destructive behaviors; for tx dysphoria, mood instability and impulsivity;
medication tx for personality disorders: why are antipsychotics used improvement in illusions, ideas of reference, paranoid thinking, anxiety and hostility
medication tx for personality disorders: what is tx for antisocial personality; what is tx for avoidant personality disorder lithium and Inderal for violent episodes; anxiolytics and antidepressents;
treatment of personality disorders: strive to lessen the inflexibility of what traits; reduce the interference of maladaptive traits with what; maladaptive traits; everyday functions;
tx: interpersonal psychotherapy- used for what disorders; paranoid, schizoid, schizotypical, borderline,dependent, narcisissitic and obsessive compulsive
tx: interpersonal psychotherapy-why is it done to understand and modify the maladjusted behaviors cognition and affects of the disorder
tx: psychoanalytic psychotherapy: tx for whom; focus is on what; ppl with histrionic; the unconscious motivations for behaviors;
tx: milieu/ group therapy: what disorder is it good for; feedback from peers is more effective then what; this emphasizes the development of what skills; helpful in overcoming what anxiety; antisocial personality disorder; one on one; social; social;
tx: cognitive behavioral therapy: useful with what disorders; offers reinforcement for what; what training teach alternatieways to deal with frustration obsessive, passive aggressive, avoidant; positive changes; social skils and assertiveness training
tx: dialectical behavior therapy: treatment for chronic what; what disorder; what are the 4 modes of tx in this; self injury; borderline; group skills training, individual therapy, telephone contact, therapist team meetings
Created by: jmkettel