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nurs 211
personality disorders TLO 2.3.11D
| Question | Answer |
|---|---|
| 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
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