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Psych hesi review

Ego mechanism Rational self or reality principle. The ego experiences the reality of the external world, adapts to it and responds to it. It is used when anxiety increases and the individual's ego is being tested.
Temperament Inborn personality characteristics that influence an individual's manner of reacting to the environment and ultimately his or her developmental progress.
Intellectualization Occurs when an individual attempts to avoid expressing actual emotions associated with a stressful situation by using the intellectual processes of logic, reasoning and analysis.
Reaction formation Assists in preventing unacceptable thoughts or behaviors from being expressed by exaggerating opposite thoughts or types of behavior.
Compensation Method of covering up a real or perceived deficit by emphasizing a strength.
Sublimation Method of re channeling drives or impulses that are personally or socially unacceptable into activities that are constructive.
Defense mechanism Used adaptively during times of mild to moderate anxiety to decrease stress and assist with coping.
Repression Unconscious involuntary blocking of unpleasant feelings and experiences from one's own awareness.
Projection Person attributes unacceptable impulses and feelings to another.
Denial Enables a person to ignore unacceptable realities by refusing to acknowledge them.
Displacement Transfers feelings that are unacceptable to express to one person to a less threatening person.
Cluster A Paranoid, Schizoid, Schizotypal
Paranoid Suspicious of others, fearful, projects blame for own problems onto others, odd or magical thinking, uses hostile, accusatory dialogue that is reality-based, appears suspicious, tense, distant, watchful and angry.
Schizoid Socially detached, shy, introverted, avoids interpersonal relationships, lacks social skills, is cold, quiet, and aloof, emotionally detached, introverted, unresponsive and has autistic thinking, says little, withdrawn and seclusive, dull, humorless.
Schizotypal interpersonal deficits, eccentricities and odd beliefs, socially isolated.
Nsg interventions for cluster A PD Establish trust,Be honest,Assist with stress relief,Avoid confrontation with client,Help client to focus on feelings ,Reality orientation, engage in noncompetitive activities that required concentration, involve family and client in plan of care.
Cluster B Dramatic and emotional
Antisocial Aggressive acting out behavior without any remorse, manipulative lacks social conscience and ability to feel remorse, ineffective interpersonal skills, humiliating and belligerent toward those perceived as a threat, cold, insensitive to others.
Borderline Disturbances reg. self image and sexual, social and occupational roles, impulsive,makes suicidal gestures, overly dependent on others, unable to problem solve, splitting behavior, demanding, whiny, manipulative, difficulty controlling anger.
Histrionic Overreactive, dramatic, seeks attention, chaotic relationships, angry outbursts, loud, self centered, flirtatious.
Narcisstic Perceives self as all powerful and important, exaggeration, needs attention, preoccupied with power and appearance, exploits others, inattentive and indifferent to others, appears concerned only with self, lacks empathy.
Cluster C Anxious, fearful
Avoidant Socially inhibited, feels inadequate, hypersensitive to negative criticism, rejection, longs for relationship.
Dependent Unreasonable wishes and wants and expresses needs in a demanding whining, passive, low self esteem, sees self as stupid, unable to make decisions, dependent on others, self deprecation, demanding others to meet needs, appears dull, dissatisfied with self.
OCD Attempts to control self and others, cold and rigid, perfectionist, preoccupied with lists, rules, details and orders.
Created by: roseiv2014
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