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Unit VI (Chpt 19)
PD
| Question | Answer |
|---|---|
| The risk factors for heavy drinking in older adults are (x5)? | M, Single, No High school education, Low income, Smoker |
| Treatment plans for the elderly who abuse alcohol include? | Social Therapies, & family support |
| What does CAGE-AID stand for? | Cut down, Annoyed, Guilty, Eye-opener, & Adapt to Include Drugs |
| Two commonly used tools to assess older adults and alcohol abuse? | CAGE-AID & MAST-G |
| What trait do all personality disorders share? | Lack of Insight |
| Eccentric & odd behaviors, such as social isolation & detachment; Include: Paranoid, Schizotypal, & Schizoid. | Cluster A PD |
| A pervasive distrust & suspiciousness of others. | Paranoid PD |
| A pervasive pattern of detachment from social relationships and a restricted range of expression in the interpersonal settings; emotional coldness, flat affect; Lives in wilderness. | Schizoid PD |
| Strikingly odd characteristics, including magical thinking, derealization, perceptual distortions, and rigid peculiar ideas. | Schizotypal PD |
| Problems w/ impulse control, emotion processing & regulation & interpersonal difficulties characterize this cluster of disorders(Dramatic, Emotional or erratic behavior)? | Cluster B |
| Include Antisocial PD, Borderline PD, Histrionic PD, & Narcissistic PD? | Cluster B PD’s |
| Has the main features of consistent disregard for others throughout exploitation, and repeated unlawful actions. | Antisocial Personality Disorder |
| Marked by instability in emotion regulation, interpersonal relationships, impulsivity, identity or self-image distortions, & unstable mood.(Staff Splitting, use cutting, sexual behaviors) | Borderline PD |
| Marked by emotional attention-seeking behavior in which the person needs to be the center of attention (Flirtatious or provocative). | Histrionic PD |
| Need for constant admiration, along w/ a lack of empathy for others, arrogant and grandiose view of self importance. | Narcissistic PD |
| Show patterns of anxious and fearful behaviors, rigid patterns of social shyness, hypersensitivity, need for orderliness, & relationship dependency. | Cluster C PD |
| Extremely sensitive to rejection, & robust avoidance of interpersonal situations, Strongly desire close interpersonal relationships, but they avoid them. | Avoidant PD |
| Have pattern of establishing relationships in which they are submissive, passive, self-doubting, & avoid self responsibility; Folie a Deux. | Dependent PD |
| Perfectionism with a focus on orderliness and control. | OCD PD |
| Respect patients need for social isolation, be aware of patients suspiciousness and employ appropriate interventions; Psychotherapy. | Schizotypal |
| Projects blame, avoid being too "nice" or “friendly”; Project neutral but kind effect; Warn about any changes; Psychotherapy Tx choice. | Paranoid |
| Emotionally detached; avoid being too “nice” or “friendly”; Do Not try to ↑socialization; Supportive psychotherapy & Group therapy. | Schizoid |
| Limit setting and confrontation about negative behavior is better accepted by the patient if the staff first employ this technique? | Empathetic Mirroring |
| Impulsive; SPLITTING; Manipulative behaviors; Provide clear, consistent boundaries and limits; clear and straightforward communication; Assess for SI, and self mutilating behaviors especially in times of stress; Individual psychotherapy, dialectical). | Borderline |
| No Anxiety, No depression, Exploitive of others, Impulsive Callous toward others, Prevent or reduce untoward effects of manipulation, document behaviors, can INSTILL GUILT when they are not getting what they want; Psychotherapy. | Antisocial (Ted Bundy) |
| Exploitive, GRANDIOSE, Rage, No empathy; Remain neutral avoid engaging in power struggles or becoming defensive; Convey unassuming self-confidence; Tx Psychotherapy only after noticing problem. | Narcissistic |
| SEDUCTIVE, FLAMBOYANT, attention seeking, shallow, center of attention; Understand behavior is a response to distress encourage and model the use of concrete and descriptive language; Teach role model assertiveness. Tx Group therapy. | Histrionic |
| EXCESSIVELY CLINGING; needy; identify and help address current stresses; Teach ROLE MODEL and Assertiveness; Tx Insight-oriented psychotherapy. | Dependent |
| PERFECTIONIST; INFLEXIBLE, RIGID, Preoccupied with details; Guard agains power struggles w/ patient; Tx Supportive or insightful psychotherapy. | OCD |
| Excessively ANXIOUS in social situations; hypersensitive to negative evaluations; Desire social interaction; Use a friendly, accepting, reassuring approach; pushing client into social situations may cause ↑anxiety. Tx Psycho, Group, & Assertiveness. | Avoidant |
| An evidenced-based therapy developed by Dr. Marsha Linehan to successfully treat chronically suicidal persons with borderline personality disorder. | Dialectical Behavior Therapy (DBT) |
| DBT combines cognitive & behavioral techniques w/ ______, which emphasizes being aware of thoughts & actively shaping them. | Mindfulness |
Created by:
BOjangles1006
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