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Personality Disorder
OLOL Personality Disorder
| Question | Answer |
|---|---|
| Totality of a person's unique biopsychosocial characteristics that consistently influences his or her inner experience and behavior across the lifespan. | Personality |
| Collection of personality traits that have become fixed and rigid to the point the person experiences inner distress and behavior dysfunction. This behavior usually reflects a life-long pattern that affects many areas of the persons life and caused probl | personality disorders |
| What are hard to change, pt experiences anxiety and behavior dysfunction? | personality disorders |
| How much of the population may have a personality disorder? | 10-25% |
| What axsis is a personality disorder listed on? | Axis II |
| What is a common diagnosis with other mental illnesses? | Personality disorder |
| What is considered a maladaptive respnse to anxiety> | a personality disorder |
| What causes personality disorders? | may be variants of normal personalities, may be caused by abuse, neglect, trauma, inadequate parenting, or a combo of these, may be a genetic component |
| What are cluster A personality like? | Odd and eccentric, paranoid, schizoid, schizotypal, prone to panic attacks, possible abuse substances, depression, ex of dependent, self centered very changeable moods, borderline personality disorders |
| What is cluster B personality types like? | Dramatic and Emotional, antisocial, borderline, histrionic, narcissistic |
| What are cluster C personalities like? | anxious and fearful, avoidant, dependent, obsessive-compulsive |
| The pt with a PD usually shows alterations in cultural norms in which categories? | cognition, affet, interpersonal functioning, impulse control. |
| What is deeply ingrained and difficult to change? | personality |
| Since personality is not diagnosised until adulthood, PD is not diagnosised when? | In childhood |
| Why is PD rarely treated with medications? | Because medications rarely change personality. Meds are used to treat symptoms associated with PD, such as anxiety or aggression. |
| How many temperament traits are there? | about four |
| What percentage of a temperment trait is genetic? | about 50% |
| What age are temperment traits fixed by? | age two or three |
| What affects a person automatic response to certain situations? | temperament |
| If a persons harm avoidance is high the person will exhibit what? | fear of uncertainty, social inhibition, shyness with strangers, pessimistic worry in anticipation of problems, rapid fatigability |
| If a persons harm aboidance is low a person is generally | carefree, outgoing, optimistic and energetic |
| If a person has a high novelty seeking personality the person is | quick tempered, curious, easily bored, impulsive, extravagent, disorderly, angry outburst, fickle in relationships |
| If a person has a low novelty seeking personality the person is | frugal, reflective, reserved, orderly, likes routine of activites |
| How a person responds to social cues is | reward dependent |
| If a person has a high reward dependent personality the person is | overly dependent on approval of others, tenderhearted, sensitive, sociable, socially dependent |
| If a person has a low reward dependent personality then the person is | is practical, tough minded, cold, insensitive, indifferent to being alone. |
| If a person has a high Persistence personality this person is | hardworking, overachiever, responds to fatigue and frustration as challenge, preserve when situations says stop |
| If a person is a low persistence personality they are | inactive unstable, erratic, gives up easy, rarely strive for higher accomplishment |
| Antisocial personality has a low _____ ______ and a high _______ _________. | low harm abvoidance, high novelty seeking |
| Suspicious, restrictive affect, quick to take offense, projects negative feelings toward others, have few friends, bear grudges, uses defense mechanism of projection(blame others for their difficulties) | Paranoid Personality Disorder |
| What are the nursing interventions for paranoid personality disorders? | establish trust, use serious, straight-forward approach, teach patient to validate ideas before acting, involve pt in reatment plan (need to feel control) |
| Indifferent to social relationships, flat affect humorless, cold & unsociable, insensitive, few pleasures, life long loners, rich & extensive fantasy life ( not delusional) watching movies, living life through watching movies | Schizoid Personality Disorder |
| What are the nursing interventions for a pt with Schizoid Personality disorder? | teach basic social skills, (please, thankyou, hold the door) improve functioning in community, encourage socialization to improve social skills, ex housing that doesn't expect social interaction, needs small group home, room by themselves |
| Social & interpersonal diffiulties with extreme discomfort & intolerence for close relationships, limited affect (flat & inappropriate), disturbed thought patterns, odd behavior, speech apparence, ideas of reference with delusions of reference | schizotypal personality disorder, also believes events have special meaning for them, anxiety around unfamilar ppl/paranoia, rarely able to hold job, lives with parents, 10% usually later diagnosis with schizophrenia |
| What are nursing interventions for pt with schizotypal personality disorder? | develop self care skills, basic personal hygine , a calander with when to tk a bath, when to wash hair, ect, improve community functioning, social skills training. |
| What are some characteristics of Antisocial Personality Disorder/sociopath/psychopath? | agressive, irresponsible behavior, belligerent, fearless, fighting stealing, abuse animals/spouses, children, must have had conduct disorder before age 18, impulsive, emotionally immature, not remoresful, 50% of men in prision, Peaks in 20's, from abuse |
| Who is often from abused families, viewpoint is it's a dog eat dog world, and is 50% of the men in prision? | antisocial personality disorder, sociopath |
| What are nursing interventions for the antisocial/sociopath personality disorder pt? | set limits on manipulative behaviors, assist pt to recognize the need to respect the needs and rights of others, encourage pt to demonstrate nondestructive ways to express feelings, (ex be a boxer, workout). identify ways to meet needs without infringing |
| What are some s&s of a person with a borderline personality disorder? | instablity in mood, impulse control, poor self image, interpersonal relationships poor b/c of instability, overly dep. on others, uses splitting (all is good or all is bad) , lacks insight blames others, attention seeking, self mutilation |
| attention seeking, doesn't want to be ignored, self mutilation ( manifestation of extreme anger, cries for help, self punishment, or numb themselves to emotions, has self image crisis, sexual orientation, career choices, chronis dysporia | Borderline personality disorder. Person may also experience dissociative periods when they are wakeful yet unaway of actions. |
| What is 5x's more common if 1st degree relative has disorder, usually women, parents disapproval as a child achieves developmental independence is noted with many pts, often experiences PTSD, substance abuse is common b/c of impulsiveness. | Borderline Personality disorder |
| What are some nursing interventions for pt with personality disorders? | safety, on SI percautions ( do not give pt undo atten.), Assist in recognizing manipulative behavior, give pt perscribed amoounts of time to work on issues, assist pt in learning how to delay gratification, cognitive restructuring, decastrophizing, teach |
| What should the nurse teach a pt with Borderline personality disorder? | to plan down time, schedule readin paper, writing grocery list. |
| What is decatastrophizing? | What is the worst thing that could happen? |
| How should a nurse do cognitive restructuring with a pt with borderline personality disorder? | change patterns of thinking, replace with postive |
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