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Ch. 29
PsychExam 2- Antisocial Personality
| Question | Answer |
|---|---|
| True or False Women with alcohol use disorder have the highest rate of occurrence of antisocial personality disorder. | False. Men have the highest rate of occurance |
| Risk factors | Age of at least 18 years with history of one or more characteristics of conduct disorder before age 15 years, incidence greater among Native Americans and lower among Asians, alcohol and drug abuse |
| Nursing Management for the Biologic Domain | Assessment-no significant impairment in biologic dimension,physical effects of chronic use of addictive substances Nursing diagnosis- dysfunctional Family Processes Interventions-Improve physical functioning when coexisting disorders interfere |
| Nursing Management for the Psychological Domain | Assessment- basic psychological assessment tools to evaluate aberrant behaviors Nursing diagnosis- risk for Other Directed Violence Interventions- therapeutic relationship, self-responsibility; self-awareness, teaching (refer to Box 29.3) |
| Nursing Management for the Social Domain | Assessment- determine the quality of relationships, impulsivity, and the extent of aggression Nursing diagnosis- ineffective Role Performance (unemployment), ineffective coping, impaired social interaction Interventions- positive interaction skills |
| Schizotypal Personality Disorder | Pattern of social and interpersonal deficits Cognitive perceptual symptoms: magical beliefs and perceptual aberrations Referential thinking; paranoia |
| Avoidant Personality Disorder | Avoidance of social situations Timid, shy, hesitant, fear of criticism, and feelings of inadequacy Extremely sensitive to negative comments and disapproval Engagement in interpersonal relationships only when they receive unconditional approval |
| Obsessive-Compulsive Personality Disorder | Different from OCD; no obsessions and compulsions but pervasive pattern of preoccupation with orderliness, perfectionism Completely devoted to work Need to control others |
| Narcissistic Personality Disorder | Grandiose with an inexhaustible need for attention Lacking empathy; feelings of superiority, specialness, or uniqueness; self-centered view; sense of entitlement |
| Paranoid Personality Disorder | Long-standing suspiciousness and mistrust of others Guarded, hostile, angry, unforgiving; holds grudges Persistent ideas of self-importance |
| Histrionic Personality Disorder | Attention seeking, excitable, emotional, insatiable need for attention and approval Moody; sense of helplessness when others disinterested Sexually seductive to gain attention, uncomfortable with single relationship |
| Dependent Personality Disorder | Clinging to others in a desperate attempt to keep them close; intense need to be taken care of Total submission and disregard for self Decision making difficult or nonexistent Withdrawal from adult responsibilities |
| Schizotypal Personality Disorder: Management | dependent on degree of decompensation; strategies to increase self-worth; social skills training; environmental management; cognitive skills |
| Avoidant Personality Disorder : Management | No negative criticism Identification of positive responses from others Exploration of previous achievements Exploration of reasons for self-criticism Social skills training |
| Obsessive-Compulsive Personality Disorder : Management | Seek care for attacks of anxiety, spells of immobilization, sexual impotence, excessive fatigue Assessment: focus on patient’s physical symptoms |
| Narcissistic Personality Disorder: Management | nurse self-awareness; focus on coexisting responses to other health care problems |
| Paranoid Personality Disorder: Management | Therapeutic relationship Identification of problem areas if trust established Techniques: acceptance, confrontation, reflection, change occurring over time |
| Histrionic Personality Disorder : Management | therapeutic relationship, independent decision making, confident in ability to handle situations, reinforcement of personal strengths, autonomous action, assertiveness groups |
| Dependent Personality Disorder: Management | : help recognize dependent patterns, motivate to want to change, teach adult skills that have not been developed, support to make their own decisions, administer possible antidepressants or antianxiety agents |
Created by:
bolenrocks
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