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IM 6 Test 4 > Personality Disorders > Flashcards

Personality Disorders Flashcards

(64 cards)

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1
Q

stable personality

A

flexible and adaptive

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2
Q

pathologic personality

A

inflexible and maladaptive

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3
Q

personality disorders have what sense of self

A

unstable and unrealistic sense of self

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4
Q

neurobiological theory for personality disorder

A

disturbances in serotonin and GABA

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5
Q

psychological influences for personality disorder

A

childhood trauma

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6
Q

personality disorder treatment prognosis

A

little insight and improvement slow

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7
Q

disordered personality common characteristics X4

A

pervasive and inflexible patterns

onset in early adolescence or early adulthood

distorted sense of self

leads to distress or impairment

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8
Q

Risk factors for personality disorders X6

A
  • family hx of mental illness/personality d/o
  • low socioeconomic status
  • childhood abuse
  • unstable family during childhood
  • dx with childhood conduct disorder
  • loss of parents during childhood
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9
Q

cluster A personality d/o

A

paranoid
schizoid
schizotypal

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10
Q

cluster B personality d/o

A

anitsocial
borderline
histronic
narcissistic

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11
Q

cluster a traits

A

odd and eccentric

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12
Q

cluster b traits

A

dramatic, emotional and erratic

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13
Q

cluster c personality d/o

A

avoidant
dependent
obsessive compulsive

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14
Q

cluster c traits

A

anxious and fearful, insecure and inadequate

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15
Q

paranoid affect

A

hostile, irritable, angry

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16
Q

paranoid cognitive

A

pervasive, persistent and inappropriate distrust

suspicious

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17
Q

paranoid social

A

difficulty with intimacy
pathological jealousy
unforgiving

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18
Q

nursing interventions for paranoid PD X5

A

serious and straightforward, no sarcasm

honor commitments

involve pt in tx plan

teach pt to validate ideas with a trusted person before acting on idea

present information in a concrete manner

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19
Q

schizoid affective

A

blunted/flat/restricted

cannot pick up on social skills

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20
Q

schizoid cognitive

A

poverty of thought

vague communication

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21
Q

schizoid social

A

aloof

rarely date or marry - loners

dont connect with others

phantom relationships - do not want real friendships

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22
Q

schizoid PD nursing interventions X4

A

pt will NOT benefit from forced social interaction

case mgmt - lack of ability to plan for future needs

may be difficult to include in POC

simple and clear statements work best

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23
Q

schizotypal affective

A

inappropriate, constricted

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24
Q

schizotypal cognitive

A

paranoid ideation

magical thinking

ideas of reference

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25
schizotypal social
often avoided by others r/t odd behavior indifference to others
26
schizotypal PD nursing interventions X3
improve self-care skills work towards improved function in community include in groups to improve social skills
27
antisocial affectivr
expressive but not genuine
28
antisocial cognitive
egocentric, grandiose, impulsive
29
antisocial social
3-4x more common in men exploitative of others - no feelings of remorse sense of entitlement
30
antisocial PD nursing interventions X4
- limit setting - confrontation w/o shame - consistency w/n tx team - work on systematic problem solving
31
borderline affect
intense, labile emotions, anxious, empty
32
borderline cognitive
- identity disturbance - dichotomous thinking - potential for psychotic episodes under stress
33
borderline social
manipulative relationships fear abandonment and being alone 3x more common in women than men
34
borderline nursing interventions X6
ensure safety from comorbidities no-self-harm contracts firm boundaries no tough love do not react and stay in control decatastrophizing important
35
histrionic affect
dramatic and extroverted
36
histrionic cognitive
self-centered guided by feelings over thinking
37
histrionic social
sexual, seductive attention seeking manipulative
38
histrionic PD nursing interventions X3
offer feedback on behavior while offering appropriate alternatives model appropriate social skills teach use of I messages to express needs
39
narcissistic affect
labile
40
narcissistic cognitive
arrogant, egotistical, grandiose thinking
41
narcissistic social
lack of empathy what's in it for me sense of entitlement
42
narcissistic nursing interventions X4
limit setting don't internalize state expectations clearly reality orientation
43
avoidant affect
fearful and shy
44
avoidant cognitive
exaggerated need for acceptance
45
avoidant social
strong fear of rejection few close friends reticent and withdrawn but want relationships feelings of inferiority
46
avoidant nursing interventions X4
work on positive self-affirmations promote self esteem reframing decatastrophizing
47
dependent affective
helplessness
48
dependent cognitive
lack of self confidence
49
dependent social
excessive dependence on others cling to others
50
dependent nursing interventions X2
explore problems and solutions w/o solving for them promote independence
51
Obsessive compulsive affect
unable to express emotions
52
Obsessive compulsive cognitive
perfectionism procrastination indecision would rather not try than try and fail
53
Obsessive compulsive social
omnipotent omniscient need for control
54
omnipotent
all powerful
55
omniscient
all knowing
56
Obsessive compulsive nursing interventions X3
practice negotiation decatastrophizing have a patient set realistic goals completion rather than perfection
57
common therapies for PD X4
CBT DBT psychodynamic psychoeducation
58
depressive affect
sad, gloomy
59
depressive cognitive
negative, pessimistic
60
depressive social
critical of others
61
depressive nursing interventions X3
assess for self harm encourage engagement with others consider antidepressant meds
62
passive aggressive PD affect
sad, angry hostile alt with exessive dependence
63
passive aggressive cognition
perception of disappointments or difficulties where none exist
64
passive aggressive social
plays role of martyr

IM 6 Test 4 (6 decks)

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