Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

N232 - FINAL EXAM > Personality Disorders > Flashcards

Personality Disorders Flashcards

1
Q

Egodystonic:
*Problems in living are perceived, to an extent, as _____
*Patterns of behavior are perceived as _____, unnatural or foreign to the self.
Associated with ______ to change behavior.

A
  • Internal
  • Uncomfortable
  • Willingness
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Egosyntonic: Problems in living are attributed to _____ causes.
Patterns of behavior are perceived as _____, _____and a part of self.
Associated with _____ to change behavior

A
  • External
  • Comfortable and natural
  • Unwillingness
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Personality Patterns are reflected in how a person:

  • copes with ?
  • views ___ and ___
  • finds meaning in____
  • responses to ___
A
  • Copes with feelings and impulses
  • Self and others
  • Meaning in relationships
  • Responses to surroundings.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

People with personality disorders Tend to see the cause of their dysfunction or distress as ____ _____,
Therefore?

A
  • external egosyntonic

* Rarely seek treatment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Symptoms of Personality disorder become less obvious when?

A

*middle or old age

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

3 clusters and how they are classified?

A

*Weird, Wild, Worried
Cluster A disorders: odd and eccentric
Cluster B disorders: dramatic and erratic
Cluster C disorders: anxious and fearful

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Perfectionism, rigidity, controlling behavior, and extreme orderliness characterize people with what personality disorder?

A

obsessive-compulsive personality disorder.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

________ characterized as being expressively impassive and interpersonally unengaged. They tend to be unable to experience the joyful and pleasurable aspects of life. They are introverted and reclusive and clinically appear distant, aloof, apathetic, and emotionally detached.

A

*Schizoid personality disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

pervasive and excessive need to be taken care of, leading to submissive and clinging behavior and fears of separation. In addition, they need so much approval from others that they have tremendous difficulty making independent decisions or starting projects.

A

*Dependent personality disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

pervasive pattern of disregard for and violation of the rights of others. History may reveal repeated incidents of physical fights or assaults demonstrating irritability and aggressiveness, repeated failure to sustain consistent work behavior or honor financial obligations, lack of remorse for actions, conning others for personal profit or pleasure, and impulsivity or failing to plan ahead

A

*Antisocial personality disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Characteristics of personality disordres manifest in what 4 ways?

A
  • ABCS*
  • Affect - emotional
  • Behavioral - Impulse control and day to day patterns
  • Cognitive - Interpretation of self and others
  • Sociocultural - functioning in relationships
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Limbic system deregulation, is said to do what in people with personality disorders?

A

Decrease impulse control

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Decreased _______ tendency towards self-mutilation, rage, aggression

A

Serotonin (5-HT)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Elevated________hypersensitivity to environment

A

Norepinephrine (NE)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Abnormal levels of ______ psychotic episodes

A

Dopamine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Intrapersonal theory of personality disorders
• Hostility towards ______ is _________
resulting in fear, mistrust, and withdrawal to avoid being hurt.
•_______standards imposed by parents during childhood
• Underdeveloped superego failure to internalize ____ _____ _____
• ______ manifesting as personality disorder
• Unsatisfied basic needs, inadequate parenting leads to hostility towards caregivers and what 3 fears?
*Acting out of ______including
self-destructive behavior to manage feelings of guilt.

A
  • Hostility towards self is projected onto others
  • Perfectionist standards
  • internalize authority, morals, guilt. (conscience)
  • Anxiety
  • Fear of abandonment, intimacy, and own anger
  • Acts out of rage with self-destrutive behaviors
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Pattern of distrust and suspiciousness, interprets other people’s motives as malevolent. What is this? What classification? When does it begin?

A
  • Paranoid personality disorder
  • Cluster A - odd, eccentric, weird
  • Early adulthood
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

aspects of paranoid personality disorder? MNEMONIC: SUSPECT

  1. Spouse?
  2. Holds what?
  3. Main trait
  4. Perception followed by reaction
  5. Questions if someone is?
  6. Fears what in other people?
  7. Benign events are what?
A 
*SUSPECT
S- spousal infidelity suspected
U- unforgiving (holds grudges)
S-Suspicious
P- perceives attacks (reacts quick/angry)
E- Enemy/friend?  
C- Confiding in others feared
T- threats perceived in benign events
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

pattern of detachment from social relationships, restricted range of emotional expression in interpersonal relationships. What is this? What classification? When does it begin?

A
  • Schizoid personality disorder
  • Cluster A - odd, eccentric, weird
  • Early adulthood
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

aspects of Schizoid personality disorder? MNEMONIC: DISTANT

  1. Affect?
  2. feelings on criticism/praise
  3. Intimacy
  4. Tasks?
  5. Absence of?
  6. Close relationships?
  7. Activities
A 
*DISTANT
D-detached/flattened affect
I-indifferent to criticism/praise 
S-Sexual experiences of little interest
T- tasks done alone
A-Absence of close friends
N-No desire or enjoyment in close relationships
T-Takes pleasure in few activities
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

pattern of social and interpersonal deficits (acute discomfort and reduced capacity for close relationships, cognitive or perceptual distortions and eccentricities of behavior). What is this? Classification? When does it begin? How many s/s are needed to diagnose?

A
  • Schizotypal personality disorder
  • Cluster A - odd, eccentric, weird
  • Early adulthood
  • 5
22
Q

aspects of Schizotypal personality disorder? MNEMONIC: ME PECULIAR

  1. What kind of thinking?
  2. Perceptions?
  3. Ideation?
  4. Behavior or appearance?
  5. Affect?
  6. Speech?
  7. Close friends?
  8. Interprets something as being directly relation to them
  9. Social situations?
  10. What needs to be ruled out?
A 
*ME PECULIAR
Magical thinking
Experiences unusual perceptions (body)
Paranoid ideation
Eccentric behavior or appearance
Constricted or inappropriate affect
Unusual thinking or speech
Lacks close friends
Ideas of reference (excludes delusions)
Anxiety in social situations
Rule out psychotic or pervasive
developmental disorders
23
Q

What 3 personality disorders are in cluster A?

A

*Paranoid, Schizoid, Schizotypal

24
Q

Associated brain dysfunction occurs in the_____ and ______ and increases the behaviors of impulsiveness, parasuicide, and mood disorders.

A
  • Limbic system

* Frontal lobe

25
Q

Pervasive pattern of disregard for and violation of the rights of others. What is this? Classification? When does it begin?

A
  • Antisocial Personality Disorder
  • Cluster B - Dramatic and emotional
  • Evidence in conduct disorder before age 15, in a client at least 18 years of age.
26
Q

Aspects of Antisocial personality disorder? Mnemonic: CORRUPT

  1. Conform?
  2. Ignores what?
  3. Safety?
  4. Empathy?
  5. Underhanded?
  6. Plans?
  7. Reactions?
A 
CORRUPT
Cannot conform to law
Obligations ignored (employment)
Reckless disregard for safety
Remorseless
Underhanded (deceitful and manipulative)
Planning insufficient (impulsive)
Temper (irritable and aggressive)
27
Q

pattern of unstable interpersonal relationships, self-image, affect, impulse control

A

Borderline personality disorder

28
Q

Aspects of Borderline personality disorder? Mnemonic: IMPULSIVE

  1. Self-damaging behavior because?
  2. Mood?
  3. stress causes what?
  4. Self image?
  5. Relationships?
  6. Gestures/safety
  7. Inappropriate what?
  8. Vulnerability to what?
  9. Feelings of ___ and ____
A 
IMPULSIVE
Impulsive/Manipulative
Moodiness/highly changeable 
Paranoia or dissociation under stress
Unstable self-image
Labile intense relationships
Suicidal gestures/self mutilating
Inappropriate anger
Vulnerability to abandonment
Emptiness (feelings of)/boredom
29
Q

What type of thinking to people with borderline personality possess? Term for how they view others as good or bad? What do they have difficulty with?

A
  • Dichotomous thinking (black or white, no in between)
  • Splitting
  • Problem solving
30
Q

pattern of excessive emotionality and attention seeking behavior

A

Histrionic Personality Disorder

31
Q

Aspects of Histrionic personality disorder? Mnemonic: PRAISE ME

  1. Behavior?
  2. views on relationships?
  3. Uncomfortable if not what?
  4. easily ____?
  5. Verbally?
  6. Emotions?
  7. Appearance?
  8. exaggerated?
A 
PRAISE ME9
Provocative or seductive behavior
Relationships considered more
intimate than they are
Attention (need to be the center of)
Influenced easily
Speech (Loud verbally)
Emotions (rapidly shifting, shallow, Labile)
Make up (physical appearance
used to draw attention to self)
Emotions exaggerated
32
Q

pattern of grandiosity, needs for admiration, lacks empathy

A

Narcissistic Personality Disorder

33
Q

Aspects of Narcissistic personality disorder? Mnemonic: GRANDIOSE

  1. over the top
  2. Requires?
  3. A_____
  4. Needs to feel ?
  5. Dreams of?
  6. Interpersonally?
  7. Empathy?
  8. Sense of?
  9. Feelings on others?
A 
GRANDIOSE
Grandiose
Requires attention
Arrogant
Need to be special
Dreams of success and power
Interpersonally exploitative 
Others (unable to recognize
feelings/needs of) Lack of empathy
Sense of entitlement
Envious
34
Q

What 4 personality disorders are in cluster B?

A
  • Antisocial
  • Borderline
  • Histrionic
  • Narcissistic
35
Q

pattern of social inhibition, feelings of inadequacy, hypersensitivity to criticism. What is this? What category is this in?

A
  • Avoidant personality disorder

* Cluster C anxious and fearful

36
Q

Aspects of Avoidant personality disorder? Mnemonic: CRINGES

  1. What occupies thoughts?
  2. What restrains in relationships?
  3. Behavior in New relationships?
  4. Before engaging socially?
  5. Avoids occupation?
  6. Prevention of new activity/risks?
  7. View on self?
A

CRINGES
Criticism/rejection preoccupies thoughts in social sitches.
Restraint in relationships due to fear of shame
Inhibited in new relationships
Needs to be liked before engaging socially
Gets around occupational activities involving interpersonal contact
Embarrassment prevents new activity or taking risks
Self viewed as unappealing or inferior

37
Q

excessive need to be taken care of, leading to submissive and clinging behaviors,
fears of separation

A

Dependent personality disorder

38
Q

Aspects of Dependent personality disorder? Mnemonic: RELIANCE

  1. What is required?
  2. Expressing what is difficult?
  3. Assumes what by others?
  4. Difficult to _____ projects
  5. Feels helpless and uncomfortable when?
  6. Goes to excessive lengths to obtain?
  7. What happens when a relationship ends
  8. Exaggerated fears of what?
A 
RELIANCE
Reassurance required
Expressing disagreement difficult
Life responsibilities assumed by others
Initiating projects difficult
Alone (feels helpless and
uncomfortable when alone)
Nurturance (goes to excessive
lengths to obtain)
Companionship sought urgently
when a relationship ends
Exaggerated fears of being left
to care for self
39
Q

pattern of mental and interpersonal

control at the expense of flexibility, openness, and efficiency Preoccupation with orderliness, perfectionism

A

Obsessive-compulsive personality disorder

40
Q

Aspects of Obsessive-Compulsive personality disorder? Mnemonic: SCRIMPER

  1. Does not budge
  2. Obsessed with ____
  3. Flexibility
  4. Overconscious about?
  5. Standards?
  6. Excludes ___ due to ____
  7. Delegation?
A 
Stubborn
Cannot discard worthless objects
Rule obsessed
Inflexible
morality, ethics, values (overconscious about)
Perfectionistic
Excludes leisure due to devotion
to work
Reluctant to delegate to other
41
Q

Passive-aggressive disorder affects ___ and ___.

  1. Pro________
  2. Job they dont want to do?
  3. What happens when suggestions for improvement made?
  4. How do they treat people in authority
  5. Failure to do _ work?
  6. Claims demands made on them are _______
  7. Irritable when asked to ______
A
  • Job and interpersonal relationships
    1. Procrastination
    2. Failure to do job or doing a poor job, when it is something they don’t want to do
    3. Resentment suggestion about how to improve performance
    4. Excessively (unreasonable) scornful and critical of people in authority
    5. Failure to do fair share of work
    6. Claims demands made on them are unreasonable
    7. Irritable when asked to do a task
42
Q

4 personality disorders in Cluster C?

A
  • Avoidant
  • Obsessive Compulsive
  • Dependent
  • Passive Aggressive
43
Q

During Assessment of person with personality disorder Maintain _______ during the interview so the client does not become defensive or
guarded. Assess _____mechanisms: _____ and ______. These clients have long-
standing behavioral traits that are _________ which causes difficulty in relating to and
working with others.

A
  • Sensitivity
  • Coping mechanisms: constructive and deconstructive.
  • maladaptive
44
Q

When caring for people w/ personality disorders It is important for nursing staff to ________ to avoid attempts at
_______ and ________including client with staff
and staff with staff, in order to maintain a structured milieu

A
  • Work as a team

* Avoid manipulation and power struggles

45
Q 
General goals for personality disorders:
Establish a \_\_\_\_\_\_\_
Reduced impaired \_\_\_\_\_\_\_
Assist in developing a\_\_\_\_\_ \_\_\_\_\_
Promote \_\_\_\_ reducing activities
Assist in developing\_\_\_\_\_ \_\_\_\_\_
Maintain \_\_\_\_\_ integrity
A
  • Therapeutic relationship
  • Reduce impaired perception
  • Healthy lifestyle
  • Anxiety reducing activities
  • Positive relationships
  • Biologic integrity
46
Q

Cluster specific Interventions for cluster A:

  1. Approach in what manner?
  2. Respect need for what two things?
  3. What kind of communication could be portrayed as threatening? Be mindful of this.
  4. Interactions with people should be encouraged how?
A
  1. Gentle non intrusive manner
  2. Distance and Privacy
  3. Non-verbal
  4. GRADUALLY
47
Q

Cluster specific Interventions for cluster B:

  1. What comes first?
  2. Set what to protect from impulses and harming other clients
  3. Days/activities must be what to avoid what?
  4. Teamwork to avoid ______?
  5. Help client recognize what 3 things?
  6. Encourage what 2 things?
A
  1. SAFETY FIRST - suicide/self mutilations
  2. Strict Limitations
  3. structured to avoid manipulation
    4, Splitting - pitting against one another
  4. fears, thinking, and behavior
  5. Acknowledgement of others and Direct communication
48
Q

Cluster specific Interventions for cluster C:

  1. Point out what?
  2. how to help increase self confidence and independence.
  3. how to decrease rigidity and need for control
A
  1. avoidance behavior
  2. Assertiveness and problem solving- skills training
  3. Encourage expressing feelings to decrease rigidity and need for control.
49
Q

4 classes of meds used for treating PD? important to remember?

A

Antipsychotic
Antidepressants
Anxiolytics
Mood stabilizers

(not fda approved for treatment of PD)

50
Q

Make decisions in what kind of setting? Why?

A
  • Group Setting

* Harder to manipulate

51
Q

is a phenomenon in which one seems to direct feelings or desires related to an important
figure in one’s life—such as a parent—toward someone who is not that person?

A

Transference

52
Q

occurs when the therapist projects their own unresolved conflicts onto the client.

A

Countertranference

N232 - FINAL EXAM (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions