Personality disorders Flashcards Preview

Psychiatric Nursing > Personality disorders > Flashcards

Flashcards in Personality disorders Deck (21):
1

1. Inflexible and maladaptive response to stress
2. Disability in working and loving
3. Ability to evoke interpersonal conflict
4. Capacity to "get under the skin" of others

General characteristics of personality disorders

2

Helpful in the treatment of psychotic decompensations experienced by clients with paranoid , schizotypal and borderline personality disorders

Antipsychotic medications

3

Used with borderline personality disorder, decrease impulsivity and self-destructive acts; reduce anger, impulsiveness and mood instability

SSRI antidepressants

4

May be useful for the violent episodes observed in clients with antisocial personality disorder

Lithium carbonate and propranolol (Indernal)

5

1. Paranoid PD
2. Schizoid PD
3. Schizotypal PD

Cluster A - odd or eccentric

6

Pervasive distrust and suspiciousness;
INT: clear, simple, neutral, kind, warn, min anxiety

Paranoid PD

7

Social withdrawal, unable to experience pleasure
INT: time, support, not try increase socialization in acute stage

Schizoid PD

8

Ideas of reference, odd beliefs, living in their own world , inappropriate affect
INT: respect need for isolation, aware of suspiciousness

Schizotypal PD

9

1. Antisocial PD
2. Borderline PD
3. Historionic PD
4. Narcissistic PD

Cluster B - dramatic, emotional, erratic

10

Irresponsible, manipulative, general disregard for the law ; reckless disregard for safety

Antisocial PD

11

1. Risk for other directed violence
2. Defensive coping
3. Chronic low self esteem
4. Impaired social interaction
5. Ineffective health maintenance

Nursing diagnoses for Antisocial PD

12

Intense and chaotic relationships ; fear of abandonment; chronic depression and inability to be alone; clinging and distancing ; splitting; manipulation; self -destructive behaviors; impulsivity (substance abuse )

Borderline PD

13

Dramatic behavior, attention seeking, manipulative, seductive, center of attention
INT: teach role model assertiveness

Historionic PD

14

exaggerated sense of self-worth, lack of empathy,requires excessive admiration
INT: neutral; limitations

Narcissistic PD

15

1. Avoidant PD
2. Dependent PD
3. Obsessive-Compulsive PD
4. Passive-Aggressive PD

Cluster C: anxious or fearful

16

extreme sensitivity to rejection and social withdrawal
INT: gentle, friendly, reassuring approach; don't push into social situations

Avoidant PD

17

Submissive and clinging behavior ; fear of separation; need to be taken care of
INT: strong countertransference ; satisfy needs but set up limits ;

Dependent PD

18

Overly disciplined , perfectionist, preoccupied with rules, intense fear of making mistakes
INT: don't engage in power struggle with pt; common defense mechanisms - intellectualization, rationalization, reaction formation

Obsessive - compulsive PD

19

Feel cheated and unappreciated ; negativistic attitudes; passively resist fulfilling routine social and occupational tasks

Passive - aggressive PD

20

The inability to integrate the good and bad aspects of oneself and of objects is called

Splitting

21

Low levels of this neurotransmitter have been reported in people prone to aggressive and impulsive behaviors

Serotonin