Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Nurs 1456 > Personality Disorders Chap 24 > Flashcards

Personality Disorders Chap 24 Flashcards

(63 cards)

Start Studying
1
Q

At which age can a personality disorder be diagnosed

A

18

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

Personality Disorders a long time behavior that deviants from cultural norm.

Affects these 4 areas

A

Cognition (perceiving & interpretation)
Affectivity (range, intensity, lability)
Interpersonal functioning
Impulse control

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

Cluster A:

Describe

3 diagnosis

A

Odd, eccentric

Schizotypical
Schizoid
Paranoid

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

Cluster B:

Describe

4 types

A

Drama, Erratic , Emotional

Antisocial
Borderline
Histonic
Narcissistic

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

Cluster C:
Describe

3 examples

A

Obsessive- compulsive Personality
Avoidant
Dependent

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

Mistrust, restricted affect, guarded

Suspicious & Bears grude

A

Paranoid

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

Projection is their primary defense mechanism

Tend to reject treatment

Psychotherapy is treatment of choice

A

Paranoid

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

Detachment from social relationships

Chooses to be alone

Cold & Detached

A

Schizoid Batman

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

This disease

Group / Therapy not helpful- cannot relate to others

Problem solving is treatment of choice

A

Schizoid Batman

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

Short-term

Risperdal / Zyprexa if under extreme stress

Wellbutrin to increase pleasure in life

A

Schizoid Batman

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

Magical thinking

Severe interpersonal anxiety & interpersonal defects

A

Schizotypical Will Wonka

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Primary defense of borderline personality

A

Splitting

All good or All bad

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

Profound lack of empathy

Shallow, unexpressive, & superficial affect

A

Antisocial personality

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

How to handle antisocial personality

A

Set limits on behavior with consistency

Speak: Matter of Factly - No I statements

Support care manager

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

This personality disorder will respond well to mood stabilizer to help with aggression & Impulses

A

Antisocial ted bundy

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

Intolerant with abandonment, frantic to avoid

Chronic suicide attempts

Cutting

Sex & Drugs

A

Borderline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Diabetes
HTN
Back pain
Fibromyalgia
Arthritis

Comorbidies for….

A

Borderline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Seperated from mother at <1 yr

A

Borderline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Identify & change false core beliefs about themselves…

A

CBT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Difference between CBT & DBT

A

CBT: Identify & change false core beliefs about themselves

DBT: Uses CBT & mindfulness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Grandioso

Lack of empathy

Self-Esteem is Low

A

Narcissistic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Which personality type is most likely to have a high prestige career

A

Narcissistic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Life of the party

Over the top

Overdressed, flirtatious, seductive

A

Histrionic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

High need to be taken care of by others

A

Dependent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
How do we manage dependent personality disorder
Psychotherapy Promote independence & limit setting
26
Desires relationships but has low self esteem and poor social functioning Fears rejection
Avoidant
27
Avoidant personality wants relationships but fears rejection Treatment Group & ind therapy Assertiveness training Meds...
SSRI & SNRI B-adrenergic (Atenolol) reduce autonomic hyperactive
28
Perfectionist Not bothered by their own behavior Think it is correct
OC personality disorder
29
Avoid power struggles- need for control is high Meds Clomipramine & SSRI Risperdone Aripiprazole
OC personality Disorders
30
_________ is used to evaluate personality
Minnesota multiphasic personality inventory
31
Difference between antisocial & narcissistic personality disorder
Narcissistic has low self esteem Antisocial has high self esteem
32
Which cluster can become psychotic from stress
Odd Schizoid, Schizotypical, Paranoid
33
Psycho therapy and benzos maybe used in this personality Disorder
Paranoid
34
Never use Lithium for narcissistic T or F
F use it Don't use benzos
35
Delirium is always 2nd to another condition T or F
T
36
What is the most common mental disorder found in medical practice
Delirium
37
Most common type of hallucinations in delirium
Visual
38
Severe social anxiety & interpersonal deficits Rarely seeks help unless for depression Genetically linked to schizophrenia
Schizotypical
39
Gray matter in prefrontal cotrex & temporal lobes diminished Genetic abnormalities with MAOA: Cannot break down DA or S
Antisocial
40
In antisocial personality disorder use "I" statements to convey messages
False Don't use I statements. They don't care about you
41
PD most likely to have sex, cut self, suicide. Fear of abandonment
Borderline
42
Mood stabilizers, low dose antipsychotics, Omega 3, & Naltrexone has been found to stop self injury behavior This PD
Borderline
43
Begins at 3 - 5 with a intense attachment to opposite sex parent and fear of retaliation from same sex parent
Histrionic
44
Does delirium wax and wane?
Yeppers
45
Does dementia change levels of consciousness?
No It changes Cognitive function & intellect
46
A model that aims to provide effective mental health services by taking into account a person's past experiences with trauma
Trauma informed care
47
Give some of the principles of trauma informed care (6)
Safety: Ensuring the physical and emotional safety of the patient Trustworthiness: Establishing trust through consistent, candid, and friendly demeanor Empowerment: Helping patients make their own choices and tap into their strengths and resilience Inclusiveness: Ensuring that all people are included, including those from historically marginalized groups and people with disabilities Collaboration: Developing care plans collaboratively between staff and service users Peer support: Providing opportunities for people to support each other through grieving and mourning
48
Can PTSD have genetic components
Yes
49
When experiencing trauma, the ____ release CRH, which attaches to the Pituitary Gland to release adrenocorticotropic hormone ACTH. ACTH stimulates the adrenal glands to release....
Hypothalamus Cortisol
50
Elevated stress hormones affect these (2) systems
Immune Inflammatory
51
The Polyvagal theory siggest the autonomic NS has 3 responses and is governed by this never
CN 10 Vagus
52
Child dissociative checklist Trauma symptoms checklist for children Child sexual behavior inventory All can be used to assess for...
PTSD
53
First nursing diagnosis for PTSD in youths 2nd? 3rd
1st: post trauma response 2nd: impaired caregiver-child attachment 3rd impaired adolescente development
54
3 staged model for trauma includes Reducing arousal and regulating emtion through symptom reduction & memory work. Finding comfort in others, tolerating affect, integration of disallowed emotions, accepting ambivalence, working with memories and transferring memory Developmental skills catchup by enhancing problem solving skills, nurturing self-awareness, social skills training, Development of Value system, Coping Skills to deal with Trauma, Development and integration into healthy social support system Providing safety and Stabilization through a predictable environment, stop self-destructive behavior, Provide education about trauma and its effects Which Stage?
2. Reducing arousal and regulating emtion through symptom reduction & memory work. Finding comfort in others, tolerating affect, integration of disallowed emotions, accepting ambivalence, working with memories and transferring memory 3. Developmental skills catchup by enhancing problem solving skills, nurturing self-awareness, social skills training, Development of Value system, Coping Skills to deal with Trauma, Development and integration into healthy social support system 1. Providing safety and Stabilization through a predictable environment, stop self-destructive behavior, Provide education about trauma and its effects
55
Windows of tolerance....
Is balance between sympathetic and Parasympathetic NS
56
When can PTSD symptoms begin to appear
1 month After incident. Before 1 month it is an Acute Stress Reaction
57
Standard treatment for PTSD Adults & Children
Stage model treatment
58
SSRIs that are approved for PTSD
Sertraline & paroxetine
59
When can Acute Stress Disorder be diagnosed
3 days - 1 month After traumatic event
60
Key psychological symptom of Acute Stress Disorder that sets it apart from PTSD
Derealization- sense the environment isn't real
61
Key nursing diagnosis for Acute Stress Disorder
Post trauma response Also Impaired adaption/ anxiety
62
Events such as retirement, chronic illness, or a breakup may cause this disorder
Adjustment Disorder
63
Standard interview for Adjustment Disorder. Goal...
Reality orientation, crisis intervention, family therapy, group treatment Goal: encourage verbalizing of emotions related to the stressor

Nurs 1456 (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions