Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

nursing theory 32 > psych wk 2-personality disorders > Flashcards

psych wk 2-personality disorders Flashcards

(90 cards)

Start Studying
1
Q

t or f personality disorders are unstable and flexible

A

f they are stable and inflexible and pervasive

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

t or f the pts personality disorder can be asymptomatic and then flare up when under stress

A

t

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

common fts and diagnostic criteria of Personaty disorder

A

Maladaptive cognitive schema
Affectivity and emotional instability
Impaired self-identity and interpersonal functioning
Impulsivity and destructive behaviour

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

what are maladaptive cognitive schema

A

their perception/interpretation of the world is skewed. They misinterpret the world incorrectly eg make assumptions that are incongruent witht he reality
• They often have dysfunctional responses to things. Misinterpret innocent gesture and have extreme reaction

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

t or f women are more likley to have personality disorders

A

f. it is seen to be equal in both genders

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

what kind of impulsive behav might a pt with personality disorder display and why do they often end up being seen by drs

A

often suicide attempts

often seen by drs due to destr behaviour

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

what are speculated et of personality disorders

A
  • Temperament
  • Environment
  • Co-morbidity
  • Genetic
  • Emotional/Behavioural
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is temperament and how will they look at this

A

pt can have anxious, attached, relaxed, mellow temperament). Temperament has to do with adaptability. They will look all the way back to the infant and often temperamnt will show at this time

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

what kind of childhood might result in personality disorder

A

maltreatemet and childhood neglect. It significantly inc the risk of personality disorder

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

which meds indicate that there is a biologic influence in PDisorders

A

SSRIs–pts on these tend to have dec incidence of PDs

people w schizotypal PD can espond to atypical antipsychotics

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

what is one of the more common PDs we see in hospital

A

borderline PD

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

Cluster a b or c

Which has anxious, fearful thinking or behavior

A

Cluster c

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

Cluster a b or c

Odd or eccentric and often socially awkward or withdrawn

A

Cluster a-

a is for awkward and alone

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

Cluster a b or c
Orderly and anxious when in isolation
May display passive aggression

A

Cluster c

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

Cluster a b or c

Dramatic emotional and erratic

A

Cluster b

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

Cluster a b or c

Which is characterized by distorted thinking and what does this entail

A

A

Delusional or paranoid thoughts

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

What are general feat of cluster b

A

Dissociation or denial
Abusive behav both physical and emotional
Splitting or dichotomous thinking–no grey area just black and white
Emotional dysregulation-react before thinking and don’t modulate emtitions well

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

How might aggression manifest differently in cluster b and c

A

Cluster b
Abusive behav that is verbal and physical

Cluster c
Passive aggression-indirect displays of hostility

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

Beyond being orderly, anxious, fearful and passive aggressive what characteristics might you see in cluster c

A

Self chosen failure-they’ll take on things they know they can’t complete
Masochistix
Dysthymic-mild depression symptoms but can still fx in daily life

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

Cluster a disorders are

A

Paranoid PD
Schizoid
Schizotypal PD

Cluster A-pss

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

cluster B disorders

A

cluster B
-bhan

borderline PD..
histrionic
antisocial
narcissistic

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

cluster c disorders

A

avoidant PD
dependent PD
obsessive compulsive PD

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

OCPD vs OCD which would be more perfectionistic and orderly

A

OCPD

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

char of OCPD

A
  • inhibited stubborn, rigid and -perfectionist\preoccpied w orderliness or perfection
  • excess devotion to work-excluding recreation and friendships
  • reluctant to delegate to tohers
  • might have difficulty discarding worthless object
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
when something doesnt go their way does OCPD get anxious or angry
likely more angry than anxious
26
which PD might adapt their personality to please others and often needs excessive advice or reassurance
dependent personality disorder
27
dependent personality disorder how do they present
they have diff making own decisions and seek out help of others for all trivial decisions -have a need to be taken care of \-submissive behav -urgently ned to replace on relationship when another one ends -will adapt their personality to please others
28
why are dependent PD pts submissive and what does this put them at risk of
they are submissive because they fear loss of support ordisapproval and abandonment this puts them at risk of abuse
29
which PD is desperate for relationships but does not engage in social contact d/t shyness and sense of inadequacy
avoidant PD
30
which cluster is avoidant PD
C
31
char of avoidant PD
socially inhibited, shy and lonely - sense of inadequacy w low self esteem - desperate for relationships but avoid social contact - reluctant to take risks or try new activities as they might be embarassed
32
are avoidant PD avoidant d/t performance anxiety
no. they are avoidant and their default is just not to deal with things as a maladaptive way to avoid the world
33
what is parasuicide
the deliberate self-injury w the intent to harm oneself - compulsive self injurious behav - episodic self-injurious behav - repetitive self-mutilation
34
is parasuicide a way of showing their needs tothe world
no its an intimate private way of self soothing. | its a maladaptive form of coping that causes a numbing effct from endorphins and natural opiates
35
what is a common reason that people might use parasuicide as a coping method
people who have been sexually abused or abused in toher ways dont want to live in their bodies and dont feel anything. then they self harm and can feel something
36
what kind of compulsive self injurious behaviour is there and what is it often relieving
trichotillomania (hair pulling out), skin picking | these are often anxiety related
37
when someone has a parasuicide event what must you assess
the intent behind the action. do a suicide risk assessment
38
which personality disordr is often highly litigious and holds grudges what cluster is it
paranoid PD cluster a
39
paranoid PD char
pervasive distrust and suspiciousness of other people - assume oters are out to get them, harm them or humiliate them - hold grudges, are litigious, may display pathological jealousy
40
why are paranoid PD often brought in to mental health facility
because they call the police on someone else
41
why is Tx a challenge with paranoid PD
they mistrust everyone | in rder for Tx to be success they must have insight
42
what kind of med can work for some paranoid PD and why do they not work for others
antipsychotics | often dont work because the delusions are so entrenched that they cant get out
43
what personality disorder might be mistaken for schizophrenia, they get taken into hospital and put on antipsychotics but they dont improve
schizotypal PD
44
what characterizes schizotypal PD whcih cluster is it
perceptual distortion and eccentricity - ideas of reference - odd beliefs or magical thinking - flat or incongreunt emotional responses cluster A
45
what do ideas of reference mean (schizotypal PD)
they might think that eg a news anchor is sending them some coded messages that only they can understand. they will take tiny bits of that info and make lg connections from it.
46
d/t their flat or incongruent emotional responses how might a schizotypal pt present
they might seem to be on autism spectrum. they can be avoidant and live in their own world
47
are schizotypal pts often overtly distressed
not gen | they mght get paranoid in a bout of distress and be hsopitalized
48
which PD is indifferent to praise or criticism and often lacks a desire for intimacy
schizoid
49
schizoid PD what characteristics does it have
pervasive social detachment-dont really have opinion of relationships - tend to be socially isolated and often chose solitary activities - indifferent to praise or critisism. they just dont care - lacking a desire for intimacy
50
which PD often has difficulty appreciating pleasure and what is this called
schizoid PD | anhedonia
51
do schizoid pts often present in hospital
no
52
which PD can be describe relationships as more intimate than they are and thinks any attention is good even if the attention is for negative reasons
histrionic
53
char of histrionic
- inappropriate sexually seductive or provocative - seek excitement and attn - outwardly they may seem charming and lively but inwardly they have threatened self esteem and sense of attractiveness - describe relationships as more intimate than they are
54
what could be a consequence of histrionic PD needing attn and reactions from others (in terms of what the pt might do)
they might self harm if not getting the validation theyneed | they might fall in love right awayand be too intensely focused on the relationship which pushes the othr person away
55
histrionic-what are they vulnerable to
coercion and higher risk behav
56
which PD is characteriazed by grandiosity What does this mean
narcissistic PD They expect recognition and think they should be seen as superior to others without cause or reason Think they are special or unique and can only be understood by high status people or institutions
57
Why might a narcissistic PD not want to talk to the nurse
They think they an only be understood by high status people or institutions
58
What kind of people might narcissistic of pts surround themselves with
Pts with low self esteem who will validate their need for constant admiration
59
What char does narcissistic pd have
Grandiosity!! Think they're special and only understood by high status people or institutions Sense of entitlement Need constant admiration Lack empathy and take advantage of others to achieve their own needs
60
What happens when narcissistic PD needs aren't being met
They can react abusively
61
What approach to use w narcissistic PD
Be direct Firm Set limits around behaviour Iron clad care plan!
62
What might narcissistic PD try to do
Split the staff for their manipulative needs | Bend the rules
63
How much insight do narcissistic PD pts have. Consequence of this
Very little | The Tx outlook is not hopeful for them because they don't see anything wrong with themselves
64
Which PD has behaviour that is a self fulfilling cycle and causes exactly what thy fear- abandonment
Borderline pd
65
Which PD must have hx of conduct disorder before age 15
Antisocial pd
66
Antisocial PD how does it present
Disregard and violate the rights of others -no remorse for wrongdoing and no empathy -irritability and aggressiveness -marked readiness to blame others or to offer plausible rationalization a for their behavior History of a conduct disorder before age 15
67
Why can antisocial PD pass lie detector tests
They don't care | They won't get the Hr or BP inc
68
What might be a precursor to conduct disorder and when does it occur
Ages 6-11 they might have oppositional defiant disorder in which the kid struggles in school, gets in trouble and is aggressive
69
ODD can turn into conduct disorder What is conduct disorder
Violent and criminal behaviour eg arson, property crimes, break and entering ABUSE AND TORTURE OF ANIMALS!
70
What is the difference between sociopathy and psychopathy
Psychopaths commit crimes against a particular person and sociopaths commit crimes against society in gen eg hurler
71
Does antisocial PD think anything is wrong with their health
No. Thy rarely seek help directly
72
What do interventions focus on for antisocial PD
Often treatment of addiction Not curative treatment The treatment is mandatory user parole (70% of inmates have this condition)
73
What are the key assessments to do for pt with antisocial PD
Quality of relationship that you're having with that person Impulsivity Violence risk
74
What kind of impulsive behav might antisocial Pd pt have
Often other directed violence when pts needs aren't being met
75
What could trigger violence in antisocial Pd
When pt perceives disrespect which occurs when they think that their needs aren't being met
76
How is it best to manage antisocial PD
Structures consistent environment Nurse must be self aware (pt might try to manipulate Hold pt accountable to their behav Sit down and write care plan with them..this is what the behaviour will be, this is what we hope the outcome will be. Disclose the rationale
77
Why is the hospital environ not great for borderline pd pt
They must continually make and end relationships
78
Borderline pd what characterizes this
Unstable relationships self image and affect -impulsivity -mood lability Fear of rejection -unstable and intense interpersonal relationships Recurrent suicidal behav, threats self mutilation, and gestures
79
Borderline pd what does their impulsivity often lead to
Default is to hurt themselves
80
What is a significant risk factor for borderline Other risk factors
Maltreatment eg physics and sexual abuse! | Parental abandonment and alienation
81
Et of borderline
Might be genetic link as it is more common in first degree relatives - fmri shows frontal limbus dysfunction - psychological theories suggest that if kids exposed to abusethy develop maladaptive cog processes
82
What is the priority for borderline
70% of borderline pts have suicide attempt in their lifetime and 10% conplete. Self harm risk is always very high
83
Char of borderline
``` Affective instability Identity disturbances Unstable personal relationships cognitive dysfx Dysfx or maladaptive behav ```
84
what do borderline pd fear most
abandonment
85
how might borderine pt think of their nurse
they might idolize them *youre my favoroite nurse*
86
how does cognitive dysfx mandifest in borderline
``` black and white thinking extreme interpretation of events disorganzied thoughts misconstrue env pathologic jealousy mild dissociative ``` highly sensitive to criticism struggle to find happiness internally
87
what kind of dysfunctional or maladaptive behav might borderline pt have
impulsivity and self injury or parasuicide
88
Tx of borderline PD
primary tx is Dialectical behav therapy | low dose antidepressant or mood stabilizer could be used
89
what is dialectical bheav therapy
dev from buddhist principles this aims to reconnect w body - there is a skills roup which is often run by someone with BPD in recovery and they teach skills such as describing emotions without judgement - interpersonal effectiveness skills-conflict mgmt, empowerment, self worth, self esteem - mindfulness skills - distress tolerance-helping them feel distress is a normal part of life
90
if pt self harms what do you do
put steri strips on it and move on

nursing theory 32 (14 decks)

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