T3-Blueprint: Personality Disorders Flashcards Preview

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Flashcards in T3-Blueprint: Personality Disorders Deck (45):
1

What are symptoms associated with cluster A: odd or eccentric?

-Decreased prefrontal grey matter
-Decreased posterior hippocampal volume
-Increased corpus callosum white matter

2

What are the 3 types of cluster A: odd or eccentric?

-Paranoid personality
-Schizoid personality
-Schizotypal personality

3

Neuroimaging suggests a correlation between cluster B symptoms and what 3 things?

-Abnormal prefrontal cortex
-Dysfunction in the right temporal lobe
-Dysfunction within the limbic system

4

What is cluster B class?

Dramatic, emotional, erratic

5

What are the 4 types of cluster B: dramatic, emotional, erratic

Antisocial
Borderline
Histrionic
Narcissistic

6

What is cluster C classed as?

Anxious, fearful, insecure, feelings of inadequacy

7

Cluster C: Anxiety and inhibiton are mediated and moderated by the ____ and the _____.

Amygdala and prefrontal cortex (anterior portion of frontal lobes)

*specific patho of cluster= UNKNOWN

8

What are the 3 types of cluster C: anxious, fearful, insecure, feelings of inadequacy

Avoidant
Dependent
Obsessive-compulsive

9

What cluster and personality?

-Extreme need to be taken care of
-Passive compliance
-Defers/avoids responsibility
-Difficulty making decisions and seek others to protect them
-Strong need for reassurance

Dependent; cluster C

10

What cluster and personality?

-Instability in interpersonal relationships, mood, behavior, and self-image
-Emotions overwhelm cognitive functioning
-Intense agner; rage
-Impulsivity
-Splitting

Borderline; cluster B

11

What cluster and personality?

-Mistrustful, suspicious, watchful
-Irritable, short-fuse, bad temper
-Hostile attitude
-Accusatory communication style
-Externalizes blame for problems

Paranoid; cluster A

12

What personality and cluster is this?

-Odd though and behavioral patterns
-Persistent pattern of social and interpersonal deficits
-Severe social anxiety
-Doesnt respond to normal interpersonal cues
-Suspicious and paranoid ideas

Schizotypical; cluster A

13

What cluster and personality?

-Arrogant, haughty
-Extremely self-centered
-believes they are superior and entitled
-Lack empathy
-Easily takes advantage of others

Narcissistic; cluster B

14

What personality and disorder?

-Vain
-Attention seeking
-Praise seeking
-Dramatic
-Demanding
-Manipulative
-Shallow
-Theatrical
-Provocative
-Lacks fidelity and loyality

Histrionic; cluster B

15

What personality and cluster is this?

-Extreme shyness
-Feelings of inadequacy
-Hypersensitivity to others' opinions
-Paucity of emotions; bland affect
-Wants relationships but too fearful
-Will not take a personal risk
-Prefers solitary activities

Avoidant; cluster C

16

What cluster and personality?

-Detachment, social withdrawal
-Indifference to other's feelings
-Restricted emotional range
-Prefers solitary interests and occupations
-No close friends; loner

Schizoid personality; cluster A

17

What personality and cluster?

-Chronic antisocial behavior
-Violates the rights of others
-Violates social norms and laws, criminal behavior
-Lack empathy
-Manipulative
-Deceitful
-Narcissistic

Antisocial; cluster B

18

What personality and cluster?

-Not the same as OCD which is anxiety disorder
-No obsessions or compulsions
-Perfectionistic
-Conscientious, trustworthy
-Disciplined and orderly

Obsessive-compulsive; cluster C

19

The ability to form a lasting bond of trust with a primary caregiver is theorized to be an important landmark in early human development and a critical aspect to personality devlopment

Object constancy

20

Splitting is a characteristic of what personality?

Borderline

21

Splitting: Tend to have ______ relationships alternating between all good or all bad view of others

Stormy, intense

22

Splitting: Unable to incorporate ____ and ____ attributes into a whole picture of an individual

Positive and negative attributes

23

Splitting: How does perceptions of family members or friends shift?

Shift suddenly from great admiration and helpfulness to intense anger and dislike

24

What is management for most personality disorders?

A combo of long term individual therapy and medications

25

What are some helpful therapies for personalty disorders?

Individual psychotherapy

Cognitive behavior therapy

Dialectical behavior therapy

26

How should the interview ask questions?

Open ended; ask patient how the family or colleagues perceive them

27

What are 2 standardized assessments for personality disorders?

-Minnesota Multiphasic Personality Inventory (MMPI) self reporting tool

-Mental Status Exam (cognitive functioning)

28

It is important to ask history because _____ can exacerbate certain personality traits of a personality disorder that could mislead diagnosing

Medical illness

29

What does DSM5 recommend about medical conditions?

Med. conditions must be managed well or resolved before making a diagnosis of a personality disorder

30

What can a perceived threat to security or increased stress do?

-Exacerbate personality traits of PD
-Mislead diagnosing of PD

31

What kind of approach should we use to someone with paranoid personality?

Straightforward, honest, professional approach rather than a casual or friendly approach

32

Schizoid personality we need to respect the need for ____

Privacy

*they need physical and emotional distance

33

T/F: Patients with schizotypal personality may relate well to some nurses but not others

TRUE

*offer persistent, consistent care

34

What are 2 important interventions for patients with antisocial personality?

-Set limits and establish boundaries

-Apply the rules consistently--communicate with other staff anger management

35

What personality disorder will attempt to split staff?

Borderline

*we need to practice good communicating with staff

36

What should we get from a patient with borderline personality?

Get a no suicide contract

37

Borderline personality interventions: convey empathy or sympathy? What should we encourage?

Empathy!! Encourage patient to solve own problems

38

Borderline personality: We need to encourage patient to take responsibility for ____ and the _____

Behavior and consequences of their behavior

39

Borderline personality patients are demanding. What do we do about this?

Set limis

40

Histrionic personality interventions: Give patient choices in care. How?

-Incorporate their wishes in the plan of care to give them a sense of control and lower her anxiety

41

Histrionic personality intervention: How should we teach?

By role modeling appropriate social skills and encourage accountability for behavior and consequences

42

What should we monitor for in patients with histrionic personality?

Monitor for suicidal thoughts and behavior

43

What is the nursing intervention goal for patients with narcissistic personality?

-To place the pts. exaggerated self importance in perspective, help develop empathy

44

What is the nursing intervention for avoidant personality?

Individual psychotherapy/cognitive and behavioral therapy

45

What is the nursing intervention for dependent personality?

Assertiveness training self-help support groups