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Mental Health (Josh) > T3 - Cluster B Personality Disorders > Flashcards

T3 - Cluster B Personality Disorders Flashcards

1
Q

Cluster B PD are grouped as –

A

Dramatic / Emotional / Erratic

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2
Q

Cluster B symptoms affect which part of the brain?

A

prefrontal cortex

right temporal lobe

limbic system

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3
Q

Which Personality Disorder?

Chronic antisocial behavior

Violates the rights of others

Violates social norms and laws, criminal behavior

Lack empathy

Manipulative

Deceitful

Narcissistic

A

Antisocial Personality

  • Cluster B: Dramatic/Emotional
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4
Q

Lying politician who has not empathy or who is not bothered at all by his lies.

A

ex. of mild form of Antisocial PD

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5
Q

What does Antisocial Personality Disorder act like?

A

indifferent to the needs of others,

completely lack empathy, and manipulate through deceit or intimidation.

He or she shows a blatant disregard for what is right and wrong (the rules do not apply to them)

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6
Q

How much of population does Antisocial PD affect?

A

2-3% of pop.

50% of prison pop.

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7
Q

When do the intensity of symptoms for Antisocial PD peak?

A

teen years through early 20s

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8
Q

Does Antisocial PD become less likely to commit crimes as they age?

A

Yes, but that person may continue to be an inadequate spouse or parent and an unreliable employee.

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9
Q

Hereditary factors w/ Antisocial PD?

Environmental factors w/ Antisocial PD?

A

Yes to both

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10
Q

Treatment for Antisocial PD

A

Psychoterapy

ETOH/Drug rehab

Consequences

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11
Q

Are meds typically used for Antisocial PD?

A

no

Lithium or Propanolol for aggression

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12
Q

Which Personality Disorder?

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

Borderline Personality Disorder

  • Cluster B: Dramatic/Emotional
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13
Q

Which PD are we most likely to see on NCLEX and ATI?

A

Borderline PD

  • Cluster B: Dramatic/Emotional
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14
Q

– tend to act impulsively without considering the consequences.

  • promiscuity
  • substance abuse
  • eating/spending binges
  • self-mutilation
  • suicide threats/attempts
A

Borderline PD

  • Cluster B: Dramatic/Emotional
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15
Q

What are the impulse behaviors of Borderline PD triggered by?

A

fear of abandonment

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16
Q

People with – have extreme sensitivity to rejection

  • reacts with anger and distress to even brief separations from loved ones such as vacations, business trips, or a sudden change of plans.
A

Borderline PD

  • Cluster B: Dramatic/Emotional
17
Q

– tend to have stormy intense relationships alternating b/t all good or all bad view of others (aka: —)

A

Borderline PD

aka: Splitting

18
Q

The – manipulates by pitting people against one another.

A

Borderline PD

19
Q

Treatment plan for Borderline PD:

A
  • Individual psychotherapy
  • Group therapy
  • Family therapy
  • Milieu therapy
  • Medication for specific symptoms – depression, anxiety (busparone), antimanic (Valproic Acid, Eskalith), self-harm (naltrexone )
20
Q

– are manipulative and will attempt to split staff, so we need to —

A

Borderline PD

practice good communication among staff

21
Q

Borderline PD affects – of population and is more common in whom?

A

2-3%

women (3x’s more likely)

22
Q

T/F: Borderline PD typically begins in early adulthood.

A

False

begins in childhood

23
Q

Which Personality Disorder?

  • Vain
  • Attention seeking
  • Praise seeking
  • Dramatic
  • Demanding
  • Manipulative
  • Shallow
  • Theatrical
  • Provocative
  • Lacks fidelity and loyalty
A

Histrionic Personality Disorder

  • Cluster B: Dramatic/Emotional
24
Q

Think of — when thinking of Histrionic PD.

A

actors (self-absorbed)

25
Q

Histrionic PD affects – of the population

A

2-3% (men and women equally)

26
Q

Histrionic PD is usually comorbid w/

A

depression

27
Q

Which meds for Histrionic PD?

A

none

  • they would try to OD for attention

Use individual Psychotherapy

28
Q

How effective are Insight Orientation and Cognitive approaches w/ Histrionic PD?

A

Not effective

  • because this patient lacks the capacity or inclination to examine their thoughts and conscious or unconscious motives.
29
Q

Nursing interventions for Histrionic PD:

A
  • Give pt. choices in care, incorporate her wishes in the plan of care to give her a sense of control and lower her anxiety
  • Do not allow dependence
  • Teach by role modeling, appropriate social skills
  • Encourage accountability for behavior and consequences
  • Monitor for suicidal thoughts and behavior
30
Q

Which Personality Disorder?

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

Narcissistic Personality Disorder

  • Cluster B: Dramatic/Emotional
31
Q

What are the Cluster B Personality Disorders?

A
  • Narcissistic PD
  • Histrionic PD
  • Borderline PD
  • Antisocial PD

Mental Health (Josh) (26 decks)

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