Test #4 - Personality Disorders Flashcards Preview

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Flashcards in Test #4 - Personality Disorders Deck (29):
1

What are some characteristics of the following clusters of personality disorders?

Cluster A

Cluster B

Cluster C

Cluster A
Odd & Ecentric

Cluster B
Dramatic, Eratic, Emotional

Cluster C
Anxious, Fearful, Insecure

2

What assessments would you see with Schizoid (Cluster A) Personality Disorder individuals?

Avoid Relationships

Odd Behavior

Withdrawan

Attached to objects or animals

Very Isolative

Want relationships but unable to get them

3

What are some interventions for Schizoid (Cluster A) individuals?

Teaching

Encourage Involvement

Involve them

4

What are some interventions for Borderline Personality Disorder (Cluster B)?

Firm Limits

Consistency

Be careful about how they are manipulative

Don't talk about you and your life
(The more they know the less safe they are/Could be stalkers)

No suicide contract

One on One observations

Suicide Checks

Keep in line of vision

They can learn from Group Therapy with others with same disorder, they can see it in others

5

What are some assessments for Borderline Personality Disorder (Cluster B)?

Splitting - Common defense mechanism

Manipulative

Don't have much insight

Impulsive

Eratic

Emotional Lability

Trouble maintaining relationships

THREATEN SUICIDE OFTEN
Attention seeking - Better than emotional pain

Self Destructive/Self Mutilators

Accusatory

 

6

What are some Nursing Diagnosis Borderline Personality Disorder (Cluster B)?

Impaired social interaction

Risk for self harm

Interrupted Family Processes

 

7

What are some Evalutaions for Borderline Personality Disorder (Cluster B)?

Are they safe?

Can they interract with peers appropriately?

 

8

What are some assessments for Histrionic (Cluster B)?

Drama Queens

Very Flamboyant

Charming

They see themselves as everyone's best friend

Superficial Relationships

Do not do well in relationships

Emotional Lability

Seductive 

Flirtacious

Must be center of attention

9

What are some interventions for Histrionic (Cluster B)?

Firm Limits

Don't talk about yourself too much

10

What are some Nursing Diagnosis for Histrionic (Cluster B)?

Ineffective Social Interactions

Ineffective Coping

Noncompliance

Interrupted Family Processes

Ineffective Relationships

 

11

What are some assessments for Narcissistic (Cluster B) personality disorder?

Manipulative 

Impulsive

Believe they deserve special treatment

Fantasy about fame

One-Uppers

Brag

Arrogant

Disappointed or depressed if expectations not met

Lack of Empathy for others (Impairs relationships)

Sensitive to criticism

Need for consistent admiration

12

What are some interventions for Narcissistic (Cluster B) personality disorder?

Firm limits

Self-Awareness skills

Same as Histrionic and Borderline

13

What are some assessments for Avoidant (Cluster C) personality disorder?

High levels of anxiety

Withdrawn

Chronic Low Self-Esteem

Crave Relationships
(But hesistant due to fear of rejection)

Social Phobias

14

What are some Interventions for Avoidant (Cluster C) personality disorder?

Give Anti-anxiety as ordered
Buspar or Beta Blockers (Masks discomforts of physical signs like sweating, heart palpations)

Teach Coping skills

Desensitation - Expose small amounts at a time and work up. Small group, teaching group, bigger group

Develop Trust

Explore positive self Characteristics

15

What are some assessments for Dependent (Cluster C) personality disorder?

45 Year Olds that haven't left Mommy :)

Clingy

 Dependent

Do nothing on their own

Can't manage anything in their life

Fearful

Anxious

Suffocate person in Relationships

Intense fear of being alone
Find a new mate as soon as one ends

Pleasing but helpless

Countertransferrance
Where nurse/therapist transfers back feelings b/c we feel sorry for them
 

16

What are some interventions for Dependent (Cluster C) personality disorder?

Same as Avoidant

Self-Awareness

Occupational Therapy

Assist with doing their own daily functions

Self-Esteem

17

What are some assessments for Obsessive-Compulsive (Cluster C) personality ?

DO NOT PERFORM RITUALS LIKE OCD

Rigid

Extreme Need for Oderliness

Rules and Regulations

Militant

No fun

Typically successful

No Insight

Don't need or seek treatment usually

18

What are some interventions for Obsessive-Compulsive (Cluster C) personality ?

Role Play on situations

Teach relaxation techniques

Group Therapy
(Don't let them take over)

 

19

What assessments do you see with Depressive Personality Disorder?

Not in a cluster - Lifetime of behavior

Debbie Downers

Negative Nancy's 

 

20

What assessments do you see with Passive-Aggressive personality disorder?

Talk about people behind their back

High Need for retribution

Not good communicators

Don't take responsibility

(Don't get mad get even)

21

What are some cultural considerations for personality disorders?

Be aware if there are culture issues

Asian: No eye contact, Males rule

22

What are some Alternative therapies for personality disorders?

Meditation

Desensitation

Role Playing

Relaxation techniques

23

What are some assessments you would see in Paranoid (Cluster A) personality disorder?

Very sinical

Suspicious of people

Hostile

Feel like they are being cheated

24

What are some interventions you would do for Paranoid (Cluster A) personality disorder?

Don't lie or make promises

Be very direct

Give the info that they need

25

What are some assessments for Schizotypal (Cluster A) personality disorders?

Look like schizophrenics

Dress odd

Bizarre behavior

Lack friends but dont avoid people

They don't know their odd

26

What are some interventions for schizotypal (Cluster A) personality disorders?

Enourage them

Short interactions

Develop therapeutic relationship

27

What are some assessments for Anti-Social (Cluster B) personality disorders?

Disregard for law

Absence of remorse

Manipulation

Violent behavior

Life of the Party

Friendly

Very seldom show true colors

Usually end up in judicial system

28

What are some interventions for Anti-Social (Cluster B) personality disorders?

Being Firm

Calling their limits

Be consistent

Modeling their behavior

Stop Agression

29