unit 3 personality do

Question 1

PD common char-4

Answer 1

1. inflexible and maladaptive response to stress
2. disability in working and loving
3. ability to provoke interpersonal conflict in HCPs, fy, and friends
4. capacity to have an intense effect on others-unconscious and undesireable

Question 2

paranoid PD sym-7

Answer 2

1. vigilant and suspicious of others
2. bears grudges/unforgiving of insults
3. reads hidden threats into benign remarks
4. diff w close relationships/works alone
5. cold/impersonable, does not share thoughts, no sense of humor
6. critical of others but can’t take criticism
7. prone to file lawsuits

Question 3

Paranoid PD RN guidelines-6

Answer 3

1. avoid too nice/friendly
2. give clear explanations for tests and proceedures
3. simple/clear language, avoid ambiguity
4. project neutral but kind affect
5. warn of any changes/side effects
6. written plan of tx

Question 4

paranoid pd treatment -4

Answer 4

• initial mistrust
• cognitive and behavioral
• focus on counteracting fear and relieving stress
• severe paranoia-antipsychotic

Question 5

schizoid PD sym-5

Answer 5

1. neither desires nor enjoys close rel, even w fy
2. solitary/loner
3. eccentric, flat affect
4. occupation involves little interpersonal contact
5. may also develop schizophrenia or delusional do

Question 6

schizoid pd rn guidelines-3

Answer 6

1. avoid too nice/friendly
2. don’t resocialize
3. thourough assessment needed-reluctant to discuss

Question 7

schizoid pd tx-3

Answer 7

1. only in crisis and to relieve symptoms
2. group tx
3. social skills training

Question 8

schizotypal pd sym-8

Answer 8

1. high suicide and schizophrenia
2. withdrawn/aloof
3. ideas of reference, odd beliefs, magical thinking
4. social anxiety ass w paranoid fears
5. lack of close friends
6. inappropriate or constricted affect
7. behavior odd/eccentric/peculiar
8. illogical speech/unkempt appearance

Question 9

schizotypal pd rn guidelines-3

Answer 9

1. respect need for social isolation
2. be aware of pt suspiciousness
3. careful assessment needed (suicidal thoughts)

Question 10

schizotypal pd tx-2

Answer 10

1. cognitive behavior tx

2. atypical (second gen) antipsychotics

Question 11

antisocial pd sym-10

Answer 11

1. extended hx of antisocial behaviors begining before 15 and into adulthood
2. deceitfulness
3. blames others for problems
4. consistent irresponsibility
5. impassive/aggressive toward others
6. lack of remorse/empathy
7. can be charming
8. manipulation/aggressive/ exploitive
9. sub abuse common
10. familial pattern/criminality

Question 12

antisocial pd rn guidelines-3

Answer 12

1. prevent/reduce manipulation
2. aware of instilling guilt when not getting their way
3. sub abuse tx first

Question 13

antisocial pd tx-3

Answer 13

1. little success
2. treat specific behaviors that can be modified
3. milieu programs-token/therapeutic

Question 14

boderline pd sym-7

Answer 14

1. most have another do
2. rel are intense, unstable and alternate between dependance and rejection
3. impulsive and self-damaging behaviors (sex, spending)
4. recurrent suicidal/self-mutilation
5. intense anger/rage/hostility
6. uses splitting
7. rapid idealization-devaluation

Question 15

borderline pd rn guidelines-7

Answer 15

1. set realistic goals w clear action words
2. be aware of manipulation
3. provide clear/consistent boundaries and limits
4. use clear straightforward communication
5. review therapeutic goals in response to behaviors
6. avoid rejecting/rescuing
7. assess for suicide and self-mutilation

Question 16

borderline pd tx-4

Answer 16

1. dialectical behavioral therapy
2. hospitalization common
3. antidepressants/antipsychotics
4. anticonvulsant- carbamzepine

Question 17

histrionic pd sym-7

Answer 17

1. draw attention to self- attractive
2. excessive emotionality and attention-getting behavior
3. intense emotional expressions are shallow w rapid shifts
4. describe rel as more intimate than reality
5. suggestible
6. smothering/destructive
7. w/o instant gratification can become depressed/suicidal

Question 18

histrionic pd rn guide-4

Answer 18

1. understand seductive behavior as response to stress
2. stay professional
3. encourage and model concrete and descriptive
4. teach/role model assertiveness

Question 19

histrionic tx-2

Answer 19

1. use indirect means to get others to take car of them

2. psychoanalytic and behavioral approach

Question 20

Narcissistic pd sym-6

Answer 20

1. exploit others to meet own needs
2. arrogant, entitled
3. gradiosity, need for admiration, lack empathy
4. will agree then sabatage others
5. begrudge others for success
6. rel are superficial/ argumentative/controlling

Question 21

narcissistic rn guide-2

Answer 21

1. remain neutral to avoid power struggles/defensive

2. convey unassuming self-confidence

Question 22

narcissistic tx

Answer 22

1. insight oriented psychotherapy

2. difficult to treat because can’t see anothers POV

Question 23

dependent pd sym-8

Answer 23

1. unusual degree of agreeableness or friendliness
2. use to attach to another as protector
3. clingy- takes precedence over outside interests
4. can’t make decisions
5. will suffer self-sacrifice to obtain nurture and support from others
6. need others to assume responibility
7. difficulty expressing disagreements
8. want everything done for them

Question 24

dependent pd rn guide-4

Answer 24

1. id and help address current stressors
2. satisfy needs w limits
3. need supervision for countertranference
4. teach/role model assertiveness

Question 25

dependent tx-3

Answer 25

-supportive, cognitive-behavioral, and group

Question 26

obsessive compulsive personality pd sym-9

Answer 26

1. inflexible, rigid, needs to be in control 2. perfectionist to point of incompletion 3. overemphasis on work to the exclusion of rel and pleasure leisure 4. preoccupied w details-can't make decision 5. intimacy rigidly controlled 6. financial stingyness, can't part w objects 7. highly critical 8. preoccupation w lists, rules, schedules 9. need to dominate people and situations

Question 27

OCPD rn guide-2

Answer 27

1. guard against power struggles | 2. intellectualization, rationalization, and reaction formation most common defense mech

Question 28

avoidant pd sym-5

Answer 28

1. pervasive pattern of social inhibition/phobias 2. strong feelings of inadequacy 3. avoid interpersonal contact out of fear of critisim/rejection 4. view self as socially inept/unappealing/inferior 5. don't push into social situations

Question 29

pd assessments-3

Answer 29

1. culture/social background 2. change in personality in middle adulthood signals need for medical workup 3. be cognizant of social stereotypes

Question 30

RN diagnoses-8

Answer 30

1. risk for self-mutilation 2. chronic low self esteem 3. impaired social interaction 4. ineffective coping 5. manipulation 6. suicide 7. anger and hostility 8. nonadherance to meds or treatment