NURS 340 - Personality Disorders

cluster A

cluster _____ personality disorder behaviors are described as odd or eccentric

odd or eccentric

cluster A personality disorder behaviors are described as _____

cluster B

cluster _____ personality disorder behaviors are described as dramatic, emotional, or erratic

dramatic, emotional, or erratic

cluster B personality disorder behaviors are described as _____

cluster C

cluster _____ personality disorder behaviors are described as anxious or fearful

anxious or fearful

cluster C personality disorder behaviors are described as _____

cluster A

paranoid personality disorder is a cluster _____ personality disorder

cluster A

schizoid personality disorder is a cluster _____ personality disorder

cluster A

schizotypal personality disorder is a cluster _____ personality disorder

cluster B

borderline personality disorder is a cluster _____ personality disorder

cluster B

narcissistic personality disorder is a cluster _____ personality disorder

cluster B

histrionic personality disorder is a cluster _____ personality disorder

cluster B

antisocial personality disorder is a cluster _____ personality disorder

cluster C

avoidant personality disorder is a cluster _____ personality disorder

cluster C

dependent personality disorder is a cluster _____ personality disorder

cluster C

obsessive-compulsive personality disorder is a cluster _____ personality disorder

paranoid personality disorder

personality disorder: characterized by a long-standing distrust and suspiciousness of others based on the belief, unsupported by evidence, that others want to exploit, harm, or deceive the person

paranoid personality disorder

personality disorder: individuals are hypervigilant, anticipate hostility, and may provoke hostile responses by initiating a counterattack

paranoid personality disorder

personality disorder: symptoms may be apparent in childhood or adolescence. parents may notice that their child doesn't have friends and experiences social anxiety

paranoid personality disorder

personality disorder: tend to have difficult relationships as adults due to their jealousy, controlling behaviors, and unwillingness to forgive

paranoid personality disorder

personality disorder: projection of feelings is the dominant defense mechanism

projection of feelings

the dominant defense mechanism in paranoid personality disorder

- adhering to schedules

- avoiding being overly friendly

- projecting a neutral but kind affect

how can a nurse counteract mistrust for a patient with paranoid personality disorder?

psychotherapy

first-line of treatment for paranoid personality disorder

diazepam [valium], haloperidol [haldol], pimozide [orap]

pharmacotherapy for paranoid personality disorder:

schizoid personality disorder

personality disorder: patients exhibit a lifelong pattern of social withdrawal

schizoid personality disorder

personality disorder: patients are somewhat expressionless and have a restricted range of emotional expression

schizoid personality disorder

personality disorder: tend to be loners, do poorly in school, and are the objects of ridicule from their peers because of their odd behavior

schizoid personality disorder

personality disorder: there is an increased prevalence of the disorder in families with a history of schizophrenia or schizotypal personality disorder

schizoid personality disorder

personality disorder: patients do not seek out or enjoy close relationships. they don't care about approval or rejection from others and don't want to interact with others

schizoid personality disorder

personality disorder: employment may be jeopardized if interpersonal interaction is required; however, they may be able to function well in a solitary occupation such as being a security guard on the night shift

bupropion [wellbutrin], risperidone [risperdal], olanzapine [zyprexa]

pharmacotherapy for schizoid personality disorder:

schizotypal personality disorder

personality disorder: magical thinking, odd beliefs, strange speech patterns, and inappropriate affect are hallmarks of this disorder

schizotypal personality disorder

personality disorder: the DSM-5 identifies this problem as both a personality disorder and also the first of the schizophrenia spectrum disorders

psychotic symptoms seen in schizotypal personality disorder are to a lesser degree and are only briefly

patients with schizotypal personality disorder CAN be made aware of their suspiciousness, magical thinking, and odd beliefs

schizophrenia is characterized by far stronger delusions

what is a major difference between schizotypal personality disorder and schizophrenia?

schizotypal personality disorder

personality disorder: clinicians should be aware of and investigate that this population may be actively involved in cults, or groups that can complicate the clinical picture

histrionic personality disorder

personality disorder: classic characteristics of this population include extroversion, flamboyance, and colorful personalities

histrionic personality disorder

personality disorder: patients are excitable and dramatic, yet are often also high functioning. may be referred to as "drama queens" or "drama majors"

histrionic personality disorder

personality disorder: patients are often impulsive and may act flirtatiously or provocatively

histrionic personality disorder

personality disorder: relationships do not last because the partner often feels smothered or reacts to their insensitivity

histrionic personality disorder

personality disorder: the patient does NOT have insight into the disorder or role in ruining relationships

narcissistic personality disorder

personality disorder: characterized by feelings of entitlement, an exaggerated belief in one's own importance, and a lack of empathy. in reality, people with this disorder suffer from weak self-esteem and hypersensitivity to criticism

narcissistic personality disorder

personality disorder: associated with less impairment in individual functioning and quality of life than the other personality-based disorders

narcissistic personality disorder

personality disorder: individuals have a need for constant admiration along with a lack of empathy for others, a factor that strains most relationships over time

lithium

pharmacology for narcissistic personality disorder:

antisocial personality disorder

personality disorder: a pattern of disregard for the rights of others and their frequent violation

antisocial personality disorder

personality disorder: people with this disorder may be more commonly referred to as sociopaths

antisocial personality disorder

personality disorder: the most researched personality disorder, probably because of its marked impact on society in the form of criminal activity

antisocial personality disorder

personality disorder: criminal misconduct and substance misuse are common

antisocial personality disorder

personality disorder: in relationships, they focus on their own gratification to an extreme. they have little to no capacity for intimacy and will exploit others if it benefits them

a profound lack of empathy

one of the most disturbing qualities associated with antisocial personality disorder

antisocial personality disorder

personality disorder: individuals have a profound lack of empathy, a lack of concern about the feelings of others, and the absence of remorse or guilt

antisocial personality disorder

personality disorder: patients do not enter the healthcare system for treatment of their disorder unless they have been court ordered to do so

antisocial personality disorder

personality disorder: questions asked during the assessment phase may not always result in accurate responses because the patient may become defensive or simply not tell the truth

borderline personality disorder

personality disorder: characterized by severe impairments in functioning

borderline personality disorder

personality disorder: major features are patterns of marked instability, impulsivity, identity or self-image distortions, unstable mood, and unstable interpersonal relationships

borderline personality disorder

personality disorder: the best-known and most dramatic of the personality disorders

borderline personality disorder

personality disorder: self-destructive behaviors are very prominent in these disorders. ineffective and often harmful self-soothing habits such as cutting, promiscuous sexual behavior, and numbing with substances are common and may result in unintentional death

borderline personality disorder

personality disorder: patients are commonly going back and forth to the ER as a result of self-harm and suicide attempts

borderline personality disorder

personality disorder: an unusual feature of this disorder is the use of splitting as a primary defense mechanism or coping style

splitting

a primary defense mechanism or coping style in borderline personality disorder

borderline personality disorder

personality disorder: patient frequently seeks repeat hospitalizations

dialectical behavioral therapy (DBT)

an evidence-based therapy developed for patients with borderline personality disorder that emphasizes being aware of thoughts and actively shaping them

schema-focused therapy

a therapy developed for patients with borderline personality disorder that looks a dysfunctional self-image

avoidant personality disorder

personality disorder: patients are extremely sensitive to rejection, feel inadequate, and are socially inhibited

avoidant personality disorder

personality disorder: patients avoid interpersonal contact owing to fears of rejection or criticism

avoidant personality disorder

personality disorder: shyness that increases with age

avoidant personality disorder

personality disorder: individuals avoid new interpersonal relationships because of their fears of criticism or disapproval

dependent personality disorder

personality disorder: characterized by a pattern of submissive and clinging behavior related to an overwhelming need to be cared for. this need results in intense fears of separation

dependent personality disorder

personality disorder: individuals have intense anxiety when left alone for even brief periods of time

dependent personality disorder

personality disorder: nurse must be aware that strong countertransference may develop because of the patient's demands for extra time and crisis states

psychotherapy

treatment of choice for dependent personality disorder

obsessive-compulsive personality disorder

personality disorder: characterized by limited emotional expression, stubbornness, perseverance, and indecisiveness

obsessive-compulsive personality disorder

personality disorder: preoccupation with orderliness, perfectionism, and control are the hallmarks of this disorder

obsessive-compulsive personality disorder

personality disorder: individuals constantly rehearse how they will respond in social situations

obsessive-compulsive personality disorder

personality disorder: typically, patients seek help, as they are aware of their own suffering

clomipramine [anafranil], fluoxetine [prozac]

pharmacotherapy for obsessive-compulsive personality disorder: