4. Nursing Interventions

what diagnostic tools can be used for personality disorders?

DSM-5; minnesota multiphasic personality inventory (MMPI); eysenck personality inventory; personality diagnostic questionnaire; gerontological personality disorder scale

what is the most appropriate diagnostic tool for personality disorders in older adults?

the gerontological personality disorder scale

what lab tests may be ordered when assessing personality disorders?

sexually transmitted infection testing, if suspected; toxicology testing for substances

what is the main treatment for all 10 personality disorders?

psychotherapy

what psychotherapies are commonly used for personality disorders?

cognitive behavioral therapy; dialectical behavior therapy; psychodynamic psychotherapy; supportive therapy; social skills training

which personality disorder has the worst prognosis?

antisocial personality disorder

what are the major parts of the nurse’s role in personality disorder care?

equitable and sensitive care; self-awareness; client-centered care; prevention; teaching; therapeutic presence

what is implicit bias?

unconscious discriminatory attitudes

why does self-awareness matter in personality disorder care?

bias can trigger negative reactions or fear; it can create disparities in care; stereotyping can affect care of ethnic, racial, and minority groups

what should the nurse assess in client-centered care for personality disorders?

degree of current dysfunction; coping skills; comorbidity; effectiveness of treatment; willingness to change; social support systems

what is a key prevention goal in personality disorder care?

decrease community violence; decrease trauma in the home; decrease health disparities; promote early intervention for emotional and behavioral problems

why does early treatment matter in personality disorders?

it can improve relationships, careers, and mental health

what teaching points are important in personality disorder care?

education about the disorder; common clinical manifestations; community resources and support groups; warning signs of self-harm for caregivers

how can therapeutic presence help a client with cluster A personality disorders?

use empathy to help the client process feelings and emotions they have trouble sharing

how can therapeutic presence help a client with cluster B or cluster C personality disorders?

for cluster B, use empathy while still setting boundaries; for cluster C, decrease anxiety, suggest coping skills, and empower the client