personality disorders

What are the four shared characteristics of all personality disorders?

Inflexible and maladaptive stress response; disability in work and love; ability to evoke personal conflict; capacity to get "under the skin" of others.

How many clusters of personality disorders exist and what are they?

Three clusters: Cluster A, Cluster B, Cluster C.

True or false: Personality disorders respond well to psychotropic medications and can typically be put into remission.

False.

Which disorder is characterized by magical thinking and ideas of reference?

Schizotypal Personality Disorder.

Which Cluster A disorder is characterized by extreme detachment and preference for being alone?

Schizoid Personality Disorder.

What is the best nursing approach for a patient with Paranoid Personality Disorder?

Maintain a neutral, kind affect; avoid excessive friendliness; adhere to schedules.

Splitting is most associated with which personality disorder?

Borderline Personality Disorder.

A patient with BPD idealizes you and devalues other staff. What is this behavior called?

Splitting.

What is the most appropriate nursing response when an antisocial patient steals from another patient?

“The consequences of stealing are a loss of privileges.”

Which disorder involves dramatic, attention-seeking, and seductive behaviors?

Histrionic Personality Disorder.

What is the appropriate therapeutic stance with a narcissistic patient?

Remain neutral, avoid power struggles, role-model empathy.

A patient avoiding social interactions due to fear of rejection likely has which personality disorder?

Avoidant Personality Disorder.

Difficulty making decisions and constantly seeking reassurance is typical of which disorder?

Dependent Personality Disorder.

Perfectionism and rigid control over tasks indicate which personality disorder?

Obsessive-Compulsive Personality Disorder (OCPD).

What is the number one nursing priority for patients with Antisocial Personality Disorder?

Safety.

What is the best approach when a borderline patient becomes angry?

Calm, quiet, non-confrontational approach.

What should nurses avoid reinforcing in patients with Histrionic Personality Disorder?

Flirtation and attention-seeking behaviors.

Which therapy is most effective for Borderline Personality Disorder?

Dialectical Behavior Therapy (DBT).

What major risk is associated with Borderline Personality Disorder?

Suicide and self-harm.

What interventions are most effective for Narcissistic Personality Disorder?

Neutrality, avoiding power struggles, limit-setting, CBT.

Which Cluster A disorder involves odd beliefs, paranoia, and vulnerability to cults?

Schizotypal Personality Disorder.

Which disorder is linked to conduct disorder and has high prevalence in incarcerated populations?

Antisocial Personality Disorder.

What behavior is typical of someone with Avoidant Personality Disorder?

Low self-esteem, hypersensitivity to rejection, social inhibition.

What behavior indicates improvement in a patient with Borderline Personality Disorder?

Reporting self-harm thoughts to staff.

Which personality disorder often shows seductive behavior as a response to distress?

Histrionic Personality Disorder.

Patients with which disorder often appear arrogant and expect special treatment?

Narcissistic Personality Disorder.

Which personality disorder features chaotic relationships and impulsivity?

Borderline Personality Disorder.

Which disorder features clingy behavior and fear of abandonment?

Dependent Personality Disorder.

Which disorder is characterized by rigid perfectionism interfering with task completion?

OCPD (Obsessive-Compulsive Personality Disorder).

What is a key nursing guideline for Schizoid Personality Disorder?

Avoid pushing socialization; respect distance.

What is a key nursing intervention for Schizotypal Personality Disorder?

Respect social isolation and monitor suspiciousness.

What is a red flag of manipulation in BPD?

Instant intimacy, flattery, entitlement, sexualized behavior.

What is a key treatment for Avoidant Personality Disorder?

Assertiveness training and supportive therapy.

What medication class may help with mood swings in Narcissistic Personality Disorder?

Lithium.

What is the best treatment approach for Histrionic Personality Disorder?

Psychotherapy focusing on emotional regulation.

Which disorder commonly begins in adolescence with perfectionism and fear of abandonment?

Borderline Personality Disorder.

Patients with Antisocial Personality Disorder typically lack what trait?

Empathy or remorse.

Which personality disorder is often associated with jealousy, control, and unforgiveness?

Paranoid Personality Disorder.

What is the primary defense mechanism used in Borderline Personality Disorder?

Splitting.

Which personality disorder may involve brief hallucination-like episodes under stress?

Schizotypal Personality Disorder.

What is a typical trait of Narcissistic Personality Disorder?

Fragile self-esteem masked by grandiosity.

What is a common trait across all personality disorders regarding relationships?

Difficulty forming and maintaining healthy relationships.

What is the primary nursing focus when dealing with manipulative behaviors in BPD?

Setting clear, consistent boundaries.

What intervention is crucial in managing Antisocial Personality Disorder?

Limit-setting with realistic, consistent consequences.

Which Cluster C disorder involves fear of making daily decisions without reassurance?

Dependent Personality Disorder.

What approach should be avoided with OCPD patients?

Power struggles.

Which therapy helps deconstruct faulty thinking in narcissistic patients?

Cognitive Behavioral Therapy (CBT).

What emotional pattern is common in Borderline Personality Disorder?

Emotional lability.

Which disorder often leads people to isolate due to perceived oddness by others?

Schizotypal Personality Disorder.