Personality Disorders: Clusters A, B, and C

Flashcards covering the characteristics, nursing care, assessment, and treatment of various personality disorders across Cluster A, Cluster B, and Cluster C.

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Paranoid, Schizoid, Schizotypal, Histrionic, Narcissistic, Borderline, Antisocial, Avoidant, Dependent, Obsessive compulsive

Chopper, Teenage Boy, Willy Wonka, Michael Scott, Homelander, Harley Quinn, Patrick Bateman, Neville Longbottom, Alan Harper, Dwight Shrute

What are the primary characteristics of Paranoid Personality Disorder?

Chopper before joining crew

Mistrust, anxiety, social awkwardness, and hypervigilance.

What are the nursing interventions for paranoid personality disorder?

Counteract mistrust by adhering to schedules, avoid being overly friendly, use simple direct language, project a neutral but kind affect

What treatments are indicated for Paranoid Personality Disorder?

Psychotherapy, group therapy, Diazepam, and Haloperidol.

What are the defining characteristics of Schizoid Personality Disorder?

A teenage boy that just got dumped from his first love

Anhedonia, onset appearing in childhood and adolescence, being loners, poor academic performance, avoidance of close relationships, depersonalization, and detachment.

What nursing care interventions are recommended for Schizoid Personality Disorder?

Engage with them in small steps, assess the reason for isolation, and protect against group ridicule.

What treatments are used for Schizoid Personality Disorder?

Psychotherapy, group therapy, and antidepressants or antipsychotics.

What are the key characteristics of Schizotypal Personality Disorder?

Willy Wonka

Social anxiety, interpersonal deficits, difficulty communicating, paranoia, vulnerability, brief delusions or hallucinations, and eccentric or bizarre behavior.

What nursing care strategies should be implemented for Schizotypal Personality Disorder?

Respect the patient's needs, assess and intervene according to symptoms, and withhold judgment or ridicule.

What treatments are indicated for Schizotypal Personality Disorder?

Supportive psychological care and low-dose antipsychotics.

What are the main characteristics of Histrionic Personality Disorder?

Michael Scott

Bold, excitable, dramatic behavior, difficulty making relationships, and narcissistic traits.

What nursing care interventions are recommended for Histrionic Personality Disorder?

Understand that seductive behavior is related to distress, keep interactions professional, ignore flirting, use concrete language, and assess for suicidal ideation.

What are the treatment modalities for Histrionic personality disorder?

Psychotherapy

What are the characteristics of Narcissistic Personality Disorder?

Homelander

Entitlement, self-importance, lack of empathy, low self-esteem, exploitative tendencies, and a constant need for admiration.

What nursing care actions should be taken for Narcissistic Personality Disorder?

Remain neutral, promote a stronger patient identity, avoid power struggles or becoming defensive, and role model empathy.

Why is Narcissistic Personality Disorder difficult to treat, and what interventions are utilized?

It is difficult to treat because the patient is unlikely to seek help. Treatments include CBT, group therapy, and lithium for mood swings.

What are the characteristics and defense mechanisms associated with Borderline Personality Disorder?

Harley Quinn

Emotional lability, impulsivity, self-destructive behaviors, antagonism, and splitting (only able to view positive or negative aspects of others).

What risk factors and assessment strategies are noted for Borderline Personality Disorder?

Risk factors include genetics, neurobiological factors, and cognitive factors. During assessment, ask vague or general questions to guide them while giving them freedom to start where they want.

What are the nursing interventions for someone with borderline personality disorder?

Clear and consistent boundaries; use straightforward communication; calmly review therapeutic goals, respond matter-of-factly to superficial self-injury

What treatments are utilized for Borderline Personality Disorder?

Psychotropics, CBT, DBT, and Schema-focused therapy.

What are the characteristics of Antisocial Personality Disorder, and when do they peak?

Patrick Bateman

Antagonistic behavior, disinhibition, profound lack of empathy, and absence of remorse or guilt, peaking from mid-to-late teens to 30s.

What assessment findings and nursing care priorities are emphasized for Antisocial Personality Disorder?

Patients are defensive and lie a lot during assessment. Nursing care requires boundaries, consistency, support, limits, realistic choices, teamwork, and safety.

What treatments and medications are used for Antisocial Personality Disorder?

Mood stabilizers for aggression, SSRIs, Benzos, Ritalin, CBT, and DBT.

What are the characteristics of Avoidant Personality Disorder?

Neville Longbottom

Low self-esteem, shyness, feelings of inferiority, susceptibility to depression, anxiety, and anger, and preoccupation with rejection, humiliation, and failure.

What are the nursing interventions for someone with avoidant personality disorder?

Be friendly, accepting, and reassuring; don’t push them; acceptance of the patients fears

What treatments are recommended for Avoidant Personality Disorder?

Trust building, assertiveness training, group therapy, and anxiety or depression medications.

What are the characteristics for Dependent Personality Disorder?

Alan Harper from the tiktok tv show

Characteristics include a high need to be taken care of, submissiveness, fears of separation and abandonment, manipulating others to take responsibility, and intense anxiety.

What are the nursing care interventions for Dependent Personality Disorder?

Nursing care involves helping address current stressors, setting limits that do not make the patient feel punished, and being aware of strong countertransference.

What are the treatment modalities for dependent personality disorder?

Psychotherapy

What are the characteristics of obsessive compulsive disorder?

Dwight Shrute / Monica from Friends / Sheldon Cooper

Obsession with perfection; goal setting that impacts relationships/self; inflexible standards; practicing social interactions beforehandWh

What are the nursing interventions for obsessive compulsive disorder?

Allow time in schedule for compulsions; Note inflexibility; Avoid power struggles

What are the treatment modalities for obsessive compulsive disorder?

Group therapy; behavioral therapy; Clomipramine or Fluoxetine