Personality Disorders Chapter 18

Front 1

Symptoms and characteristics of paranoid personality disorder include:

Back 1

Mistrust and suspicions of others

Guarded restricted affect

Conflict with authority figures due to fear

Front 2

Nursing interventions for paranoid personality disorder include:

Back 2

Serious, straightforward approach; teach client to validate ideas before taking action; involve client and treatment planning

Be sure to validate the treatment idea before taking action

Front 3

Symptoms and characteristics of schizoid personality disorder:

Back 3

Detached from social relationships; restricted affect; involved with things more than people

Front 4

Nursing interventions for people with schizoid personality disorder:

Back 4

Improve clients functioning in the community; assist client to find case manager

Front 5

Symptoms and characteristics of schizotypal personality disorder:

Back 5

Acute discomfort in relationships; cognitive or perceptual distortions; eccentric behavior

Front 6

Nursing interventions for schizotypal personality disorder:

Back 6

Develop self-care skills; improve community functioning; social skills training

Front 7

Symptoms and characteristics for antisocial personality disorder:

Back 7

Disregard for rights of others rules and laws; deceit and manipulation; acts of cruelty; more psychotic behavior

Front 8

Nursing interventions for antisocial personality disorder:

Back 8

Limit setting; confrontation; teach client to solve problems effectively and manage emotions of anger or frustration due to lack of emotion

Front 9

Symptoms and characteristics of borderline personality disorder:

Back 9

Display false affect; unstable relationships, self image and affect; impulsivity; self mutilation

Front 10

Nursing interventions for borderline personality disorder:

Back 10

Promote safety; help client to cope and control emotions; cognitive restructuring techniques; structure time; teach social skills

Front 11

Symptoms and characteristics of histrionic personality disorder:

Back 11

Excessive emotionality and attention seeking; seductive; colorful; Exaggeration of closeness in relationships

Front 12

Nursing interventions for histrionic personality disorder:

Back 12

Teach social skills; provide factual feedback about behavior

Front 13

Symptoms and characteristics of narcissistic personality disorder:

Back 13

Grandiose; lack of empathy; need for admiration

Front 14

Nursing interventions for narcissistic personality disorder:

Back 14

Matter of fact approach; gain cooperation with needed treatment; teach client any needed self-care skills

Front 15

Symptoms and characteristics of avoidant personality disorder:

Back 15

Social inhibitions; feelings of inadequacy; hypersensitive to negative evaluation; shy

Front 16

Nursing interventions for avoidant personality disorder:

Back 16

Support and reassurance; cognitive restructuring techniques; promote self-esteem

Front 17

Symptoms and characteristics of dependent personality disorder:

Back 17

Submissive and clingy behavior; excessive need to be taken care of

Front 18

Nursing interventions for dependent personality disorder:

Back 18

Foster clients self-reliance and autonomy; teach problem-solving and decision-making skills; cognitive restructuring techniques; Encourage expression of losses

Front 19

Symptoms and characteristics of obsessive compulsive personality disorder:

Back 19

Preoccupation with orderliness, perfectionism, and control; However does not like being the center of attention

Front 20

Nursing interventions for obsessive compulsive personality disorder:

Back 20

Encourage negotiation with others; assist client to make timely decisions and complete work; cognitive restructuring

Front 21

Andeffective technique that involves stating that behavioral limit, identifying the consequences of the limit is exceeded, and identifying the expected or desired behavior

Back 21

Limit setting

Front 22

Techniques designed to manage manipulative or deceptive behavior where the nurse points out a clients problematic behavior while remaining neutral and matter-of-fact and avoids accusing the client

Back 22

Confrontation

Front 23

The pervasive mood involving unhappiness, restlessness, and malaise

Back 23

Dysphoric

Front 24

The technique useful in changing patterns of thinking by helping clients to recognize negative thoughts and feelings and replace them with positive patterns of thinking

Back 24

Cognitive restructuring

Front 25

A technique to alter the process of negative or self critical thought patterns such as I’m done when the thoughts begin the client can actually say stop in a loud voice

Back 25

Thought stopping

Front 26

A technique where the client reframe negative thoughts into positive thoughts

Back 26

Positive self talk

Front 27

A technique that involves learning to assess situations realistically rather than always assuming a catastrophe will happen

Back 27

Decatastrophizing

Front 28

Children who have a greater number of protective factors are less likely to develop antisocial behavior as adults. Give an example of protective factors.

Back 28

Cared for or shown love

Front 29

Personality develops through the interaction of (two answers)

Back 29

Hereditary dispositions and environmental influences

Front 30

What term refers to the biological processes of sensation, association, and motivation that underlie the integration of skills and habits based on emotion?

Back 30

Temperament

Front 31

Which personality disorders go with cluster A (odd or eccentric behaviors)?

Back 31

Paranoid, schizoid, schizotypal

Front 32

Which personality disorders go under cluster B (erratic or dramatic behaviors)?

Back 32

Antisocial, borderline, histrionic, narcissistic

Front 33

Which personality disorders fall under cluster C (anxious or fearful behaviors)?

Back 33

Avoidant, dependent, obsessive

Front 34

What are the four symptom categories that underlie personality disorders?

Back 34

1. cognitive perceptual distortions, including psychotic symptoms; 2. affective symptoms and mood dysregulation; 3. aggression and behavioral dysfunction; and 4. anxiety

Front 35

Low reward dependence corresponds to the categories of:

Back 35

Affective dysregulation, detachment, and cognitive disturbances

Front 36

Hi novelty seeking corresponds to:

Back 36

The target symptoms of impulsiveness and aggression

Front 37

Hi harm avoidance corresponds to the categories of:

Back 37

Anxiety and depression symptoms

Front 38

Cognitive perceptual disturbances include:

Back 38

Magical thinking, odd beliefs, illusions, suspiciousness, ideas of reference, and low-grade psychotic symptoms

Front 39

Many borderline personality disorder clients report disturbed early relationships with whom?

Back 39

Their parents; often began at 18 to 30 months of age

Front 40

Borderline personality disordered think about self and others often as polarized and extreme what is this referred to as?

Back 40

Splitting

Front 41

True or false?

Borderline personality disorder is more common in men than women.

Back 41

False

Front 42

True or false?

Character is the biologic process of sensation, association, and motivation that underlies the integration of skills and habits based on emotions.

Back 42

False; that would be temperament

Front 43

True or false?

Individuals who have paranoid personality disorder May experience difficulty in trusting the members of the healthcare team.

Back 43

True

Front 44

True or false?

Pharmacologic treatment of personality disorders is based on the symptomology rather than the particular subtype.

Back 44

True

Front 45

True or false?

Individuals with avoidant personality disorder tend to demonstrate pervasive miss trust and suspiciousness of others and perceive others actions as potentially harmful.

Back 45

False; that would be paranoid personality disorder

Front 46

Which Personality disorder is characterized by pervasive pattern of disregard for and violation of the rights of others and with the central characteristics of deceit and manipulation?

Back 46

Antisocial

Front 47

Cognitive __________ is a process by which the clients our help to recognize negative thoughts and feelings and replace them with positive patterns of thinking

Back 47

Restructuring

Front 48

__________ is an ingrained enduring pattern of behaving and relating to self, others, and the environment and includes perceptions, attitudes, and emotions.

Back 48

Personality

Front 49

The pervasive mood and borderline personality disorder is ________, involving unhappiness, restlessness, and malaise.

Back 49

Dysphoric

Front 50

____________ personality disorder is characterized by a negative attitude and a pervasive pattern of resistance to demands for adequate social and occupational performance.

Back 50

Passive aggressive

Hint 50

This is actually a personality trait not a disorder.