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Mental Health - Personality Disorders
ATI NCLEX-RN related study questions
23
Nursing
Undergraduate 2
09/12/2009

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Cards

Term
A personality disorder is an enduring pattern of inner experience and behavior that:
Definition
  • Deviates markedly from the expectation of one's culture
  • Is pervasive, maladaptive, and inflexible
  • Has an onset in adolescence or early adulthood
  • Is stable over time
  • Leads to distress or impairment
Term
All personality disorders share what 4 common characteristics?
Definition
  1. Inflexibility / maladaptive responses to stress
  2. Disability in social and professional relationships
  3. Tendency to provoke interpersonal conflict
  4. Capacity to cause irritation or distress in others
Term
The medical diagnosis of a personality disorder is found where in the DSM-IV-TR?
Definition
Axis II
Term

What 3 clusters are personality disorders divided into?

 

and

 

Describe

Definition
  • Cluster A
    • Generally described as odd or eccentric
  • Cluster B
    • Generally described as dramatic, emotional, or erratic
  • Cluster C
    • Generally described as anxious or fearful
Term
Defense mechanisms used by clients with personality disorders:
Definition
  • Repression
  • Suppression
  • Regression
  • Undoing
  • Splitting
Term
Splitting is commonly associated with what personality disorder?
Definition
Borderline personality disorder
Term
Individuals with personality disorders tend to be what socially?
Definition
  • less educated or unemployed
  • single or have marital difficulties
  • comorbid substance abuse disorders
  • may commit nonmiolent and violent crimes
    • including sex offenses
Term
Neurobiological research suggests that what may be relevant to personality disorders?
Definition
  • chonic stress
    • ex: repeated sexual trauma or psychological trama during childhood

 

Term
Cluster A personality disorders:
Definition
  • Paranoid personality
  • Schizoid personality
  • Schizotypal personality
Term

Cluster A personality disorders:

 

 

Paranoid Personality

Definition
  • Characterized by distrust and suspiciousness toward others based on unfounded beliefs that others want to harm, exploit, or deceive the person
Term

Cluster A personality disorders:

 

 

Schizoid Personality

Definition
  • Characterized by emotional detachment, disinterest in close relationships, and indefference to praise or criticism; often uncooperative.
Term

Cluster A personality disorders:

 

 

Schizotypal Personality

Definition
  • Characterized by odd beliefs leading to interpersonal difficulties, an eccentric appearance, and magical thinking or perceptual distortions that are not clear delusions or hallucinations
Term

Cluster B personality disorders:

 

 

Antisocial Personality

Definition
  • Characterized by disregard for others with exploitation, repeated unlawful actions, deceit, and failure to accept personal responsibility.
Term

Cluster B personality disorders:

 

 

Borderline Personality

Definition
  • Characterized by instability of affect, identity, and relationships
  • Fear of abandonment, splitting behaviors, manipulation, and impulsiveness
  • Often tries self-mutilation and may be suicidal
Term

Cluster B personality disorders:

 

 

Histrionic Personality

Definition
  • Characterized by emotional attention-seeking behavior, in which the person needs to be the center of attention
  • Often seductive and flirtatious
Term

Cluster B personality disorders:

 

 

Narcissistic Personality

Definition
  • Characterized by arrogance, grandiose views of self-importance, the need for consistent admiration, and lack of empathy for others that strains most relationships
  • Often sensitive to criticism
Term

Cluster C personality disorders:

 

 

Avoidant Personality

Definition
  • Characterized by social inhibition and avoidance of all situations that require interpersonal contact, dispite wanting close relationships, due to extreme fear of rejection
  • Often very anxious in social situations
Term

Cluster C personality disorders:

 

 

Dependant Personality

Definition
  • Characterized by extreme dependency in a close relationship with an urgent search to find a replacement when one relationship ends
  • The most frequently-seen personality diorder in the clinical setting
Term

Cluster C personality disorders:

 

 

Obsessive-compulsive Personality

Definition
  • Characterized by perfectionism with a focus on orderliness and control to the extent that the individual may not be able to accomplish a given task.
Term
What will help build a therapeutic nurse-client relationship?
Definition
A firm, yet supportive approach and consistent care
Term
What is important when working with the client who is manipulative or who acts out?
Definition
Limit-setting
Term
What nursing intervention may enhance the Pt's sense of control?
Definition
Offering realistic choices
Term
Patients with schizoid or schizotypal personality disorders tend to isolate themselves, and this need for social isolation should be _____ .
Definition
Respected
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