Term
| What are the 3 types of disorders that Cluster A Personality Disorder include? |
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Definition
| Paranoid, Schizoid, Schizotypal |
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Term
| What are 4 types of disorders that Cluster B Personality Disorder Include? |
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Definition
| Antisocial, Borderline, Histrionic, Narcissistic |
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Term
| What are 3 types of disorders that Cluster C include? |
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Definition
| Avoidant, Dependent, Obsessive-Compulsive |
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Term
| Is there a sharp contrast between personality and personality disorder? |
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Definition
| No. Many of the same processes involved in the development of a "normal" personality are responsible for the development of a personality disorder |
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Term
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Definition
| When an individual has a maladaptive pattern of perceiving, thinking, and relating that impairs social, occupational and other areas of functioning. |
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Term
| What are some examples of maladaptive patterns? |
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Definition
| Lack of insight, does not understand impact of their behavior, does not accept consequences of their behavior, when threatened, want to change environment rather than changing their own behavior, unable to relate to others. |
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Term
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Definition
| Behaviors, values, feelings, which are in harmony with or acceptable to the needs and goals of the ego, or consistent with one's ideal self-image |
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Term
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Definition
| Behaviors, values, feelings that are inconflict with the needs and goals of the ego |
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Term
| What are the 4 areas that maladaptiv patterns manifest? |
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Definition
| Behavioral, Affective, Cognitive, Sociocultural |
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Term
| What do you see in Behavioral Maladaptive patterns? |
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Definition
| Exhibit impulsive behaviors that cause negative consequences. Ex: seductive behavior, self-harm behaviors, violence directed toward others |
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Term
| What do you see in Affective Maladaptive Patterns? |
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Definition
| Extreme emotional reactions. Unreasonably excessive. "Over the top" |
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Term
| What do you see in Cognitive Maladaptive Patterns? |
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Definition
| Maladaptive ways of perceiving and assigning meaning to self, others and events. MIsinterpret other people's actions or reactions. Dysfunctional ways of responding. |
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Term
| What do you see in Sociocultural Maladaptive Patterns? |
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Definition
| They have an intense effect on others, often negative. Unsatisfying interpersonal patterns of response |
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Term
| Personality disorders are listed on which Axis of the DSM IV? |
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Definition
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Term
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Definition
| "traits" are noted when a patient does not meet the full criteria for a given PD. |
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Term
| what are the first 2 steps to diagnosing PD? |
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Definition
| Assess level of functioning in the 4 areas. Physical examination to rule out an underlying physical or organic cause for symptoms |
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Term
| What are the 2 psychologicla evaluation and formal testings used for PD? |
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Definition
| Minnesota Multiphasic Personality Inventory-2, and Millon Clinical Multiaxial Inventory-III. |
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Term
| What makes dianosis particularly challenging at times? |
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Definition
| Some patients meet criteria for several PDs. |
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Term
| What is the final step for dianosis of PDs? |
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Definition
| Toxicology Screening. Intoxication with certain substances can mimic the features of a personality disorder (extreme emotions when drunk) |
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Term
| Treatment of PDs typically focus on enhancing what areas for patient? |
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Definition
| Enhancing patient's coping skills, solving short-term probelms, and building relationship skills through counseling, psychotherapy and education |
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Term
| What else is a method of treatment for PDs? |
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Definition
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Term
| What medications are given for Cluster A Personality Disorders? |
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Definition
| antidepressants, and low-dose antipsychotics |
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Term
| Medication for Cluster B Personality Disorder? |
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Definition
| Anticonvulsant mood stabilizing agents and MAOIs |
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Term
| Medication for Cluster C Personality Disorders? |
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Definition
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Term
| PDs affect what portion of the US population? |
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Definition
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Term
| What kind of PDs are more commonly diagnosed in men? |
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Definition
| Antisocial and Obsessive-Compulsive PD |
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Term
| What PDs are more commonly found in women? |
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Definition
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Term
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Definition
| adolescence or early adulthood |
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Term
| Which cluster may have shorter life span due to impulse control, suicidal behavior, and comorbid substance abuse? |
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Definition
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Term
| What are comorbidities for PDs? |
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Definition
| mood or anxiety disorders and substance abuse |
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Term
| Cluster A's are considered to have what kind of behavior? |
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Definition
| Odd or Eccentric (Paranoid; Schizoid; Schizotypical) |
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Term
| Cluster B's are considered to have what kind of behavior? |
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Definition
| Dramatic, Emotional, or erradic Behavior (Antisocial, Borderline, Histrionic, Narcissistic) |
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Term
| What kind of behavior do Cluster C's exhibit? |
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Definition
| Anxious or fearful behavior; insecurity and inadequacy |
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Term
| What are some characteristics of Cluster A: Paranoid? |
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Definition
| Distrust and suspiciousness towards others. Hostile, irritable, angry, neither desires nor enjoys close relationships, blame others for shortcomings and do not take responsibility for their own feelings and behaviors |
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Term
| What is the nursing dianosis for Cluster A: Paranoid? |
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Definition
| Disturbing Thought Process |
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Term
| What are Interventions for Cluster A: Paranoid? |
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Definition
| Reality orientation, brief sessions, objective approach, respect personal space, role playing, medication |
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Term
| What medications are given to Cluster A: Paranoid? |
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Definition
| Anxiolytics for anxiety; antipsychotics for paranoid ideation, quasi-delsional thinking, and severe agitation |
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Term
| What are characteristics of Cluster A: Schizoid? |
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Definition
| Expressively impassive, unengaged, introverted, reclusive, distant, apathetic, emotionally detached. Isolated loners. |
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Term
| What are characteristics of SchizotypaL? |
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Definition
| Odd beliefs leading to interpersonal difficulties. Symptoms of schizophrenia but less severe. Mood is constricted or inappropriate. With excessive social anxieties. |
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Term
| What are the characteristics of Cluster B: Antisocial? |
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Definition
| "Sociopaths" or "psychopaths". Disregard for and violation of the rights of others. Overt confidence, poor work history, legal problems, injuries secondary to fights and assaults, multiple sexual partners. |
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Term
| What is the Nursing Diagnosis for Anti-Social Cluster B? |
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Definition
| Risk for Other-Directed Violence |
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Term
| What are interventions for Antisocial Cluster B? |
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Definition
| Set clear and realistic limits, appear calm and in control, guard against being manipulated, avoid confrontations, anger management |
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Term
| What medications are used to treat Antisocial behaviors? |
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Definition
| Mood stablilizers (lithium, depakote), Beta Blockers (inderal) and Stimulants (methylphenidate) |
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Term
| What are characteristics of Cluster B: Borderline? |
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Definition
| Instability in mood, impulse control, and interpersonal relationships. Unpredictable, and erratic. "splitting". Inappropriate anger, dichotomous thinking |
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Term
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Definition
| See overall life experiences in terms of extremes- either all good or all bad. |
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Term
| What is Cluster B: Borderline Nursing Dianosis? |
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Definition
| Risk for Self-Directed Violence, Risk for Self-Mutilation, Risk for Suicide |
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Term
| What are Nursing Interventions for Borderline? |
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Definition
| Safety, Set limits, "no self-hard" contract, behavior medification, medication |
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Term
| Medications for Borderline? |
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Definition
| Antipsychotics for anger, hostility, brief psychosis. Antidepressants for impulsivity. Benzodiazapines for anxiety. Mood stabilizers for lability. |
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Term
| What is another affective therapy for borderline disorder? |
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Definition
| Dialectical Behavioral Therapy |
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Term
| What are characteristics for Histrionic? |
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Definition
| Excitable, emtional and behave in a colorful, dramatic, extroverted manner. |
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Term
| What are characteristics of Narcissistic? |
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Definition
| Heightened sense of self-importance, grandiose feelings of uniquness. Need constant admiration from others and exaggerate their own importnace and accomplishments. |
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Term
| What are characteristics of Cluster A Avoidant? |
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Definition
| Show extreme sensitivity to rejection. "Inferiority Complex" |
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Term
| What are characteristics of Dependent DO? |
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Definition
| Subordinate needs to those of others. Get others to assume responsibility for major areas of their lives. Can't stand being alone... |
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Term
| What is the most frequently seen personality DO seen in a clinical setting? |
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Definition
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Term
| What are treatements for Dependent DO? |
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Definition
| Therapy, Assertiveness training, medication |
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Term
| What are characteristics of Obsessive-Compulsive Disorder? |
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Definition
| Characterized by perfectionism with a focus on orderliness and control, strive to keep world predictable and organized. |
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Term
| How does obsessive compulsive disorder differ from OCD? |
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Definition
| No obsessions/compulsions |
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Term
| What is the nursing diagnosis for Paranoid? |
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Definition
| Disturbed Thought Process |
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Term
| What are the Nursing Diagnoses for Schizoid? |
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Definition
| Impaired Social Interactions, Chronic Low Self-Esteem |
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Term
| What are the Nursing Diagnoses for Schizotypal? |
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Definition
| Social Isolation, Chronic Low Self-Esteem, Ineffective Coping |
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Term
| What are nursing diagnoses for Antisocial? |
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Definition
| Dysfunctional Family Processes, Disturbed Thought Processes, Risk for other Directed Violence, Ineffective Role Performance |
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Term
| What are the nursing diagnosis for Borderline? |
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Definition
| Insomnia, Risk for Self-mutilation, Ineffective Coping, Disturbed Thought Processes, Chronic Low Selfesteem |
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Term
| Nursing Diagnosis for Narcissistic? |
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Definition
| Impaired Social Interactions |
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Term
| Nursing Diagnosis for Avoidant? |
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Definition
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Term
| Nursing Diagnosis for Dependent? |
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Definition
| Ineffective Individual Coping, Low Self-esteem |
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Term
| Nursing Diagnosis for Obsessive-Compulsive? |
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Definition
| Anxiety, Decisional Conflict, Impaired Social Interaction |
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