Splitting What are some common defenses of personality disorder? (5) c. Splitting (Commonly associated with borderline personality disorders inability to incorporate positive and negative aspects of oneself or others into a whole image a.
Repression a. Repression operating unconsciously, that banishes unacceptable ideas, fantasies, affects, or impulses from consciousness or that keeps out of consciousness what has never been conscious a. Repression b. Suppression strategy to cope with unwanted internal experiences (cognitions or emotions) in which the individual actively attempts not to think about the unwanted thought or feeling that they are experiencing a. Repression e. Regression partial or symbolic return to earlier patterns of reacting or thinking a. Repression d. Undoing doing things that have the opposite meaning of the distressing impulses that the individual wants to be psychologically defended against a. Repression a. schizoid What are considered Clustered A Personality Disorders? a. Schizoid A. antisocial What are considered Cluster B Personality disorders? a. Antisocial b. Avoidant What are considered Cluster C personality disorders? a. Paranoid Resembles schizophrenia, but with no psychosis Odd, eccentric behavior and speech Dresses in strange ways, such as, being unkempt or wearing oddly matched clothes Believes in having special powers, such as mental telepathy or superstitions; magical thinking and rituals Give-and-take conversations are difficult Loner and lacks close friends outside the immediate family Genuinely unhappy about lack of relationships What are the characteristics of schizotypal personality disorder? (7) A person who has a family member with schizo Who are at high risk for schizotypal? Pervasive, persistent, inappropriate suspiciousness regarding fidelity of spouse or sexual partner and distrust of others (unjustified) Hostile, irritable and lacks warmth Reads hidden demeaning or threatening meanings into benign remarks or events (ideas of reference) Persistently bears grudges (i.e., is unforgiving of insults, injuries, or slights) May appear businesslike and efficient, but generate fear and conflict in others What are the characteristics of paranoid personality disorder? (5) A person who has one or more family members with schizo. Who are at high risk for paranoid? (2) The behaviors similar to those of a high functioning autistic person Unable to establish relationships Prefers being alone and chooses to do activities alone Shies away from social situations and avoids others Flat affect, appearing indifferent to both praise and criticism Invests little energy in human relationships; conversely, may invest enormous energy in nonhuman interests (e.g., mathematics, astronomy) Often connect more with animals Often creative, original thinkers What are the characteristics of schizoid personality disorder? (7) Schizotypal personality disorder or schizophrenia in the family have an elevated chance of acquiring schizoid personality disorder. Who are at an increase risk for schizoid? Aggressive, often violent behavior Lacks social conscience and ability to feel remorse Using charm, seductive behaviors or wit to manipulate others for personal gain or personal pleasure Is disparaging, humiliating, and belligerent toward those perceived as a threat Impulsiveness; risky behaviors to "feel alive" Recurring difficulties with the law Sense of entitlement What are the characteristics of Antisocial personality disorder? (7) antisocial personality disorder Persistent disregard for others a. Borderline borderline personality disorder A pervasive pattern of excessive emotionality and attention seeking that begins by early adulthood a. Borderline Pattern of unstable and unsafe relationships often swinging from extreme closeness and love (idealization) to extreme dislike or anger (devaluation) Lack insight into cause of relationship failures Chronic depression Manipulative Views others as "all good or all bad" SPLITS STAFF xxx Engages in impulsive and risky behaviors Constant, sudden emotional shifts and lability Need to become and remain the center of attention, love, and admiration Dramatic, rapidly shifting, charming, flamboyant, and sexually seductive behaviors Overly dependent on others Aggressive behavior or suicidal gestures to punish others What are the characteristics of borderline personality disorders? (12) Self-mutilation is a marker for this disorder (cutting behavior) What is a marker symptom for borderline disorder? C. narcissistic personality disorder Maladaptive social response characterized by a person's grandiose sense of personal achievement a. Borderline Haughty sense of entitlement Grandiose sense of personal achievement Exaggerated feeling of self-importance and self-love Expecting constant praise, attention and admiration Monopolizes conversations and belittles or looks down on people they perceive as inferior Envious of others Lacks empathy; exploits others to meet own needs Tantrums What are the characteristics of narcissistic personality disorder? (8) D. Histrionic (personality disorder) A pervasive pattern of excessive emotionality and attention seeking that begins by early adulthood. a. Borderline Manipulative and insensitive Dress provocatively and/or exhibit inappropriately seductive or flirtatious behavior Need to become and remain the center of attention, love, and admiration Constant, sudden emotional shifts and lability Superficial, shallow, and short-lived relationships Lacks insight into cause of relationship failures What are the characteristics of Histrionic personality disorder? (6) a. avoidant personality disorder lifelong pattern of extreme social inhibition, feelings of inadequacy, and sensitivity to rejection a. avoidant Feelings of low self-worth Social phobia (scared of being social) Experiences extreme anxiety and fear in social settings and in relationships despite a strong desire for close relationships Fear of disappointment or ridicule Hypersensitive to criticism or rejection Inhibited, reluctant to express irritation or anger, even when justified What are the characteristics of avoidant personality disorder? (6) B. Dependent Personality Disorder a pervasive and excessive need to be taken care of that leads to submissive and clinging behavior as well as fear of separation a. avoidant Belief in inability to survive if left alone Excessive need to be taken care of Unreasonable wishes and wants, and expresses needs in a demanding, whining manner Perversely, excessively submissive Inability to make decisions without excessive reassurance Intense fear of separation, abandonment, being alone and rejected Tolerance of poor or abusive treatment What are the characteristics of dependent personality disorder? (7) High achievers Emotional constriction Stubborn Preoccupied with details, rules, lists, order, organization, or schedules Attempts to control self through the control of others and the environment Pervasive pattern of perfection and inflexibility Indecisive to the point that it impairs the ability to finish tasks What are the characteristics of obsessive compulsive disorder? (7) (OCD) c. Borderline Personality Disorder Which disorders are the most challenging and most admitted into a facility? a. Paranoid Personality Disorder Dialectical behavior therapy (DBT): Stabilizing patient, develop mindfulness, learn to regulate impulsive behavior and emotions, Systems training for emotional predictability and problem solving (STEPPS) What is the Tx for Borderline personality disorder? Benzos (They may be used in emergency situations.) (Medications are not available for the treatment of personality disorders per se.) _____________ for anxiety are NOT appropriate because of the potential for abuse and overdose b. SSRIs treat co-morbid depression and panic attacks. a. Trazodone and
venlafaxine a. Trazodone and venlafaxine have low toxicity in overdose. a. Trazodone and venlafaxine e. Carbamazepine targets impulsivity and self-harm a. Trazodone
and venlafaxine b. SSRIs (Also anticonvulsants) minimize aggression a. Trazodone and venlafaxine d. Atypical antipsychotics help with psychotic features in borderlines under stress. a. Trazodone and venlafaxine ... What do you use to treat mood swings and ADHD? a. Cluster A What is considered Odd, and Eccentric? a. Cluster A b. Cluster B What is considered Dramatic and erratic? a. Cluster A c. Cluster c What is considered anxious and fearful? a. Cluster A 2 Which disorder is
considered a Cluster B personality disorder? 5 Clinical manifestations seen in a person with a Cluster A personality disorder would include eccentricity and being distrustful or suspicious of others. A person who is petty, labile, and dramatic would reflect a Cluster B personality disorder. Nervousness or anxiety would be seen in a Cluster C personality disorder. Which finding noted during the assessment for a patient with a Cluster A personality disorder supports the diagnosis? Select all that apply. One, some, or all responses may be correct. 2 Patients diagnosed with borderline personality disorder have unstable moods. Such patients exhibit rapid emotional shifts. They may be extremely aggressive and suddenly become extremely calm. While this patient may have calm or depressed periods, the patient will not remain that way. A patient diagnosed with borderline personality disorder will not necessarily be abusive to other patients or staff. A patient diagnosed with borderline personality disorder craves attention and would not be uncomfortable with it. Which behavior does the nurse expect to find in a patient diagnosed with borderline personality disorder? 1 Which
personality disorder is characterized by unstable and intense relationships and unstable and frequent mood changes. 3 Antisocial personality disorder is characterized by persistent disregard for and violation of the rights of others with an absence of remorse for hurting others. Borderline personality disorder is characterized by unstable and intense relationships and unstable and frequent mood changes. Schizotypal personality disorder is characterized by peculiar behavior, odd speech, and the presence of cognitive perceptual distortions in the absence of psychosis. Narcissistic personality disorder is characterized by a person's grandiose sense of personal achievements. Which personality disorder is characterized by persistent disregard for and violation of the rights of others with an absence of
remorse for hurting others? 2 Which personality disorder is characterized by peculiar behavior, odd speech, and the presence of cognitive perceptual distortions in the absence of psychosis. 2 Which characteristic presented by a patient would indicate a diagnosis of antisocial personality? 1 Clinical manifestations of BPD include manipulating people, labile moods, angry outbursts, emotional sensitivity, and very few longtime friends. Which behavior would the nurse expect family members to report for a patient with borderline personality disorder (BPD)? Select all that apply. One, some, or all responses may be correct. 2 Having a sense of entitlement means a belief in one's right to hurt others, take what he or she wants, and treat others unfairly. Splitting is the inability to integrate both the positive and the negative qualities of an individual into one person. Impulsivity is engaging in risky behaviors without first evaluating the potential consequences. Manipulation involves finding the right angle to lure a person into complying with one's own desires. Which
behavior is being displayed by individuals who believe they have a right to hurt others, take what they want, and treat others unfairly? 1 An entitled attitude is a characteristic demonstrated by patients diagnosed with antisocial personality disorder. Poor impulse control as demonstrated by throwing a book is a hallmark of borderline personality disorder. Schizotypal personality disorder is associated with eccentric behavior while intense jealousy is characteristic of paranoid personality disorder. Which behavior is characteristic of a patient diagnosed with antisocial personality disorder? 1 The person's statement shows disregard for others and a lack of remorse, both of which are characteristic of antisocial personality disorder. People with histrionic personality disorder attempt to become and remain the center of attention through manipulative behaviors. Borderline personality disorder (BPD) is marked by unstable, frequent mood changes. Schizotypal personality disorder is characterized by patterns of peculiar behavior and odd speech, which are not evident in this person's statement. Which personality disorder is suspected for a patient who took items from a thrift shop and when confronted told authorities that it was justified because it had been
donated? 1 Which trait is a typical characteristic of Cluster A disorders? Select all that apply. One, some, or all responses may be correct. 2 Borderline personality disorder has the central characteristic of instability in affect, identity, and relationships. Individuals diagnosed with borderline personality disorder desperately seek relationships to avoid feeling abandoned. They often drive others away with excessive demands, impulsive behavior, or uncontrolled anger. Their frequent use of the defense of splitting strains personal relationships and creates turmoil in health care settings Which characteristic behaviors will the nurse need strategies for when providing care for a patient diagnosed with borderline personality disorder? 1 The primary goal of milieu therapy is affect management in a group context. One-on-one therapy is not a goal of milieu management. Which phrase describes the primary goal of milieu therapy for patients diagnosed with personality disorders? 1 Patients with antisocial personality disorder lack conscience. Their sense of right and wrong is impaired, and they tend to do whatever serves them best without considering the rights or feelings of others. Which characteristics will the nurse look for when assessing a patient suspected of having antisocial personality
disorder? 2 Borderline personality disorder is highly associated with impulsivity, hypersensitivity, and emotional dysregulation. People with this disorder act quickly and impulsively in response to their emotions without considering the consequences. Because of their hypersensitivity, they exhibit separation anxiety. The emotional dysregulation trait is indicated by frequent mood swings. Which personality trait is associated with borderline personality disorder? Select all that apply. One, some, or all responses may be
correct. Which of the following is characteristic of antisocial personality disorder quizlet?People with antisocial personality disorder may: Be physically aggressive. Behave recklessly. Blame others for their problems.
Which of the following would represent someone with an antisocial personality?Acting impulsively. Engaging in risky behavior that may harm themselves or others, such as frequent speeding and reckless driving. Flattering others to gain something. Intentionally inflicting physical or psychological harm on others.
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Which characteristic presented by a patient would indicate a diagnosis of antisocial personality
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