Personality Disorders

histrionic personality disorder

"I like being the center of attention." "My spouse left me because I flirt too much with others." "I need to be in the hospital because I got so depressed after my last divorce."

Antisocial characterized by?

1. unstable relationships 2. lack of empathy 3. hostility 4. behaviors unaccepted by the dominant cultural 5. grandiosity 6. dysfunctional interactions 7. unacceptable social behavior.

Which traits are typically common among avoidant, obsessive-compulsive, and dependent personality disorders?

1. Depressed 2. Fearful 3. Tense Avoidant, obsessive-compulsive, and dependent personality disorders are categorized as cluster C personality disorders. They are typically associated with anxious, fearful, tense, overcontrolled, and depressed behavior. Eccentric and irrational behaviors are typically seen in cluster A disorders. Shallow behavior is associated with cluster B disorders.

typical characteristics of cluster A

1. Eccentric behavior 2. Suspicious 3. irrational

Characteristics for the diagnosis of ineffective coping include

1. difficulty in relationships 2. high levels of anxiety 3. manipulative behaviors 4. aggression

The person diagnosed with histrionic personality disorder often is

1. impulsive and melodramatic 2. may act flirtatiously or provocatively. 3. Relationships do not last, because the partner often feels smothered or reacts to the insensitivity of the histrionic person. 4. does not have insight into his or her role in breaking up relationships 5. may seek treatment for depression or other comorbid condition.

People diagnosed with schizoid personality disorder exhibit a

1. poor ability to function in their livesRelationships are particularly affected because of the prominent feature of emotional detachment. 2. do not seek out or enjoy close relationships and are viewed as loners 3. Friendships, dating, and sexual experiences are rare, so marriage would be unlikely. 4. From a psychological perspective, people with this disorder often are raised in a cold and neglectful atmosphere in which they may conclude that relationships are unsatisfying and unnecessary. 5. Employment may be jeopardized if interpersonal interaction is necessary; individuals with this disorder may be able to function well in a solitary occupation. 6. Neither approval nor rejection from others seems to have much effect. 7. A person with this disorder would not likely report that he or she likes people.

antisocial Desired outcomes

1. receptiveness 2. sensitivity 3. consideration of others 4. cooperation with others 5. respectful interactions w/ others.

Which statements are true of antisocial personality disorder (APD)?

Characteristics of APD include personal pleasure-seeking, deceitfulness, disregard for others, manipulation, and frontal lobe dysfunction. Magical thinking is characteristic of schizotypal personality disorder. Rigidity and inflexible standards are characteristic of obsessive-compulsive personality disorder. People diagnosed with APD may present with depression because of the consequences of their behaviors, not because they care about the effects of their actions on others.

A client becomes anxious in group activities and is hypersensitive to negative evaluation. Which interventions should the nurse perform while caring for this client?

Clients with avoidant personality features become very anxious in social situations and group activities. Therefore, the nurse should take a friendly, reassuring, and accepting approach toward such clients. The nurse should respect the client's decision to not be involved in group activities, because these can increase the client's anxiety.

Which statements are true of antisocial personality disorder (APD)

Frontal lobe dysfunction is a brain change identified in APD. It is characterized by deceitfulness, disregard for others, and manipulation. Clients diagnosed with APD are concerned with personal pleasure and power. Characteristics of APD include personal pleasure-seeking, deceitfulness, disregard for others, manipulation, and frontal lobe dysfunction. Magical thinking is characteristic of schizotypal personality disorder. Rigidity and inflexible standards are characteristic of obsessive-compulsive personality disorder. People diagnosed with APD may present with depression because of the consequences of their behaviors, not because they care about the effects of their actions on others.

Which interventions by the nurse are best associated specifically with care provided for a client diagnosed with paranoid disorder?

Giving the client a copy of the daily routine he or she is expected to follow Explaining why the scheduled therapy session will be delayed 30 minutes The paranoid client is suspicious and mistrustful, and he or she may develop perceptional distortions. Giving clear instructions and explanations will help minimize these tendencies. This can be done by giving the client a copy of a daily routine and explaining any scheduling delays.

A nurse notices that a client behaves in a melodramatic way and acts flirtatiously. With which personality disorder does the nurse expect the client to be diagnosed?

Histrionic personality disorder People diagnosed with histrionic personality disorder have emotional, attention-seeking behaviors. They are often melodramatic and act flirtatiously.

Which personality traits are associated with borderline personality disorder?

Impulsivity Hypersensitivity Emotional dysregulation 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.

A 30-year-old client has a history of self-mutilation and multiple citations for driving under the influence of alcohol. He says to the nurse, "I know it's not good for me to cut or drive drunk. It actually scares me when I think about some of the stupid things I've done and what could have happened to me." What is the nurse's most therapeutic response?

The client has recognized the riskiness of his behaviors, which may help motivate change. The nurse should encourage him to identify patterns of thought or events that trigger his impulsive actions by asking what those situations had in common. Alcohol abuse is one aspect of the client's impulsivity, but the client's self-harm suggests the nurse should help him identify additional triggers.

A nurse is managing the care of an individual diagnosed with avoidant personality disorder. What is the appropriate outcome for this client?

The client will demonstrate use of assertive communication within 3 months. A person diagnosed with avoidant personality disorder is excessively anxious in social situations and hypersensitive to negative evaluation but desires social interaction. Assertiveness training is intended to assist this person in self-expression. Outcome achievement for any of the personality disorders is slow because personality is a deeply ingrained characteristic.

A client diagnosed with antisocial personality disorder becomes frustrated and angry when unable to connect to the internet. The client then curses loudly, disrupting, frightening, and disturbing others. Which nursing actions are therapeutic?

Therapeutic responses by the nurse include exploring the situation, encouraging description, setting limits on and expectations of the client's behavior, suggesting other means of coping, and identifying results of inappropriate behavior. The nurse should assist the client to identify the source of anger as well as the function that anger, frustration, and rage serve. Ask the client, "How were you feeling when you were having this difficulty?" Encourage the client to recognize signs of mounting tension and seek assistance. Tell the client, "Further outbursts will result in suspension of your computer privileges."

A 22-year-old client is anxious and irritable during the initial assessment. Following a physical altercation with her former significant other, she has had suicidal ideation and panic attacks. The nurse finds she also has a history of childhood sexual abuse. What medication would be most helpful for this client to address the underlying personality disorder and recent panic attacks?

This client meets the diagnostic criteria for borderline personality disorder. SSRIs can help clients with borderline personality disorder who have co-occurrence with panic attacks.

Clients diagnosed with dependent personality disorder have

a high need to be taken care of, which can lead to patterns of submissiveness with fears of separation and abandonment by others. This may create problems for the client by leaving him or her more vulnerable to exploitation by others because of the passive and submissive nature. Clients diagnosed with dependent personality disorder are thought to have early and profound learning experiences during childhood in which disordered attachment and dependency develop on the caretaker. Dependent personality disorder may be the result of chronic physical illness or punishment of independent behavior in childhood. Moving back to the family home, being financially independent, and expressing how difficult separation has been are not statements that are supportive of a dependent personality disorder.

People with the disinhibition trait show .

a lack of concern for the consequences of their actions. They are predisposed to antisocial personality disorder

People with an aggressive disregard trait who exhibit violent tendencies with no concern for others often have

antisocial personality disorder.

People diagnosed with narcissistic personality disorder are

arrogant and need constant admiration.

Histrionic personality disorder is characterized by

emotional attention-seeking behaviors including 1. self-centeredness 2. low frustration tolerance 3. excessive emotionality.

People diagnosed with schizoid personality disorder exhibit

emotional detachment and are viewed as loners.

People diagnosed with paranoid personality disorder are

extremely suspicious and often believe others will harm them.

Obsessive-compulsive personality disorder involves

perfectionism, with a focus on orderliness and control. preoccupied with details and rules that they may attempt to control others' behavior. The nurse's best response is to not engage the client by saying he or she will continue to follow the care plan.

The trait of shyness predisposes people to

schizoid personality disorder.