| A | B |
|---|
| Characteristic of Personality Disorders | Lead to distress |
| Common theme of dramatic and emotional cluster | Inability to maintain close interpersonal relationships |
| Borderline Personality Disorder | Frantic efforts to avoid real or imagined abandonment |
| Client most likely to develop Borderline Personality Disorder | Female with unstable, chaotic family; comorbid depression; and substance abuse |
| Physical risk for Borderline Personality Disorder | Suicide |
| Borderline Personality Disorder Characteristic | Self-mutilating behavior, especially cutting on self |
| Most Desirable Treatment Program for Borderline | Long-term counseling and multiple medications |
| Client most likely to develop Narcissistic Personality Disorder | Male with familial adoration, expectation to be perfect, and a rigid personality |
| Characteristics of Narcissistic Personality Disorder | Overestimation of abilities, inflated self-esteem, and a sense of entitlement |
| Description of Narcissist | Arrogant, critical, and ruthless |
| Therapeutic approach to use with Personality Disorders | An unemotional but supportive approach |
| Description of Histrionic Personality Disorder | self-centered introjections, flirty behavior, dramatic and theatrical manner |
| Primary aim of Histrionic behavior | Keep the person as the focus of attention |
| Characteristics of Antisocial Personality Disorder | Manipulative, lying, violent, using others, charming, irritable, and bullying |
| Risk associated with Antisocial Personality Disorder | When client does not get their way, the nurse may be at physical risk from the client |
| Characteristics of Schizoid Personality Disorder | Stand out from peers as loners and underachievers |
| Therapeutic approach for Schizoid | Assist client to change some behavior characteristics, but not his or her basic personality |
| Intervention for Schizotypical using strange language not understood by others | Give the client realistic feedback on why the nurse & others don't understand him |
| Schizoid & Schizotypical | Per MRI & CT, theorized that these personality disorders may be milder form along the schizophrenia continuum |
| Paranoid Personality Disorder | Suspicious of others |
| Theorized cause of Paranoid Personality Disorder | Controlling, abusive, cruel, or sadistic parent during childhood |
| Psychosis in Paranoid Personality Disorder | Probably caused by a period of pronounced physical or psychosocial stress |
| Therapeutic approach for Paranoid Personality Disorder | Mantain a nonemotional and matter-of-fact manner |
| Obsessive-Compulsive Personality Disorder Characteristics | Preoccupied with order, details, schedules, cleanliness, control, and perfection that interfers with task completion |
| Developmental History of person with Obsessive-Compulsive Personality Disorder | Family where there was punishment for lack of perfection and coldness |
| Obsessive-Compulsive Trait | May be an asset for treatment compliance |
| Avoidant Personality Disorder Characteristics | Social inhibition, feelings of inadequacy, rarely initiates interactions or quickly disengages for fear of criticism or rejection |
| Dependent Personality Disorder Characteristic | Trouble making decisions |
| Developmental History of person with Dependent Personality Disorder | Parents who were overly protective and did not allow the child to do things for herself |
| Developmental History of person with Passive-Aggressive or negativistic personality behaviors | Abrupt loss of nurturance, followed by unfair or excessive developmental demands |
| Nursing Care of Personality Disorder | Requires nursing team that support each other |
