NR 547 QUESTIONS AND ANSWERS LATEST UPDATE
Match the client presentations with the correct type of cluster C personality
disorder:
Nora is a 19-year-old who presents with feelings of anxiety. She states that she
feels helpless and anxious when she has to make decisions. Her parents want her
to move to on-campus housing, but she is afraid to live by herself and has
become preoccupied with thinking about what might happen if she moves on
campus. Nora states that she asked her mother to choose her classes for her first
college semester because she was not able to complete the task due to feelings
of extreme distress. She admitted that she doesn't have an interest in some of the
classes but is afraid her mom will be disappointed in her if she speaks up about
it.
Dependent personal disorder
Rationale: Nora meets diagnostic criteria for dependent personality disorder. She has
difficulty making decisions without input from others, has difficulty expressing
disagreement, and has feelings of discomfort about being alone and caring for herself.
10 specific types of personality disorders in the DSM-5-TR:
-Antisocial personality disorder
-Avoidant personality disorder
-Borderline personality disorder
-Dependent personality disorder
-Histrionic personality disorder
-Narcissistic personality disorder
-Obsessive-compulsive personality disorder
-Paranoid personality disorder
-Schizoid personality disorder
-Schizotypal personality disorder
Antisocial personality disorder:
,a pattern of disregarding or violating the rights of others. A person with antisocial
personality disorder may not conform to social norms, may repeatedly lie or deceive
others, or may act impulsively
Avoidant personality disorder:
a pattern of extreme shyness, feelings of inadequacy, and extreme sensitivity to
criticism. People with avoidant personality disorder may be unwilling to get involved with
people unless they are certain of being liked, be preoccupied with being criticized or
rejected, or may view themselves as not being good enough or socially inept.
Borderline personality disorder:
a pattern of instability in personal relationships, intense emotions, poor self-image and
impulsivity. A person with borderline personality disorder may go to great lengths to
avoid being abandoned, have repeated suicide attempts, display inappropriate intense
anger, or have ongoing feelings of emptiness.
-may last from only a few hours to days
Dependent personality disorder:
a pattern of needing to be taken care of and submissive and clingy behavior. People
with dependent personality disorder may have difficulty making daily decisions without
reassurance from others or may feel uncomfortable or helpless when alone because of
fear of inability to take care of themselves.
Histrionic personality disorder:
a pattern of excessive emotion and attention-seeking. People with histrionic personality
disorder may be uncomfortable when they are not the center of attention, may use
physical appearance to draw attention to themselves or have rapidly shifting or
exaggerated emotions.
Narcissistic personality disorder:
a pattern of need for admiration and lack of empathy for others. A person with
narcissistic personality disorder may have a grandiose sense of self-importance, a
sense of entitlement, take advantage of others or lack empathy.
Obsessive-compulsive personality disorder:
a pattern of preoccupation with orderliness, perfection and control. A person with
obsessive-compulsive personality disorder may be overly focused on details or
, schedules, may work excessively, not allowing time for leisure or friends, or may be
inflexible in their morality and values.
-NOT the same as obsessive-compulsive disorder
Paranoid personality disorder:
a pattern of being suspicious of others and seeing them as mean or spiteful. People
with paranoid personality disorder often assume people will harm or deceive them and
don't confide in others or become close to them.
Schizoid personality disorder:
being detached from social relationships and expressing little emotion. A person with
schizoid personality disorder typically does not seek close relationships, chooses to be
alone and seems to not care about praise or criticism from others.
Schizotypal personality disorder:
a pattern of being very uncomfortable in close relationships, having distorted thinking
and eccentric behavior. A person with schizotypal personality disorder may have odd
beliefs or odd or peculiar behavior or speech or may have excessive social anxiety.
Personality disorder tx:
Commonly used types of psychotherapy:
-Psychoanalytic/psychodynamic/transference-focused therapy
-Dialectical behavior therapy
-Cognitive behavioral therapy
-Group therapy
-Psychoeducation (teaching the individual and family members about the diagnosis,
treatment and ways of coping)
no medications specifically used to treat personality disorders
-antidepressants, anti-anxiety medication or mood-stabilizing medication, may be
helpful in treating some symptoms
Prevalence of Personality Disorders in Adults
The prevalence of any personality disorder was 9.1% and borderline personality
disorder was 1.4%.
Personality Disorders Co-morbidity with Other Mental Disorders in Adults
Match the client presentations with the correct type of cluster C personality
disorder:
Nora is a 19-year-old who presents with feelings of anxiety. She states that she
feels helpless and anxious when she has to make decisions. Her parents want her
to move to on-campus housing, but she is afraid to live by herself and has
become preoccupied with thinking about what might happen if she moves on
campus. Nora states that she asked her mother to choose her classes for her first
college semester because she was not able to complete the task due to feelings
of extreme distress. She admitted that she doesn't have an interest in some of the
classes but is afraid her mom will be disappointed in her if she speaks up about
it.
Dependent personal disorder
Rationale: Nora meets diagnostic criteria for dependent personality disorder. She has
difficulty making decisions without input from others, has difficulty expressing
disagreement, and has feelings of discomfort about being alone and caring for herself.
10 specific types of personality disorders in the DSM-5-TR:
-Antisocial personality disorder
-Avoidant personality disorder
-Borderline personality disorder
-Dependent personality disorder
-Histrionic personality disorder
-Narcissistic personality disorder
-Obsessive-compulsive personality disorder
-Paranoid personality disorder
-Schizoid personality disorder
-Schizotypal personality disorder
Antisocial personality disorder:
,a pattern of disregarding or violating the rights of others. A person with antisocial
personality disorder may not conform to social norms, may repeatedly lie or deceive
others, or may act impulsively
Avoidant personality disorder:
a pattern of extreme shyness, feelings of inadequacy, and extreme sensitivity to
criticism. People with avoidant personality disorder may be unwilling to get involved with
people unless they are certain of being liked, be preoccupied with being criticized or
rejected, or may view themselves as not being good enough or socially inept.
Borderline personality disorder:
a pattern of instability in personal relationships, intense emotions, poor self-image and
impulsivity. A person with borderline personality disorder may go to great lengths to
avoid being abandoned, have repeated suicide attempts, display inappropriate intense
anger, or have ongoing feelings of emptiness.
-may last from only a few hours to days
Dependent personality disorder:
a pattern of needing to be taken care of and submissive and clingy behavior. People
with dependent personality disorder may have difficulty making daily decisions without
reassurance from others or may feel uncomfortable or helpless when alone because of
fear of inability to take care of themselves.
Histrionic personality disorder:
a pattern of excessive emotion and attention-seeking. People with histrionic personality
disorder may be uncomfortable when they are not the center of attention, may use
physical appearance to draw attention to themselves or have rapidly shifting or
exaggerated emotions.
Narcissistic personality disorder:
a pattern of need for admiration and lack of empathy for others. A person with
narcissistic personality disorder may have a grandiose sense of self-importance, a
sense of entitlement, take advantage of others or lack empathy.
Obsessive-compulsive personality disorder:
a pattern of preoccupation with orderliness, perfection and control. A person with
obsessive-compulsive personality disorder may be overly focused on details or
, schedules, may work excessively, not allowing time for leisure or friends, or may be
inflexible in their morality and values.
-NOT the same as obsessive-compulsive disorder
Paranoid personality disorder:
a pattern of being suspicious of others and seeing them as mean or spiteful. People
with paranoid personality disorder often assume people will harm or deceive them and
don't confide in others or become close to them.
Schizoid personality disorder:
being detached from social relationships and expressing little emotion. A person with
schizoid personality disorder typically does not seek close relationships, chooses to be
alone and seems to not care about praise or criticism from others.
Schizotypal personality disorder:
a pattern of being very uncomfortable in close relationships, having distorted thinking
and eccentric behavior. A person with schizotypal personality disorder may have odd
beliefs or odd or peculiar behavior or speech or may have excessive social anxiety.
Personality disorder tx:
Commonly used types of psychotherapy:
-Psychoanalytic/psychodynamic/transference-focused therapy
-Dialectical behavior therapy
-Cognitive behavioral therapy
-Group therapy
-Psychoeducation (teaching the individual and family members about the diagnosis,
treatment and ways of coping)
no medications specifically used to treat personality disorders
-antidepressants, anti-anxiety medication or mood-stabilizing medication, may be
helpful in treating some symptoms
Prevalence of Personality Disorders in Adults
The prevalence of any personality disorder was 9.1% and borderline personality
disorder was 1.4%.
Personality Disorders Co-morbidity with Other Mental Disorders in Adults
