NUR2459- Concept Guide- Module 4-6
Module 07 - Nursing Care for Clients with Personality Disorders and Eating Disorders
Describe personality disorder: CLUSTER B
Borderline (the extremist, I love you/I hate you/don’t leave me) will self-injure if you leave them
bc they are trying to pull you back in – intervention: focus on dealing with manipulation, so set
boundaries - anticipated behaviors, nursing interventions, treatment options
Antisocial (don’t conform to society, rules don’t apply to them, they don’t care, they are going to
kill you type person) they have no empathy, no remorse, they really don’t care -– intervention: focus on
dealing with manipulation, so set boundaries - anticipated behaviors, nursing interventions, treatment
options
Understand nursing interventions for dealing with manipulation – set boundaries and that you are not
going to put life on hold for them - and splitting behaviors
Describe theory regarding personality: Mahler, Sullivan, Erikson
Mahler: those who develop borderline personality disorder, there has been an engagement/issue with
feeling safe and often has components of struggles with their mother and have a fear of abandonment that
carries over to adulthood. So these things happen as we age and is fostering our growth and development
of our personality that can lead to experiencing a personality disorder.
Sullivan: we need interaction, its our interpersonal relationships that influence us, he says that our early
relationships with our parents is crucial for our personality development. Since we are driven for the need
for interaction, the purpose of all behavior is to get those needs met and to reduce anxiety. So if the person
is not getting what they need, they begin to act out to get what they need.
Erikson: we are developing personality through our lifetime through stages. From infancy to later
adulthood, we have tasks we are meant to accomplish and therefore building our personality based upon
what we were able to achieve. In ages 12-20 adolescence stage 5 (identity v. role confusion) we
experience personal identity where you realize you are different than your parents and family and we
figure out who we are, so that helps us develop our personality. If we do not achieve some stages, we can
develop a personality disorder.
Describe teaching for client and family regarding personality disorders
Don’t whisper in front of them, they need to feel safe, communicate with them, set boundaries, do not
make decisions for them
Describe anorexia nervosa (address physiological needs -electrolytes, fluids, nutrition)- psychiatric side
, NUR2459- Concept Guide- Module 4-6
work on cognitive distortions -anticipated findings? Anticipated thought processes?
Describe bulimia nervosa (address physiological needs- electrolytes, fluids, nutrition)- psychiatric side
identify emotional triggers -anticipated findings? Anticipated thought processes?
Treatment options for eating disorders?
Module 08 - Nursing Care for Clients with Stress-Related Disorders
Module 07 - Nursing Care for Clients with Personality Disorders and Eating Disorders
Describe personality disorder: CLUSTER B
Borderline (the extremist, I love you/I hate you/don’t leave me) will self-injure if you leave them
bc they are trying to pull you back in – intervention: focus on dealing with manipulation, so set
boundaries - anticipated behaviors, nursing interventions, treatment options
Antisocial (don’t conform to society, rules don’t apply to them, they don’t care, they are going to
kill you type person) they have no empathy, no remorse, they really don’t care -– intervention: focus on
dealing with manipulation, so set boundaries - anticipated behaviors, nursing interventions, treatment
options
Understand nursing interventions for dealing with manipulation – set boundaries and that you are not
going to put life on hold for them - and splitting behaviors
Describe theory regarding personality: Mahler, Sullivan, Erikson
Mahler: those who develop borderline personality disorder, there has been an engagement/issue with
feeling safe and often has components of struggles with their mother and have a fear of abandonment that
carries over to adulthood. So these things happen as we age and is fostering our growth and development
of our personality that can lead to experiencing a personality disorder.
Sullivan: we need interaction, its our interpersonal relationships that influence us, he says that our early
relationships with our parents is crucial for our personality development. Since we are driven for the need
for interaction, the purpose of all behavior is to get those needs met and to reduce anxiety. So if the person
is not getting what they need, they begin to act out to get what they need.
Erikson: we are developing personality through our lifetime through stages. From infancy to later
adulthood, we have tasks we are meant to accomplish and therefore building our personality based upon
what we were able to achieve. In ages 12-20 adolescence stage 5 (identity v. role confusion) we
experience personal identity where you realize you are different than your parents and family and we
figure out who we are, so that helps us develop our personality. If we do not achieve some stages, we can
develop a personality disorder.
Describe teaching for client and family regarding personality disorders
Don’t whisper in front of them, they need to feel safe, communicate with them, set boundaries, do not
make decisions for them
Describe anorexia nervosa (address physiological needs -electrolytes, fluids, nutrition)- psychiatric side
, NUR2459- Concept Guide- Module 4-6
work on cognitive distortions -anticipated findings? Anticipated thought processes?
Describe bulimia nervosa (address physiological needs- electrolytes, fluids, nutrition)- psychiatric side
identify emotional triggers -anticipated findings? Anticipated thought processes?
Treatment options for eating disorders?
Module 08 - Nursing Care for Clients with Stress-Related Disorders
