NURS 344 Exam 3 With Complete Solution

NURS 344 Exam 3 With Comp lete Solut ion Personality - ANSWER complex set of psychological characteristics that are not easily altered and that are largely outside the person's awareness personality disorder - ANSWER enduring patters of inner experience and behavior that deviates markedly from the expectations of the individuals culture. Patterns are pervasive and inflexible and lead to distress, impairment, or social destruction diathesis-stress model - ANSWER takes into consideration multiple factors. Biopsychosocial Tools to assess personality disorders - ANSWER MMPI, SCID problems with using tools - ANSWER increased false positives leading to over diagnosing treatment of personality disorders - ANSWER resistant to treatment, poor insight, treatment initiated when the patient is a danger to self or others, or they can no longer function. treatment of choice for personality disorders - ANSWER CBT assessment findings of borderline personality disorder - ANSWER separation anxiety, ideas of reference, emotionally hypersensitive and labile, thought disturbances, antagonism, possibly violence, splitting defense mechanism, dichotomous thinking, impulsive behaviors, self-mutilation reasons for self-mutilation - ANSWER relieve intensive emotions, manipulation, attention seeking behaviors Goals for Borderline Personality Disorder - ANSWER set clear, realistic goals short-term focus on behaviors treat co-morbid states interventions for borderline personality disorder - ANSWER be aware of manipulative behaviors, set clear boundaries and limits with clear consequences, clear and straightforward communication, assess for suicidal and self-mutilation behaviors, help them identify and appropriately express their feelings, individual psychotherapy, DBT, and group therapy medications for borderline personality disorder - ANSWER SSRIs and SSNRIs antipsychotics antidepressants SSRIs - ANSWER fluoxetine sertraline paroxetine citalopram escitalopram antidepressants SNRIs - ANSWER venlafaxine duloxetine desvenlafaxine antipsychotics - ANSWER clozapine risperidone olanzapine quetiapine haloperidol outcomes for borderline personality disorder - ANSWER short-term goals geared towards behaviors are achieved assessment findings for antisocial personality disorder - ANSWER seem "normal" and can be very charismatic high manipulative behaviors depressant and anxiety internally exploitive, aggressive, seductive, callous, lacking empathy and conscience high risk for substance use goals for antisocial personality disorder - ANSWER set clear, realistic short-term goals set limits on behaviors with clear and appropriate consequences treat co-morbid states interventions for antisocial personality disorder - ANSWER attempt to prevent or reduce effects of manipulation set clear and realistic limits on behaviors ensure plan adherence by all staff