Identify characteristics of personality disorders as a whole - Answers Enduring patterns of behavior:
began in childhood/adolescents that continue into adulthood
It is inflexible and pervasive in all areas of the person's social interaction
It is not associated with medical conditions
Name the personality disorders found in Cluster A - Answers Paranoid, schizoid, schizotypal
Name the personality disorders found in Cluster B: dramatic/emotional/erratic - Answers antisocial,
borderline, histrionic, narcissistic
Name the personality disorders found in Cluster C: anxious/fearful - Answers Dependent, avoidant,
obsessive compulsive
What is Paranoid Personality Disorder - Answers The person perceives that all people are out to get
them, undermine them.
Believes spouse/significant other is unfaithful even when there is no evidence- very controlling. Ver
suspicious of people give compliments or statements of loyalty.
Nursing interventions to use for a person with Paranoid Personality disorder. - Answers Be neutral in
approach, respectful, matter of fact. Ask permission to complete tasks. Give straight forward
explanations of what you will be doing
What is Schizoid Personality Disorder? - Answers The person acts like detachment-hermits. Does not
desire close relationships. Emotionally cold
Nursing interventions to use for person with schizoid personality disorder. - Answers Tell client what to
expect and what is expected from him for each task. Simplify and clarify what you will be doing
What is Schizotypal Personality Disorder - Answers The person is uncomfortable in realtionships.
Excessive social anxiety, typically unhappy about not having close relationships eccentric/odd beliefs
Antisocial Personality Disorder - Answers The person has total disregard for other and violates others
rights
Does not conform to social norms, problems with the law, no guilt about what he/she has done,
typically has diagnosis of conduct disorder before age 15.
Nursing interventions to use for person with antisocial personality disorder - Answers Very structured
milieu, Identify limits of behavior-what is expected, set limits on manipulative behavior and
, unacceptable behaviors, consistency in expectations for all clients from all staff, staff can discuss
problems and provide support for each other, teach to communicate needs.
Borderline Personality Disorder - Answers Main issue: abandonment
Develops unstable and intense relationships, people are perceives as all good/all bad no in between:
splitting, unstable self image, involved in behaviors that are self-damaging: Chemical abuse,
overspending, sexual
Self-mutilation: used to reduce anxiety and relieve emotional pain and need to feel alive
Histrionic Personality Disorder - Answers Very dramatic/highly emotional must be at center of attention,
clothes may be seductive or loud colors, elaborate fantasies about others: idealize
Narcissistic Personality Disorder - Answers Grandiose in perception of self-sees self as superior to other.
Strong need to be admired, lack of empathy for others, whole purpose of life is to have others meet
their needs. Sense of shame: never to make a mistake and don't allow others to make mistakes
Avoidant Personality Disorder - Answers The person is shy and avoids conflict, sense of inadequacy,
preoccupied with fear of rejection and criticism, low self-esteem
Nursing interventions to use for person with avoidant personality disorder - Answers Friendly, gentle,
reassuring approach
Dependent Personality Disorder - Answers The person perceives self as incapable of making decisions or
living life alone Clingy/excessive submission/passive.
Nursing interventions to use for person with dependent personality disorder - Answers Help person to
make decisions and to do things for self, identify that you cannot make decisions for them, praise when
person does make decisions
What is Obsessive-Compulsive Personality Disorder - Answers The person is right in expectations;
Absolute perfectionist, typically has difficulty getting things done because the task is not perfect, literal
enforcer of rules, Their way is the only way
Identify some long term patient goals for patients who have personality disorders - Answers Patient will:
1) Identify consequences to both functional and dysfunctional behaviors
2) Identify other ways of interacting with others- relationships
3) Learn and master skills that facilitate functional behaviors
4) Learn new ways to express anger, anxiety, shame
Addiction - Answers Use of the drug continues despite the presence of related problems and tendency
to relapse after stopping use. (Halter 672)