Psychiatric Mental Health Nursing Exam 2
1. Personality Disor- Enduring pattern of inner experience and behavior deviating from individual's
der culture in a pervasive and inflexible way
*Cannot be cured*
2. Cluster A Personali- - Odd, eccentric thinking + behaviors
ty Disorders - Paranoid, Schizoid, Schizotypal Personality Disorders
3. Cluster B Personali- - Dramatic, erratic, emotional behaviors
ty Disorders - Antisocial, Borderline, Histrionic, Narcissistic Personality Disorders
4. Cluster C Personali- - Anxious, fearful, controlling behaviors
ty Disorders - Avoidant, Dependent, Obsessive-Compulsive Personality Disorders
5. Cluster A Onset Presents in childhood/adolescence characterized by:
- Solitariness
- Poor peer relationships
- Underachievement in school
- Individual seen as odd/eccentric
6. Paranoid Personali- "GET FACT"
ty Disorder Grudges held for long period
Exploitation expected
Trustworthiness of others doubted
Fidelity of sexual partner questioned
Attacks on character are perceived
Confides in others rarely, if at all
Threatening meanings read into events
, Psychiatric Mental Health Nursing Exam 2
7. Schizotypal Person- "UFO AIDER"
ality Disorder Unusual perceptions
Friendliness except for family
Odd beliefs, thinking, speech
Affect - inappropriate, constricted
Ideas of reference
Doubts others - suspicious
Eccentric - appearance/behavior
Reluctant in social situations - anxious
8. Schizoid Personali- "SIR SAFE"
ty Disorder Solitary lifestyle
Indifferent to praise or criticism
Relationships of no interest
Sexual experiences not of interest
Activities not enjoyed
Friends lacking
Emotionally cold and detached
9. Cluster A Interven- - Rarely seek psychiatric treatment
tions - Establish trust + rapport
- Be open + honest, but not too warm
, Psychiatric Mental Health Nursing Exam 2
- Ignore/gently confront odd beliefs/behaviors
- Suggest CBT to enhance social skills
10. Cluster B Onset Gender:
Male: antisocial PD, narcissistic PD
Female: borderline PD, histrionic PD
Age: diagnosed after 18, may see decrease in symptoms at midlife
Etiology: neurophysiology, genetics
*High rates of depression, substance abuse
11. Borderline Person- "I RAISED A PAIN"
ality Disorder (BPD) Identity disturbance
Relationships are unstable
Abandonment frantically avoided (whether real or imagined)
Impulsivity
Suicidal gestures (threats, self-mutilation, etc.)
Emptiness
Dissociative symptoms
Affective instability
Paranoid ideation
Anger is poorly controlled
Idealization followed by devaluation
Negativistic (undermine themselves with self-defeating behavior)
1. Personality Disor- Enduring pattern of inner experience and behavior deviating from individual's
der culture in a pervasive and inflexible way
*Cannot be cured*
2. Cluster A Personali- - Odd, eccentric thinking + behaviors
ty Disorders - Paranoid, Schizoid, Schizotypal Personality Disorders
3. Cluster B Personali- - Dramatic, erratic, emotional behaviors
ty Disorders - Antisocial, Borderline, Histrionic, Narcissistic Personality Disorders
4. Cluster C Personali- - Anxious, fearful, controlling behaviors
ty Disorders - Avoidant, Dependent, Obsessive-Compulsive Personality Disorders
5. Cluster A Onset Presents in childhood/adolescence characterized by:
- Solitariness
- Poor peer relationships
- Underachievement in school
- Individual seen as odd/eccentric
6. Paranoid Personali- "GET FACT"
ty Disorder Grudges held for long period
Exploitation expected
Trustworthiness of others doubted
Fidelity of sexual partner questioned
Attacks on character are perceived
Confides in others rarely, if at all
Threatening meanings read into events
, Psychiatric Mental Health Nursing Exam 2
7. Schizotypal Person- "UFO AIDER"
ality Disorder Unusual perceptions
Friendliness except for family
Odd beliefs, thinking, speech
Affect - inappropriate, constricted
Ideas of reference
Doubts others - suspicious
Eccentric - appearance/behavior
Reluctant in social situations - anxious
8. Schizoid Personali- "SIR SAFE"
ty Disorder Solitary lifestyle
Indifferent to praise or criticism
Relationships of no interest
Sexual experiences not of interest
Activities not enjoyed
Friends lacking
Emotionally cold and detached
9. Cluster A Interven- - Rarely seek psychiatric treatment
tions - Establish trust + rapport
- Be open + honest, but not too warm
, Psychiatric Mental Health Nursing Exam 2
- Ignore/gently confront odd beliefs/behaviors
- Suggest CBT to enhance social skills
10. Cluster B Onset Gender:
Male: antisocial PD, narcissistic PD
Female: borderline PD, histrionic PD
Age: diagnosed after 18, may see decrease in symptoms at midlife
Etiology: neurophysiology, genetics
*High rates of depression, substance abuse
11. Borderline Person- "I RAISED A PAIN"
ality Disorder (BPD) Identity disturbance
Relationships are unstable
Abandonment frantically avoided (whether real or imagined)
Impulsivity
Suicidal gestures (threats, self-mutilation, etc.)
Emptiness
Dissociative symptoms
Affective instability
Paranoid ideation
Anger is poorly controlled
Idealization followed by devaluation
Negativistic (undermine themselves with self-defeating behavior)
