Verified Solutions
what is the goal of a therapeutic community or milieu therapy? ANS increasing self esteem
what is the role of the nurse in milieu therapy ANS ensure physiological and psychological needs are met
what does secondary prevention focus on (2 things) ANS early detection and prompt intervention
lessen debilitating s/s, minimize and prevent episodes, improve function, enhance independence and lessen
family burden ANS PACT team
what meds are used for borderline personality disorder ANS antidepressants (SSRI), mood stabilizing
agents (lithium and valproic acid-depakote), anxiolytics (prams, lams), antipsychotics (risperidone, olanzapine,
quetiapine), Naltrexone (to prevent injury to self), anticonvulsants
what is the main goal with mental illness ANS safety
implementation for BPD ANS determine suicide risk, be calm, patient, never tell personal info, be cautious
of charm, avoid splitting, low stimuli, decrease visitors, observe frequently, remove dangerous objects,
encourage to journal and verbalize feelings
What labs are assessed in BPD ANS Substance abuse, albumin for nutritional intake, STDs
Assessment components for BPD ANS Patient history, self-assessment form what do they say, observe for
self mutilation, what do they look like, mood swings, unstable behaviors, determine if they have a plan to harm
themselves
What do you do if self mutilation occurs, how do you handle it ANS Handle it with a matter of fact, no
empathy, help their situation but do not give into the attention seeking
what is Obsessive compulsive *Personality disorder ANS Most common in men, they are serious, Formal,
disciplined, fear mistakes, loyal independent responsible, controlled rigid, difficulty expressing emotion,
overly disciplined, perfectionist, inflexible, scheduled list and rules, fearful of making mistakes, devoted to
, work, highly successful, they think emotion is irresponsible, diligent, strive for approval, they may be angry is
devoted to work, highly successful, they think emotion is irresponsible, diligent, strive for approval, they may
be angry inside, *DO NOT HAVE OBSESSIONS OR COMPULSIONS
What is dependent personality disorder ANS Low confidence, rely on others, no decisions, submissive,
lack of confidence, extreme reliance on others, excessive need to be cared for, passive, avoid responsibilities,
sensitive, fear of loss of love, helpless, attached, often in abusive relations
What is avoidant personality disorder ANS Lonely, fear of rejection, they want a relationship but are
scared of rejection, shy, timid, mistrustful, awkward, need reassurance, sensitive, withdrawn, low self-esteem,
they feel like they are not wanted
What is narcissistic personality disorder ANS Most common in men, high self-esteem, they think they are
worthy, no empathy, self-centered, cannot stand criticism, typically does not affect their functioning, but they
struggle in relationships, blame others, why often, often insecure inside
What is antisocial personality disorder ANS Most common in men, irresponsible, manipulative, guiltless
no remorse, 50% of prison population, exploit others for personal gain, disregards the rights of others and the
law, cannot keep a job or relationship, want immediate gratification, no desire for intimacy, they fake being
guilty if they know a punishment is coming, emotional deficit, impulsive, keep your word!
How should you deal with somebody with an antisocial personality disorder ANS Consistency is key and
make rules clear
What personality disorder is diagnosed as Conduct Disorder under 18 yrs old ANS Antisocial Personality
disorder
What is histrionic personality disorder ANS Most common in women, colorful, dramatic, extrovert,
seductive and flirty, manipulative, easily influenced, dependent, complains all the time, psychosis, loves
attention, emotional, difficulty in relationships, want to be admired, does not pay attention to detail, anxiety
What is borderline personality disorder ANS Most common in women, manipulative, fear being alone,
impulsive, anger and temper, self harm, alcohol and drug use, unstable self image, self-destruction like cutting,
STDs because of sex with anyone, changing relationships, they like chaotic relationships, fear of abandonment,
clingy, angry, Paranoid, fidgety, change in jobs
Most known personality disorder ANS BPD