Sbvc Pt 086 Final Study Guide Review.docx

SBVC PT 086 FINAL STUDY GUIDE
REVIEW



There0are0_____0personality0disorders0-0ans✔10

Prevalence0is0_______0of0the0general0population0may0have0a0personality0disorder0-
0ans✔10-15%


Associated0features0in0general,0__________0are0common0symptoms0-
0ans✔anxiety0and0depression


Ego-dystonic-
emotionally0distressed0with0disorder0or0situation;0this0person0____________________.
0-0ans✔is0more0likely0to0seek0help


Ego-syntonic-
emotionally0comfortable0with0the0disorder0or0situation.0This0person0_______________
___.0-0ans✔is0less0likely0to0seek0help

Cluster0B0personality0disorders0-0ans✔antisocial,0borderline,0histrionic,0narcissistic

Cluster0C0personality0disorders0-0ans✔avoidant,0dependent,0obsessive-compulsive

Common0characteristics0of0Cluster0B0-
0ans✔dramatic,0emotional,0erratic,0impulsive,0poor0judgment


Common0characteristics0of0Cluster0C0-
0ans✔anxious,0fearful,0resents0suggestions,0fail0to0do0their0share0of0work,0think0they0a
re0doing0better0than0they0actually0are

Cluster0A0personality0disorders0-0ans✔paranoid,0schizoid,0schizotypal

Common0characteristics0of0Cluster0A0-0ans✔odd,0eccentric

Paranoid0personality0disorder0patients0perceives0attacks0-
0ans✔on0their0character0that0are0not0apparent0to0others;0is0quick0to0react0angrily/
counter0attack

,Paranoid0behaviors0regarding0their0intimate0partner0involves0-
0ans✔unjustified0recurrent0suspicions0of0their0infidelity


Paranoid0personality0disorder0feelings0are0-
0ans✔restricted0feelings;0may0take0pride0in0being0cold,0emotional,0doesn't0show0tende
r0feelings

Paranoid0Personality0Disorder0Defense0Mechanism0-0ans✔projection

Paranoia0associated0features0may0appear0tense,0has0a0difficult0time0relaxing,0and0lack
s0_____________________0-0ans✔a0sense0of0humor

Paranoid0patients0use0the0defense0mechanism:0-0ans✔projection

Paranoid0people0excessively0need0to0be0self0sufficient0and0have0a0strong0sense0of0au
tonomy0since0they0-0ans✔lack0trust0in0others

Paranoia0Disorder0causes0the0need0to0-0ans✔control0others0around0them

Paranoia0Disorder0causes0patients0to0frequently0become0-
0ans✔engaged0in0legal0disputes


Paranoia0Disorder0is0more0commonly0diagnosed0in0-0ans✔men

Predisposing0Factors0of0Paranoia0Disorder0-
0ans✔Occurs0amongst0relatives0of0clients0with0schizophrenia0more0than0the0general0p
opulation

Parents0may0have0harassed0patients0of0paranoia0personality0disorder:0-
0ans✔used0as0scapegoats0for0parental0aggression,0no0hope0for0affection/approval


Patients0of0Paranoia0Personality0Disorder0see0the0world0as0-
0ans✔harsh0and0unkind;0they0anticipate0humiliation/
betrayal0by0others,0learn0to0attack0first

Personality0disorders0most0commonly0seen0in0a0hospital0setting:0-
0ans✔schizotypal,0antisocial0and0borderline


schizotypal,0antisocial0and0borderline0personality0disorders0tend0to0be0-0ans✔annoying

There0is0______________0to0treat0paranoia0disorders0-0ans✔no0specific0medications

Antidepressants,0anti-anxiety,0antipsychotics0and0mood0stabilizers0-
0ans✔are0used0to0treat0the0symptoms0of0paranoia0personality0disorder0but0not0cure

,Paranoid0Personality0disorder0have0a0pervasive0distrust/
suspiciousness0of0others0such0that0their0motives0are0interpreted0as0malevolent,0begin
ning0by0early0childhood0and0present0in0a0variety0of0contexts0as0indicated0by0four0or0m
ore0of0the0following:0-
0ans✔1.)0Suspects0others0that0are0exploiting,0harming,0or0deceiving0him/her
2.)0Is0preoccupied0with0unjustified0doubts0about0the0loyalty0or0trustworthiness0of0friend
s/associates
3.)0Is0reluctant0to0confide0in0others0because0of0unwarranted0fear0that0the0information0
will0be0used0maliciously0against0him/her
4.)0Reads0hidden0demeaning0or0threatening0meanings0into0benign0remarks0or0events
5.)0Persistently0bears0grudges,0is0unforgiving0of0insults,0injuries,0or0slights

Schizoid0Personality0Disorder0has0a0pervasive0pattern0of0detachment0from0social0relati
onships0and0a0restricted0range0of0expression0of0emotions0in0interpersonal0settings0be
ginning0by0early0adulthood0and0present0in0a0variety0of0contexts,0as0indicated0by0four0o
r0more0of0the0following:0-
0ans✔1.)0Neither0desires0nor0enjoys0close0relationships0(being0apart0of0a0family)
2.)0Almost0always0chooses0solitary0activities
3.)0Has0little0interest0in0having0sexual0experiences0with0another0person
4.)0Takes0pleasure0in0few0activities
5.)0Lacks0close0friends0other0than0relatives0(prefers0to0be0friends0with0animals)
6.)0Appears0indifferent0to0praise/criticism
7.)0Shows0emotional0coldness,0detachment,0or0flattened0affectivity

Schizoid0Personality0Disorder0Nursing0Interventions0-
0ans✔1.)0Remain0calm,0nonthreatening,0and0nonjudgmental0in0all0interactions
2.)0Accept0person's0beliefs0but0don't0confirm/argue0with0them
3.)0Maintain0"business0like0atmosphere"0(superficial0but0polite/curious)
4.)0Give0clear0information0regarding0confidentiality
5.)0Focus0on0feelings0("It0must0be0distressing0when...",0"you0see0him0as0vindictive...")

Schizoid0Personality0Disorder0Medical0Treatment0-
0ans✔Medication0may0not0help0since0the0patient0will0be0suspicious0of0them;0benzodia
zepines0(klonopine,0xanax,0ativan)0may0be0helpful0for0brief0crisis0management
Antipsychotics0may0help0psychosis0and0severe0agitation

Schizoid0Personality0Disorder0Psychosocial0Treatment0-
0ans✔Supportive0Psychotherapy0is0the0choice0of0treatment0although0it0takes0time0to0b
uild0trust0and0intimacy;0DOES0NOT0do0well0in0group0therapy

Schizoid0Personality0Disorder0Nursing0Interventions0include0assigning0the0same0staff0
member0to0-0ans✔develop0trust/
rapport;0encourage0group0participation0and0treatment0may0be0more0palliative0than0cur
ative0(help0manage0but0not0cure)
Open0ended0questions0are0best0because0of0short0answer0responses

, Schizoid0Personality0Disorder0Medical0Treatment0is0not0useful0except0for0-
0ans✔temporary0periods0of0excessive0anxiety;0antidepressants0and0antipsychotics0hel
p0manage0the0disorder0but0not0cure

Schizoid0Personality0Disorder0psychosocial0treatment:0-
0ans✔Most0will0not0seek0professional0help0for0their0diagnosis0but0for0comorbid0sympto
ms0such0as0depression0substance0abuse0and0other0issues
Long-
term0psychotherapy0has0been0useful0in0some0cases0(if0patient0is0motivated0and0has0e
xposure0of0social0tasks)
Group0therapy0can0help0overcome0fears0of0isolation

Schizoid0Personality0Disorder0patients0are0vague0about0goals0and0are0-
0ans✔indecisive


Schizoid0Personality0Disorder0males0rarely0date/marry0while0females0may0-
0ans✔passively0accept0courtship0and0marry


Schizoid0Personality0Disorder0occupational0functioning0may0be0impaired0but0may0-
0ans✔do0well0working0in0social0isolation


Schizoid0Personality0Disorder0features0of0aloofness0may0actually0be0-
0ans✔profound0shyness


Schizoid0Personality0Disorder0patients0are0seen0as0-
0ans✔absentminded,0a0loner,0in0a0"fog",0detached0from0others,0or0not0connected


Schizoid0Personality0Disorder0is0common0on0-0ans✔skid0row

Avoidant0personality0disorder0relationships0-0ans✔wants0friends

Schizoid0personality0disorder0relationships0-0ans✔doesn't0want0friends

Schizoid0Personality0Disorder0patients0don't0exhibit0-0ans✔eccentricities0of0speech

Schizoid0Personality0Disorder0is0diagnosed0slightly0more0in0-
0ans✔men0and0may0cause0more0impairment0in0them


Predisposing0Factors0of0Schizoid0Personality0Disorder0in0relatives0of0-
0ans✔schizophrenia0or0schizotypal0disorder


Schizoid0Personality0Disorder0childhoods0are0bleak,0cold,0un-
empathetic,0lacking0in0nurturing;0-
0ans✔as0adults0they0see0relationships0that0are0not0valuable0or0worth0pursuing