NUR 410 Personality Disorders NOTES Study Guide
OUTCOMES Correct Answer-1. Identify the clinical manifestations of
the 10 Personality disorders.
2. Discuss common behavioral patterns in the Personality disorders the
nurse will need to manage.
Clinical Picture of Personality Disorder Correct Answer-3 clusters—
A,B,C
(A,B,C not in book, not testable but will help us learn the disorders and
understand)
o A = Odd or Eccentric
paranoid, schizoid, schizotypal
o B = Dramatic, Emotional, Erratic
antisocial, borderline, histrionic, narcissistic
o C = Anxious or Fearful
avoidant, dependent, obsessive-compulsive
Paranoid Personality Disorder
Odd or Eccentric
Cluster A Correct Answer-o Pervasive distrust & suspiciousness of
others such that their motives are interpreted as malevolent
,o Beginning by early adulthood & present in a variety of contexts as
indicated by 4 or more of:
--Suspects w/o sufficient basis, that others are exploiting, harming, or
deceiving self
--Is PREOCCUPIED W/ UNJUSTIFED DOUBTS about the loyalty or
trustworthiness of friends or associates
--Is reluctant to confide in others bc of unwarranted fear that the info
will be used maliciously against self
--Persistently bears grudges
--PERCEIVES ATTACKS on his or her character or reputation that are
not apparent to others and is quick to react angrily or to counterattack
--Has recurrent SUSPICIONS W/O JUSTIFICATION, regarding
fidelity of spouse or sexual partner
• Jealous, controlling, unwillingness to forgive
• Hard to interview bc they are reluctant to share info
• Very anxious about being harmed
Nursing Guidelines for Paranoid PD Correct Answer-Avoid being too
nice or friendly
Give clear, straightforward explanations of tests, procedures beforehand
Use simple, clear language, avoid ambiguity
Project a neutral but kind affect
, Warn about any changes, side effects of meds, and reasons for delay
Suggested therapies for Paranoid PD Correct Answer-o Psychotherapy
first
o Cognitive & behavior measures
o Group therapy may help w/ social skills
o antidepressants or antianxiety, antipsychotics
Correct Answer-
SchizoID Personality Disorder
Odd or Eccentric
Cluster A Correct Answer-o Pervasive pattern of detachment from social
relationships & a restricted range of expression in interpersonal settings
o Beginning by early adulthood & present by 4 or more of the following:
Neither desires not enjoys close relationships, including being part of a
family
Almost always chooses SOLIDARY ACTIVITIES
Has little, if any, interest in sexual experiences w/ another person
Takes pleasure in few, if any, activities
LACKS CLOSE FRIENDS OR CONFIDANTS OTHER THAN 1ST
DEGREE RELATIVES
Appears indifferent to the praise or criticism of others
OUTCOMES Correct Answer-1. Identify the clinical manifestations of
the 10 Personality disorders.
2. Discuss common behavioral patterns in the Personality disorders the
nurse will need to manage.
Clinical Picture of Personality Disorder Correct Answer-3 clusters—
A,B,C
(A,B,C not in book, not testable but will help us learn the disorders and
understand)
o A = Odd or Eccentric
paranoid, schizoid, schizotypal
o B = Dramatic, Emotional, Erratic
antisocial, borderline, histrionic, narcissistic
o C = Anxious or Fearful
avoidant, dependent, obsessive-compulsive
Paranoid Personality Disorder
Odd or Eccentric
Cluster A Correct Answer-o Pervasive distrust & suspiciousness of
others such that their motives are interpreted as malevolent
,o Beginning by early adulthood & present in a variety of contexts as
indicated by 4 or more of:
--Suspects w/o sufficient basis, that others are exploiting, harming, or
deceiving self
--Is PREOCCUPIED W/ UNJUSTIFED DOUBTS about the loyalty or
trustworthiness of friends or associates
--Is reluctant to confide in others bc of unwarranted fear that the info
will be used maliciously against self
--Persistently bears grudges
--PERCEIVES ATTACKS on his or her character or reputation that are
not apparent to others and is quick to react angrily or to counterattack
--Has recurrent SUSPICIONS W/O JUSTIFICATION, regarding
fidelity of spouse or sexual partner
• Jealous, controlling, unwillingness to forgive
• Hard to interview bc they are reluctant to share info
• Very anxious about being harmed
Nursing Guidelines for Paranoid PD Correct Answer-Avoid being too
nice or friendly
Give clear, straightforward explanations of tests, procedures beforehand
Use simple, clear language, avoid ambiguity
Project a neutral but kind affect
, Warn about any changes, side effects of meds, and reasons for delay
Suggested therapies for Paranoid PD Correct Answer-o Psychotherapy
first
o Cognitive & behavior measures
o Group therapy may help w/ social skills
o antidepressants or antianxiety, antipsychotics
Correct Answer-
SchizoID Personality Disorder
Odd or Eccentric
Cluster A Correct Answer-o Pervasive pattern of detachment from social
relationships & a restricted range of expression in interpersonal settings
o Beginning by early adulthood & present by 4 or more of the following:
Neither desires not enjoys close relationships, including being part of a
family
Almost always chooses SOLIDARY ACTIVITIES
Has little, if any, interest in sexual experiences w/ another person
Takes pleasure in few, if any, activities
LACKS CLOSE FRIENDS OR CONFIDANTS OTHER THAN 1ST
DEGREE RELATIVES
Appears indifferent to the praise or criticism of others
