character traits of cluster A personality disorders?
odd, eccentric
character traits of cluster B personality disorders?
dramatic, emotional, erratic
Histrionic PD characteristics?
-women more commen
-drug use to fit in
-unsafe behaviors
-can become psychotic because of stress
-dependent on others
-constantly seeking attention and approval from others (ie: wearing lingerie in public)
character traits of cluster C personality disorders?
anxious, fearful
paranoid personality disorder characteristics?
-feel like people are out to get them
-not trusting
- misread social cues
antisocial PD characteristics?
- usually using substances
-HALLMARK SIGN: consistently violates the rights of others and do not feel guilty.
-low fear, low empathy
-highly reactive and that can express itself as aggression towards others
-doesnt care about rules or law
nursing management/treatment for a histrionic personality disorder?
-monitor behavior
-" go put on something acceptable to wear to group therapy"
- psychoanalytical therapy
avoidant personality disorder characteristics?
-really want relationships but fearful of rejection
-socially withdrawn
-anxious at fir
-feel lonely and unwanted
nursing management for paranoid personality disorder?
nursing management: build trust, rapport, monitor behavior, manage violent outbursts, use denial ("you are responsible for your own actions, we were not talking about you")
nursing management/treatment for antisocial personality disorder?
-SET BOUNDARIES!
-VERY CLEAR OUTCOMES TO THEIR UNWANTED BEHAVIOR
-do not make empty threats, only ones that you can follow through on
-make sure they know that their behavior is unacceptable, not their person.
-reduce stimuli
Narcissistic PD characteristics?
-usually because the child had everything they wants, or parents demanded perfection, so they grow up to demand perfection
-HALLMARK SIGN: lack empathy, very entitled to everything, hypersensitive to criticism.
-they use rationalization a lot
nursing management/treatment for avoidant PD?
-building trust and rapport is hard
-assess mood/affect
-coping skills for anxiety
-encourage group therapy!!
schizotypal personality disorder characteristics?
-inability to form personal relationships.
-eccentric, isolated, or lonely. Pattern of withdrawal and discomfort with human interactions
-psychotic symptoms can progress into schizophrenia
-speech patterns: clang associations
-magical thinking: actions will affect outcome, believe in sixth sense
-difficulty organizing thoughts
treatment for antisocial PD?
group therapy! this is because peer pressure from the group will make them act more *normal*.
-always monitor how they act with others
-if they threaten to harm other: call security
nursing management/treatment for narcissistic PD?
-group therapy is NOT the best for them. Don't actively keep them out of it, but let them skip
dependent personality disorder characteristics?
-women more common
-submissive
-wants decisions made for them
-dont like being alone because it leads to anxiety
nursing management/treatment for schizotypal personality disorder?
-build trust and rapport
-cognitive behavioral therapy
-antipsychotics
borderline personality disorder characteristics?
-usually more women than men
-clinging/distancing behaviours
-impulsive= self harm
-splitting behavior: asking mom then asking dad if she says no
nursing management/treatment for dependent PD?
-promote independent decision making!!!
-group therapy=empowerment!!!
schizoid personality disorder characteristics?
-loner
-solitary
-not usually dangerous
-do not want social interactions
nursing management/treatment for BPD?
build trust and rapport
-decrease self-injurious behavior
treatment: mood stabilizers, antipsychotics
-psychoanalytical therapy
-DBT: group skills, talk therapy, can reach therapist whenever they need them via phone
-make sure they know that their behavior is unacceptable, not their person.
obsessive-compulsive personality disorder characteristics?
-does have recurrent obsessions, without the compulsions.
-very detailed, likes rules and discipline
-anxious of making a mistake
-appears calm and collected but on the inside is very anxious
-likes schedules, structure
nursing management/treatment for obsessive-compulsive PD?
-assess for anxiety
-mood/affect congruency??