Anxiety
An intense feeling of fear or terror that occurs suddenly and intermittently without warning may be cued or uncued describes a
panic attack.
Ineffective coping, related to suspiciousness, ambivalence, or projection
Schzoid personality disorder
Cluster A personality types exhibit ____ and _______ behaviors.
odd and eccentric
Drugs in this group are more useful in stopping acute, severe anxiety symptoms, like those seen in panic disorders. Because of their potential for tolerance and addictive tendencies, they are most suitable for short-term treatment. Used continuously, and without adjunctive psychotherapy, their anxiety-reducing effects tend to diminish and tolerance develops.
Benzodiazepines - Xanax (alprazolam), Ativan (lorazepam), Klonipin (clonazepam), Librium (chlordiazepoxide)...
True or False: The person with schizoid personality disorder is usually not concerned with how his or her behavior is perceived by others.
True
The person experiences an increased level of anxiety and excessive worry about various situations on most days over a period of at least 6 months describes,
Generalized anxiety disorder (GAD)
Dependent personality disorder nursing diagnosis:
Powerlessness, related to extreme feelings of dependency
Personality disorders in Cluster A include: schizoid,_______, and, _________.
schizotypal and, paranoid.
This therapy is effective in helping individuals replace negative thoughts and behaviors with more positive and productive ones.
Cognitive Behavioral Therapy
The quick change from clingy and dependent extremes to angry outbursts in a short period of time in this personality disorder is referred to as a “Jekyll and Hyde” characteristic.
Borderline Personality Disorder (BPD)
A state of panic results in sympathetic nervous system symptoms of
heart pounding, palpitations, shortness of breath, dizziness, sweating, weakness, and numbness. May also feel shaky and chilled with accompanying nausea, chest pain, tingling or numbness of the hands, feelings of suffocation, and being out of control.
Desired outcome for this type of personality disorder includes, refrains from using splitting or clinging behaviors.
Borderline (BPD)
Cluster B personality disorders include antisocial, histrionic, _________ and, _________.
borderline and narcissistic.
Chemical agents that would produce the calming effects without the toxic and addictive qualities of alcohol. The earliest of these drugs were the benzodiazepines chlordiazepoxide (Librium) and diazepam (Valium) and are known as,
anxiolytics and/or anti-anxiety medications.
This Personality Disorder exhibits a persistent pattern of disregard and infringement on the rights of others in a society. There is a false sense of privileged revenge against others demonstrated by their baseline cold indifference to the laws of society and humanity. Also referred to as a sociopath.
Antisocial personality disorder
A specific phobia is characterized by an excessive and persistent irrational fear of specific objects or situations that actually pose little threat or danger. What are some examples of specific phobias?
The common categories of phobias include animals, height, water, storms, blood or needles, flying, elevators, or enclosed spaces. Others may have a fear of sensations such as choking or falling.
This type of personality disorder is typically shy and very sensitive to negative comments from others with feelings of inadequacy and intense discomfort in social situations that involve people other than family. They exhibit an intense fear of criticism or embarrassment adding to feelings of inferiority and low self-esteem.
Cluster C Avoidant
Anxious and fearful behaviors are common among the Cluster ___ Personality disorder(s) which include obsessive-compulsive, __________ and _______.
Cluster C - avoidant and dependent
The long-acting benzodiazepines have a long half-life (sometimes days) in the older adult, causing prolonged sedation and increased risk of ___________. Ambulation should be supervised for at least __ hours after the administration of an injectable form (diazepam/Valium) to avoid injury.
falls and injuries. 8 hours supervised ambulation
It is known as _______ ___ _________ when the person believes that everyday occurrences have a special and significant personal meaning. Perceptual distortions and illusions are common.
ideas of reference
Typically occurs during social activities where the person will be speaking, dining, or writing in public. Although the person may recognize that the fear is extreme and unrealistic, he or she is helpless to stop it.
Social Anxiety disorder
An avoidance of certain places or situations that tend to trigger the panic attacks is termed ___________.
agoraphobia.
The term when a person indirectly and subtly acts on hostile feelings is,
passive-aggressive
Antidepressants are often the first choice in treating generalized anxiety symptoms of longer-term duration. These drugs help the absorption and use of serotonin and other neurotransmitters in the brain enough to improve mood, anxiety, and often the accompanying depression. The antidepressant therapy may include these types,
selective serotonin reuptake inhibitors (SSRIs) and serotonin–norepinephrine reuptake inhibitors (SNRIs).
The intentional act of inflicting bodily injury to oneself without intent to die as a result is known as_____-_______. It demonstrates an outward or inward (choose one) focus of control over inner pain and serves to restore the person’s sense of realism and value. Self-injury stimulates a release of endorphins that leads to the release of inner tension. This reinforces and feeds the repetitive pattern
self-mutilation. outward focus of control
Repetitive acts, impulses, or rituals such as showering, washing hair or hands, checking, hoarding, rearranging things for perfect alignment, repeating words or phrases are symptoms found in
the compulsions of Obsessive-Compulsive disorder.
Intense feeling or fear and dread following a traumatic event, mental reruns of the event, emotional numbness following the event, avoidance of people, places, or things associated with the event, insomnia, increased vigilance or watchfulness
PTSD
The extreme views of borderline personality disorder (BPD) see things as, all or none, black or white, love or hate, no neutrality is known as,
splitting.
Why use caution in the older client? What potential side effects or other medical problems (e.g, narrow-angle glaucoma, BPH) could be affected by anti-psychotic (risperidone (Risperdal) and olanzapine (Zyprexa)) pharmacological therapy?
anti-cholinergic - dry, flushed, urinary retention
parkinsonian
memory loss
tardive dyskinesia
Although people with this disorder perceive an awesome superior self, there is an underlying feeling of inferiority and envy of others.
Narcissistic Personality Disorder