Overview & General Concepts
This is the primary treatment modality used for most personality disorders.
→ What is psychotherapy?
This personality disorder is marked by deep distrust and suspicion of others.
→ What is paranoid personality disorder?
This personality disorder is marked by attention-seeking, dramatic, and often seductive behavior.
→ What is histrionic personality disorder?
This personality disorder involves intense fear of rejection and feelings of inferiority.
→ What is avoidant personality disorder?
This defense mechanism is common in borderline personality disorder, where people or things are seen as all good or all bad.
→ What is splitting?
This term describes a nurses reaction that may occur when a patient evokes strong emotional responses, especially in dependent personality disorder.
→ What is countertransference?
This personality disorder is often seen in "loners" who prefer isolation and avoid close relationships.
→ What is schizoid personality disorder?
People with narcissistic personality disorder are often hypersensitive to this.
→ What is criticism?
This personality disorder includes a rigid need for control, perfectionism, and over-focus on rules.
→ What is obsessive-compulsive personality disorder?
Patients with antisocial personality disorder often lack these two emotional traits.
→ What are empathy and remorse?
Name two biological or psychosocial factors linked to the development of personality disorders.
→ What are genetics, neurobiology, early childhood trauma, disordered family life, or attachment issues? (Any two)
What is one key guideline for nurses working with patients who have paranoid personality disorder?
→ What is to use simple, direct language and avoid being overly friendly?
List two nursing strategies when interacting with someone with histrionic personality disorder.
→ What are maintaining professional boundaries and using concrete language?
What is one important nursing intervention for a patient with dependent personality disorder?
→ What is encouraging assertiveness and gradually increasing independence in decision-making?
What is one nursing priority when working with a patient with borderline personality disorder who engages in self-harm?
→ What is to respond matter-of-factly to self-injury and maintain clear boundaries?
List two nursing planning/intervention strategies that are essential when working with patients who exhibit manipulative or impulsive behaviors.
→ What are setting boundaries and using consistent, structured communication?
Name two symptoms associated with schizotypal personality disorder.
→ What are social anxiety, odd beliefs, paranoia, rambling speech, or brief hallucinations/delusions? (Any two)
Why do people with narcissistic personality disorder rarely seek treatment voluntarily?
→ What is because they lack insight into their behavior and believe others are the problem?
List two treatment options commonly used for avoidant personality disorder.
→ What are individual therapy and antidepressants (or antianxiety agents)?
List two symptoms common in borderline personality disorder.
→ What are impulsivity, emotional instability, suicidal behavior, or antagonism? (Any two)
Why are Cluster B disorders, particularly borderline and antisocial, considered the most challenging for nurses and providers?
→ What is due to impulsivity, emotional dysregulation, manipulative behavior, and potential for violence/self-harm?
What distinguishes schizotypal personality disorder from schizophrenia?
→ What is the presence of brief, intermittent psychotic episodes without full psychosis or deterioration in functioning?
What is a key difference between narcissistic and histrionic personality disorders in how they seek validation?
→ Narcissistic individuals seek admiration and superiority, while histrionic individuals seek attention and approval.
How does obsessive-compulsive personality disorder differ from obsessive-compulsive disorder (OCD)?
→ What is that OCPD involves personality traits like perfectionism and control without true obsessions or compulsions?
What type of therapy has shown the most evidence-based success for treating borderline personality disorder?
→ What is dialectical behavior therapy (DBT)?