Cluster A
The disorders which comprise Cluster A
What is paranoid, schizoid and schizotypal personality disorder.
The disorders which comprise Cluster B
What is borderline, histrionic, antisocial and narcissistic personality disorder?
The disorders that comprise Cluster C
What is avoidant, dependent and obsessive compulsive personality disorder.
What is an intervention for a client exhibiting manipulative behavior?
Set Boundaries: be clear, consistent and follow through in a nonpunitive manner.
A client with BPD is struggling with dichotomous thinking patterns, the following psychotherapies may be included in the care plan.
What is cognitive behavioral therapy(CBT) and mentalization based treatment(MBT). These psychotherapies focus on thought process and content by challenging and shifting negative thought patterns and introducing new ways of thinking.
Clinical features of schizoid personality disorder include
What is aloof and socially withdrawn, indifferent to others opinions, anhedonia, restricted range of emotion.
Clinical features of BPD include
What is poor emotional regulation, impulsivity, dichotomous thinking, heightened sensitivity to rejection, and instability in relationships?
The following nursing diagnoses may be used in a patient with which Cluster C disorder and what might be evidence of same. Ineffective coping, low self-esteem, and social isolation.
What is avoidant personality disorder. As evidence by the patients relationships being restricted to family members only.
Behaviors such as staff splitting, dichotomous thinking and emotional dysregulation can illicit the following response from the nurse.
What is countertransference.
The goals of treatment of personality disorders are
Clinical features of schizotypal personality disorder include
What is social withdrawal, eccentric appearance, magical thinking, odd speech, interpersonal awkwardness.
Using intrapersonal theory which intervention used daily can be helpful to recognize how feelings can affect relationships
What is encouraging daily journaling to look back and see the patterns of how thinking, feeling, and behaviors contribute to relationships?
DSM V diagnostic criteria for dependent personality name two
What is 5 or more: difficulty making decisions, needing others to assume responsibility, difficulty saying no, difficulty initiating projects ,go to excessive length to nurture and support others, underlying fears of abandonment or being alone.
The class of medication might the nurse administer to a patient diagnosed with paranoid personality disorder with escalating symptoms.
What is antipsychotics to reduce paranoia?
What medication classes might be included in pharmacotherapy for a patient diagnosed with a cluster A personality disorder?
Antidepressants, antipsychotics, anxiolytics and mood stabilizers.
A predisposing factor in the development of paranoid personality disorder
What is parental antagonism and harassment.
A pt boasts to the nurse they have to fight off all the female attention they are receiving on the unit. Also, they are the highest-paid employee in their company,
What is Narcissistic PD characterized by the constant need for attention, a grandiose sense of importance preoccupied with brilliance, power, and success?
Clinical features of obsessive-compulsive PD include name 2 of the 8
what is preoccupation with orderliness, perfectionism, and control and has 4 of the features preoccupied with details, perfectionism that interferes with task completion, workaholic, overconscientious of morality, money sb hoarded, rigid
A client with borderline personality disorder on an inpatient unit has superficial wounds healing bilaterally, is going through a breakup, and is staff splitting. What is the priority nursing diagnosis?
What is risk for self-mutilation related to the need for attention.
Describe transference and provide an example of a theorist based treatment modality to understand and respond to transference reactions in the nurse-patient relationship.
What is an unconscious response of emotions from the patient directed towards the nurse originating from other relationship experiences. Sigmund Freud's psychoanalytic theory.
Describe the best location to complete teaching about medication for a paranoid or schizoid personality
Somewhere private, interview room or patients room (not at the nursing station) where others can overhear
DSM V features of antisocial PD include
What is disregard and violation of the rights of others as indicated by 3 of the following, failure to conform, recklessness, deceitfulness, impulsivity, irritability, consistent irresponsibility, and lack of remorse
For a person dx with dependant PD, how should the nurse respond to physical complaints that are common to this patient
Explore in a matter of fact way evaluate promptly but avoid a lengthy discussion about the physical symptom
To encouraging change as evidenced by splitting with nursing interventions related to impaired social interactions the most appropriate action is
What is encouraging pt to examine these behaviors with you. They may be unaware of the results and patterns.
What specific treatment modality is utilized to replace maladaptive behaviors with healthier coping strategies and what four modules are explored in this specific treatment? What personality disorder is most commonly treated with this modality?
What is dialectical behavioral therapy (DBT) which includes the following modules; mindfulness, distress tolerance, emotional regulation and interpersonal effectiveness. DBT is commonly used in treatment of BPD.