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What are the three clusters of personality disorders?
- A: Odd/Eccentric: More schizo, hard to relate to others, not trusting
- B: Dramatic/Emotional/Erratic: Inpatient, impulsive, no responsibility, difficult patient
- C:Anxious/Fearful: Lacks confidence, takes things personally, wants relationships but lacks social skills
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What is paranoid personality?
- -Cluster A
- -Defensive, not successful in career , suspicious, vindictive, tense, avoids interactions, very jealous, mostly in males
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What is schizoid personlaity disorder?
- -Cluster A
- -Detachment, limited rang of emotion, no contact, no relationships, intelluctal in answers
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What is schizotypal personality disorder?
- -Cluster A
- -Uncomfortable in relationships, better with animals/objects, magical thinking, mild schizo
- -In children called conduct disorder
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What is antisocial personality disorder?
- -Cluster B
- -Criminal, violates others, no guilt or remose, lack of concious, can be charming until you cross them, exploite others, unemployed, manipulative ,projection
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What is borderline personality disorder?
- -Cluster B
- -Instability of self, relationships, impulsive, hx of abuse, sees others as scary, feel like they can't win, depresed, try not to put in inpatient, self mutation common in 2/3.
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What is a narcissistic personality?
- -Cluster B
- -Grandiose, no empathy, needs to be admired, feels superior, sense of entitlement, self centered, can not take criticism, very cheerful, relationships are one sided
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What is histrionic personality disorder?
- -Cluster B
- -Excessive, dramatic, emotional, center of attention, actors, believes relationships are deeper than others, charming, has a temper, labile, overreaction
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What is dependent personality disorder?
- -Cluster C
- -Excessive need to be taken care of , anxiety, needy, cant do anything, will tolerate being abused, wants others to make decisions, focus is on other person, low self esteem, suffer in silence
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What is avoidant personality disorder?
- -Cluster C
- -Social inhibited, inadequate, doesnt take criticism well, wants relationships but lacks social skills, shy, lonely, worries about how others see them
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What is obsessive compulsive personality disorder (OCPD)?
- -Cluster C
- -Orderly, wants control, perfection, fears making mistakes or decisions, inflexible, views others as irresponsible
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What are nursing interventions for the clusters?
- A: Build trust, model social skils, teach to expressive feelings
- B: Set limits, teach to express feelings, discuss fears
- C: Discuss fears and decrease anxiety
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What are the nursing interventions for paranoid personality disorder?
-Be matter of fact, activity orientation
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What are the nursing interventions for schizoid personality disorder?
One on one basis, no groups unless in corner outside of group
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What are the nursing interventions for schizotypal personality disorders?
-One on one, teach social skills, decrease anxiety
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What are the nursing interventions for antisocial personality disorder?
-Set limits, discuss what is/isnt acceptable, impact of behavior, cant teach right/wrong, but consequence, anger management
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What are the nursing interventions for borderline personality disorder?
-Be matter of fact, put decisions back to them, be consistent, set limits, express feelings, work on abuse issues, journal, letters, CBT
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What are the nursing interventions for narcissistic personality disorder?
-Put in group, mirror techique, feelings, limit grandilose, put in reality
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What are the nursing interventions for histrionic personality disorder?
-One to one, insight into feelings, think more rationally, give praise when focus on someone else
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What are the nursing interventions for dependent personality disorder?
-Point out compentices, teach problem solving, decision making, assertiveness
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What are the nursing interventions for avoidant personality disorders?
-decrease anxiety, social skills, assertiveness
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What are the nursing interventions for obsessive compulsive personality disorder?
-Self talk message, balance between heart and head, teach balance of leisure and work
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