Chapter 24
Personality Disorders
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Introduction
Personality defined Clinical disorders
Paranoid Schizoid Schizotypal Narcissistic Avoidant
Dependent Obsessive-compulsive Histrionic Antisocial Borderline
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Prevalence Characteristics Treatment
Paranoid Personality Disorder
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Prevalence Characteristics Treatment
Schizoid Personality Disorder
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Prevalence Characteristics Treatment
Schizotypal Personality Disorder
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Prevalence Characteristics Treatment
Histrionic Personality Disorder
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Prevalence Characteristics Treatment
Narcissistic Personality Disorder
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Prevalence Characteristics Treatment
Avoidant Personality Disorder
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Prevalence Characteristics Treatment
Dependent Personality Disorder
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Prevalence Characteristics Treatment
Obsessive-Compulsive Personality Disorder
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Antisocial personality disorder (ASPD) Antagonistic behaviors Disinhibited behaviors
Antisocial Personality Disorder (ASPD)
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Negative effect Impulsivity and antagonism Splitting
Borderline Personality Disorder (BPD)
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Biological factors Genetic Neurobiological
Psychological factors Environmental factors Diathesis-stress model
Etiology
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Assessment Assessment tools Patient history Self assessment
Application of the Nursing Process
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A patient admitted to your unit has a personality disorder.
What are some important areas to assess?
Case Study
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Diagnosis (Table 24-2) Outcomes identification (Table 24-3) Implementation
Safety and teamwork Pharmacological interventions Case management
Nursing Process (Cont.)
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Advanced practice intervention Psychotherapy
Evaluation
Nursing Process (Cont.)
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Which behavior indicates that a patient diagnosed with borderline personality disorder is improving?
A.The patient cries when her roommate refuses to go to the dining room with her.
B.The patient yells at the group facilitator when he points out that she is monopolizing the group.
C.The patient informs a staff member that she feels unsafe and is having thoughts of harming herself.
Question 1
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D. The patient tells the evening staff that the day staff excused her from group to smoke when she got upset.
Question 1 (Cont.)
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1. Use of splitting is most associated with which personality disorder?
A. Antisocial
B. Borderline
C. Dependent
D. Schizotypal
Audience Response Questions
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2. Perfectionism is a trait likely to be evident in a person with which personality disorder?
A. Obsessive-compulsive
B. Narcissistic
C. Antisocial
D. Avoidant
Audience Response Questions
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3. Antisocial, obsessive-compulsive, and schizotypal personality disorders occur most frequently in
A. adolescents.
B. children.
C. women.
D. men.
Audience Response Questions
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