NUR 371 Exam 3 Study Questions and Correct Answers
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Course
NUR 371
Institution
NUR 371
Personality disorders have an enduring pattern of dysfunction in: -Cognition -Affectivity (mood) -Interpersonal functioning (relationships) -Impulse control
Personality disorder considerations o Substance abuse can look like a personality disorder o Stress increases the use of more primitive defen...
NUR 371 Exam 3 Study Questions and
Correct Answers
Personality disorders have an enduring pattern of dysfunction in: ✅-Cognition
-Affectivity (mood)
-Interpersonal functioning (relationships)
-Impulse control
Personality disorder considerations ✅o Substance abuse can look like a personality
disorder
o Stress increases the use of more primitive defenses (denial, splitting, projection,
idealization)
-often overlap with depression
-validation not agreement
-make sure to respond to emotion
-good team communication (to help see through manipulation)
What is the goal of treatment of personality disorders ✅the goal is management, not a
cure
-dealing with consequences of behaviors
-preventing consequences
Odd or eccentric ✅-paranoid
-schizoid
-schizotypal
Anxious or fearful ✅-avoidant
-dependent
-obsessive-compulsive
Paranoid ✅· Pattern of distrust & suspiciousness
-r/o shizophrenia and other psychotic disorders
-fears closeness & is guarded (avoids self-revelation)
· Self-fulfilling prophecy- "others are out to get me, see how they act"
· Quick to perceive criticism or personal attacks (holds grudges)
-externalizes blame: dominant defense mechanism is projection (they attribute their own
unwanted feelings/behaviors onto others)
, Care tips for Paranoid PD ✅•Don't push closeness
•Respond to emotion of feeling that "others mean the patient harm" without confirming
or denying content of suspicions
•Teach to validate ideas before acting
•CBT
•Group (could improve social skills even though it is hard for them)
Schizoid ✅a pattern of detachment from social relationships
-r/o autism, schizophrenia, agoraphobia
-more common in men, often do not present for treatment
-They do not want social interaction and do not want friends (unlike avoidant)
Characteristics of Schizoid PD ✅-socially inept (lacking social skills)
-little pleasure, little interest in sex
-not likely to be married (women maybe)
"I am my own best friend. displays of emotion are embarassing and unnecessary"
-tend to lack ambition and goals
-more common in males
Care tips for Schizoid PD ✅-dont push closeness
-basic social skills training
-case management
-difficulty in self-care
Schizotypal ✅-social and interpersonal deficits with cognitive/perceptual distortions
and eccentricities of behavior
•Rule out schizophrenia
-Maybe on schizophrenia spectrum.. consider possible prodromal to schizophrenia if
sxs in young person
-more common in males
-Pheobe from friends
Mental schema of shizotypal ✅"It's a dangerous and magical world and other people
don't seem to get it."
Characteristics of Schizotypal PD ✅•They experience the lack of interpersonal
skills/relations as a problem
•Odd beliefs - not quite delusions
•Odd perceptions - not quite hallucinations
•Superstitious - Magical beliefs
•Unusual mannerisms
•Odd or poor grooming
Care tips for schizotypal PD ✅•May need meds
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