NUR 371 Final Exam Questions and Complete Solutions
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Course
NUR 371
Institution
NUR 371
Personality Disorders Enduring pattern (Inner experience, behavior) Deviates markedly from cultural expectations Pervasive and inflexible (stable over time, onset in adolescence to early adulthood) Distress OR impairment Egosyntonic
PD: Enduring pattern of dysfunction occurs in: Cognition Affectiv...
NUR 371 Final Exam Questions and
Complete Solutions
Personality Disorders ✅Enduring pattern (Inner experience, behavior)
Deviates markedly from cultural expectations
Pervasive and inflexible (stable over time, onset in adolescence to early adulthood)
Distress OR impairment
Egosyntonic
PD: Enduring pattern of dysfunction occurs in: ✅Cognition
Affectivity
Interpersonal functioning
Impulse control
PD: Considerations ✅Culture
Gender
Spectrum relationship with other disorders (schizotypal to schizophrenia, avoidant to
social phobia)
Substance abuse can look like PD
PD's are often not discreet
*Stress increases use of more primitive defenses*
Nursing care of PD's ✅Therapeutic communication (Emotion, process, content;
*validation NOT agreement* )
Goal is to management NOT CURE (dealing with consequences of behaviors;
preventing consequences)
Structure
Limits and limit-setting
Treat comorbidities appropriately without overtreatment
Good team communication
Take care of yourself
Three clusters of PD ✅Odd or eccentric (cluster A)
Dramatic, emotional, or erratic (cluster B)
Anxious or fearful (cluster C)
Odd or eccentric PD (cluster A) ✅Paranoid
Schizoid
Schizotypal
Dramatic, emotional, or erratic PD (cluster B) ✅Antisocial
Borderline
Histrionic
,Narcissistic
Anxious or fearful PD (cluster C) ✅Avoidant
Dependent
Obsessive-compulsive
Paranoid PD ✅Pattern of mistrust and suspiciousness
-rule out schizophrenia and other psychotic diagnoses
-rule out physical handicap (i.e. deafness)
-self-fulfilling prophecy (others are out to get me, see how they act)
-quick to perceive criticism or personal attacks (bears grudges)
-examples: Richard Nixon, Joseph Stalin, Saddam Hussein
Mental schema paranoid PD ✅People will eventually hurt me.
People cannot be trusted.
They will always take advantage of me.
People will try to bother or annoy me.
Don't get mad get even.
If I get close to people they can find my weaknesses.
Keep alert for anyone that has power. They can hurt me.
To compromise is to surrender.
Always be prepared for the worst.
Characteristics of persons with Paranoid PD ✅Prickly, hard to get along with
Argumentative, complaining
Fear closeness- guarded, secretive (avoids self-revelation)
Assumes people intend to exploit, harm, or deceive them (may lead to an excessive
self-sufficiency; includes unjustified doubts loyalty of friends)
Sees demonstrations of trust as "too good to be true" (even compliments tend to be
misinterpreted)
Sees relations as quid pro quo because everyone is out for themselves
Sexual jealousy
Externalizes blame
Care tips for Paranoid PD ✅Don't push closeness
Don't take suspicions, accusations personally
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
Schizoid PD ✅A pattern of detachment from social relationships
-rule out autism, schizophrenia, agoraphobia
-more common in men
-often do not present for treatment
, -example: squidward from spongebob
What cluster is paranoid PD in ✅cluster A
what cluster is schizoid PD in ✅cluster A
Mental schema schizoid PD ✅There are few reasons to be close to people.
I am my own best friend.
Displays of emotions are unnecessary and embarrassing.
What other say is of little interest or importance to me.
Characteristic of persons with schizoid PD ✅May appear aloof
Restricted range of emotions
Solitary hobbies or careers
Lacks the desire for interaction (indifferent to others)
Indifferent to the approval or criticism of others
Socially inept
Claim to experience few strong emotions (little pleasure; often little interest in sex)
Lack ambition and goals
Women my be married- men less likely
Care tips for schizoid PD ✅Don't push closeness (rememnber the patient is not
bothered by lack of closeness)
Basic social skills training
Case management
Deal with reason for treatment (poor relations with valued other-either family or work;
difficulty in self-care)
Schizotypal PD ✅Social and interpersonal deficits with cognitive/perceptual distortions
and eccentricities of behavior
-rule out schizophrenia (maybe on schizophrenia spectrum)
-consider as possible prodromal to schizophrenia if signs/symptoms in young person
-slightly more common in males
-example: phoebe on friends
What cluster is schizotypal PD in ✅cluster A
Mental schema schizotypal PD ✅It's a dangerous and magical world and other people
don't seem to get it
Characteristics of persons with 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
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