SBVC pt 086 final study guide review
Common characteristics of Cluster C - ✔️✔️anxious, fearful, resents suggestions, fail
to do their share of work, think they are doing better than they actually are
Paranoid personality disorder patients perceives attacks - ✔️✔️on their character that
are not apparent to others; is quick to react angrily/counter attack
There are _____ personality disorders - ✔️✔️10
Prevalence is _______ of the general population may have a personality disorder -
✔️✔️10-15%
Associated features in general, __________ are common symptoms - ✔️✔️anxiety and
depression
Ego-dystonic-emotionally distressed with disorder or situation; this person
____________________. - ✔️✔️is more likely to seek help
Ego-syntonic-emotionally comfortable with the disorder or situation. This person
__________________. - ✔️✔️is less likely to seek help
Cluster B personality disorders - ✔️✔️antisocial, borderline, histrionic, narcissistic
Cluster C personality disorders - ✔️✔️avoidant, dependent, obsessive-compulsive
Common characteristics of Cluster B - ✔️✔️dramatic, emotional, erratic, impulsive,
poor judgment
Cluster A personality disorders - ✔️✔️paranoid, schizoid, schizotypal
Common characteristics of Cluster A - ✔️✔️odd, eccentric
Paranoid behaviors regarding their intimate partner involves - ✔️✔️unjustified recurrent
suspicions of their infidelity
Paranoid personality disorder feelings are - ✔️✔️restricted feelings; may take pride in
being cold, emotional, doesn't show tender feelings
Paranoid Personality Disorder Defense Mechanism - ✔️✔️projection
,Paranoia associated features may appear tense, has a difficult time relaxing, and lacks
_____________________ - ✔️✔️a sense of humor
Paranoid patients use the defense mechanism: - ✔️✔️projection
Paranoia Disorder causes the need to - ✔️✔️control others around them
Paranoia Disorder causes patients to frequently become - ✔️✔️engaged in legal
disputes
Paranoia Disorder is more commonly diagnosed in - ✔️✔️men
Predisposing Factors of Paranoia Disorder - ✔️✔️Occurs amongst relatives of clients
with schizophrenia more than the general population
Parents may have harassed patients of paranoia personality disorder: - ✔️✔️used as
scapegoats for parental aggression, no hope for affection/approval
Patients of Paranoia Personality Disorder see the world as - ✔️✔️harsh and unkind;
they anticipate humiliation/betrayal by others, learn to attack first
Personality disorders most commonly seen in a hospital setting: - ✔️✔️schizotypal,
antisocial and borderline
schizotypal, antisocial and borderline personality disorders tend to be - ✔️✔️annoying
There is ______________ to treat paranoia disorders - ✔️✔️no specific medications
Antidepressants, anti-anxiety, antipsychotics and mood stabilizers - ✔️✔️are used to
treat the symptoms of paranoia personality disorder but not cure
Paranoid Personality disorder have a pervasive distrust/suspiciousness of others such
that their motives are interpreted as malevolent, beginning by early childhood and
present in a variety of contexts as indicated by four or more of the following: - ✔️✔️1.)
Suspects others that are exploiting, harming, or deceiving him/her
2.) Is preoccupied with unjustified doubts about the loyalty or trustworthiness of
friends/associates
3.) Is reluctant to confide in others because of unwarranted fear that the information will
be used maliciously against him/her
4.) Reads hidden demeaning or threatening meanings into benign remarks or events
5.) Persistently bears grudges, is unforgiving of insults, injuries, or slights
Schizoid Personality Disorder has a pervasive pattern of detachment from social
relationships and a restricted range of expression of emotions in interpersonal settings
,beginning by early adulthood and present in a variety of contexts, as indicated by four or
more of the following: - ✔️✔️1.) Neither desires nor enjoys close relationships (being
apart of a family)
2.) Almost always chooses solitary activities
3.) Has little interest in having sexual experiences with another person
4.) Takes pleasure in few activities
5.) Lacks close friends other than relatives (prefers to be friends with animals)
6.) Appears indifferent to praise/criticism
7.) Shows emotional coldness, detachment, or flattened affectivity
Schizoid Personality Disorder Nursing Interventions - ✔️✔️1.) Remain calm,
nonthreatening, and nonjudgmental in all interactions
2.) Accept person's beliefs but don't confirm/argue with them
3.) Maintain "business like atmosphere" (superficial but polite/curious)
4.) Give clear information regarding confidentiality
5.) Focus on feelings ("It must be distressing when...", "you see him as vindictive...")
Schizoid Personality Disorder Medical Treatment - ✔️✔️Medication may not help since
the patient will be suspicious of them; benzodiazepines (klonopine, xanax, ativan) may
be helpful for brief crisis management
Antipsychotics may help psychosis and severe agitation
Schizoid Personality Disorder Psychosocial Treatment - ✔️✔️Supportive
Psychotherapy is the choice of treatment although it takes time to build trust and
intimacy; DOES NOT do well in group therapy
Schizoid Personality Disorder Nursing Interventions include assigning the same staff
member to - ✔️✔️develop trust/rapport; encourage group participation and treatment
may be more palliative than curative (help manage but not cure)
Open ended questions are best because of short answer responses
Schizoid Personality Disorder Medical Treatment is not useful except for -
✔️✔️temporary periods of excessive anxiety; antidepressants and antipsychotics help
manage the disorder but not cure
Schizoid Personality Disorder psychosocial treatment: - ✔️✔️Most will not seek
professional help for their diagnosis but for comorbid symptoms such as depression
substance abuse and other issues
Long-term psychotherapy has been useful in some cases (if patient is motivated and
has exposure of social tasks)
Group therapy can help overcome fears of isolation
Schizoid Personality Disorder patients are vague about goals and are - ✔️✔️indecisive
, Schizoid Personality Disorder males rarely date/marry while females may -
✔️✔️passively accept courtship and marry
Schizoid Personality Disorder occupational functioning may be impaired but may -
✔️✔️do well working in social isolation
Schizoid Personality Disorder features of aloofness may actually be - ✔️✔️profound
shyness
Schizoid Personality Disorder patients are seen as - ✔️✔️absentminded, a loner, in a
"fog", detached from others, or not connected
Schizoid Personality Disorder is common on - ✔️✔️skid row
Avoidant personality disorder relationships - ✔️✔️wants friends
Schizoid personality disorder relationships - ✔️✔️doesn't want friends
Schizoid Personality Disorder patients don't exhibit - ✔️✔️eccentricities of speech
Schizoid Personality Disorder is diagnosed slightly more in - ✔️✔️men and may cause
more impairment in them
Predisposing Factors of Schizoid Personality Disorder in relatives of -
✔️✔️schizophrenia or schizotypal disorder
Schizoid Personality Disorder childhoods are bleak, cold, un-empathetic, lacking in
nurturing; - ✔️✔️as adults they see relationships that are not valuable or worth
pursuing
Schizoid Personality Disorder patients may have had poor peer relationships and were -
✔️✔️underachievers when young, may have been teased
Schizoid Personality Disorder people lack - ✔️✔️close friends/confidants other than
first degree relatives due to excessive social anxiety
Over half of diagnosed Schizoid Personality Disorder patient history may have at least
one - ✔️✔️Major Depressive Episode
Schizoid Personality Disorder patients are usually - ✔️✔️unkempt and does not
maintain grooming
Schizoid Personality Disorder Patients display - ✔️✔️unusual mannerisms and talk to
themselves
