Transcript Chapter 019
Chapter 24
Personality Disorders
Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.
Introduction
Personality defined
Clinical disorders
Paranoid
Schizoid
Schizotypal
Narcissistic
Avoidant
Dependent
Obsessive-compulsive
Histrionic
Antisocial
Borderline
Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.
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Paranoid Personality Disorder
Prevalence
Characteristics
Treatment
Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.
3
Schizoid Personality Disorder
Prevalence
Characteristics
Treatment
Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.
4
Schizotypal Personality Disorder
Prevalence
Characteristics
Treatment
Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.
5
Histrionic Personality Disorder
Prevalence
Characteristics
Treatment
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6
Narcissistic Personality Disorder
Prevalence
Characteristics
Treatment
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Avoidant Personality Disorder
Prevalence
Characteristics
Treatment
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8
Dependent Personality Disorder
Prevalence
Characteristics
Treatment
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Obsessive-Compulsive
Personality Disorder
Prevalence
Characteristics
Treatment
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Antisocial Personality Disorder (ASPD)
Antisocial personality disorder (ASPD)
Antagonistic behaviors
Disinhibited behaviors
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Borderline Personality Disorder (BPD)
Negative effect
Impulsivity and antagonism
Splitting
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Etiology
Biological factors
Genetic
Neurobiological
Psychological factors
Environmental factors
Diathesis-stress model
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Application of the Nursing Process
Assessment
Assessment tools
Patient history
Self assessment
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Case Study
A patient admitted to your unit has a personality
disorder.
What are some important areas to assess?
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Nursing Process (Cont.)
Diagnosis (Table 24-2)
Outcomes identification (Table 24-3)
Implementation
Safety and teamwork
Pharmacological interventions
Case management
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Nursing Process (Cont.)
Advanced practice intervention
Psychotherapy
Evaluation
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Question 1
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.
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Question 1 (Cont.)
D. The patient tells the evening staff that the day
staff excused her from group to smoke when
she got upset.
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Audience Response Questions
1. Use of splitting is most associated with which
personality disorder?
A. Antisocial
B. Borderline
C. Dependent
D. Schizotypal
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Audience Response Questions
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
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Audience Response Questions
3. Antisocial, obsessive-compulsive, and
schizotypal personality disorders occur most
frequently in
A. adolescents.
B. children.
C. women.
D. men.
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