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Personality
a person's perceptions, attitudes, emotions (usually no conscious awareness)
personality disorders
impairment of personality functioning, maladaptive personality traits
Maladaptive/dysfunctional personality traits
- negative behaviors toward others
- anger/hostility
- irritable mood
- lack of guilt or remorse
- lack of empathy
- impulsivity
- irresponsibility
- risk taking
- mistrust
- entitlement
Cluster A personality disorders (odd/eccentric)
,- Paranoid: mistrust, suspiciousness of others
- Schizoid: detachment from social relationships, little emotion
- Schizotypal: social & interpersonal deficits, discomfort with close relationships
paranoid personality disorder
- pattern of distrust and suspiciousness of others, feels they may be exploited
- anticipate hostility
- may provoke others with a "counterattack"
- tend to reject treatment
- treated with antianxiety and antipsychotic medications
nursing interventions for paranoid personality disorder
- straightforward approach
- teach client to validate ideas before taking action
- involve client in treatment planning
schizoid personality disorder
- social detachment (loners)
- poor ability to function
- little emotion
- involved with "things" more than "people"
- can be a precursor to schizophrenia or delusional disorder
- often raised in a cold, neglectful environment
nursing interventions for schizoid personality disorder
, - improve client's functioning in community
- assist client in finding case manager
schizotypal personality disorder
- pattern of interpersonal deficits
- extreme anxiety in social situations (rambling)
- misinterpret other's motivations as being "out to get them"
- blame others for their isolation
nursing interventions for schizotypal personality disorder
- develop self-care skills
- improve community functioning
- social skills training
Cluster B personality disorders (dramatic/wild)
- Antisocial: disregard for and violation of the rights of others and laws
- Borderline: unstable interpersonal relationships, mood, and self-image (3 times more common in
women)
- Histrionic: excessive emotion, constant attention seeking
- Narcissistic: grandiose sense of self-importance or uniqueness, lack of empathy, fragile self-esteem
antisocial personality disorder
- disregard for rights of others and laws
- manipulative, deceitful
- may seem normal
- do not have depression or anxiety