Chpt. 24 Personality Disorders

Cluster A Personality Disorder:
Characterized by longstanding distrust and suspiciousness of others based on the belief that others want to exploit, harm, or deceive the person. Hypervigilant, anticipate hostility, and may provoke hostile responses by ini


Cluster A Personality Disorder:
Lifelong pattern of social withdrawal. Expressionless and restricted range of emotional expression. Others view them as odd or eccentric. Loners, do poorly in school, and objects of ridicule by peers for odd behavior. Relat


Cluster A Personality Disorder:
Do not blend in with the crowd. Magical thinking, odd beliefs, strange speech patterns, inappropriate affect. Severe social and interpersonal deficits. Extreme anxiety in social situations. Rambling in conversations. Parano


Cluster B personality disorder:
Flamboyant, attention seeker, "drama queen", colorful personality but high functioning. Limited ability to develop meaningful relationships. Low frustration tolerance, excessive emotions. Impulsive, may act flirtatious or p


Cluster B personality disorder:
Characterized by feelings of entitlement, exaggerated belief in one's own importance, and lack of empathy. Weak self-esteem, hypersensitivity to criticism. History of family wanting them to be perfect and having high standa


Cluster B personality disorder:
Pattern of disregard for, and violation of, the rights of others. Commonly referred to as sociopaths. Deceitful and manipulative for personal gain or hostile if needs are blocked. High risk taking, disregard for responsibil


Cluster B personality disorder:
Severe impairments in functioning. Marked instability in emotional control or regulation, impulsivity, identify or self-image distortions, unstable mood, and unstable interpersonal relationships. Primary feature is emotiona

Borderline Personality Disorder

Cluster C personality disorder:
Extremely sensitive to rejection, feel inadequate, socially inhibited. Avoid interpersonal contact due to fears of rejection or criticism. Shyness, avoidance that increases during adolescence and early adulthood. Low self-e


Cluster C personality disorder:
Characterized by pattern of submissive and clinging behavior related to an overwhelming need to be cared for. Results in intense fears of separation. May be result of chronic physical illness or punishment for independent b


Cluster C personality disorder:
Limited emotional expression, stubbornness, perseverance, and indecisiveness. Preoccupation with orderliness, perfectionism, and control. Rehearse over and over how they will respond to social situations. Persist in goal se

Obsessive Compulsive Personality Disorder

A client arrested for an assault in which he savagely beat a classmate states, "The guy deserved everything he got." The behaviors described are most consistent with the clinical picture of which disorder?
a. antisocial personality disorder
b. borderline

a. act out feelings without consideration of others. Feel no remorse for their acts.

Which statement is descriptive of clients with a personality disorder?
a. They are resistant to behavioral change.
b. They have an ability to tolerate frustration and pain.
c. They usually seek help to change maladaptive behaviors
d. They have little diff


The client, diagnosed with which personality disorder, will most likely require admission to a psychiatric unit?
a. Paranoid personality disorder
b. Narcissistic personality disorder
c. Borderline personality disorder
d. Dependent personality disorder


What characteristic behaviors will the nurse assess in the narcissistic client?
a. Dramatic expression of emotion, being easily led
b. Perfectionism and preoccupation with detail
c. Grandiose, exploitive, and rage-filled behavior
d. Angry, highly suspicio


Clients demonstrating characteristics of personality disorders have various self-defeating behaviors and interpersonal problems despite having near-normal ego functioning and intact reality testing. Which nursing diagnosis best addresses this sort of inte


A newly admitted client has a diagnosis of schizoid personality disorder. The nursing intervention of highest priority will be directed toward which classic client need?
a. Set firm limits on behavior.
b. Respect need for social isolation.
c. Encourage ex