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NS 320 STUDY GUIDE- EXAM 3

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Exam of 28 pages for the course NS 320 at NS 320 (STUDY GUIDE)

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  • March 31, 2023
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  • 2022/2023
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EXAM III-STUDY GUIDES
CHAMBERLAIN COLLEGE OF NURSING
NS 320 STUDY GUIDE- EXAM 3
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CHAPTER 34: PERSONALITY DISORDERS

Personality is defined as “an enduring pattern of behavior that is considered to be

both conscious and unconscious and reflects a means of adapting to a particular

environment and its cultural, ethnic and community standards.” An individual with

a healthy personality has the following characteristics:

● Sees his or her own strengths and weaknesses



● Identifies his or her own boundaries

, ● Recognizes interactions and thoughts that lead to strong emotions such as

joy or anger

● Interacts with others without expecting them to meet all needs



● Seeks a balance of work and play



● Accomplishes goals



● Defines and expresses spirituality


In contrast, personality disorder (PD) is defined as “an enduring pattern of inner

experience and behavior that deviates markedly from the expectation of the

individual’s culture, is pervasive and inflexible, has onset in adolescence or early

adulthood, is stable over time, and leads to distress or impairment.” A person with a

PD exhibits long-term maladaptive behavior that prevents him or her from

accomplishing desired goals in relationship and other endeavors. These

behaviors are not experienced as uncomfortable or disorganized by the individual,

as are the symptoms of clients with anxiety, mood, or psychotic disorders. The main

maladaptive behavior may affect only one aspect of the person’s life, such as

intimate relationships. Therefore, many individuals with PDs do not seek treatment

unless there is a crisis or a comorbid diagnosis that causes distress. All of the PDs

have 4 characteristics in common:

, ● Inflexible and maladaptive response to stress-ex. Compulsive traits may get

the job done at work but be hard on a relationship; rigid behavior serves

what function?

● Disability in working and loving-for the most part PDs have normal ego

functioning but have difficulty with interpersonal and loving relationships;

all PDs have self-esteem issues

● Ability to evoke interpersonal conflict-PDs can’t see themselves objectively;

therefore they lack the desire to alter aspects of their behavior to enrich or

maintain important relationships. They cannot trust others and are

constantly fearful of being hurt

● Capacity to “get under the skin”- PDs have uncanny ability to merge personal

boundaries with others.



Individuals with PDs tend to be less educated or unemployed. They are often single,

or, if married have marital difficulties. They often have comorbid substance abuse

disorders, and may commit violent and non-violent crimes, including sex offenses.

People with PDs evoke emotional reactions in health care workers: may be

aggravating, and demanding, or seductive and dependent; staff may react with

inappropriate responses such as sexual interest, the urge to rescue, or the desire to

withdraw. Profound problem to trust.

Causes of PD are multifactorial -environment (child abuse)-biological

(genetic)-psychosocial (antisocial-harsh or rigid family upbringing). Use many

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