NSG-322 TOPIC 3 PERSONALITY DISORDERS REVIEW QUESTIONS AND CORRECT ANSWERS
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Module
NSG 322
Institution
NSG 322
Personality Individual's characteristic, relatively permanent pattern of thoughts, feelings, and behaviors that define her/his quality of experiences and relationships
Personality disorders - Most challenging/complex group of disorders to treat - Display significant changes in self-identity or sel...
NSG-322 TOPIC 3 PERSONALITY
DISORDERS REVIEW QUESTIONS AND
CORRECT ANSWERS
Personality ✅Individual's characteristic, relatively permanent pattern of thoughts,
feelings, and behaviors that define her/his quality of experiences and relationships
Personality disorders ✅- Most challenging/complex group of disorders to treat
- Display significant changes in self-identity or self-direction
- Problems with empathy or intimacy in relationships
What are the two most common and challenging personality disorders? ✅Borderline
and antisocial
What characteristics define cluster A personality disorders? ✅Odd and eccentric
Cluster A personality disorders ✅paranoid, schizoid, schizotypal
Paranoid personality disorder ✅long standing distrust and suspiciousness of others
based on the belief, unsupported by evidence, that others want to exploit, harm or
deceive the person.
Characteristics of paranoid personality disorder ✅hypervigilant, anticipate hostility, and
may provoke hostile responses by initiating a coutnerattack
Prevalence of Paranoid Personality Disorder ✅2-4%; more common in men than
women
Relatives of patients with what other disorder are more frequently affected with paranoid
personality disorder? ✅Schizophrenia
Symptoms of paranoid personality disorder in children ✅Child doesn't have friends and
experiences social anxiety
Symptoms of paranoid personality disorder in adults ✅Tend to have difficult
relationships due to their jealousy, controlling behaviors, and unwillingness to forgive
Projection ✅dominant defense mechanism in which people attribute their own
unacknowledged feelings to others
, Should patients with paranoid personality disorder be attending appointments and
schedules? ✅Yes, prearranged promises, appointments, and schedules should be
strictly adhered too.
How should a nurse act towards one with paranoid personality disorder? ✅Be clear
and straightforward, don't be too nice or friendly. Explanations of tests and procedures
should be given before they're scheduled.
What kind of language should a nurse use towards one with paranoid personality
disorder? ✅Simple language that projects a neutral but kindly affect
Are people with paranoid personality disorders difficult to interview? ✅Yes, they are
reluctant to share information about themselves for fear that info will be used against
them.
First line of treatment for paranoid personality disorders? ✅Psychotherapy
Individual therapy for paranoid personality disorders ✅Focuses on development of
professional and trusting relationships
How should therapists respond to those with paranoid personality disorder?
✅Therapists should set limits and deal with delusional accusations in a realisitic
manner without humiliating the patients
Is group therapy recommended for those with paranoid personality disorder? ✅No, it
can be threatening but it may improve social skills.
Role playing and group feedback for paranoid personality disorder? ✅Helps reduce
suspiciousness
Diazepam for paranoid personality disorder ✅Helps with reducing patients anxiety and
agitation
Haloperidol for paranoid personality disorder ✅Helps with more severe agitation and
delusions; use in small doses for brief periods to manage mildly delusional thinking /
severe agitation
Pimozide for paranoid personality disorder ✅Useful in reducing paranoid ideation
Schizoid personality disorder ✅exhibit lifelong pattern of social withdrawal and
discomfort with social interaction; describes feelings of depersonalization and
detachment from self in the world
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