Chapter 24

Personality Disorders

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Introduction

Personality defined Clinical disorders

Paranoid Schizoid Schizotypal Narcissistic Avoidant

Dependent Obsessive-compulsive Histrionic Antisocial Borderline

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Prevalence Characteristics Treatment

Paranoid Personality Disorder

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Prevalence Characteristics Treatment

Schizoid Personality Disorder

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Prevalence Characteristics Treatment

Schizotypal Personality Disorder

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Prevalence Characteristics Treatment

Histrionic Personality Disorder

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Prevalence Characteristics Treatment

Narcissistic Personality Disorder

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Prevalence Characteristics Treatment

Avoidant Personality Disorder

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Prevalence Characteristics Treatment

Dependent Personality Disorder

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Prevalence Characteristics Treatment

Obsessive-Compulsive Personality Disorder

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Antisocial personality disorder (ASPD) Antagonistic behaviors Disinhibited behaviors

Antisocial Personality Disorder (ASPD)

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Negative effect Impulsivity and antagonism Splitting

Borderline Personality Disorder (BPD)

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Biological factors Genetic Neurobiological

Psychological factors Environmental factors Diathesis-stress model

Etiology

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Assessment Assessment tools Patient history Self assessment

Application of the Nursing Process

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A patient admitted to your unit has a personality disorder.

What are some important areas to assess?

Case Study

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Diagnosis (Table 24-2) Outcomes identification (Table 24-3) Implementation

Safety and teamwork Pharmacological interventions Case management

Nursing Process (Cont.)

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Advanced practice intervention Psychotherapy

Evaluation

Nursing Process (Cont.)

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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.

Question 1

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D. The patient tells the evening staff that the day staff excused her from group to smoke when she got upset.

Question 1 (Cont.)

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1. Use of splitting is most associated with which personality disorder?

A. Antisocial

B. Borderline

C. Dependent

D. Schizotypal

Audience Response Questions

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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

Audience Response Questions

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3. Antisocial, obsessive-compulsive, and schizotypal personality disorders occur most frequently in

A. adolescents.

B. children.

C. women.

D. men.

Audience Response Questions

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