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Personality and Impulse DisordersPsychiatric Nursing: Contemporary Practice

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_______ is a personality disorder characterized by mistrust of others and a desire to avoid relationships in which the individual is not in control.
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Paranoid Personality Disorder
What is the maladaptive cognitive schema of patients with paranoid personality disorder?
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They believe actions of others are deceptive, deprecating or a form of betrayal causing them to be suspicious, guarded, hostile, unforgiving and rigid.
Patients with paranoid personality disorder appear aggressive and abrasive, however, internally they are feeling?
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Powerless, vulnerable, and fearful
When do people with paranoid personality disorder typically seek mental health care?
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Only when they decompensate into a psychotic state.
What are characteristics seen in children who eventually grow up to have paranoid personality disorder?
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They tend to be active, intrusive, difficult to manage, hyper, irritable, and have frequent temper outbursts.
Why is Social Isolation not an appropriate nursing diagnosis for patients with paranoid personality disorder?
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Although they are socially isolated and lack social supports, they don't have feelings of aloneness, rejection, desire to be in contact with people or insecurity in social situations, all requirements for the diagnosis.
If a nurse manages to develop a therapeutic relationship with a patient who has paranoid personality disorder, what are the treatment goals?
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Identifying problematic areas like getting along with others or keeping a job and changing thought patterns to gain another view of situations.
How should patient outcomes for patients with paranoid personality disorder be evaluated?
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In terms of small changes in thinking and behavior
__________ is a personality disorder characterized by impassiveness, introversion, reclusiveness, emotional detachment, lack of desire to be with others and apathy.
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Schizoid Personality Disorder
What are characteristics seen in children who eventually grow up to have schizoid personality disorder?
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They engage primarily in solitary activities or academic pursuits like math or engineering, demonstrate obscure thought processes, particularly about social matters.
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What is the most prevalent comorbid disorder with schizoid personality disorder?
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Avoidant personality disorder
What are thought to be the cause of the symptoms of schizoid personality disorder?
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Defects in the limbic or reticular regions of the brain, an adrenergic-cholinergic imbalance causing parasympathetic dominance
What are the major treatment goals of a patient with schizoid personality disorder?
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Enhance the experience of pleasure, prevent isolation, increase emotional responsiveness to others, and develop social skills
What is the measure for evaluating interventions for a patient with schizoid personality disorder?
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Evaluation is in terms of increasing the patient's feelings of satisfaction with solitary activities.
__________ is a personality disorder characterized by odd beliefs, ideas of reference, constricted or inappropriate affect, odd speech and thinking patterns, and paranoid social anxieties that don't diminish with familiarity.
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Schizotypal Personality Disorder
What is often observed in patients with schizotypal personality disorder that become psychotic?
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Complete disorientation and confusion, posturing, grimacing, giggling, peculiar mannerisms, hallucinations and delusions, and regressive acts like soiling or wetting the bed.
What condition are people with schizotypal personality disorder prone to experiencing?
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Disorganized schizophrenia
Both schizotypal personality disorder and schizophrenia cause changes in the brain. How is it different between the two conditions?
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Schizotypal Personality Disorder is associated with reductions in temporal lobe volume, whereas schizophrenia causes reductions in both the frontal and temporal lobes.
People with cluster _____ disorders are rarely seen in mental health clinics because they seldom admit to mental health problems.
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Cluster A
What are the goals of treatment for a patient with schizotypal personality disorder?
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Increasing their sense of self-worth, recognizing their positive attributes, social skills training and how to generalize from one situation to another.
Why do health professionals miss underlying psychiatric disorders?
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They are tending to other aspects of patient care
  
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