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Are diagnosed when personality traits become inflexible and maladaptive and
significantly interfere with how a person functions in the society or cause the
Paranoid
Pervasive mistrust and
suspiciousness of others.
Clinical picture: Aloof and
withdrawn, guarded or
hypervigilant, restricted affect
Defense Mechanism of Projection
Nursing Intervention:
Approach in a formal business-like manner
Refrain from social chit chat or jokes
Keeping commitments and being particularly straight forward
Help them validate ideas before taking action
Schizoid
Pervasive pattern of detachment from social
relationships and restricted range of emotional
expression in interpersonal settings.
People with this disorder tend to be socially
isolated
Clinical picture: Socially detached and does not
enjoy social contact, Lacks close friends or
confidants other than first degree relatives, marked difficulty expressing
1. Antisocial
2. Borderline
3. Histrionic
4. Narcissistic
Antisocial
Pervasive pattern of
disregard for and
violation of
the rights of others.
The type of person you'd expect to see in jail. Lack of empathy, trouble with
the law, violent
Tend to peak in 20s and diminish significantly after 45 years old
Assessment:
Violation of the right of others
Lack of remorse for behavior
Shallow emotions
Lying
Rationalization of own behavior
Poor judgment
Impulsivity
Irritability and aggressiveness
Lack of insight
Thrill seeking behavior
Exploitation of people in relationship
Poor work history
Consistent irresponsibility
Nursing Intervention:
Limit setting
Behavior- state the acceptable and unacceptable
Exceed= Consequence
Nursing Intervention:
Completion of projects or decision making by specific deadline
View decision making completion of projects from different
perspective.
Help client accept or tolerate less than perfect work
Related Disorders
1. Depressive personality disorder
2. Passive-aggressive personality disorder
Depressive Personality Disorder
Pervasive pattern of depressive cognitions and behaviors in various contexts
Depressive personality disorder occurs before, during, and after major
depressive episodes
Clinical Picture: sad, gloomy, persistent unhappiness, cheerlessness,
hopelessness regardless of the situation, cannot relax, dont display sense of
humor, feelings of worthlessness and inadequacy even when clients have been
successful, pessimistic outlook in life
Nursing Intervention:
Encourage client to involve in activities- social skills
Give factual feedback rather than general praise
Cognitive restructuring
Passive Aggressive Personality disorder
Negative attitude and pervasive pattern of passive resistance to demands
for adequate social and occupational performance.
Clinical Picture: negative attitude, oppose and resist demands expected by
others, express resistance through procrastination, intentional inefficiency,
stuborness
Nursing Intervention:
Who am I?
Directions : Match column A with column B. write the letter before the number
Column A
1. Impulsive and Unpredictable ; he/she engages
Column B
a. antisocial personality
disorder
b. avoidant personality
disorder
c. borderline personality
disorder
d. dependent personality
disorder
e. histrionic personality
disorder
disorder
h. paranoid personality
disorder
i. schizoid personality
disorder
j. schizotypal personality
disorder
d. impulsivity
3. The following traits are included in Narcissistic personality disorder except:
a. arrogance
b. hypersensitivity
c. grandiosity
d. dysphoria
4. Which of the following nursing intervention is appropriate with avoidant personality
disorder?
a. provide opportunities for exploration
b. help identify patients strengths
c. encourage to lead a group therapy
d. do limit-setting for manipulative behavior
5. A client is hospitalized with obsessive compulsive disorder. The nurse notes the client is
vigorously washing his/her hands. Which response by the nurse would be most appropriate?
a. Your hands look clean. Why are you still washing them?
b. You should stop washing your hands because they will get chapped
c. Its time to go to the dining room. Ill walk with you
d. Ill go get some lotion for your hands so they wont get chapped
Answer Key
Matching type:
1. c
2. e
3. f
4. d
5. g
6. h
7. i
8. j
9. a
10. b
Test II: Identification
1. Paranoid
2. Schizoid
3. Schizotypal personality
4. Violation of the right of others
5. Impulsivity
Test III: Situational Problem
1. Antisocial personality disorder is identified with patterns of disrespect for and abuse
of the rights of others. Destructive behavior towards the self and other is commonly
displayed. Upon assessment, the nurse should also observe for which of the following
characteristics associated with this disorder?
5. A client is hospitalized with obsessive compulsive disorder. The nurse notes the client
is vigorously washing his/her hands. Which response by the nurse would be most
appropriate?
a. Your hands look clean. Why are you still washing them?
b. You should stop washing your hands because they will get chapped
c. Its time to go to the dining room. Ill walk with you
d. Ill go get some lotion for your hands so they wont get chapped
Answer: C
This would distract the client by offering alternative activity. Nurse should never ask
questions WHY. Response in choice B is threatening and implies misbehavior by the
client. Response in choice D does not distract the client from the behavior.
Personality Disorders
SUBMITTED BY:
Rosas, Frederick T.
BSN504- Group 14
SUBMITTED TO:
Prof. Ma. Olivia Molina, RN, MAN