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 Assessment

` A thorough assessment is important for clients

with personality disorders, to determine the
severity of the disorder and ascertain the
presence of underlying biological disturbances
or comorbid, potentially treatable syndromes.
syndromes.
 ristory

` Detailed history of the client·s childhood

` Adolescent behavioral pattern

 °creening and Assessment Tools

` Millon Clinical Multiaxial Inventory (MCMI-

(MCMI-III)

` °tructured Interview for D°M

D°M--IV Personality (°IDP-
(°IDP-
IV)
 Millon Clinical Multiaxial Inventory
(MCMI--III)
(MCMI
` °pecifically designed to help assess both Axis I
disorders and Axis II disorders.
` Contains 175 items that provides scores on
various personality traits and personality
disorders.
` Assist in the diagnosis and development of a
treatment approach that takes into account the
client·s personality style and coping behavior
 °tructured Interview for D°M-
D°M-IV
Personality (°IDP
(°IDP--IV)
` °emi structured interview that uses questions to
examine behavior & personality traits from the client·s
perspective..
perspective
` This instrument helps distinguish lifelong behavior
from temporary states that result from an episodic
psychiatric disorder.
disorder.
` Assist in the diagnosis and development of a treatment
approach to improve the client·s quality of life.
life.
These criteria provides guidelines for a systematic
assessment:
` 
 

` Clients with personality disorders are in contact with
reality, but may have difficulty coping with stress
` Clients may exhibits denial and minimize clinical
symptoms.
` Need to obtain additional data from family or
friends
` 
 


` Pay attention to the intensity, degree of lability, and
appropriateness of the client·s affect.
` Obtain information about the onset of symptoms
and history of any previous treatment.
` Inquire whether the client has ever attempted suicide
or exhibited self-
self-mutilation
` 
 




   
` Collect data regarding the client·s interpersonal
functioning.
` May be reserved, introverted, socially withdrawn,
lonely, lack close friends, or display indifference
towards others.
`     
 
  


` During the assessment, client may display unpredictable
behaviors (°uicidal threats, gestures, or attempts and self-
self-
harm & mutilation.)
` Focus the assessment on the client·s behavior:
` Which maladaptive behaviors does the client exhibit that lead to lack
of impulse control?
` Does the client have a history of being aggressive, disrespectful,
reckless, or destructive?
` Are any legal charges pending due to illegal activity such as gambling,
shoplifting, or dealing in drugs?
` ras the client been arrested in the past?
` ï
 



` Pay attention to the client·s racial identity, religious
preferences, and unique cultural experiences.
 Nursing Diagnosis
‡ Ineffective Coping
‡ Ineffective Role Performance
‡ Risk for Other-
Other-Directed Violence
‡ Risk for °uicide
‡ Risk for °elf
°elf--Mutilation
‡ Risk for Other-
Other-Directed Violence
‡ Ineffective Coping
‡ °ocial Isolation
 Outcome Identification
‡ The client will demonstrate nondestructive ways to
express feelings and frustration.
‡ The client will identify ways to meet his or her own
needs that do not infringe on the rights of others.
‡ The client will achieve or maintain satisfactory role
performance (e.g., at work, as a parent).
‡ The client will be safe and free of significant injury.
‡ The client will not harm others or destroy property.
‡ The client will demonstrate increased control of
impulsive behavior.