• Someone w/ fear that one has a serious disease or will get a serious disease.
• misinterpret bodily sensations or functions

• transference of mental experiences and states into bodily symptoms.
• multiple physical symptoms.

• A pervasive pattern of grandiosity(in fantasy or behavior.),need for admirations, and lack of empathy.
• Display arrogant or haughty attitude.
• lack ability to recognize/empathize w/feelings of others
• tend to disparage, belittle, discount feelings of others.
• often preoccupied with fantasies of unlimited success, power, brilliance, beauty, ideal love.

shizotypal personality disorder

• social and interpersonal deficits, cognitive and perceptual distortions
• eccentric behavior

• suspicious,mistrustful,threatened by others

• marked detachment from others
• restricted emotions
• indefference and fantasy

• appear glib and charming
• but are suspicious, insensitive, and uncaring
• often exploit others for own gain

• markedly unstable
  • mood
  • affect
  • self image
  • interpersonal relationships
  • impulsivity
• often self harm

• excessive emotionality
• dramatic
• attention seeking
• seductive
• provocative behavior

• social discomfort
• reticence
• low self-esteem
• hypersensitivity to neg. evaluation

• pervasive and excessive need to be taken care of.
• leads to submissive/clingy behaviors
• fears of seperation and abandonment

• demonstrate passive ressistance to demands for adequate social and occupational performance and negativity
• often play role of martyr

when working with a client with a paranoid personality disorder, the nurse would use which of the following approaches?

1. cheerful
2. friendly
3. serious
4. supportive

1. serious

Which of the following underlying emotions is commonly seen in a passive aggressive personality disorder?

1. anger
2. depression
3. fear
4. guilt

2. anger

Cognitive restructuring techniques include all of the following except:

1. decatastrophizing
2. positive self talk
3. reframing
4. relaxation

4. relaxation

Transient psychotic symptoms that occur with borderline personality disorder are most likely treated with which of the following?

1. anticonvulsant mood stabilizers
2. antipsychotics
3. benzodiazapines
4. lithium

• 2. antipsychotics

clients with a histrionic personality disorder are most likely to benefit from which of the following nursing interventions?

1. congnitive restructuring techniques
2. improving community functioning
3. providing emotional support
4. teaching social skills

4. teaching social skills

When interviewing any client with a personality disorder, the nurse would assess for which of the following?

1. ability to charm and manipulate people
2. desire for interpersonal relationships
3. disruption in some aspects of his or her life
4. increased need for approval from others

3. Disruption in some aspects of his or her life

The nurse would asses for which of the following characteristics in a client with narcissistic personality disorder?

1. Entitlement
2. fear of abandonment
3. hypersesitivity
4. suspiciousness

• 1. entitlement

The most important short term goal for the client who tries to manipulate others would be

1. acknowledge own behavior
2. express feeling verbally
3. stop initiating arguments
4. sustain lasting relationships

1.acknowledge own behavior

• also called conversion disorder
• involves unexplained, sudden deficits in sensory or motor function
• related to emotional conflict the client experiences but doesnt handle directly

• quite engaging/charming
• confident, self assured, accomplished
• have some anxiety
• display false emotions
• view of world distorted, cold and hostile
• personal profit motivate them
• have poor judgment
• manipulate/exploit those around them

HOw would you approach a highly anxious person

• talk low, calm, smooth, comfortable
• reassure it will pass
• dont become anxious yourself STAY CALM

agnosia

• inability to recognize or name objects, despite intact sensory ability

amnesia

• Disturbance in memory
• from phsyiologic effects of general medical condition
• or from persistant substance/alchohol abuse

• impaired ability to execute moror functions despite intact motor abilities

• deterioration of language function

• a salt contained in human body
• stabalizezes bipolar disorder
• action peaks in 30min -4 hrs
• 1/2 life is 20-27 hrs

• set limits on their behavior when needed.
• decrease enviro stimulation
•   reminds to respect distances
• used short simple sentences to communicate
• clarify what they are saying
• frequently provide finger food high in calories and protein
• promote rest/sleep
• channel need for movement into socially acceptabel motor activities
•                                                                 

• the mind can cause the body  to create physical symptoms or can worsen physical illness
• EX:ilness influenced by stress

• help establish a daily routine to help with health behaviors
• except resistance...if she or he doesnt feel weel enough to do things. 
• validate feelings while encouraging them to participate in activities

• also lorazepam
• anxiolytic, sedative-hypnotic,benzodiazepine
• antianxiety, also causes mild suppression of REM sleep, increases total sleeping time.

La belle indifference

• a seeming lack of concern or distress>a key feature of conversion disorder

• moving back to a previous developmental stage to feel safe or have needs met
• 5 yr. old assks for bottle when baby bro being fed
• man pouts like 4yr old. if not the center of GF attention

• rapid
• brief
• impaire LOC and fluctuates
• speech slurred,rambling, irrelevant
• temp. disorganized
• visual/tactile hallucinations/delusions
• anxious,fearful if hallucinating
• weeping
• irratable

• gradual
• progressive
• LOC not affected
• short then long term memory destroyed
• Speech normal @ first, progressive aphasia
• impaired thinking,eventual loss
• perception often absent, have paranoia,hallucinations, illusions
• depressed anxious early on,, labile mood, restless, pacing, angry outburst in later stages

• pervasive pattern of excessive emotionality and attentions seeking

Nrsing for depressed patnients

• Dont act over cheerful
• can just sit in silence
• dont overwhelm
• dont say"lets get dressed" instead say "lets put on your shirt"