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Review the talking points on the Personality DO. Find a picture that you think represents the personality. Label it and upload the 10 slides to MOODLE. You should have 12 slides total: 1 cover page, 1 reference page, and 10 image slides.
The topic title is Personality Disorder, the attached image has the headings for each slide. The first slide will be definition of the disorder.
No need for the below in the slide.
Alterations in health
Let’s merge these two headings into one slide
Labs/ Diagnostic Procedures
The 10 Personality Disorders
A personality disorder is an enduring pattern of inner experience and behavior that:
Deviates markedly from the expectation of one’s culture.
Is pervasive, maladaptive, and inflexible.
Has an onset in adolescence or early adulthood.
Is stable over time.
Leads to distress or impairment
All personality disorders share four common characteristics.
· Inflexibility/maladaptive responses to stress
· Disability in social and professional relationships
· Tendency to provoke interpersonal conflict
· Capacity to cause irritation or distress in others
Personality disorders are predisposing factors for many other psychiatric disorders and often co-occur with depression and anxiety.
Personality disorders have a significant effect on the course of treatment for other psychiatric disorders.
A client with a personality disorder demonstrates long-term maladaptive behavior
that prevents accomplishment of desired goals in relationships and other efforts.
The maladaptive behaviors of a personality disorder are not experienced as
uncomfortable by the individual and some areas of personal functioning may be
The medical diagnosis of a personality disorder is found under Axis II of the
Personality disorders are divided into three groups, called clusters.
Cluster A – generally described as odd or eccentric
Cluster B – generally described as dramatic, emotional, or erratic
Cluster C – generally described as anxious or fearful
Defense mechanisms used by clients with personality disorders include
repression, suppression, regression, undoing, and splitting.
Of these, splitting, the inability to incorporate positive and negative aspects
of oneself or others into a whole image, is frequently seen in the inpatient
Splitting is commonly associated with borderline personality disorder.
In splitting, the client tends to characterize people or things as all good or all
bad at any particular moment. For example, the client might say, “You are the
worst person in the world.” Later that day she might say, “You are the best,
but the nurse from the last shift is absolutely terrible.”
(Odd or eccentric traits)
Characterized by distrust and suspiciousness toward
others based on unfounded beliefs that others want
to harm, exploit, or deceive the person
Characterized by emotional detachment, disinterest
in close relationships, and indifference to praise or
criticism; often uncooperative
Characterized by odd beliefs leading to interpersonal difficulties, an eccentric appearance, and magical
thinking or perceptual distortions that are not clear
delusions or hallucinations
(Dramatic, emotional, or erratic traits)
Characterized by disregard for others with
exploitation, repeated unlawful actions, deceit, and
failure to accept personal responsibility
Characterized by instability of affect, identity,
and relationships; fear of abandonment, splitting
behaviors, manipulation, and impulsiveness; often
tries self-mutilation and may be suicidal
Characterized by emotional attention-seeking
behavior, in which the person needs to be the center
of attention; often seductive and flirtatious
Characterized by arrogance, grandiose views of
self-importance, the need for consistent admiration,
and a lack of empathy for others that strains most
relationships; often sensitive to criticism
(Anxious or fearful traits; insecurity and inadequacy)
Characterized by social inhibition and avoidance
of all situations that require interpersonal contact,
despite wanting close relationships, due to extreme
fear of rejection; often very anxious in social
Characterized by extreme dependency in a close
relationship with an urgent search to find a
replacement when one relationship ends; the most
frequently-seen personality disorder in the clinical
Characterized by perfectionism with a focus on orderliness and control to the extent that the
individual may not be able to accomplish a given
Safety is always a priority concern, since some clients with a personality disorder are at risk for self- or other-directed violence.
Developing a therapeutic relationship is often challenging due to the client’s distrust or hostility toward others.
A firm, yet supportive approach and consistent care will help build a
therapeutic nurse-client relationship.
Limit-setting is important when working with the client who is manipulative or who acts out.
Feelings of being threatened or having no control may cause a client to act out toward the nurse.
Offering the client realistic choices may enhance the client’s sense of control.
Communication strategies, client outcomes, and therapies should be aimed at the specific personality disorder.
Limit-setting and consistency are essential with clients who are manipulative, especially those with borderline or antisocial personality disorders.
Assertiveness training and modeling can be important for clients with
dependent and histrionic personality disorders.
For clients with histrionic personality disorder, who may be very flirtatious, it is important to maintain professional boundaries and communication.
Clients with schizoid or schizotypal personality disorders tend to isolate themselves, and this need for social isolation should be respected.
For very dependent clients, self-assess frequently for countertransference reactions to client’s clinging and frequent requests for help.
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