Page 2272 - Saunders Comprehensive Review For NCLEX-RN

k. Intense feeling of anxiety in response to
stress
l. Chronic feelings of emptiness and
intense fear of being rejected
m. Splitting—sees others as all good or all
bad; creates conflict between
individuals by playing 1 person
against another
E. Cluster C personality disorders include the anxious, fearful types
of personality disorders—obsessive-compulsive personality,
avoidant, and dependent.
1. Obsessive-compulsive personality disorder is
characterized by difficulty expressing warm and
tender emotions, perfectionism, stubbornness, the
need to control others, and a devotion to work.
a. Perfectionist with unreasonably high
expectations of self
b. Inflexible and preoccupied with details
and rules
c. Sense of self derived primarily from
work
d. Social and personal relationship viewed
as secondary to work and productivity
e. Difficulty understanding the ideas,
feelings, and behaviors of others
f. Engages in rituals
2. Avoidant personality disorder is characterized by
social withdrawal and extreme sensitivity to potential
rejection.
a. Feelings of inadequacy
b. Hypersensitive to reactions of others
and poor reaction to criticism
c. Social isolation
d. Lack of support system

3. Dependent personality disorder is

characterized by an intense lack of self-confidence,
low self-esteem, and inability to function
independently, such that the individual passively
allows others to make decisions and assume
responsibility for major areas in the person’s life; the
dependent client has great difficulty making
decisions.
F. General interventions for a client with a personality

disorder
1. Maintain safety against self-destructive behaviors.

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