00:00
So, when we think of all the
Cluster A personality disorders,
what are some of the
nursing diagnosis we might see?
Well, we know that Cluster A
comes along with anxiety.
00:14
There is this basic fear.
00:16
And so we want to start
thinking about,
what can we do for a person
who has this level of fear?
We also know that
they're not very good at coping.
00:27
The coping mechanisms
that they have developed
in their early childhood
have led to having these disorders
in their adolescence
and early adulthood.
00:37
And so we want to help them
to start developing
better coping mechanisms.
00:43
We also want to consider the fact
that because of their behaviors
and their thought processes,
they are going to find themselves
somewhat socially isolated.
00:53
So how can we help them
to start moving into
less social isolation.
01:00
Social isolation,
in any group of any diagnoses,
really is giving a prognosis
that is much worse
than a person who has
a support group,
that has the protective
factor of friends.
01:15
And when the diagnosis itself is
something that costs you friends,
we want to make sure
that we are working with that person
to increase their ability
to connect with others.
01:28
Of course, they also have this
disturbed thought processes.
01:32
The idea that they have delusions,
the idea that they may be paranoid
about people coming after them,
the idea that they have that
magical thinking.
01:43
And if you know,
or I've never worked with anyone
who has magical thinking,
when that magical thinking
doesn't go
the way they think it should,
it really comes crashing in on them.
01:56
Like a child
who has thought,
"Well, I wish that I could have
a birthday party."
And wishes, and wishes, and wishes.
02:03
And the birthday comes,
and the birthday goes.
02:06
And not only
didn't they get a party,
but nobody even remembered
to say happy birthday.
02:11
It becomes a personal fault.
02:13
It is their fault
that something didn't work.
02:16
They wish so hard
and it didn't happen.
02:19
So think about how we can
as our nursing diagnosis,
help with these
clients and patients
who have these kind of
disturbed thought processes,
and help them come back
and be part of the environment
that they're living in.