Cluster A Nursing Diagnoses

by Brenda Marshall, EdD, MSN, RN

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    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.

    About the Lecture

    The lecture Cluster A Nursing Diagnoses by Brenda Marshall, EdD, MSN, RN is from the course Personality Disorders (Nursing).

    Included Quiz Questions

    1. Disturbed thought processes
    2. Risk of social isolation
    3. Anxiety
    4. Risk of self-harm

    Author of lecture Cluster A Nursing Diagnoses

     Brenda Marshall, EdD, MSN, RN

    Brenda Marshall, EdD, MSN, RN

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