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Mental Health > 2 schizophrenia > Flashcards

2 schizophrenia Flashcards

1
Q

population

A

1% of world population has schizo

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2
Q

schizoaffective disorder

A

combo of schizo + bipolar

-has mood disorder

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3
Q

schizo + other psychotic disorders are some of the most ___ forms of psychopathology

A

impairing

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4
Q

schizo manifestation often manifest right at the time of _______

A

the transition fr adolescence to adulthood

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5
Q

***causes of schizophrenia

A
  • usualy results fr complex ineraction bw genetics + environmental factors
  • genetic causes
  • environmental causes
  • abnormal brain structure
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6
Q

studies show that ppl with schizophrenia display…

A

the highest rate of genetic mutations

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7
Q

course of illness

A
  • continuous w/o temporary improvement
  • episodic w progressive or stable deficit
  • episodic w complete or incomplete remission
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8
Q

stages of schizophrenia

A

1 prodromal
2 active/acute
3 residual

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9
Q

10% of schizo pt…

A

die mainly by suicide

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10
Q

**prodromal phase

A

refers to deterioration in function before the onset of the active psychotic phase

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11
Q

**active/acute phase

A

active phase symptoms must be present for ATLEAST 1 MONTH

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12
Q

**active phase symptoms

A
  • delusions
  • hallucinations
  • disorganized speech
  • grossly disorganized behavior, -negative symptoms such as flat affect, abolition, + alogia
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13
Q

**residual phase

A
  • follows the active phase

- functional impairment + abnormalities of affect, cognition, + communication

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14
Q

15% of schizo pt remain hospitalized + do not improve…. they should be in…

A

locked facility

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15
Q

positive signs

A
  • disordered thought, perception, + behavior
  • “visible” signs/more easily IDd
  • too much “abnormal” behavior
  • most affected + diminished w antipsychotics
  • many symptoms which were resistant are reduced or eliminated w new atypicals
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16
Q

hallucination is a ___ sign

A

positive

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17
Q

hallucinations

A

sounds or other sensations experienced as real when they exist only in the person’s mind

18
Q

most common time of hallucination in schizophrenia

A

AUDITORY

-visual is next common

19
Q

auditory hallucination

A

-occurs when ppl misinterpret their own inner self-talk as coming fr an outside source

20
Q

types of disorganized speech

A
  • fragmented thinking is characteristic of schizophrenia

- people w schizophrenia tend to have trouble concentrating + maintaining a train of thought

21
Q

common signs of disorganized speech

A
  • loose assoc
  • neologism
  • preservation
  • clanging
  • circumstantiality
  • thought blocking
  • word salad
  • mutism
  • echolalia
22
Q

loose assoc

A

jump from one idea to another w increasingly more fragmented connections bw the thoughts

23
Q

neologism

A

new word or phrase of pt’s own making often seen in schizo

-or existing word in new sense

24
Q

perseveration

A

repetition of a particular response (such as a word, phrase, or gesture)

25
Q

clanging

A

speech pattern where ppl put words together bc of how they sound instead of what they mean

26
Q

circumstantiality

A

disturbed pattern of speech or writing characterized by delay in getting to the point bc of the interpolation of unnecessary details + irrelevant remarks

27
Q

thought blocking

A

person stops speaking suddenly + without explanation in the middle of a sentence

28
Q

word salad

A

confused or unintelligible mixture of seemingly random words or phrases

29
Q

echolalia

A

meaningless repetition of another person’s spoken words

-schizo + autistic

30
Q

mutism

A

inability or unwillingness to speak

-pt may mouth words but no sounds

31
Q

disorganized behavior

A
  • decline in overall daily functioning
  • unpredictable or inappropriate emo response
  • behaviors that appear bizarre, have no purpose
  • lack of inhibition + impulse control
32
Q

types of disorganized behavior

A
  • catatonia
  • motor retardation
  • motor agitation
  • waxy flexibility
  • echopraxia
  • negativism
  • stupor
  • impaired impulse control
  • gesturing or posturing
  • boundary impairment
33
Q

catatonia

A

stiff tonic

34
Q

negative symptoms

A
  • absence of normal behaviors found in healthy individuals

- more difficult to treat successfully than positive symptoms

35
Q

ngative sympt is neg vibes

A

-lazy, no talking, blunt, flat, unhappy

36
Q

when you give a pt chlorpromazine…

A

always monitor respiratory rate

37
Q 
NMS
F
E
V
E
R
A 
Fever
Encephalopathy
Vital Sign disirregularity
Elevated blood enzyme levels
Rigidity
38
Q

if WBC is below 4k,

A

then hold clozapine

39
Q

signs of relapse

A
  • difficulty sleeping
  • difficulty concentrating
  • begin to have hallucinations that they didn’t have previously
40
Q

relapse prevention

A
  • education
  • medication compliance
  • support system

Mental Health (14 decks)

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