3-12 Flashcards

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1
Q

Is there a cure for schizophrenia

A

no

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2
Q

A psychosis defined by loss of contact with reality, hallucinations, delusions

A

schizophrenia

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3
Q

Term that includes number of schizophrenia-like disorders listed in DSM-5, describes a spectrum of diagnosis based on severity of symptoms and length of time

A

schizophrenia spectrum disorder

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4
Q

DSM-5 diagnosis of Schizophrenia

A

6+ months of symptoms, deterioration in social relations and ability to care for themselves (poor hygiene, not paying bills), abnormal motor behavior like catatonia,

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5
Q

DSM-5 diagnosis of symptoms

A

pick two of delusions, hallucinations, disorganized speech, abnormal motor behavior like catatonia, negative symptoms; at least one must be delusions, hallucinations, disorganized speech, functions poorly in life spheres than prior to symptoms, symptoms continue for 6 months

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6
Q

Schizophrenia symptom that can linger on even after being on medication

A

poor hygiene

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7
Q

Term for false sensory perceptions

A

hallucinations

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8
Q

Term for false beliefs

A

delusions

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9
Q

Most common hallucination for schizophrenia

A

auditory hallucinations (hearing voices)

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10
Q

Describe demographics of schizophrenia disorder

A

1/100 people, worldwide, more in poor, equal men and women, more in divorced, next single, fewest married

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11
Q

Three groups of schizophrenia symptoms

A

positive, negative, psychomotor

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12
Q

Schizophrenia symptoms that describe over an beyond above normal symptoms

A

positive symptoms

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13
Q

Term for bizarre additions to a persons behavior

A

pathological excesses

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14
Q

Schizophrenia symptoms that describe below normal symptoms

A

negative symptoms

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15
Q

Schizophrenia symptoms that refer to unusual movements and gestures

A

psychomotor symptoms

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16
Q

Examples of positive symptoms of schizophrenia

A

delusions, hallucinations, disordered thinking and speech

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17
Q

Term for faulty interpretations of reality

A

delusions

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18
Q

Four common delusions of schizophrenia

A

persecution, reference, grandeur, control

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19
Q

Term for schizophrenia delusion that is most common, plotted against, slandered, spied on, threatened, attacked, victimized

A

persecution

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20
Q

Term for schizophrenia delusion that describes attachment of personal meaning to the action of others or various objects or events

A

reference

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21
Q

Term for schizophrenia delusion that describes person believing that they are a great figure in history comeback to save the world eg Jesus

A

grandeur

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22
Q

Term for schizophrenia delusion that describes person believing thoughts, actions are being controlled by someone else

A

control

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23
Q

Schizophrenia symptom that describe common symptom of incoherent statements, jumping from one topic to another

A

loose associations

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24
Q

Schizophrenia symptom that describe using made-up words

A

neologisms

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25
Q

Schizophrenia symptom that describes repetition of words and statements over and over

A

perseveration

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26
Q

Schizophrenia symptom that describes use of rhyming words to think and express themselves

A

clang

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27
Q

Extremely rare schizophrenia delusion of being an animal

A

lycanthropy

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28
Q

Most common schizophrenia hallucination

A

auditory hallucinations

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29
Q

Describe brain scans and auditory hallucinations in schizophrenia

A

auditory lit up, frontal lobe dark; person hears sounds, but brains cannot recognize sounds are coming from within

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30
Q

Schizophrenia symptom cluster described as poverty of speech, blunted and flat speech, loss of volition, social withdrawal, memory problems

A

negative symptoms

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31
Q

Schizophrenia negative symptom described by blank facial expression, monotone voice, lack of emotion

A

flat affect

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32
Q

Schizophrenia negative symptom described by not engaging in speech

A

poverty of speech

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33
Q

Schizophrenia negative symptom described as being apathetic, drained of energy, fatigued, no interest in goals, ambivalence

A

loss of volition

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34
Q

Schizophrenia negative symptom described as pulling away from people, isolation

A

social withdrawal

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35
Q

Symptom cluster of schizophrenia that includes awkward movements, repeated grimaces, odd gestures, catatonia

A

psychomotor symptoms

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36
Q

Two psychomotor symptoms that may have a purpose but only known to the schizophrenic person

A

odd gestures and awkward movements

37
Q

Extreme psychomotor symptom of schizophrenia that include stupor, rigidity, and excitement

A

catatonia

38
Q

Schizophrenia catatonia symptom in which person stops responding to environment, remains motionless and silent for long periods of time

A

catatonic stupor

39
Q

Schizophrenia catatonia symptom in which person keeps same posture or body position locked in, and will resist moving

A

catatonic rigidity

40
Q

Schizophrenia catatonia symptom described as decreased response to stimuli and a tendency to remain in an immobile posture

A

waxy flexibility

41
Q

Schizophrenia catatonia symptom in which person moves a lot, excited movements, waving arms

A

catatonic excitement

42
Q

Schizophrenia usually first appears when for males and females

A

23 males, 27 females

43
Q

Three phases of schizophrenia

A

prodromal, active, residual

44
Q

First phase of schizophrenia, beginning of deterioration, milder symptoms

A

prodromal

45
Q

Second phase of schizophrenia, readily apparent symptoms like hallucinations and delusions

A

active phase

46
Q

Third phase of schizophrenia, return to milder symptoms, usually from being on medication

A

residual phase

47
Q

Percent of people who do not recover from schizophrenia

A

75%

48
Q

Of those who do recover, what was the cause of their schizophrenia

A

substance use disorder

49
Q

Theoretical approach for explaining schizophrenia with the most research support

A

biological

50
Q

Biological idea that people are born with predisposition to schizophrenia and it is triggered by environmental factors

A

diathesis-stress relationship

51
Q

Research supporting genetic predisposition to schizophrenia shows what three things

A

relatives +, twins +, adoption following biological parents, genetic and molecular biology links

52
Q

Genetic link of schizophrenia shows that alleles of gene mutations

A

are in the same place on the chromosome

53
Q

Another genetic link is the tendency of alleles to be inherited

A

together during mitosis

54
Q

Biological hypothesis that certain neurons that use dopamine fire too often, causing schizophrenia

A

dopamine hypothesis

55
Q

Biological hypothesis that enlarged ventricles and abnormalities in other brain structures cause schizophrenia

A

abnormal brain structure

56
Q

Biological explanation for schizophrenia that exposure to ______ before birth causes schizo, activated by hormones during puberty or another _____

A

viral infection

57
Q

Evidence such as animal models, winter birth rate, infection rates of mothers, and presence of antibodies support the

A

viral infection biological hypothesis

58
Q

Discredited theoretical approach to schizophrenia

A

psychodynamic

59
Q

Type of cell in nervous system related to viral hypothesis

A

glial cells

60
Q

Theoretical explanation of schizophrenia that includes “rational path to madness” and agreement that biological factors cause hallucinations and further features of schizophrenia emerge when people try to understand these delusions

A

cognitive approach

61
Q

Theory that includes (1) hear voices, (2) go to relatives and friends, (3) they deny voices exist, (4) you decide they are hiding the truth, (5) you reject family and friends, (6) delusions and deep symptoms of schizophrenia develop

A

rational path to madness

62
Q

Theoretical approach that includes multicultural factors, social labeling, and family dysfunction

A

sociocultural view

63
Q

Sociocultural force contributing to schizophrenia related to the diathesis-stress model

A

family dysfunction

64
Q

More conflict, poor communication, more critical, and over-involved are all part of what social force

A

family dysfunction

65
Q

For much of human history, people with schizophrenia were considered

A

beyond help

66
Q

Recently, what discovery has help treat schizophrenia by enabling people to think clearly enough to participate in therapy

A

antipsychotic drugs

67
Q

In the past, people with schizophrenia were institutionalized and focus was on

A

restrain them and meeting their basic needs

68
Q

Humanistic therapy that created social climate emphasizing productivity and responsibility

A

milieu therapy

69
Q

Behavioral therapy for schizophrenia in which behaving a certain way gained you rewards “tokens”

A

token economies

70
Q

Milieu therapy and token economies helped improve what two area of patient care

A

personal care and self-image

71
Q

Psychosurgical treatment no longer performed, popular in 1940s and 1950s

A

lobotomy

72
Q

Antihistamine used to calm surgery patients found to be helpful in treating schizophrenia

A

PHENOTHIAZINE

73
Q

First generation antipsychotic drug for treating schizophrenia with bad side effects

A

thorazine

74
Q

Second generation antipsychotics with lower side effects

A

atypical antipsychotics

75
Q

What treatment approach is more effective than any other treatment approach alone for schizophrenia

A

drug therapy

76
Q

Parkinsonian symptoms and tardive dyskinesia are two _______ effects of antipsychotic drugs

A

extrapyramidal symptoms

77
Q

Extrapyramidal symptom caused by neuroleptic (antipsychotics) that may be permanent, involuntary and unusual movements like smacking

A

tardive dyskinesia

78
Q

New class of antipsychotics that work on both dopamine and serotonin receptors for schizophrenia

A

atypical antipsychotics

79
Q

Therapy approach involving educating patient on schizophrenia, on passing nature of hallucinations, tracking triggers of hallucinations, changing thinking on power of hallucinations

A

cognitive-behavioral therapy

80
Q

Therapy approach that helps clients accept streams of problematic thoughts, become “detached and comfortable observers”

A

new-wave cognitive-behavioral therapy

81
Q

Therapy that works with family member to lower expectations, lower expression of emotion, and offer support groups

A

family therapy

82
Q

Therapy that helps patients with daily living tasks like problem solving, financial assistance, reduces rehospitalizations

A

social therapy

83
Q

Syndrome of readmittance of patients because of lack of follow up

A

revolving door syndrome

84
Q

Treatment response to revolving door syndrome, combination of coordinated services eg medication management

A

assertive community treatment

85
Q

Day hospitalization aspect of assertive community treatment to reduce inpatient readmissions

A

partial hospitalization

86
Q

Community treatment has failed because most people with schizophrenia do not receive treatment due to

A

poor coordination of services and shortage of services

87
Q

Percent of homeless people with schizophrenia

A

one-third

88
Q

Major feature of treatment for people recovering from severe mental disorders in countries around the world

A

community care

89
Q

Organization that lobbies for people with mental illnesses

A

National Alliance on Mental Health NAMI