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NUR 170 > Chapter 12 Schizophrenia > Flashcards

Chapter 12 Schizophrenia Flashcards

1
Q

Glutamate

A

Neurotransmitter during maturation

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2
Q

First generation antipsychotic drug names

A

Haloperidol
Chlorpromazine

Block dopamine

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3
Q

Phases

A

I- acute
II-stabilization
III- maintenance

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4
Q

Positive symptoms

A 
Presence of something that normally isn't 
Hallucinations 
Delusions
Bizarre behavior 
Paranoia
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5
Q

Negative symptoms

A

Absence of something that should be present
Interest in hygiene
Motivation
Experience pleasure

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6
Q

Cognitive symptoms

A

Subtle changes in memory, attention or thinking, excecutive functioning

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7
Q

Affective symptoms

A

Involving emotions and their expression

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8
Q

Delusions

A

False fixed beliefs that cannot be corrected by reasoning

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9
Q

Concrete thinking

A

Impaired ability to think abstractly.

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10
Q

Associative looseness

A

Threads are interrupted or disjointed. Hard to follow

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11
Q

Clang association

A

Choosing words based on their sound. Rhyming

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12
Q

Word salad

A

Jumble of words meaningless to listener

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13
Q

Neologisms

A

Made up words

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14
Q

Echolalia

A

Pathological repeating. Often seen in catatonia

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15
Q

Magical thinking

A

Believing that ones thoughts or actions can affect others

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16
Q

Circumstantiality

A

Including unnecessary details in the conversation

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17
Q

Tangentiality

A

Taking the conversation off topic

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18
Q

Cognitive retardation

A

Slowing in the pace of thinking

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19
Q

Alogia, poverty of speech

A

Less volume and breif responses in speech

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20
Q

Thought blocking

A

Reduction in the amount of thinking or derailed from conversation

21
Q

Thought insertion

A

Thought maybe are inserted into their mind

22
Q

Thought deletion

A

Ones thoughts have been taken or are missing

23
Q

Derealization

A

False perception environment has changed

24
Q

Illusions

A

Misperceptions of a real experience

25
Q

Gustatory

A

Experiencing tastes

26
Q

Catatonia

A

Pronounced increase or decrease in the rate and amount of movement

27
Q

Stereotyped behaviors

A

Repeated behaviors that do not serve a logical purpose

28
Q

Waxy flexibility

A

Extended Maintenance of posture. Raises arm and leaves it there

29
Q

Echopraxia

A

Mimicking of movements of another

30
Q

Negativism

A

Patient does opposite of what asked

31
Q

Affect

A

Outward expression of a persons internal emotional state

32
Q

Flat

A

Immobile or blank facial expression

33
Q

Blunted

A

Reduced or minimal emotional response

34
Q

Inappropriate

A

Incongruent with the emotional state or situation

35
Q

Bizarre

A

Odd, illogical, grossly inappropriate. Giggling, grimacing

36
Q

Anhedonia

A

Inability to experience pleasure in activities that usually produce it

37
Q

Avolition

A

Reduced motivation, spontaneous activity ADLs

38
Q

Anosognosia

A

Inability to realize they are ill

39
Q

Second generation antipsychotic

A

Serotonin dopamine antagonist

40
Q

Third generation antipsychotic

A

Increase effectiveness of selected antipsychotics

41
Q

Extrapyramidal side effects

A

Caused by blockage of dopamine receptors

42
Q

Acute dystonia

A

Acute sustained contraction of the muscles (head and neck)

43
Q

Akathisia

A

Pacing, fidgeting

44
Q

Pseudoparkinsonism

A

Tremor, reduced accessory movements, impaired gait

45
Q

Tardive dyskinesia

A

Never goes away. Prolonged treatment

Writhing, worm like of the tounge and face

46
Q

Anticholinergic toxicity

A

Hyperthermia, hot dry skin, reduced vowel sounds, coma, worse psychotic symptoms, tachy

47
Q

Neuroleptic malignant syndrome

A

First generation antipsychotic-excessive dopamine blockage

Reduced conscious, increased muscle tone

48
Q

Agranulocytosis

A

Clozapine

Blood dyscrasia that can be fatal

49
Q

Comorbid to schizophrenia

A 
Substance abuse 
Nicotine dependence 
Anxiety, depression, suicide
Physical health issue 
Polydipsia

NUR 170 (4 decks)

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