Chapter 13 - Schizophrenia

Question 1

speak very little,

use brief and empty phrases.

Answer 1

Alogia

Question 2

Mental disorder characterized by disordered thoughts, hallucinations, and delusions.

Answer 2

Schizophrenia

Question 3

Disease of the Brain, not the personality

Answer 3

Schizophrenia

Question 4

Loss of rational thought and/or loss of ability to accurately interpret the environment.

Answer 4

Psychotic

Question 5

Symptom of Schizophrenia:

Making up new words

Answer 5

Neologistic Word

Question 6

Symptom of Schizophrenia:

Restlessness with a perceived need to pace or otherwise move continuously.

Answer 6

Akathisia

think of a chatty Kathy (aKATHIsia)
for spelling of word

Question 7

Perception that common events refer specifically to the individual.

(eg. passages in Songs, TV, radio, specifically referring to them)

Answer 7

Referential Delusion

or

Ideas of Reference

Question 8

List 3 types of Delusions for someone with Schizophrenia

Answer 8

1. Grandiose
2. Persecutory delusions (paranoid)
3. Referential Delusion (ideas of reference)

Question 9

Decreased reactivity to environment

can reach extreme degree of complete unawareness.

Answer 9

Catatonia

Question 10

False beliefs

Answer 10

Delusions

Question 11

Echoing other words

Answer 11

Echolalia

Question 12

Echoing other peoples movements

Answer 12

EchoPraxia

Question 13

Group of disconnected words

Answer 13

Word Salad

Question 14

Sensory perceptions NOT perceived by others. Usually auditory.

Answer 14

Hallucinations

Question 15

What are “command”-ing Voices?

Answer 15

Threatening, negative, hearing voices which are usually of specific content

Question 16

These type of symptoms are easier to see:
Disorganized Speech,
Delusions, 
Bizzare behavior
Hallucinations

Answer 16

Positive Symptoms of Schizophrenia

Positive symptoms can be treated with Medication.

Question 17

These types of symptoms are harder to detect and very hard to treat:
Flattened affect
Self care deficit
It’s hard for the client to function.

[Four “A” terms are here: alogia, avolition, anergia, anhedonia]

Answer 17

Negative symptoms of Schizophrenia

Not as easy to see as the “attention getting” positive symptoms.

Question 18

___ % are completers of Suicide.

Answer 18

10 %

Question 19

Suicide risk is the same for men and women.

True or False.

Answer 19

True

Question 20

Etiology of Schizophrenia

Answer 20

Biologic (genetic) and Organic (structural)

Question 21

Dopamine Hypothesis

Answer 21

Excessive activity of brain dopamine

Question 22

Goal of Treatment for schizophrenia:

Answer 22

Reduce Symptoms

Maximize function

Question 23

Name some terms for Old Generation Antipsychotic Drugs:

Answer 23

Typical
Neurolyptics
Major Tranquilizers

Question 24

Name some terms for New Generation Antipsychotic Drugs:

Answer 24

Atypical
Neuroleptics
these treat positive symptoms much better.

Question 25

Name the worst side effect of Neuroleptic meds

Answer 25

Dystonia

painful muscle spasms

Question 26

Name the second worst side effect of Neuroleptic meds

Answer 26

Akathisia

remember: a chatty Kathy, restless but NOT anxious

Question 27

Akinesia of Parkinsonism
Describe Onset
Describe Treatment

Answer 27

Onset: withing first 30 days of taking med

Tx: Stop taking med

Question 28

Name the so-so side effect (doesn’t hurt as bad) of Neuroleptic meds

Answer 28

Tardive Dyskensia

Repetitive smacking, involuntary movements of tongue, lips.

Question 29

What is the best treatment of the side effect, Tardive Dyskensia?

Answer 29

Prevention,
Decrease dosages and drug holidays.

Remember: stopping the med, does NOT reduce the symptoms. (sometimes, but not often)

Question 30

Patient with:
confusion, high fever (106 F), decreased LOC, rigidity, akinesia, high Creatinine.
What is the patient experiencing?

Answer 30

Neuroleptic Malignant Syndrome

Must REPORT to Doctor, to get orders to treat symptoms.

Question 31

What other treatments are available for people with Schizophrenia, in a Catatonic state?

Answer 31

ECT

Electroconvulsive therapy
aka, Shock therapy

Question 32

Nursing Diagnosis for Acute symptoms:

Answer 32

1. altered thought processes

control and manage symptoms

Question 33

What is the number one Nursing intervention when working with patients with acute Schizophrenia symptoms?

Answer 33

Develop Trust

Question 34

How would you intervene when a patient has a nursing diagnosis of Altered Thought Processes?

Answer 34

1. Don’t engage in conversation about delusional ideas.
2. Dont get in an argument with them.
3. Divert attention, change subject of conversation.

Question 35

What can you say to a patient experiencing and verbalizing his or her hallucinations?

Answer 35

“I know the voice(s) must be frightening to you, but I don’t hear it”

(you must understand hallucinations are frightening for the patient)

Question 36

What is another key nursing intervention for a patient experiencing hallucinations?

Answer 36

Interrupt the voices, or distract the client.

Question 37

When patient experiences hallucinations.

Ultimate goal:

Answer 37

Help the client know the difference between a hallucination and reality.