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Psych Nursing > Chapter 15 Schizophrenia > Flashcards

Chapter 15 Schizophrenia Flashcards

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1
Q

skhizo

A

split

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2
Q

phren

A

mind

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3
Q

schizophrenia causes disturbances in what

A

Thought processes
Perception
Affect

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4
Q

with schizophrenia there is…

A

a severe deterioration of social and occupational functioning

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5
Q

lifetime prevalence of schizophrenia in US

A

about 1 percent

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6
Q

Premorbid behavior of the patient with schizophrenia can be…

A

viewed in 4 phases

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7
Q

describe phase 1

A 
premorbid phase
Social maladjustment
Antagonistic thoughts and behavior
Shy and withdrawn
Poor peer relationships
Doing poorly in school
Antisocial behavior
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8
Q

describe phase 2

A

prodromal phase
Lasts from a few weeks to a few years
Deterioration in role functioning and social withdrawal
Substantial functional impairment
Sleep disturbance, anxiety, irritability
Depressed mood, poor concentration, fatigue
Perceptual abnormalities, ideas of reference, and suspiciousness herald onset of psychosis

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9
Q

describe phase 3

A

active schizophrenia
psychotic symptoms are prominent:
Delusions, Hallucinations, Impairment in work, social relations, and self-care

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10
Q

describe phase 4

A

Symptoms similar to those of the prodromal phase.

Flat affect and impairment in role functioning are prominent.

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11
Q

Is a return to full premorbid functioning common

A

no

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12
Q

biological influences of schizophrenia

A 
excess of dopamine
genetics 
Viral infection
Anatomical abnormalities 
Histological changes in brain
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13
Q

physiological influences of schizophrenia

A 
Epilepsy
Huntington’s disease
Birth trauma
Head injury in adulthood
Alcohol abuse
Cerebral tumor
Cerebrovascular accident
Systemic lupus erythematosus
Myxedema
Parkinsonism
Wilson’s disease
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14
Q

predisposing environmental factors

A

poverty, Downward drift hypothesis, stressful life

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15
Q

Poor social conditions seen as consequence of, rather than a cause of, schizophrenia

A

Downward drift hypothesis

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16
Q

Schizophrenia is most likely a _____ _____disease, the onset of which is influenced by ____________________

A

biologically based; factors in the internal or external environment

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17
Q

The existence of prominent, nonbizarre delusions

A

delusional disorder

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18
Q

types of delusions

A

Erotomanic type, Grandiose type, Jealous type, Persecutory type, Somatic type, Mixed type

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19
Q

Sudden onset of symptoms
May or may not be preceded by a severe psychosocial stressor
Lasts less than 1 month
Return to full premorbid level of functioning

A

brief psychotic disorder

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20
Q

The presence of prominent hallucinations and delusions that are judged to be directly attributable to substance intoxication or withdrawal

A

Substance-induced psychotic disorder

21
Q

what are catatonic features associated with

A

other psychotic disorders, such as brief psychotic disorder, schizophreniform disorder, schizophrenia, schizoaffective disorder, and substance-induced psychotic disorder

22
Q

Symptoms of catatonic disorder

A

Stupor and muscle rigidity or excessive, purposeless motor activity
Waxy flexibility, negativism, echolalia, echopraxia

23
Q

Same symptoms as schizophrenia with the exception that the duration of the disorder has been at least 1 month but less than 6 months

A

Schizophreniform disorder

24
Q

Schizophrenic symptoms accompanied by a strong element of symptomatology associated with the mood disorders either mania or depression

A

Schizoaffective disorder

25
Q

False personal beliefs

A

delusions

26
Q

Ideas that one’s thoughts or behaviors have control over specific situations

A

magical thinking

27
Q

what are the positive symptoms of schizophrenia

A

content of thought, form of thought, perception, sense of self

28
Q

what falls under content of thought

A

delusions, religiosity, magical thinking, paranoia

29
Q

what falls under form of thought

A

associative looseness, neologisms, concrete thinking, clang association, word salad, circumstantiality, tangentality, mutism, persevertion

30
Q

Persistent repetition of the same word or idea in response to different questions

A

persevertion

31
Q

Delay in reaching the point of a communication because of unnecessary and tedious details

A

Circumstantiality

32
Q

Inability to get to the point of communication due to introduction of many new topics

A

Tangentiality

33
Q

Made-up words that have meaning only to the person who invents them

A

Neologisms

34
Q

Shift of ideas from one unrelated topic to another

A

loose association

35
Q

interpretation of stimuli through the senses

A

perception

36
Q

False sensory perceptions not associated with real external stimuli

A

hallucinations

37
Q

Misperceptions of real external stimuli

A

illusions

38
Q

The uniqueness and individuality a person feels

A

sense of self

39
Q

what falls under sense of self

A

echolalia, echopraxia, identification, depersonalization

40
Q

what are the negative symptoms of schizophrenia

A

affect (bland, flat, apathy), volition, Impaired interpersonal functioning and relationship to the external world, Psychomotor behavior

41
Q

Impairment in the ability to initiate goal-directed activity

A

volition

42
Q

Deficiency of energy

A

anergia

43
Q

Passive yielding of all movable parts of the body to any effort made at placing them in certain positions

A

waxy flexibility

44
Q

negative psychomotor behavior

A

volition, anergia, waxy flexibility, posturing, pacing and rocking, regression, Anhedonia

45
Q

Inability to experience pleasure

A

Anhedonia

46
Q

implementation for Disturbed Sensory Perception

A

Observe the client for signs of hallucinations.
Help client understand connections between anxiety and hallucinations.
Distract the client from hallucinations.

47
Q

implementation for Disturbed Thought Processes

A

Do not argue or deny the belief.

Reinforce and focus on reality.

48
Q

implementation for Impaired Verbal Communication

A

Facilitate trust and understanding.

Orient the client to reality.

Psych Nursing (21 decks)

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