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Psych > Chapter 22 -Schizophrenia > Flashcards

Chapter 22 -Schizophrenia Flashcards

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1
Q

Grandiose delusions

A

the belief that one has exceptional powers, wealth, skill, influence, or destiny

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2
Q

Nihilistic delusions

A

the belief that one is dead or a calamity is impending

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3
Q

Persecutory delusions

A

the belief that one is being watched, ridiculed, harmed, or plotted against

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4
Q

Somatic delusions

A

beliefs about abnormalities in bodily functions or structures

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5
Q

diminished emotional expression

A

restriction or flattening in the range and intensity of emotion

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6
Q

alogia

A

reduced fluency and productivity of thought and speech

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7
Q

avolition

A

withdrawal and inability to initiate and persist in goal-directed activity

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8
Q

anhedonia

A

inability to experience pleasure

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9
Q

Negative Symptoms

A

anhedonia
avolition
alogia
diminished emotional expression

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10
Q

Positive symptoms

A

Hallucinations

Delusions

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11
Q

Echolalia

A

repetition of another’s words that is parrot-like and inappropriate

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12
Q

Circumstantiality

A

extremely detailed and lengthy discourse about a topic

Topic goes around and around in a circle

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13
Q

Loose associations

A

absence of the normal connectedness of thoughts, ideas, and topics; sudden shifts without apparent relationship to preceding topics

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14
Q

Tangentiality

A

the topic of conversation is changed to an entirely different topic that is a logical progression but causes a permanent detour from the original focus

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15
Q

Flight of Ideas

A

the topic of conversation changes repeatedly and rapidly, generally after just one sentence or phrase

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16
Q

Word Salad

A

stringing together words that are not connected in any way

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17
Q

Neologism

A

words that are made up that have no common meaning and are not recognizable

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18
Q

Paranoia

A

suspiciousness and guardedness that are unrealistic and often accompanied by grandiosity

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19
Q

Referential thinking

A

a belief that neutral stimuli have special meaning to the individual, such as a television commentator who is speaking directly to the individual

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20
Q

Autistic thinking

A

restricts thinking to the literal and immediate so that the individual has private rules of logic and reasoning that make no sense to anyone else

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21
Q

Concrete Thinking

A

lack of abstraction in thinking; inability to understand punch lines, metaphors, and analogies

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22
Q

Verbigeration

A

purposeless repetition of words or phrases

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23
Q

Metonymic Speech

A

use of words with similar meanings interchangeably

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24
Q

Clang Association

A

repetition of words or phrases that are similar in sound but in no other way, for example, “right, light, sight, might”

25
Q

Stilted Language

A

overly and inappropriately artificial formal language

26
Q

Pressured Speech

A

speaking as if the words are being forced out, often rapidly

27
Q

Aggression

A

behaviors or attitudes that reflect rage, hostility, and the potential for physical or verbal destructiveness (usually comes about if the person believes someone is going to do him or her harm

28
Q

Agitation

A

inability to sit still or attend to others, accompanied by heightened emotions and tension

29
Q

Catatonia

A

psychomotor disturbances such as stupor, mutism, posturing, or repetitive behavior

30
Q

Catatonic excitement

A

a hyperactivity characterized by purposeless activity and abnormal movements, such as grimacing and posturing

31
Q

Echopraxia

A

involuntary imitation of another person’s movements and gestures

32
Q

Regressed behavior

A

behaving in a manner of a less mature life stage; childlike and immature behavior

33
Q

Stereotypy

A

repetitive purposeless movements that are idiosyncratic to the individual and to some degree outside of the individual’s control

34
Q

Hypervigilance

A

sustained attention to external stimuli as if expecting something important or frightening to happen

35
Q

Waxy Flexibility

A

posture held in an odd or unusual fixed position for extended periods of time

36
Q

What neurotransmitter is mostly responsible for the positive symptoms of schizo?

A

Dopamine

37
Q

Pseudoparkinsonism

A

Resting tremor, rigidity, bradykinesia or akinesia, masklike face, shuffling gait, decreased arm swing

38
Q

Acute dystonia

A

Intermittent or fixed abnormal postures of the eyes, face, tongue, neck, trunk, and limbs

39
Q

Akathisia

A

pacing, rocking, shifting from foot to foot; subjective sense of not being able to sit or be still

40
Q

Tardive dyskinesia

A

Abnormal dyskinetic movements of the face, mouth, and jaw; choreoathetoid movements of the legs, arms, and trunk

41
Q

Acute motor abnormalities

A

Pseudoparkinsonism
Acute dystonia
Akathisia

42
Q

Late-Appearing Motor abnormalities

A

Tardive dyskinesia

43
Q

Schizophrenia is treated with what kind of meds

A

1st gen antipsychotics
2nd gen antipsychotics
Anticholinergics

44
Q

AIMS scale assesses

A

Abnormal movements

45
Q

SAPS scale assesses

A

Positive symptoms

46
Q

First Generation Antipsychotics

most meds end in “zine”

A

Chlorpromazine (Thorazine)
Thoridazine (Mellaril)
Trifluoperazine (Stelazine)
Haloperidol (Haldol)

47
Q

First Generation Antipsychotics Symptoms

A

EPS, weight gain, Sexual dysfunction, urinary retention, and dry mouth

48
Q

Anticholinergics treat what symptoms specifically?

A

EPS

49
Q

Second Generation Antipsychotics

A

“pines”, “dones”, 2 “pips”, and 1 “rip”

50
Q

What medications are the first line meds for schizophrenia

A

Second generation antipsychotics

“pines”, “dones”, 2 “pips”, and 1 “rip”

51
Q

Clozapine severe adverse effect

A

Agrandulocytosis

52
Q

Second Gen Antipsychotic SE

A 
Sedation
Orthostatic hypotension
Weight gain
DM
Cardiac arrhythmia
53
Q

Ziprasidone & Haloperidol monitor ___

A

ECG for prolonged QT interval

54
Q

Which 2nd gen antipsychotic causes breast enlargement/increased prolactin levels

A

Risperidone

55
Q

Complication of first gen antipsychotics

A

Neuroleptics Malignant hyperthermia

56
Q

Complication of second gen antipsychotic

A

Metabolic syndrome

57
Q

Symptoms of metabolic syndrome

A

weight gain, dyslipidemia, and altered glucose metabolism due to increased insulin resistance

58
Q

Tx for anticholinergic crisis

A

Discontinuation of meds
Physostigmine
Gastric lavage, charcoal, catharsis for intentional overdoses

Psych (19 decks)

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