Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

NURS 272 - Mental Health Nursing > Class 4? - Psychosis: Schizophrenia Recovery Model > Flashcards

Class 4? - Psychosis: Schizophrenia Recovery Model Flashcards

You may prefer our related Brainscape-certified flashcards:
Nursing Mental Health flashcards Nursing Management of Care flashcards NCLEX-PN® flashcards NCLEX-RN® flashcards Nursing Fundamentals flashcards Nursing Pediatrics flashcards Nursing Safety & Infection flashcards Nursing Pharmacology flashcards Nursing Maternity flashcards Family Nurse Practitioner (FNP) flashcards
1
Q

Why is early intervention in psychosis important?

A

decreases degree of functional impairment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Psychobiology

A

dysregulation of dopamine transport systems between the limbic system and prefrontal cortex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Psychosis as a Nursing Concept

A

a syndrome of neurocognitive symptoms that impairs cognitive capacity leading to deficits of perception, functioning, and social relatedness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the DSM-5 definition of psychosis?

A

abnormalities in five different symptomatic domains: delusions, hallucinations, disorganized thoughts/speech, disorganized or abnormal behaviour, negative (and positive) symptoms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Prodromal Phase of Psychosis

A

-early signs may be subtile and not easily identifiable
-vague changes in thoughts, feelings, perceptions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Recovery Phase of Psychosis

A

-psychosis is treatable
-medication can help but doesn’t cure
-relapse not guaranteed, but common

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Acute Phase of Psychosis

A

-clear psychotic S&S (hallucinations, delusions)
-functioning deteriorates
-substance abuse is common
-HIGH RISK OF SUICIDE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Consequences of Psychosis

A

-difficulty processing information
-impaired observation and concentration
-easily distracted
-difficulty initiating and completing tasks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Individual Psychosis Risk Factors

A

-temperament
-environment
-genetics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Delusions

A

fixed beliefs that are unlikely to change despite contradictory evidence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Hallucinations

A

perceptions that occur without an external stimulus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Does psychosis cause brain damage?

A

yes it can, but depending how long it lasts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Alogia

A

poverty of speech

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Avolition

A

decreased motivation to undertake self-directed activites

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Anhedonia

A

inability to feel pleasure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Ambivalence

A

inability to make a decisions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Monotony

A

lack of variety and interest

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Milieu Therapy

A

form of psychotherapy that involves the use of therapeutic communities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Vocational Therapy

A

subfield of occupational therapy where work is used as therapy under conditions close to reality

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Serial Health Monitoring

A

regularly scheduled monitoring of side effects and general health

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Case Management

A

team approach to management

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is the first priority in acute interventions?

A

safety

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What are acute phase interventions?

A

-safety
-trust and rapport
-reinforce reality
-reduce stimulation
-create a regular routine
-support adherence

22
Q

What are recovery phase interventions?

A

-show positive regard
-don’t argue about hallucinations/delusions
-focus on positve-goal activities
-model skills for independence
-connect client with community support, vocational opportunities, support, crisis planning

23
Q

How are first generation antipsychotics administered?

A

PO or IM

24
Q

What are the side effects of first gen antipsychotics?

A

-parkinsonism
-dystonia
-akathisia
-tardive dyskinesia
-neuroleptic malignant syndrome

25
Q

What type of meds are used to help side effects of first gen antipsychotics?

A

anticholinergics

26
Q

Akathisia

A

inability to remain still

27
Q

What does EPS stand for?

A

extrapyrimidal symptoms

28
Q

Parkinsonism

A

identical to PD - shuffling gait, tremors, rigidity

29
Q

Dystonia

A

-abnormal posture of face, tongue, eyes, neck, trunk, limbs
-stiffness
-distressing
-difficulty swallowing

30
Q

Tardive Dyskinesia

A

impaired voluntary movements, constant movement, lip smacking, tongue protrusion, grimacing, blinking

31
Q

Neuroleptic Malignant Syndrome is a _____________

A

medical emergency

32
Q

What is NMS?

A

a rare, potentially fatal adverse effect occurring within 7 days after starting or increasing oral antipsychotics

33
Q

What does NMS involve?

A

-fever
-muscle rigidity
-ALOC
-fluctuating vitals
-diaphoresis
-incontinence
-leukocytosis
-muscle injury
-metabolic acidosis

34
Q

How are second gen antipsychotics given?

A

PO or IM

35
Q

What are the side effects of second gen antipsychotics?

A

-metabolic syndrome (weight gain, insulin resistance, dyslipidemia, hypertension)
-seizures
-sialorrhea
-agranulocytosis
-sedation
-orthostatic hypotension
-dysrhythmias

36
Q

Are EPS, TD, and NMS more common in first or second gen antipsychotics?

A

first gen

37
Q

Sialorrhea

A

excessive saliva flow

38
Q

Dyslipidemia

A

elevation of plasma cholesterol, triglycerides, HDLs or LDLs

39
Q

hyperprolactinemia

A

high prolactin levels (stimulates breast milk production)

40
Q

Agranulocytosis

A

life-threatening condition involving low levels of neutrophils (WBCs)

41
Q

Secondary Psychosis

A

-toxic psychosis
-dementia
-medical illness
-toxins, drugs, medication

42
Q

What is the prevalence of schizophrenia?

A

1%

43
Q

What is the age of onset for schizophrenia in women?

A

18-30yrs or after 40yrs

44
Q

What is the age of onset of schizophrenia for men?

A

15-25yrs

45
Q

What is the prodromal phase of schizophrenia?

A

a process of changes in subjective and behavioural symptoms that precede the onset of psychotic symptoms

46
Q

What are some myths about schizophrenia?

A

-it is uncommon
-it is untreatable
-they are violent
-have multiple personalities
-caused by bad parenting
-unable to work or go to school

47
Q

____ or more of delusions, hallucinations, disorganized speech, behaviour, and negative symptoms are the diagnostic criteria for schizophrenia

A

2

48
Q

At least one schizophrenia symptom must be:

A

delusions, hallucinations, or disorganized speech

49
Q

For schizophrenia to be diagnosed:

A

-it must last at least 6 months
-must affect level of functioning

50
Q

Schizophrenia _____ be attributed to another diagnosis

A

cannot

51
Q

Schizophrenia diagnostic criteria involves at least 2 of the primary criteria for schizophrenia plus:

A

-major mood episode
-delusions or hallucinations for 2+ consecutive weeks without
-mood symptoms

52
Q

What is the CHIME model?

A

-connectedness (peer support, community, relationships)
-hope and optimism (belief in recovery, motivation, positive thinking)
-identity (overcoming stigma)
-meaning (meaning in experience, social roles)
-empowerment (personal responsibility, strenghts)

53
Q

Traditional Biomedical Model

A

-medical
-assess-diagnose-treat
-promote clinical recovery
-practitioner has control

54
Q

Recovery Model

A

-wellbeing
-individual focused
-personal recovery
-share control

55
Q

What factors enable recovery?

A

-accessible
-vocational training
-shared decision making
-respect
-spaces for belonging

NURS 272 - Mental Health Nursing (1 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions