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NURS220 > Exam 1 - Schizophrenia > Flashcards

Exam 1 - Schizophrenia Flashcards

1
Q

alogia

A

the inability to speak due to a mental illness

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2
Q

ambivalence

A

experience of conflicting emotions

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3
Q

anergia (pos or neg?)

A

lack of energy

negative

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4
Q

anhedonia (pos or neg?)

A

inability to enjoy anything pleasant

negative

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5
Q

ansognosia (pos or neg?)

A

the inability to realize they are mentally ill

negative

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6
Q

apathy (pos or neg?)

A

lack of ability to feeling emotion

negative

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7
Q

associative looseness (pos or neg?)

A

the shifting of topics while talking - unrelated topic to unrelated topic

positive

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8
Q

autistic thinking

A

focus is directed inward - a lot of daydreams and fantasy

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9
Q

catatonia (pos or neg?)

A

excitement is modeled by psychomotor purposelessness and random movements

negative

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10
Q

circumstantiality (pos or neg?)

A

a type of conversation that leads to immense detail in conversations

positive

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11
Q

clang association (pos or neg?)

A

a pattern of speech that is composed due to rhyming

positive

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12
Q

delusions (pos or neg?)

A

a false personal belief that they will stand by no matter the correction

positive

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13
Q

echolalia (pos or neg?)

A

the repetition of words that are spoken by the person speaking (ECHOING)

POSITIVE

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14
Q

echopraxia (pos or neg?)

A

meaningless repetition of another persons movement

positive

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15
Q

erotomania

A

the belief that another person is in love with them even though it is false

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16
Q

flight of ideas

A

continuous FAST speech that may change from one topic to another, but may still have the same idea

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17
Q

grandiose

A

exaggerated feeling of importance (i.e. “god”)

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18
Q

hallucinations (pos or neg?)

A

false sensory perceptions not associated with real stimuli

positive

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19
Q

ideas of reference

A

idea that small ideas in life mean something big

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20
Q

illusions (pos or neg?)

A

incorrect perception of a real stimulus

positive

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21
Q

labile

A

a mood state that defines wild and inconsistent mood changes

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22
Q

magical thinking (pos or neg?)

A

an idea that makes a person believe that thinking of something will make it happen (i.e. it snowed because i wished it would)

positive

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23
Q

mutism (pos or neg?)

A

anxiety disorder that causes the individual to remain mute (refusal)

positive

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24
Q

negative symptoms

A

decrease in normal function

25
Q

neologism (pos or neg?)

A

new words created that are meaningless to others

positive

26
Q

paranoia

A

extreme suspicion

characterized by delusions and hallucinations

27
Q

perseveration

A

repetition of the same words to different questions

positive

28
Q

positive symptoms

A

excessive distortion in normal functioning – extreme symptoms but still is manageable

29
Q

posturing (pos or neg?)

A

voluntary assumption of bizarre positioning

negative

30
Q

poverty of thought

A

reduction of thought or focus on the same topics

31
Q

premorbid

A

state of function prior to onset of schizophrenia

32
Q

prodromal symptoms

A

the initial onset of symptoms prior to schizophrenia diagnosis

33
Q

psychosis

A

a mental state where there is an extreme loss of touch with reality

34
Q

religiosity (pos or neg?)

A

excessive demonstration with a religious idea (i.e. listening to god)

positive

35
Q

residual symptoms

A

beliefs, attitudes, experiences that can contribute to low self esteem

36
Q

somatic (pos or neg?)

A

false idea of function of their body (doctor says not pregnant but i am)

positive

37
Q

tangentiality (pos or neg?)

A

inability to reach a point in their story

positive

38
Q

volition (pos or neg?)

A

inability to initiate goal directed activities

negative

39
Q

waxy flexibility (pos or neg?)

A

positions themselves in whichever way someone would like

negative

40
Q

word salad (pos or neg?)

A

a group of words that are put together without logical fashion

positive

41
Q

what are the four phases of schizophrenia?

A

premorbid
prodromal
active or “schizophrenia”
remission

42
Q

what happens during the premorbid phase of schizophrenia

A

usually normal functioning occurs along with shy ness and withdrawal

43
Q

what happens during the prodromal phase of schizophrenia

A

deterioration of normal function and cognitive impairment

44
Q

what is a diagnosis of schizophrenia based on

A

2 or more symptoms including hallucinations and delusions
decrease in normal function
symptoms for 6+ months
other disorders ruled out
medical reasons ruled out
pre-existing conditions ruled out and assessed

45
Q

what are psychological treatments (nonpharm)

A 
individual psychotherapy
group 
behavior therapy
social skills training
social treatments
46
Q

What is delusional psychosis disorder

A

delusions that last for at least 1 month

47
Q

what is brief psychotic disorder

A

symptoms that last for 1 d to 1 month

48
Q

what is substance induced psychosis

A

psychosis from intoxication

49
Q

what is schizophreniform

A

1 m to 6 m of schizophrenia symptoms

50
Q

what is schizoaffective disorder

A

schizophrenia symptoms with depression and mania involved

51
Q

blocks dopamine receptors and may affect cholinergic, adrenergic, and histamine receptors

A

typical antipsychotics

52
Q

weaker dopamine receptor antagonist - more potent serotonin antagonists - affects cholinergic, adrenergic, and histamine receptors

A

atypical antipsychotics

53
Q

weight gain and sedation is caused most by what type of antipsychotic med

A

histamine blockers

54
Q

extrapyramidal symptoms are most caused by what type of antipsychotic med

A

dopamine blockers

55
Q

dry mouth, blurred vision, urinary retention, constipation, and tachycardia is most often caused by what kind of antipsychotic medication

A

cholinergic blockers

56
Q

dizziness, orthohypotension, tremors, and reflex tachycardia is most often caused by what type of antipsychotic medication?

A

adrenergic blockers

57
Q

what is neuroleptic malignant syndrome

A

antipsychotic side effect that is very rare

58
Q

what are the symptoms of NMS

A 
high fever
diaphoresis
muscle rigidity
tachycardia
unstable BP
coma

NURS220 (8 decks)

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