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NRSG 126: Mental Health > [Exam 2] Chapter 16: Schizo > Flashcards

[Exam 2] Chapter 16: Schizo Flashcards

1
Q

What does schizo cause?

A

Distorted and bizzarre thoughts, perceptions, emotions, movements, and behavior

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2
Q

Schizo is usually diagnosed when?

A

In late adolescnce or early adulthood. Peak is at 15 to 25 for men and 25 to 35 for women

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3
Q

Symptoms of schizo are divided into what two categories?

A

Positive/Hard Symptoms/Signs: Delusions, hallucinations and grossly disorganized thinking, speech, behavior

Negative/Soft Symtpoms/Signs including flat affect, lack of volition, and social withdrawal or discomfort

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4
Q

Positive or Hard Symptoms: What is Ambivalence?

A

Holding seemingly contraindicatory beliefs or feelings about the same person, event or situation

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5
Q

Positive or Hard Symptoms: What is associative looseness?

A

Fragmented or poorly related thoughts and ideas

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6
Q

Positive or Hard Symptoms: What are delusions

A

fixed false beliefs that have no basis in reality

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7
Q

Positive or Hard Symptoms: What is echopraxia?

A

Imitation of the movements and gestures of another person whom the client is observing

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8
Q

Positive or Hard Symptoms: What is flight of ideas

A

continuous flow of verbalization in which person jumps rapidly from one topic to another

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9
Q

Positive or Hard Symptoms: what are hallucinations

A

false sensory perceptions or perceptual experiences that do not exist inr elaity

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10
Q

Positive or Hard Symptoms: what are ideas of reference

A

false impressions that external events have special meaning for the person

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11
Q

Positive or Hard Symptoms: what is perseveration

A

persistent adherence to a single idea or topic, verbal repition of a sentence , word, or phrase; resisting attempts to change the topic

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12
Q

Positive or Hard Symptoms: what is bizzare behavior?

A

Outlandish appearacnce or clothing; repetitive or sterotyped , seemingly purposeless movements

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13
Q

Negative or Soft Symptoms: What is alogia?

A

Tendency to speak little or to convey little substance of meaning

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14
Q

Negative or Soft Symptoms: what is anhedonia?

A

feeling no joy or pleasure form life or any activites from relationships

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15
Q

Negative or Soft Symptoms: what is apthy?

A

feelings of indifference toward people, activites, and events

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16
Q

Negative or Soft Symptoms: what is asociality?

A

social withdrawal, few or no relationships, lack of closeness

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17
Q

Negative or Soft Symptoms: Wha is blunted affect?

A

restricted range of emotional feeling, tone, or mood

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18
Q

Negative or Soft Symptoms: what is cataonia?

A

Psychologically induced immobility occasionally marked by periods of agitation or excitment; client seems motionaless

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19
Q

Negative or Soft Symptoms: what is flaat afect

A

absence of any facial expression

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20
Q

Negative or Soft Symptoms: what is avolition or lack of volition

A

absence of will, ambition, or drive to take action or accomplish tasks

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21
Q

Negative or Soft Symptoms: what is inattention?

A

Inability to concentrate or focus on a topic of activity, regardless of importance

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22
Q

Which symptoms last longer?

A

Negative persist after postive have been abated

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23
Q

When is Schizoaffective Disorder diagnosed?

A

When client is severly ill and has mixture of psychotic and mood symptoms

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24
Q

Signs of Schizoaffect Disorder?

A

Signs and symptoms include those of both schzo and mood disorder such as depression or bipolar

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25
Q

Best treatment for schizoaffective disorder?

A

2nd generation antipsychotics .

Mood stabilizers or antidepressants may be added if needed

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26
Q

Schizo and Onset: Slowly develop signs that include?

A

Social Withdrawal

Unusual Behavior

Loss of interest in school or work

Neglected Hygiene

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27
Q

Schizo and Onset: Diagnosis is usually made when person begisn to display what?

A

More actively positive symptoms of delusions, hallucinations , and disordered thinking (psychosis)

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28
Q

Schizo and Onset: What age fares better with this disease?

A

Those who develop it later in life

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29
Q

Schizo and Onset: Why do younger people struggle with this?

A

Have poorer premorbid adjustment, more prominent negative signs and greater cognitive impairments

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30
Q

What two patterns emerge yearsr immediately after onset of symptoms?

A
  1. Client experiences ongoing psychosis and never recovers

2. Client experiences episdoes of psychotic symptoms that alternate between episdoes of relatively complete recovery

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31
Q

Schizo and Long-Term coursE: Over time, what happens to disease?

A

Becomes less disruptive to person’s life and easier to manage.

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32
Q

Schizo and Long-Term coursE: Why do many people struggle with functioning in community?

A

Due to negative symptoms, impaired cognition, or treatment-refractory postiive symptoms

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33
Q

Schizo and Long-Term coursE: What medications play a crucial role in the disease?

A

Antipsychotic medications

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34
Q

Schizo and Related Disorders: What is Schizophreniformdisorder?

A

Client exhibits acute, reactive psychosis for less than 6 months. If over 6, changed to Schzio. Social or occupational functioning may be impaired

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35
Q

Schizo and Related Disorders: What is cataonia?

A

Marked by psychomotor disturbance, either excessive motor activity or immobility. Excess motor is purposeless and not influenced.

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36
Q

Schizo and Related Disorders: Other behaviors of Catanonia?

A

Extreme negativism, mutism, pecuilar movements, echolalia, or echopraxia

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37
Q

Schizo and Related Disorders: Waht is delusional disorder?

A

Client has one or more nonbizzare delusions. Delusions are believable.

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38
Q

Schizo and Related Disorders: What is brief psychotic disorder?

A

Client experiences suden onset of at least one psychotic symtpom such as delusions, hallucinations, or disorganized speech which leasts anywhere till a month

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39
Q

Schizo and Related Disorders: What is shared psychotic disorder?

A

Two people share similar delusion. Develops this delusion in context of close relationship with someone who has psychotic delusions

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40
Q

Schizo and Related Disorders: What is schizotypal personality disorder?

A

Involves odd, eccentric behaviors including transient psychotic symptoms

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41
Q

Schizo and Etiology: Newer scientific studies demonstrate that schizo results from

A

a type of brain dysfunction . Neurochemical/neurologic theories supported by effects of antipsychotic medication

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42
Q

Schizo and Genetic Factors: Who has the greatest chance between family members of having this?

A

Twins, have as high as 50% chance.

Kids with one parent has it is 15%. Two = 35%

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43
Q

Schizo and Neuroanatomic and NEurochemical Factors: What changes in the brains do these people have?

A

Less brain tissue and CSF. Could represent fialure of devleopment .

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44
Q

Schizo and Neuroanatomic and NEurochemical Factors: What does CT show?

A

Enalrged ventricles in the brain

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45
Q

Schizo and Neuroanatomic and NEurochemical Factors: What do PET scan shows?

A

glucose metabolism and oxygen are diminished in frontal cortical structures of the brain

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46
Q

Schizo and Neuroanatomic and NEurochemical Factors: What happens on a neurological level?

A

The network that transmit information by electrical signals form nerve seem to malfunction.

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47
Q

Schizo and Neuroanatomic and NEurochemical Factors: What chemicals are associated with this?

A

Dopamine, Serotonin, dominately

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48
Q

Schizo and Neuroanatomic and NEurochemical Factors: Why do people believe dopamine is the cause?

A

Drugs that increase dopamine include paranoid psychotic reaction similar to schizophrenia . Also drugs blocking dopamine reduce ppsychotic symptoms

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49
Q

Schizo and Neuroanatomic and NEurochemical Factors: Why do people believe serotonin is the cause?

A

Serotonin modulates and helps to control excess dopamine.

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50
Q

Schizo and Cultural Considerations: What is Bouffee Delirante?

A

Syndrome found in West Africa and Haiti, characterized by sudden outburst of agitated and aggressive behavior, followed by confusion and psychomotor excitment . Sometime accompanied by visual and auditory hallucinations

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51
Q

Schizo and Cultural Considerations: What is Ghost Sickness?

A

Native American. Preoccupation with death. Symptoms include bad dreams, weakness, feeling of danger, no appetite, fainting, dizziness, fear, anxieety

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52
Q

Schizo and Cultural Considerations: What is Jikoshu-Kyofu.

A

Japan. Fear of offending others by emitting foul body odor

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53
Q

Schizo and Cultural Considerations: What is Locura ?

A

Latinos. Includes incoherence, agitation, visual and auditory hallucination, inability to follow social rules, unpredictability and violent behavior

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54
Q

Schizo and Cultural Considerations: What is Qi-gong psychotic reaction?

A

Chinese. acute, time-limited episode characterized by dissociative, paranoid, or other psychotic symptoms

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55
Q

Schizo and Cultural Considerations: what is zar?

A

Middle eastern. Expereience of spirits possessing a person. May should, laugh, wail, bang head on wall, or be apethic.

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56
Q

Schizo and Cultural Considerations: What culture needs a higher dose?

A

Blacks

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57
Q

Schizo and Psychopharamacology: What drugs primarily prescribed?

A

Antipsychotics known as neuroleptics prescribed because decreasing psychotic symptoms.

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58
Q

Schizo and Psychopharamacology: What are the conventional or first generation antipsychotic medication?

A

dopamina antagonists

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59
Q

Schizo and Psychopharamacology: what are the atypical or 2nd gen antipsychotics?

A

dopamine and serotonin antagonists

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60
Q

Schizo and Psychopharamacology: What do first-generation antipsychotics target?

A

Positive signs of schizo such as delusions, hallucinations, disturbed thinking and other psychotic symptoms. Don’t affect negative

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61
Q

Schizo and Psychopharamacology: What do 2nd gen antipsychotics target?

A

diminish positive symptoms and lessen negative signs of lack of volition and motivation, social withdrawal

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62
Q

Schizo and Maintenance Therapy: Which drugs are available as long-acting injections?

A 
Fluphenazine (PRolixin)
Haloperidol (Haldol) in decanoate
Risperidone (Risperdal)
Paliperidone (Invega Sustenna)
Olanzapine (Zyprexa)
Aripiprazole
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63
Q

Schizo and Maintenance Therapy: How are fluphenazine and haloperidol injected and last?

A

in sesame oil and are absorbed slowly over time. Last 2-4 weeks

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64
Q

Schizo and Maintenance Therapy: Duration of action for fluphenazine?

A

7-28 days

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65
Q

Schizo and Maintenance Therapy: duration of action for haloperidol?

A

4 week s

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66
Q

Schizo and Maintenance Therapy: How are risperidone, paliperidone, olanzapine and aripiprazole injected?

A

polymer based microspheres that degreade slwoly in body. Take weeks so not suitable for acute psychosis

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67
Q

Schizo and Side Effects: What do serious neurologic effects include?

A

EPS (Acute Dystonic Reaction, Akathisia, Parkinsonism)

Tardive Dyskinesia

Seizures

NMS

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68
Q

Schizo and Side Effects: Nonneurologic side effects include what?

A

Weight gain, sedation, photosensitivity, and anticholinergic symptoms such as dry mouth, blurred vision, constipation, urinary retention.

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69
Q

Schizo and Side Effects: What to do is someone has signs of NMS?

A

Stop antipsychotic meds

70
Q

Schizo and Side Effects: What are dystonic reactions?

A

Appear early in tx.

Spasms in discrete muscle groups. Neck Muscles (torticollis) or eye muscles (oculogyric crisis).

May also accompany protrusion of tongue , dysphagia and laryngeal and pharyngeal spasms

71
Q

Schizo and Side Effects: Tx for dystonic reaction?

A

Benadryl IM or IV or Benztropine (Cogentin IM

72
Q

Schizo and Side Effects: When does Pseudoparkinson appear?

A

First few days after starting or increasing dosage

73
Q

Schizo and Side Effects: What is Akathisia and how is it developed?

A

REstless movements, pacing, inability to remain still. Develops when antipsychotics started or dose increased.

74
Q

Schizo and Side Effects: How is Akathisia treated?

A

Beta blockers like propranolol

75
Q

Schizo and Side Effects: What is Tardive Dyskinesia?

A

Late appear effects characterized by abnorma, involuntary movements sucha s lip smacking, tongue protrusion, chewing.

76
Q

Schizo and Side Effects: PRoblem with tardive dyskinesia?

A

irrevisible once it appears.

77
Q

Schizo and Side Effects: Tx for tardive dyskinesia?

A

Velbenazine, deutretrabenazine. and Clozapine.

78
Q

Schizo and Side Effects: What is the Abnormal Involutary Movement Scale?

A

Used to screen for symptoms of movement disorders. Observed in several positions and rated from 0-4

79
Q

Schizo and Side Effects: Which drug has the highest chance of causing a seizure?

A

Clozapine , 5% chance

80
Q

Schizo and Side Effects: What is NMS?

A

Serious and fatal condition. Muscle rigidity, high fever, increased muscle enzymes, and leukocytosis

81
Q

Schizo and Side Effects: What is Agranulocytosis and what causes this?

A

Failure of bone marrow to produce adequate white blood cells. Clozapine causes this. Must have weekly WBC counts

82
Q

Schizo and Side Effects: What is Agranulocytosis characterized by?

A

fever, malaise, ulcerative sore throat, and leukopenia

83
Q

Schizo and Side Effects: How long for agranulocytosis to appear?

A

18-24 weeks after initiation. Clozapine must be discontinued immediately.

84
Q

Schizo and Psychosocial Treatment: What type of therapies used?

A

Individual and group therapies, family therapy, family education and social skills

85
Q

Schizo and Psychosocial Treatment: Clients with schizo can improve social competence how?

A

with social skill training, which means more efective functioning in community

86
Q

Schizo and Psychosocial Treatment: What does cognitive adaption training do?

A

Uses environmental supports to improve adaptive functioning in the home setting. This includes signs, calendars, hygiene supplies.

87
Q

Schizo and Psychosocial Treatment: What is Cognitive Enhancement Therapy?

A

Combined computer-based cognitive training with group sessions that allows them to practice skills. Designed to improve social and neurocognitive deficits such as attention

88
Q

Schizo and Psychosocial Treatment: Positive results from CET include

A

increased mental stamina, active rather than passive information processing, and spontaneous and appropriate negotiaation.

89
Q

Schizo and History: How does nurse start out meeting?

A

Asking about client history and how client functioned before crisis. “How do you usualy spend your time”

90
Q

Schizo and History: How should the nurse ask about suicide?

A

10% of people commit suicide. So ask if they’ve ever attempted or heard voices telling them to do it.

91
Q

Schizo and History: What should hte nurse ask about hte support system?

A

Do you keep in contact with family and friends?

Scheduled groups or therapy appointments?

Been running out of money between paychecks?

92
Q

Schizo and History: How can nurse end history question?

A

What do you see as the primary problem now?

What do you need help managing now?

93
Q

Schizo and General Appearance: A client may present with echopraxia, which is

A

imitating the movements and gestures of someone whom he or she is observing

94
Q

Schizo and General Appearance: How will they appear movement wise?

A

Psychomotor retardation or waxy flexibility.

95
Q

Schizo and General Appearance: What unusual speech patterns may be presented?

A

Word Salad (Jumbled words and phrases that are disconnected and incoherent)

echolalia (repetiion or imitation fo what someone else says)

96
Q

Schizo and Unusual Speech PAtterns: What is Clang Assocations?

A

Are ideas that are related to one another based on sound or rhyming rather than meaning “I will take a pill if I go up the hill”

97
Q

Schizo and Unusual Speech PAtterns: Wha tis neologism?

A

Words invented by the client

“Im afirad of grittiz. Are there any grittiz here?

98
Q

Schizo and Unusual Speech PAtterns: What is verbigeration?

A

Stereotyped repetition of words or phrases that may or not have meaning to lisener

“Iw ant to go home , go home, go home”

99
Q

Schizo and Unusual Speech PAtterns: What is Echolalia?

A

Client imitation or repeition of what nurse says

100
Q

Schizo and Unusual Speech PAtterns: What is stilted language?

A

Use of word or phrases that are flowery, excessive, and pompus

“Would you be so kind, as a representative of florence nightingale, as to do me the honor of..”

101
Q

Schizo and Unusual Speech PAtterns: What is perseveration?

A

Persistent adherence toa single idea or topic and verbal repetion of a sentence, phrase, or word.

102
Q

Schizo and Mood and Affect: How are they described?

A

Flat Affect or blunted affect (few observable facial expressions).

May also have inappropriate facial reactions.

103
Q

Schizo and Mood and Affect: Patient may state they are anhedonia, emaning

A

they report feeling depressed and having no pleasure or joy in life

104
Q

Schizo and Thought Process: What happens here?

A

Primary feature of disease. Thought process becomes disordered, and continuity of thoughts and information process is disrupted.

105
Q

Schizo and Thought Process: What are some different things that client may do?

A

Thought blocking, thought broadcasting, thought withdrawal, or thought insertion

106
Q

Schizo and Thought Process: Client may perform tangential thinking, which is

A

veering into unrelated topics and never answering original questions

107
Q

Schizo and Thought Process: What is circumstantiality

A

may be evidenced by client giving unnecessary details or strays from topic

108
Q

Schizo and Thought Process: Alogia may occur. What is this?

A

Poverty of content, describing lack of any real meaning or substance in what client says

109
Q

Schizo and Delusions: What are persecutory / paranoid delusions?

A

Involve client’s belief that others are planning to harm them or are spying, following ridiculing in some way.

110
Q

Schizo and Delusions: Example of persecutory / paranoid delusions?

A

Client may think food has been poisoned or that rooms are bugged with lsitening device

111
Q

Schizo and Delusions: What is grandiose delusions?

A

Characterized by clients claim to association with famous people or celebrities

112
Q

Schizo and Delusions: example of grandiose delusions?

A

clienet may claim to be engaged to a famous movie star

113
Q

Schizo and Delusions: What is religious delusions?

A

center around second coming from christ. are not part of their religious faith or that of others

114
Q

Schizo and Delusions: example of religious delusions?

A

client claims to be messiah or some prophet

115
Q

Schizo and Delusions: what are somatic delusions?

A

generally vague and unrealistic beliefs about clients health or bodily functions

116
Q

Schizo and Delusions: example of somatic delusoins?

A

male client may say he is pregnant

117
Q

Schizo and Delusions: what are sexual delusions?

A

belief that their sexual behavior is known to others, or that client is rapist , prostitue or pedophile

118
Q

Schizo and Delusions: example of sexual delusion?

A

their excessive masturbation has led to insanity

119
Q

Schizo and Delusions: what are nihilistic delusions?

A

client’s belief that his or her organs aren’t functioning or are rotting away

120
Q

Schizo and Delusions: what are referential delusions?

A

ideas of reference involve clients belief that televsiion broadcasts, music, have special meaning for him

121
Q

Schizo and Delusions: example of referential delusions?

A

clietn reports president was speaking directly to him

122
Q

Schizo and Delusions: What may nurse ask in regards to this?

A

Please explain that to me or tell me what you’re thinking about that

123
Q

Schizo and Intellectual Processes: Example of hallucination?

A

while walking through woods, person beleives they see snake on path. Upon close rlook, discover its only curved stick

124
Q

Schizo and Hallucinations: What are auditory hallucinations?

A

most common type, involve hearings ound, often voices.

125
Q

Schizo and Hallucinations: What are command hallucinations?

A

voices demanding that the client take action, often to harm the self or others and considered dangeorus

126
Q

schizo and Hallucinations: what are visual hallucinations?

A

invovle seeing imgages that do not exist at all, such as lights or a dead persion

127
Q

schizo and Hallucinations: what are olfactory hallucinations?

A

involve smells or odors. May be specific scent or general scent like rotten odor

128
Q

schizo and Hallucinations: What are tactile hallucinations?

A

refers to sensations such as electricity running through body or bugs crawling on skin

129
Q

schizo and Hallucinations: What are gusttory hallucinations?

A

invovle a taste lingering in mouth or sense that food tastes like something else.

130
Q

schizo and Hallucinations: What is cenesthetichallucinations?

A

involve clients report that they feel bodily functions that are undetectable

131
Q

schizo and Hallucinations: example of cenesthetichallucinations?

A

sensation of urine forming or impulses being transmitted through brain

132
Q

schizo and Hallucinations: what are kinesthetic hallucinations?

A

occur when client is motionless but reports sensation of bodily movement

133
Q

schizo and Hallucinations: Most common form of disorietnation?

A

depersonalization. feels like body belongs to so meone else

134
Q

Schizo and Judgement: What happens to judgement?

A

Impaired. Often, patient cannot meet their needs for safety and protection. Example is failing to wear warm clothes in cold weather

135
Q

Schizo and Judgement: How isinsight impaired?

A

Cannot plan ahead

136
Q

Schizo and self-Concept: What happens here?

A

Deterioration , with loss of ego boundaries. Cannot have sense of their own body, mind, and infuence.

137
Q

Schizo and Self-Care Considerations: What occurs here?

A

Inatention to hygiene and grooming needs.

138
Q

Schizo and Self-Care Considerations: Why is malnourishment a problem?

A

Because they fail to recognize sensations sucha s hunger or thirst and food or fluid intake may be inadequate.

139
Q

Schizo and Self-Care Considerations: What happens with polydipsia?

A

Too much water = little sodium. Leads to seziures. Seen in clients with severe and persistent mental illness.

140
Q

Schzio and Intervention - Promoting Safety: What interventions may nurse do if patient getting hostile?

A

ADministering medication, moving to quiet place, or temporarily using seclusion or restraints

141
Q

Schzio and Intervention - Establishing Therapeutic Relationship: Initially, client may only be able to tolerate how much contact?

A

Only 5-10 minutes. Establish therapeutic relationship.

142
Q

Schzio and Intervention - Using Therapeutic Communication: How to help patient who is struggling with reality orienttion?

A

Calling by name, making references to time and day, and commenting on environment

143
Q

Schzio and Intervention - Using Therapeutic Communication: How to handle client who is speeaking nonsense?

A

Nurse makes effort to determine meaning client trying to convey. Seek clarifcation to what they are saying.

144
Q

Schzio and Intervention - Intervention for Delusional Thoughts: Ways to talk when patient fears they may be posioned

A

DONT PLAY ALONG

“I have seen no oevidence of that”

“IT doesn’t seem that way to me”

145
Q

Schzio and Intervention - Intervention for Hallucination: Nurse must initially focus on what?

A

What voices are saying and what client is seeing.

146
Q

Schzio and Intervention - Intervention for Hallucination: How will nurse respond to someone with hallucinations?

A

I don’t hear any voices; what are you hearing?

I don’t see anything but you must be frightened. You are safe here in the hospital

147
Q

Schzio and Intervention - Intervention for Hallucination: What is a helpful strategy for intervening with hallucinations?

A

To engage client in reality-based activity such as playing cards. Difficult to pay attention to reality and hallucination at same time

148
Q

Schzio and Intervention - Intervention for Hallucination: Hallucinations are often related to what?

A

Anxiety levels, therefore monitoring and intervening should be focused on this

149
Q

Schzio and Intervention - Intervention for Hallucination: Examples on how to lower anxiety levels?

A

LEarn to relax when voices occur, engage in diversions, correct negative talk, or seek out or avoid social interaction

150
Q

Schzio and Intervention - Intervention for Hallucination: What is the cell phone trick?

A

To deal with voices, thye talk into the cellphone in order to appear normal among the street. They are able to verbalize resistance

151
Q

Schzio and Intervention - Intervention for Hallucination: One primary intervention for managing auditory hallucination is dismissal intervention what is this?

A

telling the voices to go away. Teach the client to talk back to the voices

152
Q

Schzio and Intervention - Coping with Inappropriate Behaviors: These patients often an expeirence of loss of what?

A

Ego boundaies. This results in bizzare or strang ebehaviors including touching others without warning, or engaging in socially inappropriate behaviors

153
Q

Schzio and Intervention - Coping with Inappropriate Behaviors: Nurses job here?

A

Protecting the client from retaliation by others who expeirence clients intrusions

154
Q

Schzio and Intervention - Coping with Inappropriate Behaviors: What would nurse say if client was undressing themselves?

A

Lets go to you rorom and you can put your clothes back on

155
Q

Schzio and Intervention - Coping with Inappropriate Behaviors: What is essential to do with reintergration?

A

Reintegrate the client into the treatment milieu as soon as possible.

156
Q

Schizo and Intervention - Teaching Client and Fam: Early signs of relapse?

A

Lack of sleep

Impaired cause-and-effect reasoning

Lack of control, irritability

Ineffective medication management

Anxiety and worry

157
Q

Schizo and Intervention - Teaching Client and Fam: What education is taught to them?

A

Avoid alcohol

Develop plan to recognize signs

Seek assistance to avoid or manage stressful situations

Maintain contact with community

158
Q

Schizo and Intervention - Txing Self-Care: What is the important part here?

A

Because of apathy or lack of energy, poor person hygiene can occur .

When psychotic, may pay little attention to hygiene

159
Q

Schizo and Intervention - Txing Social Skills: Nurse can help develop social skills through what?

A

education, role modeling, and practice.

160
Q

Schizo and Intervention - Txing Social Skills: What social skills can be practiced?

A

Eye contact, attentive listening, and taking turns alking can increase the cllients ability to socialize

161
Q

Schizo and Intervention - Medication Management: What can be done to help manage uncomfotable side effects?

A

Eating proper diet, drinking enough fluids, using stool softener ,sucking on hard candy, and using sunscreen

162
Q

Schizo and Intervention - Medication Management: What are some things nurse can say if client doesn’t want to take meds?

A

“This medicaition help syou think more clearly”

” taking this medication will make it less likely that you’ll hear troubling voices”

163
Q

Schizo and Intervention - Medication Management: Some tips to manage this?

A

Avoid calorie drinks

Use sunscreen

Rise slowly

Monitor drowsiness

If dose forgetting, take up to 3-4 hours late.

164
Q

Schizo and Elder Considerations: Late-onset schizo refers to development of disease after

A

45

165
Q

Schizo and Elder Considerations: Psychotic symptoms that appear later in life are associated with

A

depression or dementia

166
Q

Schizo and Community: Assertive community tx programs have decreased hospital admission by managing what?

A

symptoms and meds, assisting clients with social, recreational, and vocational needs.

167
Q

Schizo and Community: Nurse in assertive community tx program focuses on what?

A

management of medication and their side effects and promotion of health and wellness.

168
Q

Schizo and Mental Health Promotion: Psychiatric rehabilitation has the goal of what?

A

recovery for clients with major metnal illness that goes beyond symptom control and medication management

169
Q

Schizo and Mental Health Promotion: Mental health promotion involves whaht?

A

strengthening client’s ability to bounce back from adversity and to manage the inevitable obstacles encountered in life

170
Q

Schizo and Mental Health Promotion: Strategies for mental health promotion?

A

fostering self-efficacy and empowering client to have control over his or her life , improving clients resiliency or ability to bounce back

NRSG 126: Mental Health (24 decks)

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