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psych!!! > exam 2 - schizophrenia > Flashcards

exam 2 - schizophrenia Flashcards

1
Q

___ is a state in which a person experiences hallucinations, delusions, or disorganized thoughts, speech, or behavior

A

psychosis

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2
Q

schizophrenia is when the psychosis has been going on longer than ____

A

6 months

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3
Q

____ is the term when the criteria of schizophrenia is met in addition to a mood disorder with different symptoms (like depression)

A

schizoaffective

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4
Q

____ disorders are strictly delusions. The patient does not hear voices or see things and is still taking care of themselves and eating.

A

delusional

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5
Q

what disorder has the same criteria/symptoms as schizophrenia, but less than one month of the behavior

A

brief psychotic disorder

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6
Q

what disorder has the same behavior as schizophrenia but the time frame is 1-6 months

A

schizophreniform

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7
Q

what psychotic disorder is due to a drug that was taken (recreational or prescription)

A

substance-induced psychotic disorder

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8
Q

what is the best indicator of schizophrenia

A

1st degree relative with the disorder

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9
Q

___ period of schizophrenia in the early stages. Patient withdraws, develops strange interests, does not eat, isolates.

A

prodromal

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10
Q

the prodromal period usually occurs at what age

A

teenage years

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11
Q

the ___ ___ period is when the illness sis actually being experienced. Signs are staying up all night, incoherent conversations, aggression

A

acute illness

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12
Q

the acute illness period occurs at what age

A

18-25 – later in women

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13
Q

the ___ period is when the patient is hospitalized and is recieving treatment

A

stabilization

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14
Q

the ___ period focuses on how to live with schizophrenia. patient is taking medicine and in support groups

A

recovery

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15
Q

what kind of symptoms describes what is being added such as excessive thoughts, delusions, and hallucinations

A

positive symptoms

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16
Q

what type of symptoms describe emotions and behaviors that should be present but are diminished – things being taken away from normalcy

A

negative symptoms

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17
Q

3 diagnostic criteria for schizophrenia

A

positive symptoms
negative symptoms
neurocognitive impairments (disorganized symptoms)

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18
Q

examples of neurocognitve impairments used to diagnose schizophrenia

A

impairments with memory
vigilance
impairments with verbal fluency
impairments with executive function

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19
Q

the disorganized thinking symptom that refers to the repetition of another’s words that is parrot-like and inappropriate

A

echolia

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20
Q

the disorganized thinking symptom that refers to extremely detailed and lengthy disclosure about a topic

A

circumstantiality

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21
Q

the disorganized thinking symptom that refers to the absence of the normal connectedness of thoughts, ideas, and topics; sudden shifts without apparent relationship to proceeding topic

A

loose association

22
Q

the disorganized thinking symptom that refers to when 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

A

tangentiality

23
Q

the disorganized thinking symptom that refers to when the topic of conversation changes repeatedly and rapidly, generally after just one sentence or phrase

A

flight of ideas

24
Q

the disorganized thinking symptom that refers to the stringing together of words that are not connected in any way

A

word salad

25
Q

the disorganized thinking symptom that refers to words that are made up that have no common meaning and are not recognizable

A

neologisms

26
Q

the disorganized thinking symptom that refers to suspiciousness and guardedness that are unrealistic and often accompanied by grandiosity

A

paranoia

27
Q

the disorganized thinking symptom that refers to a belief that neutral stimuli have special meaning to the individual, such as a news anchor who is speaking directly to them

A

referential thinking

28
Q

the disorganized thinking symptom that refers to when thinking is restricted to the literal and immediate so that the individual has private rules of logic and reasoning that make so sense to anyone else

A

autistic thinking

29
Q

the disorganized thinking symptom that refers to the lack of abstraction in thinking; inability to understand punch lines, metaphors, analogies

A

concrete thinking

30
Q

the disorganized thinking symptom that refers to the purposeless repetition of words or phrases

A

verbigeration

31
Q

the disorganized thinking symptom that refers to the use of words with similar meanings interchangeably

A

metonymic speech

32
Q

the disorganized thinking symptom that refers to repetition of words or phrases that are similar in sound but in no other way (light, right, tight, sight)

A

clang association

33
Q

the disorganized thinking symptom that refers to overly and inappropriately artificial formal language

A

stilted language

34
Q

the disorganized thinking symptom that refers to speaking as if the words are being forced out

A

pressured speech

35
Q

the disorganized behavioral symptom that refers to behaviors/attitudes that reflect rage, hostility, and the potential for physical or verbal destructiveness (usually when the person believes someone is going to harm them)

A

aggression

36
Q

the disorganized behavioral symptom that refers to the inability to sit still or attend to others, accompanied by heightened emotions and tension

A

agitation

37
Q

the disorganized behavioral symptom that refers to psychomotor disturbances such as stupor, mutism, posturing, or repetitive behavior

A

catatonia

38
Q

the disorganized behavioral symptom that refers to a hyperactivity characterized by purposeless activity and abnormal movements, such as grimacing and posturing

A

catatonic excitement

39
Q

the disorganized behavioral symptom that refers to involuntary imitation of another person’s movements and gestures

A

echopraxia

40
Q

the disorganized behavioral symptom that refers to behaving in a manner of a less mature life stage; childlike and immature behavior

A

regressed behavior

41
Q

the disorganized behavioral symptom that refers to repetitive purposeless movements that are idiosyncratic to the individual and to some degree outside of the individuals control

A

stereotypy

42
Q

the disorganized behavioral symptom that refers to sustained attention to external stimuli as is expecting something important or frightening to happen

A

hypervigilance

43
Q

the disorganized behavioral symptom that refers to posture held in an odd or unusual fixed position for extended periods of time

A

waxy flexibility

44
Q

common comorbidites of schizophrenia

A

substance abuse
depression
DM
obesity

45
Q

schizophrenia can cause brain ___ to be greatly reduced

A

metabolism

46
Q

abnormalities in which brain regions are seen with schizophrenia

A

frontal
temporal
cingulate

47
Q

main neurotransmitter affected by schizophrenia

A

dopamine - hyper active

48
Q

___ antipsychotics work on dopamine are good for positive symptoms

A

typical

49
Q

___ antipsychotics work on dopamine and serotonin and are helpful with negative symptoms

A

atypical

50
Q

what are the priority care issues with schizophrenia patients

A

suicide assessment, aggression and safety of patient and staff, antipsychotic medications

psych!!! (8 decks)

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