exam 2 - schizophrenia Flashcards
___ is a state in which a person experiences hallucinations, delusions, or disorganized thoughts, speech, or behavior
psychosis
schizophrenia is when the psychosis has been going on longer than ____
6 months
____ is the term when the criteria of schizophrenia is met in addition to a mood disorder with different symptoms (like depression)
schizoaffective
____ disorders are strictly delusions. The patient does not hear voices or see things and is still taking care of themselves and eating.
delusional
what disorder has the same criteria/symptoms as schizophrenia, but less than one month of the behavior
brief psychotic disorder
what disorder has the same behavior as schizophrenia but the time frame is 1-6 months
schizophreniform
what psychotic disorder is due to a drug that was taken (recreational or prescription)
substance-induced psychotic disorder
what is the best indicator of schizophrenia
1st degree relative with the disorder
___ period of schizophrenia in the early stages. Patient withdraws, develops strange interests, does not eat, isolates.
prodromal
the prodromal period usually occurs at what age
teenage years
the ___ ___ period is when the illness sis actually being experienced. Signs are staying up all night, incoherent conversations, aggression
acute illness
the acute illness period occurs at what age
18-25 – later in women
the ___ period is when the patient is hospitalized and is recieving treatment
stabilization
the ___ period focuses on how to live with schizophrenia. patient is taking medicine and in support groups
recovery
what kind of symptoms describes what is being added such as excessive thoughts, delusions, and hallucinations
positive symptoms
what type of symptoms describe emotions and behaviors that should be present but are diminished – things being taken away from normalcy
negative symptoms
3 diagnostic criteria for schizophrenia
positive symptoms
negative symptoms
neurocognitive impairments (disorganized symptoms)
examples of neurocognitve impairments used to diagnose schizophrenia
impairments with memory
vigilance
impairments with verbal fluency
impairments with executive function
the disorganized thinking symptom that refers to the repetition of another’s words that is parrot-like and inappropriate
echolia
the disorganized thinking symptom that refers to extremely detailed and lengthy disclosure about a topic
circumstantiality
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
loose association
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
tangentiality
the disorganized thinking symptom that refers to when the topic of conversation changes repeatedly and rapidly, generally after just one sentence or phrase
flight of ideas
the disorganized thinking symptom that refers to the stringing together of words that are not connected in any way
word salad
the disorganized thinking symptom that refers to words that are made up that have no common meaning and are not recognizable
neologisms
the disorganized thinking symptom that refers to suspiciousness and guardedness that are unrealistic and often accompanied by grandiosity
paranoia
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
referential thinking
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
autistic thinking
the disorganized thinking symptom that refers to the lack of abstraction in thinking; inability to understand punch lines, metaphors, analogies
concrete thinking
the disorganized thinking symptom that refers to the purposeless repetition of words or phrases
verbigeration
the disorganized thinking symptom that refers to the use of words with similar meanings interchangeably
metonymic speech
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)
clang association
the disorganized thinking symptom that refers to overly and inappropriately artificial formal language
stilted language
the disorganized thinking symptom that refers to speaking as if the words are being forced out
pressured speech
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)
aggression
the disorganized behavioral symptom that refers to the inability to sit still or attend to others, accompanied by heightened emotions and tension
agitation
the disorganized behavioral symptom that refers to psychomotor disturbances such as stupor, mutism, posturing, or repetitive behavior
catatonia
the disorganized behavioral symptom that refers to a hyperactivity characterized by purposeless activity and abnormal movements, such as grimacing and posturing
catatonic excitement
the disorganized behavioral symptom that refers to involuntary imitation of another person’s movements and gestures
echopraxia
the disorganized behavioral symptom that refers to behaving in a manner of a less mature life stage; childlike and immature behavior
regressed behavior
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
stereotypy
the disorganized behavioral symptom that refers to sustained attention to external stimuli as is expecting something important or frightening to happen
hypervigilance
the disorganized behavioral symptom that refers to posture held in an odd or unusual fixed position for extended periods of time
waxy flexibility
common comorbidites of schizophrenia
substance abuse
depression
DM
obesity
schizophrenia can cause brain ___ to be greatly reduced
metabolism
abnormalities in which brain regions are seen with schizophrenia
frontal
temporal
cingulate
main neurotransmitter affected by schizophrenia
dopamine - hyper active
___ antipsychotics work on dopamine are good for positive symptoms
typical
___ antipsychotics work on dopamine and serotonin and are helpful with negative symptoms
atypical
what are the priority care issues with schizophrenia patients
suicide assessment, aggression and safety of patient and staff, antipsychotic medications
