exam 2 - schizophrenia

Question 1

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

Answer 1

psychosis

Question 2

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

Answer 2

6 months

Question 3

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

Answer 3

schizoaffective

Question 4

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

Answer 4

delusional

Question 5

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

Answer 5

brief psychotic disorder

Question 6

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

Answer 6

schizophreniform

Question 7

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

Answer 7

substance-induced psychotic disorder

Question 8

what is the best indicator of schizophrenia

Answer 8

1st degree relative with the disorder

Question 9

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

Answer 9

prodromal

Question 10

the prodromal period usually occurs at what age

Answer 10

teenage years

Question 11

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

Answer 11

acute illness

Question 12

the acute illness period occurs at what age

Answer 12

18-25 – later in women

Question 13

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

Answer 13

stabilization

Question 14

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

Answer 14

recovery

Question 15

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

Answer 15

positive symptoms

Question 16

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

Answer 16

negative symptoms

Question 17

3 diagnostic criteria for schizophrenia

Answer 17

positive symptoms
negative symptoms
neurocognitive impairments (disorganized symptoms)

Question 18

examples of neurocognitve impairments used to diagnose schizophrenia

Answer 18

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

Question 19

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

Answer 19

echolia

Question 20

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

Answer 20

circumstantiality

Question 21

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

Answer 21

loose association

Question 22

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

Answer 22

tangentiality

Question 23

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

Answer 23

flight of ideas

Question 24

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

Answer 24

word salad

Question 25

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

Answer 25

neologisms

Question 26

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

Answer 26

paranoia

Question 27

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

Answer 27

referential thinking

Question 28

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

Answer 28

autistic thinking

Question 29

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

Answer 29

concrete thinking

Question 30

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

Answer 30

verbigeration

Question 31

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

Answer 31

metonymic speech

Question 32

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)

Answer 32

clang association

Question 33

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

Answer 33

stilted language

Question 34

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

Answer 34

pressured speech

Question 35

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)

Answer 35

aggression

Question 36

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

Answer 36

agitation

Question 37

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

Answer 37

catatonia

Question 38

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

Answer 38

catatonic excitement

Question 39

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

Answer 39

echopraxia

Question 40

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

Answer 40

regressed behavior

Question 41

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

Answer 41

stereotypy

Question 42

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

Answer 42

hypervigilance

Question 43

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

Answer 43

waxy flexibility

Question 44

common comorbidites of schizophrenia

Answer 44

substance abuse depression DM obesity

Question 45

schizophrenia can cause brain ___ to be greatly reduced

Answer 45

metabolism

Question 46

abnormalities in which brain regions are seen with schizophrenia

Answer 46

frontal temporal cingulate

Question 47

main neurotransmitter affected by schizophrenia

Answer 47

dopamine - hyper active

Question 48

___ antipsychotics work on dopamine are good for positive symptoms

Answer 48

typical

Question 49

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

Answer 49

atypical

Question 50

what are the priority care issues with schizophrenia patients

Answer 50

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