Exam 2- Schizophrenia and Dissociative Disorders Flashcards
What are types of schizophrenia?
- Disorganized
- Catatonic
- Paranoid
- Undifferentiated
Incoherent, severe thought disturbances, inappropriate and silly behavior are symptoms of what types of schizophrenia?
Disorganized
Stupor, excitement, waxy flexibility, mutism, withdrawal, and doing opposite of what is being said are symptoms of what type of schizophrenia?
Catatonic
What type of schizophrenia can be dangerous?
Paranoid
Hallucinations, delusions (persecution), strong emotions are symptoms of what type of schizophrenia?
Paranoid
Mixed characteristics, and criteria of more than one type are symptoms of what type of schizophrenia?
Undifferentiated
What are cognitive symptoms of schizophrenia?
-Impaired memory, processing of information, and executive functioning
What is included in executive functioning?
- Reasoning
- Anticipation
- Planning
When communicating with psychotic patients should you talk clearly and use short sentences, in a calm and non-threatening voice?
Yes
When communicating with a psychotic patient should you be empathetic with how the person feels about their beliefs and experiences ?
Yes
When communicating with a psychotic patient should you validate the person’s own experience of frustration or distress, as well as the positives of their experience?
Yes
When communicating with a psychotic patient should you listen to the way that the person explains and understands their experiences?
Yes
When communicating with a psychotic patient should you NOT state any judgements about the content of the person’s beliefs and experiences?
Yes
When communicating with a psychotic patient should you NOT argue, confront or challenge someone about their beliefs and experiences?
Yes
When communicating with a psychotic patient should you accept if they don’t want to talk to you, but be available if they change their mind?
Yes
When communicating with a psychotic patient should you be mindful that the person may be fearful of what they are experiencing?
Yes
Is it helpful to use the same language that the person with psychosis uses to describe their experiences?
(Ex: if person refers to the voice they hear as “Rodney”, you should do the same)
Yes
What are positive symptoms of Schizophrenia and dissociative disorder?
- Delusions
- Hallucinations
- Ideas of reference
- Neologisms
- Regressive behavior
- Echolalia
- Echopraxia
- Clanging
- Pressured speech
What is a belief or altered reality that is persistently held despite evidence or agreement to the contrary, generally in reference to a mental disorder?
Delusions
A perception of having seen, heard, touched, tasted, or smelled something that wasn’t actually there is called what?
Hallucinations
What involve a person having a belief or perception that are irrelevant, unrelated or innocuous things in the world are refereeing to them directly or have special personal significance are called what?
Ideas of reference or delusions of reference
Thinking static on the phone is a wire tap is an exempt of what positive symptom in relation to schizophrenia or dissociative disorders?
Ideas of reference or delusions of reference
A newly coined word or expression is known as what?
Neologisms
A return to a former or less developed state refers to what?
Regression
What is the unsolicited reputation of vocalizations made by another person?
Echolalia
Meaningless repetition or imitation of the movements of others as a symptom of a psychiatric disorder is called what?
Echopraxia
What refers to the mode of speech characterized by association of words based upon sound rather than concepts? For example, this may include compulsive rhyming or alliteration without apparent logical connection between words.
Clanging
What occurs when an individual speaks at a rapid and sometimes frantic speed?
Pressured speech
What are negative symptoms of schizophrenia and dissociative disorders?
- Anhedonia
- Avolition
- Asocial
- Blunted affect
- Apathy
- Alogia
- Lack of energy
The inability to feel pleasure is called what?
Anhedonia
What term is used to describe the lack of motivation or ability to do tasks or activities that have an end goals, such as paying bills or attending school function?
Avolition
What refers to being not social, such s rejecting or lacking capability for social interaction; antisocial?
Asocial
Patients who have difficulty in expressing their emotions, characterized by diminished facial expression, expressive gestures and vocal expressions in action to emotion provoking stimuli are experiencing what?
Blunted affect
What is a lack of interest, enthusiasm, or concern a reference to?
Apathy
In psych what is a process of poor thinking inferred from speech and language usage referred to as?
Alogia (short answers/not talkative)
Fatigue which means feeling over tired, with low energy and a strong desire to sleep that interferes with normal activity is refers to as what?
Lack of energy
Are the side effects of medications a challenge for patients to maintain medication regimen for schizophrenia and dissociative disorders?
Yes
Is substance abuse a factor the can interfere with the treatment of schizophrenia and dissociative disorders?
Yes
Is the relapse of positive symptoms a factor that can interfere with treatment of schizophrenia and dissociative disorders ?
Yes
Is poor therapeutic alliance a factor that can interfere with treatment of schizophrenia and dissociative disorders?
Yes
Is low socioeconomic status a factor that can interfere with the treatment of schizophrenia and dissociative disorders?
Yes
Is younger age a factor that can interfere with the treatment of schizophrenia and dissociative disorders?
Yes
Is poor insight a factor that can interfere with the treatment of schizophrenia and dissociative disorders?
Yes
A feeling of being unreal or having lost identity, or body parts do not belong, or the body has drastically changed is what?
Depersonalization
A feeling that the environment has changed is what?
Derealization
Are typical and atypical antipsychotics used in the treatment of schizophrenia and dissociative disorders?
Yes
Thorazine and Haldol are what type of antipsychotic medications use to treat schizophrenia or dissociative disorders?
Typical antipsychotics
What types of symptoms do typical antipsychotics treat in schizophrenic or dissociative disorder patients?
Positive manifestations
Can typical antipsychotics cause extrapyramidal symptoms (EPS)?
Yes
Are extrapyramidal symptoms treatable with cogent and Benadryl?
Yes
What extrapyramidal symptoms can occur with typical antidepressants use for schizophrenia or dissociative disorders?
- Akathisia (restlessness)
- Dystonia (facial grimaces, exaggerated posturing of head)
- Drug induced Parkinsonism
Can tardive dyskinesia result with he use of typical antipsychotics for schizophrenia or dissociative disorder?
Yes
Is tardive dyskinesia permanent as a potential result of the use of typical antipsychotics?
Yes
What is tardive dyskinesia?
A condition affecting the nervous system
Involuntary movements, lip smacking, or repetitive movements are symptoms of what condition that affects the nervous system?
Tardive Dyskinesia
Do typical antipsychotics cause anticholinergic effects?
Yes
Do atypical antipsychotics treat both positive and negative manifestations of schizophrenia and dissociative disorder?
Yes
Do atypical antipsychotics cause anticholinergic effects?
Yes
Do atypical antipsychotics cause weight gain?
Yes
Does atypical antipscyhotics cause sedation at times?
Yes
Are new atypical antipsychotic medications developed all the time?
Yes
