Mental Health Flashcards
Has insight and is reality based
Non-psychotic
Has no insight and is not reality based
Psychotic
What are psychotic symptoms
Delusions, hallucination, and illusion
A false, fixed belief or idea or thought. There is no sensory component. It is all in your head.
Delusions
What is the 3 types of delusions? Give examples
Parnoid, Grandoise, Somatic
Paranoid-People are out to get/kill me
Grandiose-“I’m Christ”…”iam teh President”…”I am the world’s smartest person”
Somatic-Body part (I have an x ray vision, there are worms inside my arm)
A sensory exaperiece
- it can be auditory visual, tactile, gustatory, olfactory
HALLUCINATION
There is a referent in reality
Referent means something to whoch a person refers when they say something
Hallucination
A misinterpretation of reality. It is sensory
ILLUSION
The pt staring at the empty wall says, “Listen, I hear demon voices.” Is that statement from the pt a hallucination and an illusion?
• There is no referent there
• This is a hallucination
The same pt overhears nurses and doctors laughing and talking at the nursing station, and says, “I hear demon voices.” Is that statement from the pt a hallucination and an illusion?
• There is actually a referent (real people) there • This is an illusion
How do you deal with these psychotic patients?
To deal with these psychotic pt, the first thing to ask is what type of psychosis the pt has?
What are 3 types of psychosis
- Functional psychosis
- Psychosis of dementia
- Psychosis of delirium
A type of psychotic that can function in everyday life
90% make up this category: Skeezo, Skeezo, Major, manics
There is a chemical imbalance in the brain
- Schizophrenia, Schizoaffective disorder, Major depression (not depression), Mania
FUNCTIONAL PSYCHOSIS
- A TYPE of psychosis that has actual damage to the brain
- due to alzheimer, stroke, organic brain syndrome
- anything that says Senile/ Dementia falls in the cateory
- no ptential to re learn reality
***nursing action: REDIRECT
PSYCHOSIS OF DEMENTIA
temporary, sudden, dramatic, episodic secondary to something else
• Loss of reality
o Due to UTI, thyroid imbalance, adrenal crisis, electrolytes, medications/drugs
PSYCHOTIC DELIRIUM