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Knowing Through Inquiry > Mental Health Midterm 1 > Flashcards

Mental Health Midterm 1 Flashcards

1
Q

What’s the onset for Schizophrenia in males?

A

15-25 yrs old

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2
Q

What’s the onset for Schizophrenia in females?

A

25-35 yrs old

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3
Q

Schizophrenia is made up of what factors?

A

Thought, affect and reality

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4
Q

What are changes manifested by Schizophrenia?

A

Cognitive, perceptual, affective, motor and social domains

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5
Q

What are potential predisposing factors?

A

Genetics, biochemical physiological, psychological and environment

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6
Q

What are some biochemical factors?

A

-abnormal brain chemistry
-excess amount of dopamine receptors
-Antipsychotics lower levels by blocking receptors

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7
Q

What are the DSM5 criteria for Schizophrenia?

A

Delusions
Hallucinations
Disorganized speech
Crossly disorganized/catatonic behaviour
Negative symptoms

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8
Q

How long do the criteria need to be present for?

A

6 months

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9
Q

how long does 1 of the three symptoms need to be present for?

A

1 month

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10
Q

How long does 2 of the 3 symptoms need to be present for?

A

2 months

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11
Q

What are the 4 phases of schizophrenia?

A

Premorbid, prodromal, active and residual

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12
Q

What’s premorbid?

A

Before clear evidence of the illness
ex; withdrawn, shy, poor relationship etc..

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13
Q

What’s prodromal?

A

More clearly manifest sign (2-5 yrs prior)
ex: Deterioration in function, social withdrawal
Depressive symptoms
Cognitive impairment

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14
Q

What’s the active phase?

A

DSM 5 criteria

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15
Q

What’s the residual phase?

A

Periods of exacerbation and remission ( managing it well)

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16
Q

What components are a part of the assessment?

A

Positive/negative symptoms
Cognition
Perception
Emotions
Behaviour
Socialization

17
Q

What are examples of positive symptoms and explain them.

A

-Delusions- fake and false beliefs that can’t be reasoned
-Hallucination-false perceptions of the 5 senses with no trigger
-Illusion- false perception witht he 5 sense with a trigger
-Concrete thinking
-Disorganized speech(neologism, clang

18
Q

What are some negative symptoms?

A
  • Flat or blunted affect
    Apathy
    Avolution
    Ambivalence
    poverty of speech/content
19
Q

What are some cognitive symptoms?

A

Memory- difficulty retrieving memory
Attention- difficulty concentrating
Decision making- impaired problem solving, lack of insight

20
Q

What are some perceptive symptoms?

A

hallucination
Illusion
Alteration in body image
Poor visceral pain recognition

21
Q

What are some emotion symptoms?

A

Apathy-lack of feeling
Difficulty naming emotions
Anhedonia- lack of joy

22
Q

What are some behavioural cognitive symptoms?

A

Forgetfulness
Challenges like completing a task
Literal interpretations

23
Q

What are some behavioural socialization symptoms?

A

-low self esteem
-Gender identity
-Social withdrawals and isolation
-social challenges

24
Q

What can you do to intervene ?

A

Communication technique
Safe therapeutic environment
Increase self esteem
Treatment

25
Q

What are some key communication techniques?

A

Seek validation, clarification
Empathy
Orient the client
Share observation
Offer choices

26
Q

What are some key safe therapeutic environmental technique?

A

Protect from self destructive tendencies
Monitor physical needs
Build trust
Give your time

27
Q

How do you help them increase their self esteem?

A

Provide sincere attention
Assist with ADL as needed
Break tasks down
Allow them to make decisions
Support problem solving

28
Q

How do you deal with delusions?

A

Empathize with their feelings
don’t challenges the delusion
Assess intensity, frequency and duration
Identify triggers
Focus on reality

29
Q

How do you dal with hallucination?

A

Be alert for clues
Be alert for command hallucination(the voice is telling them to do something)
Recognize affective components
Determine the pattern
Discuss reality
Distract them

30
Q

What are some effective treatments for schizophrenia?

A

Psychotherapy
Behaviour therapy
Family therapy(education)
Social skill development
Meds- antipsychotic (risperidone, quetiapine, clozapine, olanzapine)

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