MH Schizophrenia Quiz Flashcards
1st phase of Schizophrenia
Premorbid phase
2nd phase of schizophrenia
Prodomal phase
3rd phase of schizophrenia
Schizophrenia (phase)
4th phase of schizophrenia
Residual phase
Personality disorganization Social functioning deterioration Loss of contact with reality or distortion Neurotransmitter imbalance Possible structural brain changes
Elements of psychosis
Manifestation of things that are not normally present:
Hallucinations
Delusions
Alterations in speech
Bizarre behavior (walking backwards constantly)
Positive symptoms of schizophrenia
Absence of things that are normally present: Affect Alogia Anergia Anhedonia Avolition
Negative symptoms of schizophrenia
Usually blunted (narrow range of expression) or flat (facial expression never changes)
Affect
Poverty of thought of speech. The client might sit with a visitor but only mumble or respond vaguely to questions.
Alogia
Lack of energy
Anergia
Lack of pleasure or joy. The client is indifferent to things that often make others happy, such as looking at beautiful scenery
Anhedonia
Lack of motivation in activities and hygiene.
Ex: The client completes an assigned task, such as making their bed, but is unable to start the next common chore without prompting
Avolition
Inattention, easily distracted Impaired memory Poor problem-solving skills Poor decision-making skills Illogical thinking Impaired judgement
Cognitive symptoms of schizophrenia
Dysphoria
Suicidality
Hopelessness
Depressive and other mood symptoms of schizophrenia
Extrapyramidial symptoms (pseudoparkinsonism, acute dystonia, akathisia, tardive dyskenesia), hyperprolactinemia, NMS. Anticholingergic effects: tachycardia, tremors, insomnia, postural hypotension
Major side effects of typical antipsychotics
Weight gain, sedation, low potential for ejaculatory difficulty, sexual dysfunction, GI disturbance, headache, low potential of EPS.
Anticholinergic effects: tachycardia, tremors, insomnia, postural hypotension
Major side effects of atypical antipsychotics
Chlorpromazine (Thorazine)
Haloperidol (Haldol)
Typical antipsychotics
Nipiprazole (Abilify) Clozapine (Clozaril) Olanzapine (Zyprexa) Risperidone (Risperdal) Quetiapine (Seroquel) Ziprasidone (Geodon)
Atypical antipsychotics
Treats positive symptoms of schizophrenia
Typical antipsychotics
Treats both positive and negative symptoms of schizophrenia
Atypical antipsychotics
Stooped posture Shuffling gait Rigidity Bradykinesia Tremors at rest Pill-rolling motion of the hand
Pseudoparkinsonism
Facial grimacing
Involuntary upward eye movement
Muscle spasms of the tongue, face, neck, and back (back muscle spasms cause trunk to arch forward)
Laryngeal spasm
Acute dystonia
Restless
Trouble standing still
Paces the floor
Feet in constant motion rocking back and forth
Akathisia
Protrusion and rolling of the tongue
Sucking and smacking movements of the lips
Chewing motion
Facial dyskinesia
Involuntary movements of the body and extremities
Tardive dyskinesia
