objective 9 Flashcards

1
Q

Characterized as disorganized speech, as a flight of ideas
or loosening of associations, thought to reflect
disorganized thinking and occurring as a symptom of
some types of mental illness, as manic disorder or
schizophrenia

A

thought disorder

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2
Q

is considered the most common and
disabling of the psychotic disorders. Although it is a
psychiatric disorder, it stems from a physiologic
malfunctioning of the brain. This disorder affects all
races and is more prevalent in men than in women. It
is considered a chronic syndrome that typically follows
a deteriorating course over time

A

schizophrenia

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3
Q

what are the symptoms of schizophrenia?

A

Delusions, agitation, hostility, aggression, bizarre
dress, emotional withdraw, incoherent speech,
rhythmic gestures

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4
Q

what are the 5 key features are associated with psychotic D/Os?

A

1.Delusions
2.Hallucinations
3.Disorganized thinking
4.Abnormal motor behaviour
5.Negative symptoms

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5
Q
  • Substance abuse disorders
  • Nicotine dependence
  • Anxiety, depression, and
    suicide
  • Physical health or illness
  • Polydipsia
A

co-morbidity

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6
Q

the client experiences MDD, manic, or
mixed episode along with the negative symptoms of schizophrenia

A

schizoaffective disorder

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7
Q

the client experiences the features of
schizophrenia for more than 1 month, but less than 6 months

A

schizophreniform disorder

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8
Q

it involves the sudden onset of positive
symptoms (hallucinations, delusions, catatonic ect) that occur for at
least 1 day, but less than 1 month. The individual returns to normal
level of functioning.

A

brief psychotic disorder

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9
Q

Psychoses caused by a
medical condition (delirium, neurological or metabolic conditions,
hepatic or renal diseases, and many others) as well as by mental
illness such as PTSD or depression, particularly with co-existing
victimization from sexual violence or bullying.

A

Psychosis or Catatonia Associated With Another Medical
Condition or Another Mental Disorder

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10
Q

characterized by nonbizarre
delusions (i.e., situations that could occur in real life,
such as being followed, being deceived by a spouse, or
having a disease). The person’s ability to function is not
markedly impaired, nor is behaviour otherwise odd or
psychotic

A

delusional disorder

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11
Q

Psychosis may be induced by substances
such as drugs of abuse, alcohol, medications, or toxins

A

substance or medication induced psychotic disorder

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12
Q

what are the phases of schizophrenia?

A

acute
stabilization
maintenance

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13
Q

onset or exacerbation of symptoms

A

acute

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14
Q

symptoms diminishing
movement toward previous level of functioning

A

stabilization

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15
Q

at or near baseline functioning

A

maintenance

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16
Q

Inability to show appropriate
emotional responses

A

affective disturbance

17
Q

an individual is unable to relate to
others or the environment

A

autistic thinking

18
Q

opposing emotions, attitudes, or ideas
for the same person, thing or situation

A

ambivalence

19
Q

(inability to think logically

A

looseness of association

20
Q

what are the general assessment findings?

A
  1. Positive symptoms
  2. Negative symptoms
  3. Cognitive symptoms
  4. Affective symptoms
21
Q
  • Alterations in thinking
  • Delusions—False, fixed beliefs (See Table
    15.1)
  • Persecution
  • Grandiosity
  • Ideas of reference
  • Jealousy, being controlled
  • Concrete thinking—Inability to think abstractly
A

positive symptoms

22
Q
  • Psychiatric, medical, and neurological
    evaluation
  • Psychopharmacological treatment
  • Support, psychoeducation, and guidance
  • Supervision and limit setting in the milieu
  • Monitoring of fluid intake
A

acute phase

23
Q

Most interfere with adjustment and ability to
survive
* Affect ( Flat, Blunted, Inappropriate, Bizarre)
* Other negative symptoms include:
* Poverty of speech or speech content, & thought
blocking
* Anergia (lack of energy)
* Anhedonia (inability to experience pleasure)
* Avolition (reduced motivation)

A

negative symptoms

24
Q
  • Difficulty with
  • Attention & Memory
    (forgetful)
  • Information processing
  • Cognitive flexibility
  • Executive functions
    (completing tasks)
A

cognitive symptoms

25
Q
  • Assessment for depression is crucial
  • May herald impending relapse
  • Increases substance abuse
  • Increases suicide risk
  • Further impairs functioning
A

affective symptoms

26
Q
  • Medication administration/adherence
  • Relationships with trusted care providers
  • Community-based therapeutic services
A

stabilization/maintenance phases

27
Q
  • Remove clients from, or avoid, situations known to cause
    agitation.
  • Decrease stimulants such as caffeine, bright lights, loud
    noises.
  • Avoid displaying anger, discouragement or frustration
    when interacting with clients
  • Avoid criticism and do not argue with the client
  • Set limits and follow through with the consequences if
    violation occurs
  • Administer prescribed medications
    Interventions
A

agitation

28
Q
  • Decrease environmental stimuli. If visual hallucinations
    occur, ask the client to describe what is seen
  • Attempt to identify precipitating factors by asking the
    client what happened before the onset of the hallucination.
    If auditory hallucinations occur, ask the client what is
    heard or what the voices are saying.
  • Monitor television programs to minimize external stimuli.
  • Monitor for command hallucinations that cause aggressive
    or violent behavior
  • Administer prescribed medication
A

hallucinations

29
Q
  • Do not whisper or laugh in the presence of a client
  • Do not argue with the client or attempt to disprove
    delusional or suspicious thoughts.
  • Explain all procedures and interventions, including
    medication management.
  • Provide personal space and do not touch the client
    without warning.
  • Maintain eye contact during interactions
  • Provide consistency in care and assigned caregivers to
    establish trust.
A

delusions

30
Q

first gen

A

typical

31
Q

second gen

A

atypical