Pop Quiz (Good for Exam) - Schizophrenia

Question 1

Name five sensory experiences that can be associated with hallucinations?

Answer 1

Auditory (hearing voices)
Visual (Seeing things)
Olfactory (smelling things)
Tactile (Feeling things)
Gustatory (Tasting things)

Question 2

What is “I am Jesus, and I am a millionaire” an example of?

Answer 2

Grandiose delusion

Question 3

What is “The newsreader on the TV is talking about me” an example of?

Answer 3

Ideas of reference

Question 4

Name 3 negative symptoms associated with schizophrenia

Answer 4

Anhdonia, Affective blunting, Avolition, Alogia, Asociality, Poverty of ideas, Loss of living skills

Question 5

Give 3 examples of how symptoms can impact upon recovery?

Answer 5

Loss of motivation, Poor communication, Limited social interactions, Personal hygiene, Poor nutrition, Loss of hope

Question 6

What are 3 things that can contribute to stigmatisation of schizophrenia?

Answer 6

Crazy, Dangerous, Schizo, Stupid, Psycho, Unpredictable

Question 7

What are 3 aspects of life that can be affected by discrimination?

Answer 7

Social, Relationships, Employment, Education, Sport, Inclusion, Community, Housing, Physical health, Self perception/esteem, Coping

Question 8

What are 3 strategies that a nurse can do to reduce stigma?

Answer 8

Use of language, Health promotion, Focus on strength not deficits, Education, Positive regard, Respect, Hope

Question 9

What are the major side effects/risks associated with atypical antipsychotic medications?

Answer 9

Weight gain, Metabolic syndrome (diabetes), Sedation, Gastrointestinal upset

Question 10

What is the primary neurotransmitter target for atypical medication?

Answer 10

Dopamine

Question 11

Name 2 depot antipsychotic medications

Answer 11

Flupenthixol, Olanzapine, Zuclopenthixol, Risperidone, Paliperidone, Aripiprazole

Question 12

Name 3 reasons why someone would stop taking their medication

Answer 12

Feeling good Side effects, stigma, remembering, influence from other substance use

Question 13

What tests/investigations need to be conducted regularly for people prescribed Clozapine?

AND why?

Answer 13

Blood tests, blood pressure, ECG, bowel monitoring.

why? Agranulocytosis, postural hypotension, QT prolongation interval, myocarditis (first few weeks), cardiomyopathy (long term use), constipation

Question 14

Why is it important to ask about mood?

Answer 14

Many people who develop schizophrenia have a co-morbid mood disorder. Psychosis may be present in mania and depression

Question 15

State 1 question you would ask when inquiring about perception

Answer 15

Do you hear any voices other than mine now or at any time?

Do you ever hear or see things that you think other people may not be seeing?

Question 16

What negative symptom would affect assessment of affect?

Answer 16

Affective dysregulation, blunted affect, also be aware of effects of some medications (mask like face)

Question 17

I’ve been playing cards with the devil and he cheated me” would be assessed under…….

Answer 17

Thought content

Question 18

Why would it be important to find out how long symptoms have been present?

Answer 18

Psychosis can occur at any time and be of short duration (at least 1 day but less than a month), symptoms that are present for a significant portion of time during a 1 month period or longer

Question 19

The biological theory of schizophrenia suggests an excess of what neurotransmitter?

Answer 19

Dopamine (dopamine hypothesis)

Question 20

FILL IN THE BLANK:

The Diathesis stress theory suggests that …… And …… Can contribute to the development of schizophrenia

Answer 20

The Diathesis stress theory suggests that exposure to stressful events And vulnerability Can contribute to the development of schizophrenia

Question 21

What is the difference between psychosis and schizophrenia?

Answer 21

Psychosis is a term describing a set of symptoms and can be linked to many things. Schizophrenia is a specific diagnosis where specific psychotic symptoms, delusions and/or hallucinations and/or thought disorder have to be present for 1 month or more (unless successfully treated)

Question 22

Can schizophrenia run in families?

Answer 22

Inconclusive, the theory is there is a genetic vulnerability and a person can inherit a risk that may be enhanced with the presence of other factors (i.e. environment, stress, attachment and trauma for example).

Question 23

Name 2 things that are commonly present with schizophrenia (co-morbidity)

Answer 23

Drugs, alcohol, anxiety, mood disorder, hopelessness, poor self-esteem, social isolation

Question 24

WHAT AM I?
I can occur quickly with any anti-psychotic but in particular high potency typical anti-psychotic medications and first trial of any anti=psychotic medication.

Answer 24

Neuroleptic Malignant Syndrome