Pop Quiz (Good for Exam) - Schizophrenia Flashcards
Name five sensory experiences that can be associated with hallucinations?
Auditory (hearing voices) Visual (Seeing things) Olfactory (smelling things) Tactile (Feeling things) Gustatory (Tasting things)
What is “I am Jesus, and I am a millionaire” an example of?
Grandiose delusion
What is “The newsreader on the TV is talking about me” an example of?
Ideas of reference
Name 3 negative symptoms associated with schizophrenia
Anhdonia, Affective blunting, Avolition, Alogia, Asociality, Poverty of ideas, Loss of living skills
Give 3 examples of how symptoms can impact upon recovery?
Loss of motivation, Poor communication, Limited social interactions, Personal hygiene, Poor nutrition, Loss of hope
What are 3 things that can contribute to stigmatisation of schizophrenia?
Crazy, Dangerous, Schizo, Stupid, Psycho, Unpredictable
What are 3 aspects of life that can be affected by discrimination?
Social, Relationships, Employment, Education, Sport, Inclusion, Community, Housing, Physical health, Self perception/esteem, Coping
What are 3 strategies that a nurse can do to reduce stigma?
Use of language, Health promotion, Focus on strength not deficits, Education, Positive regard, Respect, Hope
What are the major side effects/risks associated with atypical antipsychotic medications?
Weight gain, Metabolic syndrome (diabetes), Sedation, Gastrointestinal upset
What is the primary neurotransmitter target for atypical medication?
Dopamine
Name 2 depot antipsychotic medications
Flupenthixol, Olanzapine, Zuclopenthixol, Risperidone, Paliperidone, Aripiprazole
Name 3 reasons why someone would stop taking their medication
Feeling good Side effects, stigma, remembering, influence from other substance use
What tests/investigations need to be conducted regularly for people prescribed Clozapine?
AND why?
Blood tests, blood pressure, ECG, bowel monitoring.
why? Agranulocytosis, postural hypotension, QT prolongation interval, myocarditis (first few weeks), cardiomyopathy (long term use), constipation
Why is it important to ask about mood?
Many people who develop schizophrenia have a co-morbid mood disorder. Psychosis may be present in mania and depression
State 1 question you would ask when inquiring about perception
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?
What negative symptom would affect assessment of affect?
Affective dysregulation, blunted affect, also be aware of effects of some medications (mask like face)
I’ve been playing cards with the devil and he cheated me” would be assessed under…….
Thought content
Why would it be important to find out how long symptoms have been present?
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
The biological theory of schizophrenia suggests an excess of what neurotransmitter?
Dopamine (dopamine hypothesis)
FILL IN THE BLANK:
The Diathesis stress theory suggests that …… And …… Can contribute to the development of schizophrenia
The Diathesis stress theory suggests that exposure to stressful events And vulnerability Can contribute to the development of schizophrenia
What is the difference between psychosis and schizophrenia?
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)
Can schizophrenia run in families?
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).
Name 2 things that are commonly present with schizophrenia (co-morbidity)
Drugs, alcohol, anxiety, mood disorder, hopelessness, poor self-esteem, social isolation
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.
Neuroleptic Malignant Syndrome
