Psychosis and Schizophrenia

Question 1

define psychosis

Answer 1

mental disorder in which thoughts, ability to recognise reality and abilty to communicate is sufficiently impaired

can’t deal with reality

Question 2

what are some characteristics of psychosis?

Answer 2

halluncinations

delusions

thought disorder

lack of insight

harm to themselves/others

Question 3

what is the name of the transitional state between wakefullness and sleep?

Answer 3

hynogogia

Question 4

what are self referential delusions?

Answer 4

belief that external events are related to oneself

i.e. people are speaking about them, the TV is aiming messages directly at them

Question 5

what is the definiton of a delusion?

Answer 5

fixed, falsely held beliefs

Question 6

what are some different types of delusion?

Answer 6

religious

paranoid

jealousy

Question 7

what is thought disorder?

Answer 7

obsverved from speech patterns- very jumpy, going from one to thing to another in the space of a sentence, rhyming, tangents

Question 8

what is thought insertion?

Answer 8

think people have put these thoughts in their head

i.e. had a device put in thier head

Question 9

what is thought broadcasting?

Answer 9

believe other people have access to their thoughts

Question 10

what is passivity?

Answer 10

feeling like someone is in control of your body

i.e. feel like someone has moved your arm, urge to push someone

Question 11

how long does drug induced psychosis tend to last?

Answer 11

tend to be short lasting if access to psychoactive substance is removed

Question 12

what are features of a depressive psychosis?

Answer 12

delusions of worhtlessness/guilt

Question 13

describe mania with psychosis

Answer 13

delusions of granduer/ special ability

Question 14

when is the onset of schizophrenia and who is mainly affected?

Answer 14

onset in young adults typically affecting males more than females

Question 15

what are the three subtypes of schizophrenia?

Answer 15

parandoid

hebephrenic

catatonic

Question 16

give a feature of paranoid schizophrenia

Answer 16

most common

Question 17

give features of hebephrenic schizophrenia

Answer 17

disorganised

younger onset

emotionally younger

Question 18

give a feature of catatonic schizophrenia

Answer 18

movement disorder predominates

Question 19

when is the highest risk of suicide reooccurence in schizophrenics?

Answer 19

first week of discharge from hospital

Question 20

what are the postive symtoms of schizophrenia?

Answer 20

hallucinations

delusions

passivity phenoma

disorder of form of thought

Question 21

what are the negative symtpoms of schizophrenia?

Answer 21

reduced speech

reduced motivation/drive

reduced interest

reduced social interaction

blunting of affect

Question 22

what are the 3 steps in manageing aggressive behaviour?

Answer 22

Prediction i.e. body language

Prevention e.g room layout

Intervention e.g restraint, sedation

Question 23

what are the three kinds of detainment orders?

Answer 23

emergenycy detention

short term detention

compulsory treatment orders

Question 24

how long does emergency detention last?

Answer 24

max 72hrs

Question 25

can you appeal against emergency detetion?

Answer 25

no

Question 26

do you need consent from MHO to crry out emergency detention?

Answer 26

no- usually do have consent tho

Question 27

how long can short term detention last?

Answer 27

up to 28 days

Question 28

does a short term detnetion certificat reuire consent from a MHO?

Answer 28

yes

Question 29

how are applications for Compulsory Treatment Orders made?

Answer 29

MHO supported by two medical reports

Question 30

can you appeal a Complusory treatment order

Answer 30

yes

Question 31

how long does a CTO last?

Answer 31

up to 6 months- patient can be in hosptial or the community

Question 32

what is nurses holding power?

Answer 32

nurse can hold somone in hopsital for up to 6hours

Question 33

what does SIDMA stand for?

Answer 33

Significantly Impaired Decision MAking Ability

Question 34

what are the Tayside Rapid Tranquilisation Policies?

Answer 34

consider non-drug therapies: distraction, seclusion, talking ot patient

consider oral therapy

Question 35

what drugs are given to sedate patients in psychosis?

Answer 35

lorazepam 1-2mg +/- haloperidol 5mg

Question 36

if oral lorazepam is unsuccessful or effect required within 30mins what is the next step?

Answer 36

1-2mg lorazepam IM

Question 37

what can be given in extreme cases of psychosis?

Answer 37

combi of lorazepam and haloperidol 5mg

Question 38

how is combi of lorazepam and haloperidol given?

Answer 38

injection- DO NOT mix same syringe

must monitor resp rate, pulse and BP every 5-10 mins for an hour

Question 39

flight of ideas is most commonly seen in bipolar/schizophrenia?

Answer 39

mania- so Bipolar