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MENTAL > PSYCHOTIC DISORDERS > Flashcards

PSYCHOTIC DISORDERS Flashcards

1
Q

What are examples of Positive Symptoms?

A

Hallucinations and Delusions

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2
Q

What is the difference between hallucinations and delusion?

A

Hallucinations - sensory perceptions of things that are not real

Delusions - false beliefs

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3
Q

What is the common hallucinations?

A

Auditory hallucinations

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4
Q

What are the 5 Delusions?

A
  1. Delusion of Control
  2. Delusion of Grandeur
  3. Delusion of Persecution
  4. Grandeur of Reference
  5. Somatic Delusion
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5
Q

The patient stated “The CIA has planted a tracking device in my brain that controls my thoughts”. What kind of delusion is this?

A

Delusion of Control

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6
Q

The patient stated “I am the virgin Mary and I have God inside my womb”. What kind of delusion is this?

A

Delusion of Grandeur

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7
Q

The patient stated “The FBI has sent an assassin to kill me”. What kind of delusion is this?

A

Delusion of Persecution

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8
Q

The patient stated “The meteorologist sends me coded messages during the evening news”. What kind of delusion is this?

A

Delusion of Reference

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9
Q

The patient stated “I have third eye on my forehead”. What kind of delusion is this?

A

Somatic Delusion

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10
Q

This type of Delusion is a false belief about a client’s body?

A

Somatic Delusion

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11
Q

This type of Delusion is a belief that neutral events have special, personal meanings to clients?

A

Delusion of Reference

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12
Q

This type of Delusion is a belief that others are trying to harm the client

A

Delusion of Persecution

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13
Q

This type of Delusion is a fantastical belied about one’s identity, power, achievement, wealth, knowledge

A

Delusion of Grandeur

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14
Q

This type of Delusion is a belief that people control the thoughts or actions of the client

A

Delusion of Control

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15
Q

What are the 6 speech pattern?

A
  1. Clang Association
  2. Loose Associations
  3. Echolalia
  4. Neologisms
  5. Perseverations
  6. Word Salad
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16
Q

This speech pattern is choosing words based on sound rather than meaning

A

Clang Association

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17
Q

This speech pattern is repeating words or phrases for no reason

A

Echolalia

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18
Q

This speech pattern is extreme shift to unrelated topics while speaking

A

Loose Association

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19
Q

This speech pattern is using newly invented words or idea no matter what the topic of conversation

A

Neologisms

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20
Q

This speech pattern is persistently repeating the same words or idea no matter what the topic of the conversation

A

Perseverations

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21
Q

This speech pattern is an extreme version of loose association. Spoken words have no connection to each other

A

Word Salad

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22
Q

The patient stated “I’m so bored. I’ve got to cut the cord so I can buy a new ford”. What kind of speech pattern is this?

A

Clang Association

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23
Q

The patient stated “I came to the hospital when all of a sudden the little birds and fishes kept on singing”. What kind of speech pattern is this?

A

Loose Associations

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24
Q

The patient stated “My new boss is a hankybroom”. What kind of speech pattern is this?

A

Neologisms

25
Q

The patient stated “I am Groot”. What kind of speech pattern is this?

A

Perseverations

26
Q

The patient stated “Fellow harp chairs easily told unto times”. What kind of speech pattern is this?

A

Word Salad

27
Q

What are the three bizzare behaviors?

A
  1. Catatonia
  2. Incongruent Affect
  3. Repetitive or Stereotyped Behavior
28
Q

This bizzare behavior is related to the client’s body posture such as “statue like posture for a long period of time”

A

Catatonia

29
Q

This bizzare behavior is when client display an affect that does not match the current situation

A

Incongruent Affects

30
Q

This bizzare behavior is when client repeatedly performs an unusual behavior like twirling hair in a dramatic fashion

A

Repetitive behavior

31
Q

What is the difference between Positive Symptoms and Negative Symptoms?

A

positive Symptoms - extra experience

Negative Symptoms - lack normal abilities

32
Q

This negative symptom is decreased emotional expression

A

Affective Flattening

33
Q

This negative symptoms is decreased in verbal communication?

A

Alogia

34
Q

This negative symptoms is lack of energy to carry out daily tasks

A

Anergy

35
Q

This negative symptom is the loss of interest in activities

A

Anhedonia

36
Q

This negative symptoms is the decreased motivation to engage in purposeful behavior

A

Avolition

37
Q

What does a client with Cognitive Impairment exhibit?

A
  1. Disordered thoughts/speech
  2. Decreased ability to think
  3. Attention Deficit
  4. Memory Loss
38
Q

The client’s diagnosis is based on?

A

Disturbances presenting

39
Q

What is the term used if the symptoms have been present for LESS THAN ONE MONTH?

A

Brief Pyschotic Disorder

40
Q

What is the term used if the symptoms have been present for MORE THAN ONE MONTH but LESS THAN 6 MONTHS?

A

Schrizophreniform

41
Q

What is the term used if the symptoms have been present for More than 6 months?

A

Schrizophenia

42
Q

What is the term used if the patient has a primary diagnosis of SCHIZOPHRENIA and develops a mood disorder?

A

Schizoaffective disorder

43
Q

What is the term used if the client have delusions but LACK all the other symptoms of Schizophrenia?

A

Delusional disorder

44
Q

What are the 2 characteristics of Schizophrenia?

A
  1. Periods of Remission
  2. Acute exacerbations
45
Q

During periods of Remission what kind of symptom is present with the patient?

A

Negative Sympton

46
Q

Schizophrenia has ________ in dopamine level

A

Increase

47
Q

What are the 4 psychotherapy treatments for Schizophrenia?

A
  1. Social Skills
  2. Independent Living Skills
  3. Modified CBT
  4. Family Based Eductaion
48
Q

What are the side effects of anti-psychotic medications? and How do you treat it?

A

EPS

–> take anticholinergic medications

49
Q

How do you asses hallucination content?

A

Ask the pt “ What do you hear the voice are saying “

50
Q

Why do you have to asses to hallucination content?

A

It helps you determine the client’s emotional reaction and helps prevent aggressive responses

51
Q

Command Hallucinations leads to dangerous behavior and it is considered as ______

A

Potential Pyschiatric EMERGENCY

52
Q

Telling client “That must be frightening for you to hear that. i do not hear these voices” when pt experiences hallucination is an example of?

A

Showing empathy but not reinforcing the hallucination

53
Q

Clients with which type of delusion have an increase risk of injury?

A

Delusion of Persecution

54
Q

A patient with Delusion of Persecution should be _______

A
  1. Assessed first
  2. Priority

——–> They are high risk of injury

55
Q

If a client is suspicious and paranoid, what should a nurse do?

A

Avoid Physical Contact

56
Q

A lot of Schizophrenia patients are ______

A

Smokers

57
Q

What should you asses for if a client with schizophrenia is also a smoker?

A

Asses for desire to stop smoking

58
Q

What is a common misconception about schizophrenia?

A

It has relation to dissociative identity disorder

MENTAL (3 decks)

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