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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
The patient stated "I am Groot". What kind of speech pattern is this?
Perseverations
26
The patient stated "Fellow harp chairs easily told unto times". What kind of speech pattern is this?
Word Salad
27
What are the three bizzare behaviors?
1. Catatonia 2. Incongruent Affect 3. Repetitive or Stereotyped Behavior
28
This bizzare behavior is related to the client's body posture such as "statue like posture for a long period of time"
Catatonia
29
This bizzare behavior is when client display an affect that does not match the current situation
Incongruent Affects
30
This bizzare behavior is when client repeatedly performs an unusual behavior like twirling hair in a dramatic fashion
Repetitive behavior
31
What is the difference between Positive Symptoms and Negative Symptoms?
positive Symptoms - extra experience Negative Symptoms - lack normal abilities
32
This negative symptom is decreased emotional expression
Affective Flattening
33
This negative symptoms is decreased in verbal communication?
Alogia
34
This negative symptoms is lack of energy to carry out daily tasks
Anergy
35
This negative symptom is the loss of interest in activities
Anhedonia
36
This negative symptoms is the decreased motivation to engage in purposeful behavior
Avolition
37
What does a client with Cognitive Impairment exhibit?
1. Disordered thoughts/speech 2. Decreased ability to think 3. Attention Deficit 4. Memory Loss
38
The client's diagnosis is based on?
Disturbances presenting
39
What is the term used if the symptoms have been present for LESS THAN ONE MONTH?
Brief Pyschotic Disorder
40
What is the term used if the symptoms have been present for MORE THAN ONE MONTH but LESS THAN 6 MONTHS?
Schrizophreniform
41
What is the term used if the symptoms have been present for More than 6 months?
Schrizophenia
42
What is the term used if the patient has a primary diagnosis of SCHIZOPHRENIA and develops a mood disorder?
Schizoaffective disorder
43
What is the term used if the client have delusions but LACK all the other symptoms of Schizophrenia?
Delusional disorder
44
What are the 2 characteristics of Schizophrenia?
1. Periods of Remission 2. Acute exacerbations
45
During periods of Remission what kind of symptom is present with the patient?
Negative Sympton
46
Schizophrenia has ________ in dopamine level
Increase
47
What are the 4 psychotherapy treatments for Schizophrenia?
1. Social Skills 2. Independent Living Skills 3. Modified CBT 4. Family Based Eductaion
48
What are the side effects of anti-psychotic medications? and How do you treat it?
EPS --> take anticholinergic medications
49
How do you asses hallucination content?
Ask the pt " What do you hear the voice are saying "
50
Why do you have to asses to hallucination content?
It helps you determine the client's emotional reaction and helps prevent aggressive responses
51
Command Hallucinations leads to dangerous behavior and it is considered as ______
Potential Pyschiatric EMERGENCY
52
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?
Showing empathy but not reinforcing the hallucination
53
Clients with which type of delusion have an increase risk of injury?
Delusion of Persecution
54
A patient with Delusion of Persecution should be _______
1. Assessed first 2. Priority --------> They are high risk of injury
55
If a client is suspicious and paranoid, what should a nurse do?
Avoid Physical Contact
56
A lot of Schizophrenia patients are ______
Smokers
57
What should you asses for if a client with schizophrenia is also a smoker?
Asses for desire to stop smoking
58
What is a common misconception about schizophrenia?
It has relation to dissociative identity disorder

MENTAL (3 decks)

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