Psychotic Disorders Flashcards
what are the positive and negative signs of schizophrenia
delusions, hallucinations, disorganized thoughts, bizarre
anahadonia
what is a delusion
a false fixed belief (Rose Kennedy)
what is a hallucination
a false perception (five senses)
what is a command hallucination
*voices tell you to hurt someone else or yourself
actively suicidal
giving a directive
what are the key principles of communication with a person who is hearing voices
ask them what that hallucination is saying/content
shiber is an example of what
neologism
who gets/can get schizophrenia
anyone - any culture/race/social-class
schizophrenia is a devastating disorder, t or f
true
spectrum of schizophrenia
individuals who pill-roll, laugh, homeless, talk to self, socially regressed, affected function/quality life
John Nash - professor at Princeton - fully functioning - bouts of acute illness, marries, children
does schizophrenia have a genetic component
yes - a strong genetic component
if schizophrenia comes on at a young age the prognosis is poorer, t or f
true
those w/schizophrenia often times self medicate, t or f
true - alcohol/drugs
co-morbidities w/schizophrenia
substance abuse
suicide/depression/anxiety
health problems - lack of coordinated care
polydipsia - increased thirst - intoxicate with water
biological factors r/t schizophrenia
brain structure abnormalities genetic component neurobiologic theories (too much dopamine causes effects of schizophrenia, serotonin mood of depression, too little glutamate)
schizophrenia is curable t or f
false - it is treatable not curable
drugs used to treat schizophrenia
dopamine antagonists
environmental factor r/t schizophrenia
prenatal stressors (toxins moms exposed to/flu)
family stressors
environmental stressors (high crime area)
cultural influence on perception of symptoms
most common hallucination in schizophrenia
auditory - hearing voices (mostly derogatory, paranoia about the government)
what symptoms come first in schizophrenia
positive symptoms
what are positive symptoms of schizophrenia
*hallucinations, delusions, *disorganized speech/**associative looseness (nothing makes sense), bizarre behavior
unable to use abstract concepts
overemphasis on specific details
boundary difficulty
bizarre behaviors (waxy flexibility)
active (opposite of what you tell them to do)/passive (don’t do what you say to do) negativism
what are negative symptoms of schizophrenia
blunted affect(minimal response), flat affect (no emotion), poverty of thought (alogia)
loss of motivation (avolition)
inability to experience pleasure/joy (anhedonia)
anergia (lack of energy)
alogia (poverty of thought)
medications for schizophrenia trt positive or negative symptoms first
positive - left with negative symptoms which are harder to trt
cognitive symptoms of schizophrenia resemble
depression - easily distracted, impaired memory
the first thing you want to ask someone experiencing a hallucination
*what is the voice telling you
hallucinations can affect all 5 senses, t or f
true
**is psychosis a dx
no its a symptom
define echolalia
repetition of words of another
define echopraxia
mimicking movement of another
course of schizophrenia
prodromal - early symptoms - social withdrawal, odd behavior
acute - florid symptoms occur (+ symptoms)
maintenance - positive symptoms decrease, negative present
stabilization - functioning/back to work
what is catatonic presentation of schizophrenia
abnormal motor behavior (waxy flexibility)
*extreme agitation
what is paranoid presentation of schizophrenia
most common display of schizophrenia
thoughts that can’t be modified by reality
CPS stands for
chronic paranoid schizophrenia
what is disorganized presentation in schizophrenia
looseness of association
bizarre mannerisms
define alogia
poverty of thought
define avolition
loss of motivation
define anhedonia
inability to feel pleasure/joy
define associative looseness
disorganized speech
define ideas of reference
others are talking about individual
define thought broadcasting
one’s thoughts can be heard by others
define thought withdrawal
thought’s have been removed from one’s mind by external party
define delusion of being controlled
thoughts and body are controlled by external party
define poverty of content speech
speech adequate amount/quantity, but vague
define poverty of speech
speech inadequate in amount/quantity
A patient with catatonic schizophrenia exhibits little
spontaneous movement and demonstrates waxy flexibility.
Which patient needs are of priority importance?
A.Psychosocial
B.Physiologic
C.Self-actualization
D.Safety and security
A patient’s care plan includes monitoring for auditory
hallucinations. Which assessment findings suggest the patient may be hallucinating?
A.Aloofness, haughtiness, suspicion
B.Darting eyes, tilted head, mumbling to self
C.Elevated mood, hyperactivity, distractibility
D.Performing rituals, avoiding open places
What is your best intervention when you assess that a patient is
responding to an auditory hallucination?
- Ask the patient, “Can you tell me what you are hearing?”
- Ask the patient, “Are you afraid of the voice you are hearing?”
- Tell the patient, “Try to ignore the voices you hear.”
- Tell the patient, “The voices you hear are not real.”
