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Patho - Psych > Psychotic Disorders > Flashcards

Psychotic Disorders Flashcards

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1
Q

what are the positive and negative signs of schizophrenia

A

delusions, hallucinations, disorganized thoughts, bizarre

anahadonia

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2
Q

what is a delusion

A

a false fixed belief (Rose Kennedy)

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3
Q

what is a hallucination

A

a false perception (five senses)

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4
Q

what is a command hallucination

A

*voices tell you to hurt someone else or yourself
actively suicidal
giving a directive

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5
Q

what are the key principles of communication with a person who is hearing voices

A

ask them what that hallucination is saying/content

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6
Q

shiber is an example of what

A

neologism

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7
Q

who gets/can get schizophrenia

A

anyone - any culture/race/social-class

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8
Q

schizophrenia is a devastating disorder, t or f

A

true

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9
Q

spectrum of schizophrenia

A

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

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10
Q

does schizophrenia have a genetic component

A

yes - a strong genetic component

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11
Q

if schizophrenia comes on at a young age the prognosis is poorer, t or f

A

true

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12
Q

those w/schizophrenia often times self medicate, t or f

A

true - alcohol/drugs

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13
Q

co-morbidities w/schizophrenia

A

substance abuse
suicide/depression/anxiety
health problems - lack of coordinated care
polydipsia - increased thirst - intoxicate with water

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14
Q

biological factors r/t schizophrenia

A 
brain structure abnormalities
genetic component
neurobiologic theories (too much dopamine causes effects of schizophrenia, serotonin mood of depression, too little glutamate)
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15
Q

schizophrenia is curable t or f

A

false - it is treatable not curable

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16
Q

drugs used to treat schizophrenia

A

dopamine antagonists

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17
Q

environmental factor r/t schizophrenia

A

prenatal stressors (toxins moms exposed to/flu)
family stressors
environmental stressors (high crime area)
cultural influence on perception of symptoms

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18
Q

most common hallucination in schizophrenia

A

auditory - hearing voices (mostly derogatory, paranoia about the government)

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19
Q

what symptoms come first in schizophrenia

A

positive symptoms

20
Q

what are positive symptoms of schizophrenia

A

*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

21
Q

what are negative symptoms of schizophrenia

A

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)

22
Q

medications for schizophrenia trt positive or negative symptoms first

A

positive - left with negative symptoms which are harder to trt

23
Q

cognitive symptoms of schizophrenia resemble

A

depression - easily distracted, impaired memory

24
Q

the first thing you want to ask someone experiencing a hallucination

A

*what is the voice telling you

25
Q

hallucinations can affect all 5 senses, t or f

A

true

26
Q

**is psychosis a dx

A

no its a symptom

27
Q

define echolalia

A

repetition of words of another

28
Q

define echopraxia

A

mimicking movement of another

29
Q

course of schizophrenia

A

prodromal - early symptoms - social withdrawal, odd behavior
acute - florid symptoms occur (+ symptoms)
maintenance - positive symptoms decrease, negative present
stabilization - functioning/back to work

30
Q

what is catatonic presentation of schizophrenia

A

abnormal motor behavior (waxy flexibility)

*extreme agitation

31
Q

what is paranoid presentation of schizophrenia

A

most common display of schizophrenia

thoughts that can’t be modified by reality

32
Q

CPS stands for

A

chronic paranoid schizophrenia

33
Q

what is disorganized presentation in schizophrenia

A

looseness of association

bizarre mannerisms

34
Q

define alogia

A

poverty of thought

35
Q

define avolition

A

loss of motivation

36
Q

define anhedonia

A

inability to feel pleasure/joy

37
Q

define associative looseness

A

disorganized speech

38
Q

define ideas of reference

A

others are talking about individual

39
Q

define thought broadcasting

A

one’s thoughts can be heard by others

40
Q

define thought withdrawal

A

thought’s have been removed from one’s mind by external party

41
Q

define delusion of being controlled

A

thoughts and body are controlled by external party

42
Q

define poverty of content speech

A

speech adequate amount/quantity, but vague

43
Q

define poverty of speech

A

speech inadequate in amount/quantity

44
Q

A patient with catatonic schizophrenia exhibits little
spontaneous movement and demonstrates waxy flexibility.
Which patient needs are of priority importance?

A

A.Psychosocial
B.Physiologic
C.Self-actualization
D.Safety and security

45
Q

A patient’s care plan includes monitoring for auditory

hallucinations. Which assessment findings suggest the patient may be hallucinating?

A

A.Aloofness, haughtiness, suspicion
B.Darting eyes, tilted head, mumbling to self
C.Elevated mood, hyperactivity, distractibility
D.Performing rituals, avoiding open places

46
Q

What is your best intervention when you assess that a patient is
responding to an auditory hallucination?

A
  1. Ask the patient, “Can you tell me what you are hearing?”
  2. Ask the patient, “Are you afraid of the voice you are hearing?”
  3. Tell the patient, “Try to ignore the voices you hear.”
  4. Tell the patient, “The voices you hear are not real.”

Patho - Psych (6 decks)

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