quiz 2-schizophrenia/Phases of patient relationship Flashcards
are HALLUCINATIONS positive or negative symptom of schizophrenia
POSITIVE
is acting ALOOF a positive or negative symptom of schizophrenia
NEGATIVE
is ANHEDONIA a positive or negative symptom of schizophrenia
NEGATIVE
are BIZARRE BEHAVIORS positive or negative symptom of schizophrenia
POSITIVE
is ANERGIA a positive or negative symptom of schizophrenia
NEGATIVE
is AVOLITION a positive or negative symptoms of schizophrenia
NEGATIVE
are DELUSIONS a positive or negative symptom of schizophrenia
POSITIVE
longest phase of the nurse client relationship
working phase
Aloof
distant/withdrawn
anhedonia
lack of pleasure
avolition
loss of motivation
anergia
lack of energy
apathy
decreased interest
alogia
poor or poverty of speech
1st gen, typical, or conventional medications treat positive negative, or both symptoms
positive
2nd gen or atypical medications treat positive, negative, or both symptoms
both positive and negative
symptoms of pseudoparkinsonism
stooped posture, shuffling gait, bradykinesia, pill-rolling motion
1st generation extrapyramidal symptoms
pseudoparkinsonism, acute or tardive dyskinesia, acute dystonia, akithesia
what is the difference between tardive dyskinesia and and acute dystonia
spasms are more severe in acute dystonia
what do you treat 1st gen Extrapyramidal symptoms with?
anti-parkinson medication such as benztropine
which 2nd gen medication causes fatal agranulocytosis?
clozapine
what are some 2nd generation extrapyramidal symptoms?
metabolic syndrome, orthostatic hypertension, tremor, elevated prolactin levels, sexual dysfunction
magical thinking is an example of _______
delusional thinking
what is your #1 priority when a patient is hallucinating
SAFETY
How can you ensure safety of a patient who is hallucinating ?
Ask the patient what they are hearing or seeing and make sure the voices aren’t telling them to harm themselves or others
When the patient believes that thoughts are being put into their head, this is called ________
thought insertion
a class example of thought insertion would be _____
a. fat, cat, mat
b. I have a chip in my brain
c. I see ghosts
B
When the patient repeats what they hear, this is called?
A. Clang association
B. Echolalia
C. Verbigeration
D. Word Salad
B.
When the patient begins to rhyme, this is called ?
A. Clang association
B. Echolalia
C. Verbigeration
D. Word Salad
A
When the patient repeats their own words, this is called ?
A. Clang association
B. Echolalia
C. Verbigeration
D. Word Salad
C
When the patient states random words, this is called ?
A. Clang association
B. Echolalia
C. Verbigeration
D. Word Salad
D
what is the meaning of the word: Anosognosia
When the client is unaware that they are ill
Select all that apply: what are symptoms of neuroleptic malignant syndrome
A. tachycardia B. Bradycardia C. fluctuation in BP D. bulging eyes E. sudden high fever F. Muscle rigidity G. diaphoresis H. constipation I. decreased level of conciousness
A, C, E, F, G, I
neuroleptic malignant syndrome can be treated with ?
dantrolene, bromocriptine, and antipyretics for the high fever
What is the first thing you should do when you realize that the patient may be experiencing neuroleptic malignant syndrome ?
Hold 1st generation drugs
what is the prototype 1st gen medication
chlorpromazine
what is the prototype 2nd gen medication
Risperidone
what is the prototype 3rd gen medication
apriprazole
what is acute dystonia
severe spasms of tongue, neck, face, and back
begin to monitor for acute dystonia between _________ after admin
1 to 5 days
Treat acute dystonia with:
benztropine(antiparkinson) + diphenhydramine im or iv
If the patient experiences acute dystonia, stay with them and monitor __________ until spasm stop
airway
pseudoparkinsonism can occur _______ following the first dose
a. 5-20 days
b. 4-20 days
c. 30 days
d. 5-30 days
d. 5-30 days
implement the risk for _________ for patients who suffer from pseudoparkinsonism
falling
what is akathesisa
can’t sit or stand still. Also continuous pacing and agitation
observe for akathisia in the first ________ of after treatment initiation
2 months
lip smacking, involuntary movements of arms, legs, and trunk, and tongue fasciculation’s describe :
tardive dyskinesia
monitor the patients _____ when they are taking both generations of antipsychotics
a. weight
b. feet
c. appendix
a. weight
what scale should be used to screen for the presence of EPS
AIMS
Azine is the suffix for most 2nd gen medications
false, that is for 1st gen
Azine and done is the suffix for most 2nd gen medications
true
