Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Biopsych > Quiz 2: Schizophrenia, Thought Disorders > Flashcards

Quiz 2: Schizophrenia, Thought Disorders Flashcards

1
Q

Emil Kraepelin

A

Describe as dementia praecox

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Eugen Bleuler

A

Renamed dementa praecox schizophrenia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Kurt Schneider

A
  • differentiated behaviors
  • First Rank Symptoms: psychotic delusions, hallucinations
  • Second Rand Symptoms: all other experiences and behaviors associated with the disorder
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

First Rank Symptoms

A

psychotic delusions and hallucinations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Second Rank Symptoms

A

All other experiences and behaviors associated with the disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Clinical Course of Disease

A 
Prodromal Period
Acute Illness Period
Stabilization Period
Recovery period
Relapses
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Diagnostic Criteria

A

Positive Symptoms:
-Excessive or distorted thoughts and perceptions
-Delusions and hallucinations
Negative Symptoms
-Emotions and behaviors that should be present but are diminished
Neuro-cognitive Impairment
-involving memory, vigilance, verbal fluency, and executive function

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Disorganized Symptoms/Thinking

A

Echolalia, Circumstantiality, loose associations, tangentiality, flight of ideas, word salads, neologisms, paranoia, referential thinking, autistic thinking, concrete thinking, verbigeration, metonymic speech, clang association, stilted lang., pressured speech

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Disorganized Symptoms/Behavior

A

aggression, agitation, catatonia, catatonic excitement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Disorganized Symptoms/Behavior

A

aggression, agitation, catatonia, catatonic excitement, echopraxia, repressed behavior, stereotypy, hyper vigilance, waxy flexibility

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

T/F Hallucinations are positive symptoms but delusions are negative symptoms

A

F

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

T/F Hallucinations are positive symptoms but delusions are negative symptoms

A

F

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Risk Factors

A

Genetics, environment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Age of Onset

A

Late Adolescence

Early Adulthood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Gender differences

A

Earlier diagnoses and poorer prognoses in men

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Familial differences

A

First degree biologic relatives lead to greater risk

17
Q

Comorbidity T/F

A

substance abuse and depression

18
Q

Biologic Theories

A
  • Neuroanatomic volumes:larger lateral and third ventricles. Smaller total brain volumes
  • familial patterns
  • genetic associations
  • neurodevelopment
  • brain metabolism greatly reduced
  • abnormalities in frontal, temporal and cingulate regions
  • dopamine hyperactivity
19
Q

Psychosocial Theories

A
  • social stressors contributing to changes in brain function
  • social stigma
  • absence of good, affordable, and supportive housing
  • fragmented mental health care delivery system
20
Q

Interdisciplinary Care

A
  • Pharmacologic management
  • Psychosocial interventions
  • Priority care issues
  • Suicide assessment
  • Aggression and safety of patient, staff, others
  • Antipsychotic medications
21
Q

T/F Social theories contribute to changes in brain function that result in schizophrenia

A

T: contribute to changes in brain function and add to day to day challenges of living with mental illness

22
Q

Biologic Domain:Physical Assessment

A

-current and past health status and physical examination

-

23
Q

Biologic Domain: Physical Assessment

A
  • current and past health status and physical examination
  • physical and nutritional assessment
  • pharmacologic assessment
  • medication
  • abnormal motor movement: major side effects of meds
24
Q

Biologic Domain: Interventions

A
  • promotion self-care
  • thermoregulation interventions
  • promotions of normal fluid balance and prevention H20 intoxication
  • pharmacologic interventions
25
Q

Interventions: Antipsychotics

A
  • Blockage of dopamine trasmission

- Second generation antipsychotic drugs effective in treating negative and positive symptoms

26
Q

Side Effects of Antipsychotics

A

-Monitoring and Administration
-Extrapyramidal side effects
*Parkinsonism
*Dystonic rxs
*Tardive dyskinesia
*Akathisia
-Side effects
orthostatic hypotension
hyperprolactinemia
sedation; weight gain
cardiac arrhythmias
agranulocytosis
-drug-drug interactions

27
Q

What would a nurse expect in a patient experiencing akathsia

A

motor restlessness

28
Q

Neuroleptic Malignant Syndrome

A
  • life threatening condition
  • severe muscle rigidity, elevated temp., req. early recognition of symptoms
  • dopamine agonists; muscle relaxants
  • frequent vital signs monitoring, treating fever, lab testing
  • supportive measures and promoting safety
29
Q

Anticholinergic Crisis

A
  • Life-threatening Condition: overdose or sensitivity to drugs with Anticholinergic properties
  • S/S hot as a hare, blind as a bat, mad as a hatter, dry as a bone
  • treatment: discontinuation of med, physostigmine, gastric lavage, charcoal
30
Q

Psychological Domain: Psychological Assessment

A

tools, responses to mental health problems, mental status and appearance, mood and affect, speech, thought processes, hallucinations, delusions, disorganized comm., cog. impairments, memory and orientation, insight and judgement, behavioral responses, self-concept, stress and coping patterns, social network, risk assessments

31
Q

Interventions for the psychological domain

A
  • development of nurse-pt relationship: trust, acceptance, hope
  • management of disturbed thoughts and sensory perceptions
  • education about symptoms
  • enhancement of cognitive functioning
  • use of behavioral interventions
  • teaching and coping with stress
  • pt education
  • family education
32
Q

Social Domain: Social Assessment

A
  • functional status
  • social systems
  • quality of life
  • family assessments

Biopsych (2 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions