Schiz & Laws

Question 1

Lanterman petris short act of 1968

Answer 1

Established a hold law (51/50) if or we’re dts, dto, or gravely disabled

Question 2

Lps vs temporary conservatorship

Answer 2

Lps is a conservatorship where a guardian of a gravely disabled person will make decisions for them one year

Temporary is same thing but greater than one year

Question 3

51/50 and choices after the time is up

Answer 3

72 hr hold

-voluntarily stay
-52/50
- discharge

Question 4

52/50 & time frame until court hearing

Answer 4

14 day hold
51/50 (3 days) + additional 4 days into the 52/50 pt will have a court hearing

(7 days total into their hold include the 51/50)

Question 5

52/60 & what is needed for this hold

Answer 5

2nd 14 day hold (28 days), only an affidavit is needed

Question 6

52/70 & for what kind of pts

Answer 6

30 day hold, only for gravely disabled

Question 7

55/85

Answer 7

Allows for involuntary detainment of a minor

Involuntary would be against parent’s wishes & not the minor’s

Question 8

5300

Answer 8

180 day hold, usually for dto

Question 9

Fire arms prohibition form

Answer 9

A form filed by an RN that states a pt cannot buy fire arms after being released from ward for 5 years

Question 10

What is a WIC8103

Answer 10

A form that can be signed by patient to petition for their fire arm prohibition to have a hearing and possibly overturn the 5 year prohibition

Question 11

Ego syntonic vs ego dystonic

Answer 11

Syntonic: ego goes w/ who they are.
No insight to problem/dx.
Believes their fine

Dystonic: symptoms match w/ who they are
Insight to problem dx
Know there’s something wrong

Question 12

Pt medication process BHUs & exceptions

Answer 12

Pt needs to sign a consent from to take ROUTINELY SCHEDULED medications while at the unit. They have a right to refuse

Exceptions:
A riese order
Emergency situations
-if chemical restraint is needed usually PRN which is NOT a routine med so you don’t need a riese

Question 13

What is riese

Answer 13

When the court order make pt take meds against their will if it’s clear the other will not get better w/o them

For scheduled routine medications doesn’t apply for chemical restraints (prn meds)

Question 14

Least-most restrictive methods

Answer 14

Ask pt to return to room
Offer PRN meds
Place in seclusion
Emergency medications (chemical restraints)
Physical restraint

Question 15

Positive symptoms of schiz

Answer 15

Hallucinations
Delusions
Bizarre behavior
Formal thought disorder:
-FOI
-Tangential
-LOA
-clanging/echolalia
-echopraxia (copy mvmnt)

Question 16

Negative symptoms of schiz

Answer 16

Apathy
Lack of motivation
Anhedonia
Flat/blunted affect
Poverty and speech
Social withdrawal

Question 17

Examples of delusions (10)

Answer 17

Ideas of reference:
-everything is about them.
Ex: People in a Conversation are talking about them, something on the tv is a cue for them

Persecution: paranoia
Ex: someone’s out to get them

Grandeur: they think they’re someone with authority/power

Somatic: r/t body
Ex: believe they’re pregnant when they’re not

Jealousy: jealous impulsions w/ no cues
Ex: believes husband is cheating on them just because (no evidence)

Erotomania: believes someone (famous) is in love with them
Ex: Kim K is my wife

Nihilistic: end of the world

Thought broadcasting:
Their thoughts can be heard

Thought withdrawal:
Someone’s taking their thoughts away

Though insertion:
Someone’s putting thoughts in their head

Question 18

Hallucination features

Answer 18

Sensory:
Auditory
Visual
Tactile
Gustatory
Olfactory

Altered perception:
Illusion
Ex: wire cord is a snake
Depersonalization
derealization