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NUR329 Psych > Schizo > Flashcards

Schizo Flashcards

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1
Q

Define schizophrenia

A

a psychosis characterized by abnormalities in perception, content of thought, and thought process and extensive withdrawal from interests and outside world.

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2
Q

What is psychosis?

A

a state in which individual is experiencing hallucinations, delusion, or disorganized thoughts

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3
Q

What is the etiology of schizophrenia

A

genetics, environmental, brain chemistry, and substance use

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4
Q

What is the vulnerability stress model?

A

explains the course of one becoming schizophrenic.

combines the biologic and environmental risk factors for schizophrenia.

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5
Q

What are some comorbidities for those with schizophrenia?

A

SUD, nicotine, anxiety, depression, anxiety, diabetes, CVD, obesity, malignant neoplasm(when cancer is present), HIV/AID, osteoporosis, and Hep C

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6
Q

What are positive symptoms of schizophrenia?

A

hallucinations, delusions, disorganized behaviors, disorganized speech

When something is added to a person

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7
Q

What are different kinds of hallucenations?

A

visual, auditory, command, olfactory, tactile, and gustatory

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8
Q

If someone is having command hallucenations, what should you ask them?

A

-Are you hearing a voice that is telling you to do
something?
* Do you plan to follow the command?
* Do you believe the voices are real?

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9
Q

What are treatments for hallucenations?

A

do NOT negate their experience
- ask them about their experience
-watch for hallucination intensifying
- focus on reality based activities
-teach stress management

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10
Q

What are different types of delusions?

A

-Grandiose
-Nihilist- thinks some is dead or disaster is coming
-persecutory- being watched or plotting against them
-somatic- abnormal body functions or structure
-Religious
-Referential- thinks TV, music, articles, etc is about them

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11
Q

What are different kinds of disorganized thoughts? and give an example

A

Thought Blocking
Thought Broadcast
Thought Withdrawal
Thought Insertion
Paranoia

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12
Q

List and Explain the different kinds of disorganized speech

A

-Circumstantiality: takes forever but will eventually get to the point

-Tangentiality: takes forever but never gets to the point

-Loose Association: almost connects but doesn’t

-Flight of Ideas: constantly changing the topic

-Echolalia: repeating what someone says

-Clang Association: repetition of words that rhyme

-Stilted Language: making up a language

-Pressured Speech: talks VERY fast

-Word Salad: stringing words together that make no sense

-Neologism: made up words (delulu)

-Paranoia: suspicious

-Illogicality: making conclusions that don’t follow logic

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13
Q

List and explain Disorganized Behaviors

A

-Aggression: reflect rage

-Agitation: restless and unable to sit still

-Catatonic Excitement: purposeless activity and abnormal movements

-Echopraxia: involuntary mimicing of someone else

-Regressed: childlike

-Stereotype: repetitive movements such as head banging or slapping

Hypervigilance: waiting for something to happen

Waxy Flexibility: weird posture

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14
Q

What are negative symptoms of schizophrenia?

A

symptoms that should be there but are not

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15
Q

What are examples cognitive symptoms of schizophrenia?

A

-concrete thinking
- impaired memory
-impaired information procession
-impaired executive functioning

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16
Q

What are some examples of negative symptoms

A

affective flattening
ambivalence: can’t make a deision
Alogia: unable to elaborate
Avolition: unable to complete projects
Anhedonia
Associality: decreased desire for social

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17
Q

What are the phases of schizophrenia

A
  1. prodromal
  2. acute
  3. stabilization
  4. maintenance or residual
    5.relapse
18
Q

Describe the prodromal stage?

A

mild changes in thinking, unable to meet DSM-5 criteria for diagnosis. Speech or thoughts may be off and compulsive behaviors may be presnt. may begin to effect work and school

can last for a month up to a year

19
Q

Describe the acute stage?

A

symptoms may vary from mild to disabling. increased support or hospitalization may be needed. As symptoms worsen the patient may have difficulty coping

20
Q

Describe the stabilization phase

A

the symptoms begins to stabilize and diminish

21
Q

Describe the maintenance or residual phase

A

the condition has stabilized and a new baseline is established. Positive symptoms are usually absent by negative symptoms may continue

22
Q

Describe the relapse phase

A

relapse occurs in 80-90% of those with schizophrenia and can occur at any time. With each relapse it takes longer to recover.

the major cause is medication nonadherence

23
Q

What are treatments for schizophrenia?

A

-medication
-psychotherapy
-social and academic training
-hospitalization

24
Q

What are aintpsychotics used for

A

schizo and BP

25
Q

What symptoms do antipsychotics target?

A

-disorganized thoughts
-affect
delusions
-hallucinations
-catatonia

26
Q

What is Anodognosia?

A

inability to realize they are ill which may result in resistance to treatment

27
Q

What is schizoaffective disorder?

A

characterized by symptoms of schizophrenia (e.g. hallucinations and delusions) and mood disorders (e.g. mania and depression)

28
Q

What are the 2 ttypes of schizoaffective disorder

A
  • bipolar type
    -depressive type
29
Q

What are treatments for schizoaffective disorder?

A

-medications
-CBT
-group therapy

30
Q

what are typical anitpsychotics?

A

chlorpromazine, halperidol, fluphenazine, thioridazine, perphenazine

31
Q

what are s/e of antipsychotics?

A

anticholinergic, sedation, EPS, low BP, seizure, photosensitivity, GI upset, EKG changes, endocrince changes, agranulocytosis, neromalignant syndrome, and tardive dyskinesia

32
Q

What is extrapyramidal symtoms?

A

pseudoparkinism, akathisia, acute dystonia (head tilt), tardive dyskenia (tongue and eye)

33
Q

what is akathasia?

A

pacing

33
Q

what is tardive dyskinesia?

A

irreversible involuntary movement disorder, usually in the face but can be anywhere. disappear during sleep

33
Q

What is neuroleptic malignant syndrome?

A

potentially fatal

fever (103-105) with diaphoresis, muscle rigidity, hyoptensive, tachypnea, tachycardia, and mental status change

STOP ANTIPSYCHOTIC

33
Q

What are treatments for tardive dyskinesia

A

assessing for it (PREVENTION), through AIMS assessment. may discontinue AP meds

clozapine has been shown to reduce symptoms

33
Q

What are the atypical antipsychiotics?

A

clozapine, olanzapine, quentiapine, respiridone, ziprasidone, respiradol consta

33
Q

What is acute dystonia?

A

spasms of head, body and face

34
Q

What are third generation antipsychotics?

A

aripriazole, brexpiprazole, cariprazine

35
Q

Who takes clozaril?

A

those who have refractory schizophrenia or those with schizophrenia but can’t use other med.

very dangerous due to angrulocytosis

36
Q

what affects how antispcychotics work?

A

caffeine, alcohol, nicotine, and sugar

NUR329 Psych (11 decks)

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