Schizo

Question 1

Tardive dyskinesia s/s

Answer 1

• chewing movement
• tongue darting
• lip pursing

Question 2

Nursing interventions for disheveled pts Dx w/ schizo

Answer 2

• Physical Tx; individual psychotherapy, group & behaviour therapy
• Social Tx; social skills training, cognitive remediation therapy, family therapy, assertive community treatment

Question 3

Neuroleptic Malignant Syndrome (NMS)
S/S

Answer 3

• Very high fever (102 -104 F)
• Irregular pulse
• Tachycardia
• Tachypnea
• Muscle rigidity
• Altered mental status
• Autonomic Nervous System dysfunction => high or low BP
• Profuse perspiration
• Excessive sweating

Question 4

What are the different types of delusions?

Answer 4

• ideas of reference
• persecution
• grandeur
• somatic delusions
• jelousy
• erotomania
• obsession

Question 5

Ideas of reference

Answer 5

misinterprets events & attaches personal signifecance to them

Question 6

Persecution

Answer 6

feels singled out for harm by others

Question 7

Grandeur

Answer 7

all powerful/important/God

Question 8

Somatic delusions

Answer 8

Body is changing in unusual ways (growing another arm)

Question 9

Jealousy

Answer 9

believes their partner is sexually involved w/ another person even when there is not any factual basis for this belief

Question 10

Erotomania

Answer 10

might believe that a television news anchor uses a secret code to communicate with them

Question 11

Obsession with perceived secret admirer

Answer 11

include stalking, letter-writting, & other attemps to make contact-even if its unwanted by the target

Question 12

Positive symptoms for schizo are

(7)

Answer 12

• hallucinations
• delusions
• illogical
• racing
• posturing
• useless/excessive movements
• alteration in speech

Question 13

Negative symptoms in Schizo are

(5)

Answer 13

• affect- blunted or flat expressions
• alogia- poverty of though or speech
• anergia- lack of energy
• anhedonia- lack of pleasure or joy
• avolition-lack of motivation in activities & hygiene

Question 14

Rationale for using AIMS (Assessment of Involuntary Movements Scale)

Answer 14

Measures involuntary movements known as tardive dyskinesia. Takes 10 mins to complete, typically administered every 3-6 months to monitor pts at risk for TD.

Question 15

Pt with auditory hallucinations might experience

3

Answer 15

• laughing to self
• listening pose (tilting head to side as listening to someone)
• stops talking in the middle of a sentence to listen

Question 16

Nursing interventions for pt w/ auditory hallucination

Answer 16

Peplau’s theory of interpersonal relations; ask about what they are experience, when it started, what its saying etc.

Question 17

associative looseness/flight of ideas

Answer 17

shift of ideas from one unrelated topic to another. Unconscious inability to concentrate on a single thought. Can progress to flight of ideas in which clients speech moves so rapidly from on thought to another that is incoherent.

Question 18

Interventions for pts w/ auditory hallucinations

Answer 18

• using music to distract from voices
• attending activities
• walking
• talking to a trusted person
• interacting w/ auditory hallucinations by telling it to stop or go away

Question 19

Echolalia

Answer 19

client repeats word spoken to him

Question 20

Clang association

Answer 20

meaningless rhyming of words, oftern forceful such as, “oh, fox, box, low”
choice of words is governed by sound

Question 21

Word salad

Answer 21

words jumbled together w/ little meaning or significance to the listener (hip hooray, the flip is cast and wide-sprinting in the forest)

Question 22

thought insetion

Answer 22

others thought are inserted into their mind

Question 23

magical thinking

Answer 23

their action/thought control situations & people- wearng a certain hat makes them visible to others

Question 24

Delusions

Answer 24

false fixed beliefs that cannot be corrected by reasoning

Question 25

Paranoia

Answer 25

An unrealistic distrust of others or a feeling of being persecuted.

Question 26

Topics discussed w/ family of pt Dx w/ Schizo

Answer 26

Nature of illness
* What to expect
* Symptoms
* Ways to respond to behavior associated w/ illness
Management of illness
* Connection of exacerbation of symptoms to times of stress
* Appropriate medication management
* Side effects of medications
* Importance of not stopping medications
* When to contact health-care provider
* Relaxation techniques
* Social skills training
* Daily living skills training - - Promote self-care by modeling and teaching self-care activities of daily living.
* Use of manifestation management techniques to cope with depression and anxiety- - for example, using music to distract from “voices”, attending activities, walking, talking to a trusted person when hallucinations are most bothersome, interacting with an auditory or visual hallucinate by telling it to stop or go away.
* Support services: financial, legal, caregiver groups. Respite care, home health, residential treatment option

Question 27

whats the nursing Dx for pts experiencing paranoid auditory hallucinations

Answer 27

Disturbed sensory perception r/t withdrawal into self AEB talking & laughing to self; listening pose (tilting head to one side as if listening to someone), stop talking in the middle of a sentence to listen.

Question 28

neologisms

Answer 28

made up words that mean something only to the client
(I tranged & flittled)