Schizophrenia

Question 1

Characteristics of Psychosis

Answer 1

Disorganization, disrupted social functioning, decreased contact with reality

Question 2

Predisposing Factors

Answer 2

Biological, psychological, environmental

Question 3

What are the biological factors of psychosis?

Answer 3

Genetic, neurotransmitters, anatomy and diseases of the brain

Question 4

Which neurotransmitters are involved in psychosis?

Answer 4

Dopamine D2 and Serotonin 5-HT

Question 5

What anatomical/disease factors are involved in psychosis?

Answer 5

enlarged ventricles, smaller frontal lobe, flu when pregnant, hx of epilepsy

Question 6

What is the characteristic of a positive symptom?

Answer 6

exaggeration of a normal function

Question 7

What is the characteristic of a negative symptom?

Answer 7

diminished or loss of a normal function, hardest to treat, most destructive symptom to the pt

Question 8

What are the positive symptom groups?

Answer 8

content of thought, form of thought, perception, sense of self

Question 9

Identify the delusion types

Answer 9

of persecution, of grandeur, of reference, of control and influence, somatic, nihilistic

Question 10

Define Delusions of Persecution

Answer 10

pt feels threatened, believes others will harm him

Question 11

Define Delusions of Grandeur

Answer 11

pt thinks they are someone very important, or the best at something

Question 12

Define Delusions of Reference

Answer 12

pt believes they are receiving messages from reference materials like the TV, a magazine, etc

Question 13

Define Delusions of Control and Influence

Answer 13

pt believes someone is controlling their behavior

Question 14

Define Somatic Delusion

Answer 14

pt holds a delusion about their own body, ex: thinks they have worms in their eyes, or think they are pregnant

Question 15

Define Nihilistic delusions

Answer 15

pt believes that they or something in the world does not exist

Question 16

Define Idea of Reference

Answer 16

pt believes other people are talking/laughing about them when they see a group conversing

Question 17

Which positive symptoms are included in Content of Thought?

Answer 17

Delusions, religiosity, paranoia, and magical thinking

Question 18

Define Religiosity

Answer 18

pt has obsession with religion

Question 19

Define Paranoia

Answer 19

pt has extreme suspiciousness of others and of their intentions

Question 20

Define Magical Thinking

Answer 20

pt believes their thoughts or behaviors have control over events or outcomes

Question 21

Which symptoms are included in Form of Thought?

Answer 21

associative looseness, neologisms, concrete thinking, clang association, word salad, circumstantiality, tangentiality, mutism, perservation

Question 22

Define Associative Looseness

Answer 22

speech shifts from unrelated subject to another, pt is not aware that topics are unrelated

Question 23

Define Neologisms

Answer 23

pt makes up words that have meaning only to him

Question 24

Define Concrete Thinking

Answer 24

pt takes language literally and can’t grasp abstract terms

Question 25

Define Clang Association

Answer 25

pt speaks in rhymes, choice of words governed by sound

Question 26

Define Word Salad

Answer 26

stringing words together that have no connection

Question 27

Define circumstantiality

Answer 27

pt provides so many details when getting to the point of the conversation

Question 28

Define Tangentiality

Answer 28

pt jumps from one subject to another and never arrives at the point

Question 29

Define Mutism

Answer 29

pt stays silent and does not talk

Question 30

Define Perservation

Answer 30

pt repeats same word or idea to different questions

Question 31

Which symptoms are included in Perception?

Answer 31

Hallucinations and illusions

Question 32

Define hallucinations

Answer 32

pt sees something that is not there

Question 33

Name the types of hallucinations

Answer 33

auditory, visual, tactile, gustatory, olfactory

Question 34

Define Illusions

Answer 34

misinterpretation of real external stimuli

Question 35

Which symptoms are included in Sense of Self?

Answer 35

Echolalia, echopraxia, identification, imitation, depersonalization

Question 36

Define Echolalia

Answer 36

pt repeats what someone else is saying

Question 37

Define Echopraxia

Answer 37

pt mimics the actions and movements of someone else

Question 38

Define Identification

Answer 38

pt unconsciously takes on the behavior of another person

Question 39

Define Imitation

Answer 39

pt consciously tries to take on the behavior of another person

Question 40

Define Depersonalization

Answer 40

pt’s weak self-identity creates feelings of unreality and they are observers in their own life, out of body experience, see themselves from a distance

Question 41

What are the negative symptom groups?

Answer 41

affect, volition, impaired interpersonal functioning, psychomotor, and associated features