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PSYCH MENTAL HEALTH > Schizophrenia > Flashcards

Schizophrenia Flashcards

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1
Q

schizophrenia spectrum disorders

A

psychosis with altered cognition, perception and reality testing

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2
Q

delusional disorder

A

false thoughts or beliefs that have lasted 1 mon or more but not impair functioning

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3
Q

grandiose delusions

A

grand, over the top (i am president)

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4
Q

persecutory delusions

A

accusing someone (stole my pen when there was none)

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5
Q

somatic delusions

A

pain or injury that has never been there

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6
Q

referential delusions

A

people out to get you

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7
Q

brief psychotic disorder

A

delusions, hallucinations, disorganized speech, catatonia lasting less than 1 mon w return to norm function

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8
Q

schizophreniform disorder

A

schiz symptoms lasting less than 6 months

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9
Q

schizoaffective disorder

A

depressive, mic or mixed episodes w schiz symptoms not caused by substance/condition

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10
Q

substance induced or medical condition psychotic disorder

A

delusions/hallucinations from illicit drugs, alc, meds or delirium, neuro disease

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11
Q

schizophrenia

A

psychosis w altered cognition, perception, reality testing that is highly hereditary from 15-25

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12
Q

DSM-V criteria

A

at least 2 every mon for 6 mon…delusions, hallucinations, disorganized speech, catatonia, neg symptoms, functional impairment

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13
Q

comorbidity of schiz

A

substance use disorders, anxiety, depression, suicide, physical illness, polydipsia

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14
Q

risk factors of schiz

A

genetics w abnl in brain, prenatal stressors, neurobio w glutamate, dopamine, serotonin, environment

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15
Q

prodromal phase of schiz

A

prior to diagnosis with odd speech and thoughts, decreased concentration but able to maintain functioning

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16
Q

acute phase of schiz

A

acute symptoms from few/mild to many/severe with poor coping, functional impairment, hallucinations, delusions, apathy

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17
Q

stabilization phase of schiz

A

stabilized/diminished symptoms w prodromal functioning, medicated

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18
Q

maintenance of residual schizophrenia

A

stable condition w neg and cognitive symptoms

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19
Q

general assessment

A

pos, neg, cognitive, affective symptoms

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20
Q

positive symptoms

A

adding symtpoms like delusions, altered speech, concrete thinking, altered reality testing

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21
Q

associative looseness (alter speech)

A

word salad: jumble of words meaningless to listener
illogical thinking w poor concentration

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22
Q

clang association (alter speech)

A

words chosen based on sound w no correlation

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23
Q

neologisms (alter speech)

A

words that are put together that have meaning towards pt

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24
Q

echolalia (alter speech)

A

pathological repetition of another

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25
Q

circumstantiality (abnl speech)

A

unnecessary details in convo but soon getting to the point

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26
Q

tangentiality (abnl speech)

A

continuing to wander off topic but never reaching point of convo

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27
Q

cognitive retardation (abnl speech)

A

slowing cognition delaying thinking and responding

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28
Q

pressured speech (abnl speech)

A

urgent or intense speech and reluctance to allow comments from others

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29
Q

flight of ideas (abnl speech)

A

moving rapidly from one thought to the next making it difficult for people to follow

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30
Q

symbolic speech (abnl speech)

A

using words based on what they symbolize not what they mean

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31
Q

thought blocking (distorted thoughts)

A

reduction or stoppage of thought

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32
Q

thought insertion (distorted thoughts

A

often uncomfortable belief that someone has inserted into a pt brain

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33
Q

thought deletion (distorted thoughts)

A

belief that thoughts have been taken or missing

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34
Q

magical thinking (distorted thoughts)

A

believing that reality can be changed by thinking or unrelated actions

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35
Q

paranoia (distorted thoughts)

A

irrational fear ranging from mild to profound
mild: suspicious/guarded
profound: believing person will kill you

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36
Q

hallucinations (alter perceptions)

A

auditory:hearing voices/sounds
visual: seeing things
olfactory: smelling things
gustatory: tasting things
tactile: feeling body sensations
command: something telling you to do something

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37
Q

illusions (alter perceptions)

A

something morphing into something else

38
Q

depersonalization (alter perceptions)

A

dissociation aka out of body experience

39
Q

derealization (alter perceptions)

A

person saying they feel like they are in simulation

40
Q

catatonia (alter behavior)

A

pronounced increase of decrease movement, useless motor activity

41
Q

motor retardation(alter behavior)

A

pronounced slowing of movement

42
Q

motor agitation (alter behavior)

A

excited behavior such as running/pacing

43
Q

stereotyped behaviors (alter behavior)

A

repetitive behaviors that dont have logical purpose

44
Q

waxy flexibility

A

wont move at all and trying to move but unable to

45
Q

echopraxia (alter behavior)

A

mimicking of movements of another person

46
Q

negativism (alter behavior)

A

tendency to risk or repose others

47
Q

impaired impulse control (alter behavior)

A

reduced ability to resist impulses

48
Q

gesturing or posturing (alter behavior)

A

assuming unusual and illogical expression, posture, positions

49
Q

boundary impairment

A

impaired ability to sense one’s body or influence ends and other begins

50
Q

negative symptoms

A

absence of symptoms/qualities

51
Q

anhedonia (neg symptom)

A

reduced ability to experience pleasure and inability to enjoy things

52
Q

avolition (neg symptom)

A

reduced motivation or goal directed behavior

53
Q

asociality (neg symptom)

A

decreased desire for social interaction

54
Q

affective blunting (neg symptom)

A

reduced or constricted affect

55
Q

apathy (neg symptom)

A

decreased interest in activities

56
Q

alogia (neg symptom)

A

reduction in speech

57
Q

affect

A

outward expression of a person’s internal emotional state

58
Q

flat affect

A

expressionless, unreadable

59
Q

blunted affect

A

reduced or minimal emotional response

60
Q

constricted affect

A

reduced in range

61
Q

inappropriate affect

A

incongruent w actual emotion/situation

62
Q

bizarre affect

A

odd, illogical and inappropriate and unfounded

63
Q

concrete thinking (cog)

A

impaired ability to think abstractly (literal)

64
Q

impaired memory (cog)

A

effect short term memory and ability to learn

65
Q

impaired info processing (cog)

A

delayed responses, misperceptions and cant understand others

66
Q

impaired executive functioning (cog)

A

difficulty w reasoning, priorities, comparing options

67
Q

anosognosia

A

inability to realize you are ill, often refuse treatment

68
Q

affective symtpoms

A

assess for depression with increase substance use/suicide, further impair functioning

69
Q

self assessment

A

anxiety, fear, frustration

70
Q

assessment guidelines

A

med problems, psychosis symptoms, drug/alc use, MSE, reality test

71
Q

nursing diagnoses

A

hallucinations, delusions, risk for violence, distorted thinking, anosognosia, risk for suicide

72
Q

outcomes acute phase 1

A

pt safety and stabilize

73
Q

outcomes stabilization phase 2

A

understand illness/treatment, stabilize meds, cope w symptoms

74
Q

outcomes maintenance phase 3

A

prevent relapse, independence

75
Q

planning acute phase 1

A

strategies for pt safety and symptom stabilization

76
Q

planning maintenance phase 3

A

pt/fam ed, relapse prevention

77
Q

acute implementation

A

psych/med/neuro eval, psychopharmaco, psychoed, work w aggression, limit setting

78
Q

stabilization/maintenance implementation

A

meds, relationships, safety, groups

79
Q

evaluation

A

adjust treatment, communication, small goals

80
Q

anticholinergic toxicity

A

no peristalsis, urinary retention, hallucinations, seizures, unstable vitals, delirium, agitation

81
Q

neuroleptic malignant syndrome

A

excessive dopamine receptor blocking causing severe muscle rigidity, no speech, low consciousness, delirium, coma, resp failure

82
Q

severe neutropenia

A

reduced neutrophil count and increased severe infections causing infection S/S

83
Q

prolonged QT interval

A

delay of ventricular depolarization causing tachycardia, fainting, seizures, death

84
Q

liver impairment

A

in first wks of therapy or clozapine causing jaundice, edema, ascities, vomit, pain

85
Q

metabolic syndrome

A

wt gain, high blood glucose, risk of diabetes/cancer/cardio disease

86
Q

acute dystonia (EPS)

A

sudden, sustained contraction

87
Q

akathisia (EPS)

A

motor restlessness w inability to stay still

88
Q

pseudoparkinsonism (EPS)

A

temporary symptoms resembling parkinsons

89
Q

tardive dyskinesia (EPS)

A

involuntary rhythmic movements

90
Q

psychological therapies

A

individual/group, psychoed, med prescription, health assess, fam therapy

PSYCH MENTAL HEALTH (17 decks)

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