Schizophrenia Flashcards

1
Q

psychotic disorder characterized by delusions, hallucinations and disturbances in thought, perception and behavior

A

Schizophrenia

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2
Q

caused by excessive dopamine in
mesolimbic tract

A

Positive symptoms

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3
Q

caused by too little dopamine in
mesocortical tract

A

Negative symptoms

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4
Q

the patient experiences severe
psychotic symptoms.

A

Acute phase

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5
Q

the patient is getting better.

A

Stabilizing phase

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6
Q

the patient might still experience hallucinations and delusions (but not as severe or disabling as they were during the acute phase).

A

Stable phase

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7
Q

holding seemingly contradictory beliefs or feelings about the same person, event or situation.

A

Ambivalence

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8
Q

fragmented or poorly related thoughts and ideas

A

Associative looseness

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9
Q

fixed false beliefs that has no basis in reality

A

Delusions

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10
Q

imitation in the movements and gestures of another person whom the client is observing.

A

Echopraxia

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11
Q

continuous flow of verbalization in which the person jumps rapidly from one topic to another

A

Flight of ideas

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12
Q

false sensory perception that do not exist in reality

A

Hallucinations

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13
Q

false impressions that external events have special meaning for the person.

A

Ideas of reference

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14
Q

persistent adherence to single idea or topic, verbal repetition of a sentence,
word or phrase resisting attempts to change the topic.

A

Perseveration

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15
Q

tendency to speak very little or to convey little substance of meaning (poverty of content).

A

Alogia

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16
Q

feeling no joy or pleasure from life or any activities or relationship.

A

Anhedonia

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17
Q

feeling of indifference toward people,
activities and events

A

Apathy

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18
Q

restricted range or emotional feeling, tone or mood.

A

Blunted affect

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19
Q

psychologically induced immobility occasionally marked by periods of agitation or excitement, the client seems motionless as if in a trance.

A

Catatonia

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20
Q

absence of any facial expression that would indicate emotions or mood.

A

Flat affect

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21
Q

absence of will, ambition, or drive to take action or accomplish tasks.

A

Lack of volition

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22
Q

characterized by persecutory (feeling victimized or spied on) or grandiose delusions, hallucinations, and occasionally excessive religiosity (delusional religious focus) or hostile and aggressive behavior

A

Paranoid type

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23
Q

characterized by grossly inappropriate or flat affect, incoherence loose associations, and extremely disorganized behavior.

A

Disorganized type

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24
Q

characterized by marked psychomotor disturbance, either motionless or excessive motor activity.

A

Catatonic type

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25
the most common type, involve hearing sounds most often voices talking to or about the client.
Auditory
26
are voices demanding that the client take action often to harm self or others and are considered dangerous.
Command hallucinations
27
involve seeing images that do not exist at all such as lights or dead person or distortions such as seeing a frightening monster instead of the nurse. They are second most common type of hallucination.
Visual
28
involve smells or odors. They maybe a specific scent such as urine or feces, or a more general scent such as rotten or rancid odor.
Olfactory
29
refer to sensation such as electricity running through the body or bugs or crawling on the skin.
Tactile
30
involve a taste lingering in the mouth or the sense that foods tastes like something else. The taste maybe metallic or bitter or maybe represented as a specific taste
Gustatory
31
involve the clients report that he/she feels bodily function that are usually undetectable.
Cenesthetic
32
occur when the client is motionless but reports the sensation of bodily movement. Bodily movement is something unusual, such as floating above the ground.
Kinesthetic hallucination
33
characterized by mixed schizophrenic symptoms (of other types) along with disturbances of thought, affect and behavior.
Undifferentiated type
34
characterized by at least one previous, though not a current episode of social withdrawal, flat affect, and looseness of associations.
Residual type
35
the client exhibits the symptoms of schizophrenia but for less than 6 mos necessary to meet the diagnostic criteria of schizophrenia. Social or occupational functioning may or may not be impaired.
Schizophreniform disorder
36
the clients exhibits the symptoms of psychosis and at the same time all the features of a mood disorder, either depression or mania.
Schizoaffective disorder
37
the client has one or more nonbizarre delusions that is, the focus of the delusion is believable. Psychosocial functioning is not markedly impaired and behavior is not obviously odd or bizarre.
Delusional disorder
38
the client experiences the sudden onset of at least one psychotic symptoms, such as delusions, hallucinations, or disorganized speech or behavior which last from 1 day to 1 month. The episode may or may not have an identifiable stressor or may follow childbirth.
Brief psychotic disorder
39
two people share a similar delusion. The person with this diagnosis develops this delusions in the context of a close relationship with someone who has psychotic delusions.
Shared psychotic disorder
40
are personality disorders and not psychotic disorders should not be confused with schizophrenia even though the names sound similar.
Schizotypal personality and schizoid personality
41
Primary medical treatment for schizophrenia
Psychopharmacology
42
Are reversible movement disorders induced by neuroleptic medication.
Extrapyramidal Side Effects
43
appear early in the course of treatment and are cha by spasm in discrete muscle group such as the neck muscles(torticollis ) or eye muscles ( oculogyric crisis).
Dystonic reactions
44
includes a shuffling gait, mask like faces, muscle stiffness (continuous ) or cog wheeling rigidity (ratchet like movements of joints ) drooling, and akinesia ( slowness and difficulty initiating movement)
Pseudoparkinsonism, or neuroleptic-induced parkinsonism
45
is characterized by restless movement, pacing, inability to remain still, and the clients report of inner restlessness. Usually develops when the antipsychotic is started or when the dose is increased.
Akathisia
46
A late appearing side effects of antipsychotic medications, characterized by involuntary movements such as lip smacking, tongue protrusion, chewing, blinking, grimacing, and choreiform movement of the limbs and feet.
Tardive Dyskinesia
47
Are infrequent side effects associated with antipsychotic side effects.
Seizures
48
is a serious and frequently fatal condition seen in those being treated with antipsychotic medications.
Neuroleptic Malignancy Syndrome
49
Clozapine has the potentially fatal side effect of
Agranulocytosis
50
usually supportive giving the client an opportunity for social contact and meaningful relationships.
Individual and group therapies
51
this to improve their social competence so it can function more effectively in the community.
Social skills training
52
using environmental supports is designed to improve adaptive functioning in the home setting
Cognitive adaptation training
53
combines computer based cognitive training with group sessions that allow clients to practice and develop social skills.
Cognitive Enhancement Therapy (CET)
54
are known to diminish the negative effects of schizophrenia and reduce the relapse rate.
Family education and Therapy
55
There is a disordered thought processes and disruption in the continuity of thoughts and information processing.
Thought Process and Content
56
suddenly stop talking in the middle of the sentence and remain silent for several seconds
Though blocking
57
believe that others can hear their thoughts.
Thought broadcasting
58
others are taking their thoughts
Though withdrawal
59
others are placing thoughts in their minds against their will.
Thoughts insertion
60
veering onto unrelated topics and never answering the original question.
Tangential thinking
61
major problem in schizophrenia.
Deterioration of self concept
62
describe the clients lack of a clear sense of where his or her own body, mind and influence end and where those aspects of other animate and inanimate objects begin.
Loss of ego boundaries