SCHIZOPHRENIA Flashcards
A psychotic disorder characterized by delusions, hallucinations, and disturbances in thought, perception and behavior.
SCHIZOPHRENIA
It is characterized by deteriorating personality
SCHIZOPHRENIA
Schizophrenia affects men and women equally. For men ranging from age? And women?
15-25
25-35
Caused by excessive dopamine in mesolimbic tract
POSITIVE SYMPTOMS
Positive sx of schizo:
ABNORMAL THOUGHTS
AGITATION
BIZARRE BEHAVIOR
DELUSIONS
EXCITEMENT
FEELINGS OF PERSECUTION
GRANDIOSITY
HALLUCINATIONS
HOSTILITY
ILLUSIONS
INSOMNIA
SUSPICIOUSNESS
Negative sx of Schizophrenia:
ALOGIA
ANERGIA
ASOCIAL BEHAVIOR
ATTENTION DEFICITS
AVOLITION
BLUNTED AFFECT
COMMUNICATION DIFFICULTIES
DIFFICULTY WITH ABSTRACTIONS
PASSIVE SOCIAL WITHDRAWAL
POOR GROOMING AND HYGIENE
POOR RAPPORT
POVERTY OF SPEECH
Caused by too little dopamine in mesocortical tract?
NEGATIVE SYMPTOMS
What are the 3 overlapping phases of schizo?
ACUTE PHASE
STABILIZING PHASE
STABLE PHASE
Phase where the patient experiences severe psychotic symptoms?
ACUTE PHASE
Phase where the patient is getting better?
STABILIZING PHASE
Phase where the patient might still experience hallucinations and delusions but not as severe as they are during the acute phase.
STABLE PHASE
Positive or hard symptoms includes?
AMBIVALENCE
ASSOCIATIVE LOOSENESS
DELUSIONS
ECHOPRAXIA
FLIGHT OF IDEAS
HALLUCINATIONS
IDEAS OF REFERENCE
PERSEVERATION
This is holding seemingly contradictory beliefs or feelings about the same person, situation or event
AMBIVALENCE
Fragmented or poorly related thoughts and ideas
ASSOCIATIVE LOOSENESS
Fixed false beliefs that has no basis in reality
DELUSIONS
Imitation in the movements and gestures of another person whom the client is observing
ECHOPRAXIA
Continous flow of verbalization in which the person jumps rapidly from one topic to another
FLIGHT OF IDEAS
False sensory perception that do not exist in reality
HALLUCINATIONS
False impressions that external events have special meaning for the person
IDEAS OF REFERENCE
Persistent adherence to single idea, or topic, verbal repetition of a sentence, word or phrase resisting attempts to change the topic
PERSEVERATION
Negative or soft sx includes?
ALOGIA
ANHEDONIA
APATHY
BLUNTED AFFECT
CATATONIA
FLAT AFFECT
LACK OF VOLITION
Psychologically induced immobility occasionally marked by periods of agitation or excitement the client seems motionless as if in a trance
CATATONIA
Absence of any facial expression that would indicate emotions or mood.
FLAT AFFECT
Absence of will or ambition or drive to take action or accomplish tasks
LACK OF VOLITION
Tendency to speak very little or to convey little substance of meaning(poverty of content)
ALOGIA
Feeling no joy or pleasure from life or any activities or relationship
ANHEDONIA
Feeling of indifference toward people, activities and events
APATHY
Restricted range of emotional feeling, tone or mood
BLUNTED AFFECT
Types of Schizophrenia
PARANOID
DISORGANIZED
CATATONIC
UNDIFFERENTIATED
RESIDUAL
Characterized by persecutory( feeling victimized or spied on) or grandiose delusions, hallucinations and occasionally excessive religiosity or hostile or aggressive behavior
PARANOID TYPE
Characterized by grossly inappropriate or flat affect, incoherence loose associations and extremely disorganized behavior
DISORGANIZES TYPE
Characterized by marked psychomotor disturbance, either motionlezz or excessive motor activity
CATATONIC TYPE
Characterized by mixed schizophrenic symptoms along with disturbances of thought, affect and behavior
UNDIFFERENTIATED TYPE
Chracterized by at least one previous, though not a current episode of social withdrawal, flat affect, and looseness of associations
RESIDUAL TYPE
Types of hallucinations?
AUDITORY
VISUAL
OLFACTORY
TACTILE
GUSTATORY
CENESTHETIC
KINESTHETIC
Younger clients display poorer premorbid adjustment, negative signs, and greater cognitive impairment than older adults. TRUE OR FALSE?
TRUE
SCHIZOPHRENIA RELATED DISORDERS
SCHIZOPHRENIFORM DISORDER
SCHIZOAFFECTIVE DISORDER
DELUSIONAL DISORDER
BRIEF PSYCHOTIC DISORDER
SHARED PSYCHOTIC DISORDER
SCHIZOTYPAL PERSONALITY AND SCHIZOID PERSONALITY
This disorder, the client experiences the sx of schizophrenia but for less tha 6 mos necessary to meet the diagnostic criteria of schizo
SCHIZOPHRENIFORM DISORDER
The clients exhibits the sx of psychosis and at the same time all the features of a mood disorder either depression or mania
SCHIZOAFFECTIVE DISORDER
The client has one or more nonbizarre delusions that is the focus of the delusion is available.
DELUSIONAL DISORDER
The client experiences the sudden onset of at least one psychotic sx such as delusions, hallucinations, or disorganized speech or behavuor that last from 1 day to 1 month.
BRIEF PSYCHOTIC DISORDER
Two people share a similar delusion
SHARED PSYCHOTIC DISORDER
Are personality disorders and not psychotic disorders
SCHIZOTYPAL OR SCHIZOID
The patient suddenly stops talking in the middle of the sentence and remain silent for several seconds
THOUGHT BLOCKING
The patient believes that others can hear their thoughts
THOUGHT BROADCASTING
Patient believes that others are taking their thoughts
THOUGHT WITHDRAWAL
Patient believez that others are placing thoughts in their minds against their will
THOUGHT INSERTION
Veering onto unrelated topics and never answering the original question
TANGENTIAL THINKING
Describe the clients lack of 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
What is the focus of care when the client is in acute psychotic episode?
STABILIZING THE CLIENTS THOUGHT PROCESSES AND REALITY ORIENTATION AS WELL AS ENSURING SAFETY
Signs of building agitation
AN INCREASED INTENSITY OF PACING
LOUD TALKING OR YELLING
HITTING OR KICKING OBJECTS
Interventions to protect the client or nurse and others in the environment
ADMINISTERING MEDS
MOVING THE CLIENT TO A QUIET LESS STIMULATING ENVIRONMENT
IN EXTREME SITUATION, USE OF SECLUSION OR RESTRAINT
Potential bizarre or strange behaviors include:
TOUCING OTHERS WITHOUT WARNING OR INVITATION
INYRUDING INTO OTHERS LIVING SPACES
TALKING TO OR CARESSING INANIMATE OBJECTS
Early signs of relapse
IMPAIRED CAUSE AND EFFECT REASONING
IMPAIRED INFO PROCESSING
POOR NUTRITION
LACK OF SLEEP
LACK OF EXERCISE
FATIGUE
MOOD SWINGS
LACK OF CONTROL
IRRITABILITY
LOSS OF MOTIVATION
ANXIETY AND WORRY
