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NU 220 Mental Health Nursing > Schizophrenia > Flashcards

Schizophrenia Flashcards

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0
Q

When is the onset of schizophrenia?

A

Typically, late adolescence to early adulthood, though it can manifest in children or later in adulthood.

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1
Q

What are the early warning signs of schizophrenia?

A

Distortion of hygiene (often 1st sign), social withdrawal, deterioration of relationships, hostility, indifference, odd behavior, change of personality.

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2
Q

What causes schizophrenia?

A

Cause is unknown, but it probably results from a combination of genetic, neurobiological and non-genetic factors.

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3
Q

What is autistic thinking?

A

Ideas are derived from internal or private stimuli. These perceptions are not congruent with reality.

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4
Q

What is concrete thinking?

A

Characterized by immediate experience rather than abstraction. Overemphasis on specifics.

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5
Q

What is loose association?

A

Thinking is haphazard, illogical, confused and connections are interrupted.

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6
Q

What is tangential thinking?

A

An association disturbance in which the speaker goes off topic.

If the speaker frequently goes on tangents and doesn’t return to the topic, communication is destroyed.

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7
Q

What is blocking?

A

A sudden interruption in spontaneous flow of thinking or speaking. An absence or deprivation of thought.

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8
Q

What is an idea of reference?

A

False impressions that outside events have special meaning for oneself.

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9
Q

What are persecutive thoughts?

A

The belief that others are hostile or trying to harm the individual.

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10
Q

What is grandeur?

A

It is an exaggerated feeling or belief in or claims about ones importance or identity.

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11
Q

What are somatic thoughts?

A

An excessive preoccupation with physical symptoms. Body altered from normal form or function.

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12
Q

What is echolalia?

A

The act of mimicking or imitating the speech of another person.

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13
Q

What is clang association?

A

This is the meaningless rhyming of words. (It’s often in a forceful manner.)

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14
Q

What is a neologism?

A

A word that a person makes up that has meaning only for that person.

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15
Q

What is word salad?

A

The mixture of phrases that are meaningless to the listener and the speaker.

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16
Q

What is an illusion?

A

An error in perception of a sensory stimulus.

17
Q

What is a hallucination?

A

A sensory perception for which no external stimulation exists.

18
Q

What are perceptual body changes?

A

Loss of the sense where ones body ends and inanimate objects begin. Disassociation of body parts.

19
Q

What is depersonalization?

A

A feeling of unreality or self-estrangement.

20
Q

What is a blunted affect?

A

An extreme restriction in emotional expression, only minor degrees of emotional change is present.

21
Q

What is a flat affect?

A

A lack of emotional expression. An insufficiently intense emotional display in association with ideas or situations that would call for a stronger response.

22
Q

What is affective ambivalence?

A

This is the simultaneous conflicting feelings or attitudes toward a person, object or desire.

23
Q

What is an inappropriate affect?

A

An emotional response not appropriate for the situation.

24
Q

What is an over-responsive affect?

A

This is an excessively intense emotional response.

25
Q

What are the motor changes associated with schizophrenia?

A

General (withdraw, lack of interest, inactivity), mannerisms (odd, ritualistic or inappropriate) and waxy flexibility (the holding of unusual positions for extended periods of time).

26
Q

What are social changes of schizophrenia?

A

Withdrawal, disturbed relationships, self care deficits, inability to maintain a job, risk of physical health impairment, poor nutrition and lack of support systems.

27
Q

What is paranoid schizophrenia?

A

This type is dominated by hallucinations and delusions. Disorganized speech and behavior is less evident.

28
Q

What is disorganized schizophrenia?

A

This type is dominated by disorganized speech and behavior, inappropriate affect, odd behavior. Delusion and hallucinations are fragmented.

29
Q

What is catatonic schizophrenia?

A

This type is characterized by motor immobility, stupor and waxy flexibility. Mutism, posturing, echolalia, echopraxia and purposeless motto activity may be present with agitation.

30
Q

What is undifferentiated schizophrenia?

A

This type has active symptoms, but no one clinical picture dominates.

31
Q

What is residual type schizophrenia?

A

This type has no active symptoms, but retains social changes of schizophrenia.

32
Q

What are the positive signs of schizophrenia?

A

Delusions, hallucinations, disorganized speech, disorganized/catatonic behavior.

33
Q

This negative symptom of schizophrenia is characterized by an emotional restriction in range/intensity.

A

Affect.

34
Q

This negative symptom of schizophrenia is characterized by difficulty in thinking and responding.

A

Alogia.

35
Q

This negative symptom of schizophrenia is characterized by difficulty completing goal directed behaviors.

A

Avolition.

36
Q

This negative symptom of schizophrenia is characterized by lack of pleasure in once enjoyable activities.

A

Anhedonia.

37
Q

This negative symptom of schizophrenia is characterized by the removal of oneself from society or social interactions.

A

Withdrawal.

38
Q

What is schizophreniform disorder?

A

This disorder is similar to schizophrenia. The primary difference is that patients symptoms resolve within six months (or six months have not yet passed from onset of symptoms).

39
Q

What is schizoaffective disorder?

A

Two sets of symptoms are present during the same episode of illness. These symptoms include schizophrenic ones and a mood disorder (depression or manic).

40
Q

What stressors can cause relapse in schizophrenics?

A

Physiological, personal, interpersonal and community.

41
Q

What interventions can prevent schizophrenic relapse?

A

Anti-psychotic meds, psychosocial treatment, education/support, family interventions, cognitive-behavioral therapy and social skill training

NU 220 Mental Health Nursing (1 decks)

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