Schizophrenia Flashcards

1
Q

Distorted and bizarre thoughts, perceptions, emotions, movements, behavior

A

schizophrenia

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2
Q

What are the categories of symptoms for schizophrenia?

A
  • positive (hard)

* negative (soft)

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3
Q

•Delusions, hallucinations; grossly disorganized thinking, speech, behavior

A

positive (hard)

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4
Q

Flat affect, lack of volition, social withdrawal, or discomfort

A

negative (soft)

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5
Q

what is the peak onset age for men and women?

A

The peak onset is age 15 to 25 for men and age 25 to 35 for women

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6
Q

Targeting positive symptoms

No observable effect on negative symptoms

A

Conventional antipsychotics (dopamine antagonists)

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7
Q

Diminish positive symptoms

Lessen negative symptoms

A

Atypical antipsychotics (dopamine, serotonin antagonists)

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8
Q

What are the six antipsychotics available in depot injections forms?

A
  • Fluphenazine in decanoate and enanthate
  • Haloperidol in decanoate
  • Risperidone
  • Paliperidone
  • Olanzapine
  • Aripiprazole
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9
Q

What are the nonneurologic side effects?

A
  • Weight gain, sedation, photosensitivity
  • Anticholinergic symptoms (dry mouth, blurred vision, constipation, urinary retention)
  • Orthostatic hypotension
  • Agranulocytosis (clozapine)
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10
Q

Psychosocial treatment for schizophrenia?

A
*Individual, group therapies
Supportive, medication management, use of community supports
*Social skills training
Cognitive adaptation training
Cognitive enhancement therapy (CET)
*Family therapy
*Family education
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11
Q

general appearance schizophrenia

A

motor behavior

speech (odd, bizarre; catatonia; echopraxia, psychomotor retardation, word salad, echolalia, latency of response

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12
Q

what is the mood and affect for a person with schizophrenia?

A

(flat, blunted; anhedonia)

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13
Q

nursing interventions

A

Safety of patient, others
Therapeutic relationship; therapeutic communication
Interventions for delusional thoughts (focus on reality; no confrontation or reinforcement)
Interventions for hallucinations
Management of socially inappropriate behavior

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14
Q

what are the neurologic side effects?

A
Extrapyramidal side effects
Acute dystonic reactions
Akathisia
Parkinsonism
Tardive dyskinesia
Seizures
Neuroleptic malignant syndrome
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