SCHIZOPHRENIA AND OTHER PSYCHOSES Flashcards

1
Q

Is a serious psychiatric disorder

One of the most profound disabling illness

Not a single disease entity but a combination of disorders

“SPLIT MIND”

A

SCHIZOPHRENIA

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2
Q

characterized by:

impaired communication

loss of contact into REALITY

deterioration from a previous level of functioning

A

SCHIZOPHRENIA

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3
Q

4 A’s of Schizophrenia

A_______
A__________
A___________
A_________

A

AUTISIM
APATHY
AMBIVALENCE
ASSOCIATION LOOSENESS

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4
Q

PHASES OF SCHIZOPHRENIA

NORMAL FUNCTIONING
SYMPTOMS HAVE NOT BECOME APPARENT YET.

A

PRE-MORBID

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5
Q

PHASES OF SCHIZOPHRENIA

More tempered form of the disorder.
can be months to years for the disorder to become obvious

A

PRODROMAL

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6
Q

PHASES OF SCHIZOPHRENIA

positive symptoms are noticeable and apparent

A

SCHIZOPHRENIA

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7
Q

PHASES OF SCHIZOPHRENIA

Periods of remission. negative symptoms may remain, but positive symptoms are gone.

A

RESIDUAL

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8
Q

Delusion
Anxiety/Agitation
Hallucination
*Auditory most common
Jumbled speech
Disorganized behavior

A

POSITIVE SYMPTOMS

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9
Q

Flattened/Bland affect
Lack of Energy
Reduced Speech
Avolition (lack of motivation)
Anhedonia (not capable of feeling pleasure)
Lack of Social Interaction

A

NEGATIVE SYMPTOMS

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10
Q

Type of SCHIZOPHRENIA

Odd/Bizarre Behavior
incoherence
Stereotyping

Prognosis is Poor

A

DISORGANIZED

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11
Q

DISORGANIZED Type of SCHIZOPHRENIA

Defense Mechanism: _____________

A

REGRESSION

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12
Q

DISORGANIZED Type of SCHIZOPHRENIA

Nursing intervention
Assist with ___- hygiene

________ activity

Present _______

A

Nursing intervention
Assist with ADL- hygiene

ENCOURAGE activity

Present REALITY

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13
Q

Type of SCHIZOPHRENIA

Hallucination
Ideas of Reference
Delusion of Persecution
suspiciousness

A

PARANOID

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14
Q

PARANOID Type of SCHIZOPHRENIA

Defense Mechanism:________

A

PROJECTION

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15
Q

PARANOID Type of SCHIZOPHRENIA

Nursing interventions
Priority: _______________ of others

A

SAFETY OF OTHERS

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16
Q

PARANOID Type of SCHIZOPHRENIA

Nursing interventions

Deal with the HID

A_______
V_______
P________
O__________

A

ACKNOWLEDGE
VERIFY CONTENT OF HID
PRESENT REALITY
OFFER DISTRACTION

17
Q

PARANOID Type of SCHIZOPHRENIA

Nursing interventions

Offer _______ foods / ________ medicines

A

OFFER SEALED FOOD

UNOPENED MEDICINES

18
Q

PARANOID Type of SCHIZOPHRENIA

Nursing interventions

Never display outbursts of _________________

A

OUTBURST OF EMOTIONS

19
Q

PARANOID Type of SCHIZOPHRENIA

Nursing interventions

Explain procedures in ______ ways
Never argue with the patient

A

SIMPLE WAY

20
Q

TYPE OF SCHIZOPHRENIA

Wax flexibility
Stupor
Negativism – mutism, rigidity, lack of response

A

CATATONIC

21
Q

CATATONIC Type of SCHIZOPHRENIA

Defense mechanism: __________

A

REPRESSION

22
Q

CATATONIC Type of SCHIZOPHRENIA

Nursing Intervention
Priority: nutrition & _________________
Provide d_______
Encourage activity

A

SAFETY
DISTRACTION

23
Q

Patients whose manifestation cannot be easily fitted into one or the other type

A

UNDIFFERENTIATED

24
Q

SCHIZOPHRENIA

General Nursing Interventions:

Establish a trusting relationship and provide _________________

A

ACCEPTANCE

25
Q

SCHIZOPHRENIA

General Nursing Interventions:

a clear, consistent and O_____ C__________N

Set limits

A

OPEN COMMUNICATION

26
Q

SCHIZOPHRENIA

General Nursing Interventions:

Decrease environmental _________________

A

STIMULI

27
Q

SCHIZOPHRENIA

General Nursing Interventions:

Observe for s_________

Administer medications, as ordered.

A

SUICIDAL IDEATION