Schizophrenia and Psychotic Disorders Flashcards

1
Q

Mood Affect

A

what individual reports about emotional state vs. your description of the individual’s emotional response

  • range
  • intensity
  • appropriateness
  • stability
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2
Q

Somatic Delusion

A
  • believes that they have physiological condition they don’t have
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3
Q

Thought Insertion Delusion

A
  • experiencing one’s own thoughts as someone else’s
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4
Q

Persecutory

A

believes they are being persecuted

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5
Q

Risk Assessment

A
  • thoughts about harming self
  • thoughts about harming others
  • assess every shift
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6
Q

Hallucinations

A
  • auditory
  • visual
  • tactile
  • gustatory
  • olfactory
  • *all five senses
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7
Q

Sensorium

A
  • LOC
  • orientation
  • intellectual ability
  • memory
  • judgement
  • abstract reasoning
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8
Q

What Impacts Judgement?

A

Culture

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9
Q

Cause of Positive Symptoms in Schizophrenia

A
  • Positive- dopamine

- Negative- lack of serotonin

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10
Q

Positive Symptoms Schizophrenia

A

presence of symptom that should not be there

  • Word Salad
  • Neologisms
  • Echolia
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11
Q

Negative Symptoms Schizophrenia

A

absence of behaviour that should otherwise be there

  • Blunted affect
  • Avolition
  • Anhedonia
  • alogia
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12
Q

Dysphoria

A

persistent low mood

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13
Q

Avolition

A

low levels of motivation

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14
Q

Anhedonia

A

can’t experience pleasure

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15
Q

Alogia

A

poverty of speech

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16
Q

Prodromal

A

early symptoms of a disease

17
Q

4 Stages Of Illness

A
  1. Prodromal (early symptoms)
    • odd thinking or paranoia
  2. Acute
    • onset/exacerbation of symptoms
    • often requires hospitalization and medication
  3. Stabilization
    • symptoms diminishing
  4. Maintenance
    • near baseline functioning
18
Q

5 Key Features Associated with Psychotic Disorders

A
  1. Delusions
  2. Hallucinations
  3. Disorganized Thinking
  4. Abnormal Motor Behaviour
  5. Negative Symptoms
19
Q

Therapeutic Millieu

A
  • physical environment

- emphasis on safety

20
Q

First Generation Antipsychotics

A
  • dopamine antagonists
  • positive symptoms
  • less expensive
  • lots of side effects
21
Q

Second Generation Antipsychotics

A
  • both positive and negative symptoms
  • no extrapyramidal side effects
  • significant weight gain
22
Q

Third Generation Antipsychotics

A
  • dopamine system stabilizer

- treats positive, negative and cognitive function

23
Q

Anticholinergic Delirium

A
  • hyperpyrexia- extreme high fever leading to seizure
24
Q

Dangerous Responses to Meds

A
  • anticholinergic toxicity
  • MNS
  • agranulocytosis (sore throat, fever, rigors)
  • necrotic ulceration in throat and mouth
  • septicemia
25
Q

Anosognosia

A

delusion a person isn’t sick