Schizophrenia - prepU Flashcards
when a patient has somatic delusions, they believe they have _______ ________, something physically wrong/ injured.
physical ailments
these patients are using excessive healthcare resources – there are vague, unrealistic beliefs about their health or bodily function**
-
-
dead, missing organs or ceased to exist
what kind of delusion is being described?
these patients believe they have a great, unrecognized talent or have made an important discovery; a less common presentation is the delusion of a special relationship with a prominent person or actually being a prominent person.
grandiose delusions
what persecutory delusions lead the patient to believe?
this is the belief that “others” are out to get the patient, spying on them, planning to harm them, belittling or following them; malevolent treatment
which type of delusion is being described? – this is where the patient believes that TV broadcasts, music or newspapers have special meaning just for them.
referential delusions
what is the difference between schizophreniform disorder, schizoaffective disorder and schizophrenia?
schizophreniform disorder is where the patient has an acute episode of psychosis lasting less than 6 months; schizoaffective disorder is a combo. of schizophrenia symptoms and mood disorder symptoms; schizophrenia is where the same symptoms persist for more than 6 months
positive schizophrenia symptoms are associated with ________ hyperactivity.
dopamine
the _________ speech pattern is characterized by the repetition of words or phrases that may or may not have meaning.
verbigeration i.e. I want to go home, go home, go home
the _______ _________ speech pattern is characterized by ideas that are related to each other based on sound or rhyming.
clang association
a ________ speech pattern is words made up by the patient.
neologism
a _______ _________ speech pattern is a combination of jumbled words or phrases that are disconnected, incoherent and make no sense to the listener.
word salad
what is it called when a patient imitates the speech and/ or behavior of another person (i.e. the nurse)?
echolalia
what is it called when the patient is stuck on a single idea or topic, and they are verbally repeating a sentence, phrase or topic, even when there is an attempt by another person to change the topic?
perseveration
what are the components needed in order to make the diagnosis of schizoaffective disorder?
- an uninterrupted period of illness when there is a major depressive, manic, or mixed episode
- two of the following symptoms of schizophrenia: delusions, hallucinations, disorganized speech, disorganized or catatonic behavior, or negative symptoms (e.g., diminished emotional expression, alogia, or avolition).
- the positive symptoms (delusions or hallucinations) must be present without the mood symptoms at some time during this period (for at least 2 weeks).
in order for a schizoaffective disorder diagnosis to be made what 2 things need to be present?
psychosis and mood disturbance
Shared psychotic disorder, or _______ _ ______, involves two individuals who have a close relationship and share the same delusion.
folie à deux
what refers to extremely detailed and lengthy discourse about a topic and providing minute details?
Circumstantiality
