Schizophrenia Spectrum and other Psychotic Disorders and Antipsychotic Drugs (7)

Question 1

Identify key symptoms of schizophrenia and understand the ways in which symptoms can be classified (1)

Schizophrenia

How many symptoms do u need?
1 of the symptoms must be?
other 3 symptoms?
Lasts how long?

Answer 1

2 or more of these symptoms

At least 1 of these must be (1), (2), or (3):
1. Delusions.
2. Hallucinations.
3. Disorganized speech
Grossly disorganized or catatonic behavior
Negative symptoms
Impairment to functioning

lasts greater than 6 months

Question 2

Schizophrenia Positive Symptoms

Answer 2

Delusions
Hallucinations
Disorganization*(sometimes classified on own)
Bizarre Behavior

Question 3

Schizophrenia Negative Symptoms
taken away” or diminished

AAA BSA

Answer 3

Alogia (poverty of speech)
Avolition (no motivation)
Anhedonia
Blunted/flat affect
Social Withdrawal
Attention & *cognitive deficits

Question 4

Identify interventions, psychoeducation topics, and expected outcomes for patients with schizophrenia and their families throughout the continuum of their care (4)

Answer 4

Electroconvulsive Therapy for uncontrolled symptoms

Psychosocial
CBT – for psychosis
Social skills training
Promote coping skills
Treat comorbidities such as SUD, anxiety
Vocational Support

Question 5

Schizophrenia interventions
4
trust?
promote?
management of?
what changes?

Answer 5

Trusting Patient-Nurse Relationship
Promote Fluid Balance: WATER
Medication Management
Lifestyle (exercise, sleep, hygiene)

Management of thoughts and perceptions
Psychoeducation
Stress Management
Family Education
Life threatening symptoms

Question 6

Delusional disorder and its subtypes?
identify interventions and expected outcomes (1)

What is it and occurs for how long?

Grandiose?
Jealous?
Erotomanic?
Somatic?
Persecutory?
Mixed?
Nihilistic?

Answer 6

Logical, stable, well-systematized delusions that occur with no other psychiatric disorders for >1month

Can go undiagnosed for years

Subtypes:
Grandiose: really important, powerful
Jealous: Partner is cheating
Erotomanic: people are in love with me
Somatic: There is something going on w body
Persecutory: someone is out to get me
Mixed: More than one subtype
Nihilistic: World is ending

Question 7

Schizophreniform and Brief Psychotic Disorder (1)

Symptoms?
Brief Psychotic Disorder lasts how long?
Schizophrenium lasts how long?

Answer 7

Same requirement of symptoms as schizophrenia

Brief Psychotic disorder: less than 1 month

Schizophrenium: 1-6 months