Schizophrenia Spectrum Disorder Flashcards

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1
Q

Signs & symptoms of Schizophrenia Spectrum Disorder are what ?

A

Either Positive (psychotic) or Negative

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2
Q

What are the Negative signs & symptoms of Schizophrenia Spectrum Disorder ?

A
  • Focus is inward. –> the client creates their own world

- Inappropriate affect, flat affect, or blunted affect

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3
Q

What are the Positive symptoms seen with Alterations in speech in Schizophrenia Spectrum Disorder ?

A
  • Disorganized thoughts
  • Communication is one of their biggest problems
  • Echolalia
  • Neologism
  • Word salads
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4
Q

What is Echolalia ?

A

Hear a word & repeat it a lot

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5
Q

What is Neologism ?

A

Making up new words

want to seek clarification. “I don’t understand”
(these words don’t mean anything)

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6
Q

What are word salads ?

A

Jumble of words

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7
Q

What are the Positive symptoms seen with Alterations in thinking in Schizophrenia Spectrum Disorder ?

A
  • Delusions (false beliefs)

- Concrete thinking

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8
Q

What is a Delusion - Fasle belief seen with Positive Symptoms with Alterations in thinking ?

A

Religiosity - a delusion of a special relationship with god or they are god or a special messenger of god

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9
Q

What are the Positive symptoms seen with Alterations in Perception in Schizophrenia Spectrum Disorder ?

A
  • Hallucinations (auditory most common)
    - 90% experience hallucinations
    - Can be visual, auditory, gustatory, or tactile
    - Usually connected to times of anxiety
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10
Q

What are the Tx’s for Schizophrenia Spectrum Disorder ?

A
  • Decrease Stimuli
  • Observe frequently (without looking suspicious)
  • Orient frequently
  • Keep conversations reality based
  • Observe for hallucinations
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11
Q

In regards to hallucinations, how do you want to approach them ?

A

Warn them before you touch them

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12
Q

How should you NOT refer to the client’s hallucinations ? and why ?

A

Dont refer to the voices as “they” B/c this makes the hallucinations seem real

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13
Q

What should you let the client know about your feelings about the hallucinations ?

A

Let the client know that you do not share the perception!

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14
Q

In clients with hallucinations what do you want to get them involved in ?

A

Involved in an Activity!

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15
Q

What do you want to do with a client experiencing a hallucination ?

A

Get the client out of the hallucination and into the real world

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16
Q

When observing for hallucinations, what other things do you want to do ?

A
  • Elevate the head of the bed
  • Turn of the TV
  • Offer reassurance because the client is frightened
17
Q

What should you offer clients with hallucinations ?

A

Reassurance B/c the client is frightened

18
Q

What are command hallucinations ?

A

Psychiatric Mental Health Emergencies!

19
Q

What are common Hallucinations ?

A

Auditory hallucinations that command the client to hurt themselves or others

(they are often frightening for the client as well)