Schizophrenia: Terms Flashcards

0
Q

Akathisia

A

Psychomotor restlessness evident as pacing or fidgeting.

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1
Q

Acute Dystonia

A

Acute sustained contraction of muscles, usually of the head and neck.

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2
Q

Pseudoparkinsonism

A

A medication-induced, temporary constellation of sx associated with Parkinson’s disease; tremor, reduced accessory movements, impaired gait, and/or stiffening of muscles.

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3
Q

Affect

A

Outward manifestation of a person’s feelings/emotions; for schizophrenia, affect is usually flat, blunted, inappropriate, or bizarre.

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4
Q

Associative Looseness

A

Disorganized thinking; manifested as jumbled and illogical speech and impaired reasoning.

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5
Q

Autism

A

Thinking is not bound to reality but reflects the private perceptual world of the individual (i.e. delusions, hallucinations, neologisms).

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6
Q

Ambivalence

A

Simultaneously holding two opposing emotions, attitudes, ideas, or wishes toward the same person, situation, or object.

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7
Q

Positive Sx

A

The presence of something that is not normally present (i.e. hallucination, delusions, bizarre behavior, paranoia).

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8
Q

Negative Sx

A

The absence of something that should be present but is not (i.e. apathy, lack of motivation, anhedonia, poor thought processes).

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9
Q

Cognitive Sx

A

Abnormalities in how a person thinks.

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10
Q

Affective Sx

A

Sx involving emotions and their expression.

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11
Q

Anosognosia

A

Lack of insight to the illness; caused by the illness itself

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12
Q

Delusions

A

False, fixed beliefs.

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13
Q

Neologisms

A

Made-up words or idiosyncratic uses of existing words that have meaning for the patient but a different or nonexistent meaning to others.

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14
Q

Echolalia

A

Pathological repeating of another’s words.

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15
Q

Echopraxia

A

Mimicking of movements of another.

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16
Q

Clang Association

A

Choice of words based on their sound rather than their meaning, often rhyming and sometimes having a similar beginning sound.

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17
Q

Word Salad

A

A jumble of words that is meaningless to the listener.

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18
Q

Depersonalization

A

A nonspecific feeling that a person has lost his or her identity and that the self is different or unreal (i.e. seeing fingers as snakes or arms as rotting wood).

19
Q

Derealization

A

A false perception that the environment has changed (i.e. everything seems bigger or smaller).

20
Q

Hallucinations

A

Perceiving a sensory experience for which no external stimulus exists; may be auditory, visual, olfactory, gustatory, or tactile.

21
Q

Illusions

A

Misperceptions or misinterpretations of a real experience (i.e. seeing a coat on a rack as a bear that is about to attack).

22
Q

Command Hallucinations

A

Voices that direct the person to take an action.

23
Q

Boundary Impairment

A

Impaired ability to sense where one’s body ends and others’ bodies begin (i.e. pt drinks another’s beverage, believing that because it’s in his vicinity, it’s his).

24
Catatonia
A pronounced increase or decrease in the rate and amount of movement.
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Motor retardation
A pronounced slowing of movement.
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Motor Agitation
Excited behavior often in response to internal or external stimuli (i.e. running, pacing rapidly).
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Stereotyped Behaviors
Repeated motor behaviors that do not presently serve a logical purpose.
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Automatic Obedience
The performance by a catatonic pt of all simple commands in a robot-like fashion.
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Waxy Flexibility
The extended maintenance of posture, usually seen in catatonia (i.e. the nurse raises the pt's arm and pt continues to hold this position in a statue-like manner).
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Negativism
Akin to resistance but may not be intentional.
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Impaired Impulse Control
A reduced ability to resist one's impulses.
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Flat affect
immobile or blank facial expression.
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Blunted Affect
Reduced or minimal emotional response.
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Inappropriate Affect
Emotional response incongruent with the tone or circumstances of the situation (i.e. man laughs when told his father has died).
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Bizarre Affect
Odd, illogical, emotional state that is grossly inappropriate or unfounded.
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Anergia
Lack of energy; passivity; lack of persistence at work or school.
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Anhedonia
Inability to experience pleasure in activities that usually produce it.
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Avolition
Reduced motivation; inability to initiate tasks such as social contacts, grooming, and other ADLs.
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Poverty of Content of Speech
While adequate in amount, speech conveys little information because of vagueness or superficiality.
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Poverty of Speech
Reduced amount of speech; responses range from brief to one-word answers.
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Thought Blocking
A sudden interruption in the thought process, usually due to internal stimuli.
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Atypical Antipsychotics
Serotonin-dopamine antagonists; treat both positive and negative sx with minimal to no EPS; tends to cause significant weight gain.
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Conventional Antipsychotics
Dopamine receptor antagonists; target positive sx of schizophrenia; may cause EPS, tardive dyskinesia, anticholinergic effects; lowers seizure threshold.
44
Neuroleptic Malignant Syndrome (NMS)
Acute, life-threatening medical emergency characterized by severe EPS, hyperpyrexia (above 103 degrees F), autonomic dysfunction (htn, tachycardia, diaphoresis, incontinence), delirium, stupor, coma.