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Psychiatric Nursing > Schizoprhenia > Flashcards

Schizoprhenia Flashcards

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1
Q

is a disruptive mental state in which an individual struggles to distinguish the external world from internally generated perceptions

A

Psychosis

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2
Q

What are the psychotic manifestations?

A

-Schizophrenia (Most common)
- Acute Mania
- Severe depression
- Drug intoxication
- Delirium, Dementia

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3
Q

Treatment for Psychosis

A

Antipsychotic medications

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4
Q

History of Schizophrenia

In what year did Morel was firt to name the psychiatric symptoms of schizophrenia and described as “Dementia praecox”

A

1860

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5
Q

History of Schizophrenia

In what year Kahlbaum used the term catatonia to described patients immobolized by psychological factors

A

1871

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6
Q

History of Schizophrenia

In what year, Hecker used the term hebephrenia to describe patients with silly, bizarre, and regressed behaviors

A

1874

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7
Q

History of Schizophrenia

In what year, Kraeplin added the term paranoia to describe highly suspicious patients

A

1878

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8
Q

History of Schizophrenia

In what year Kraeplin grouped the three patient categories under the heading dementia praecox

A

1899

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9
Q

History of Schizophrenia

In what year Bleuler coined the term schizophrenia

A

1908

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10
Q

To describe patients immobilized by psychological factors

A

catatonia

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11
Q

to describe patients with silly, bizarre, and regressed behaviors

A

hebephrenia

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12
Q

to describe highly suspicious patients

A

paranoia

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13
Q

He was first to name the psychiatric symptoms of schizophrenia and described as “Dementia praecox”

A

Morel

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14
Q

He used the term catatonia to describe patients immobilized by psychological factors

A

Kahlbaum

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15
Q

He used the term hebephrenia to describe patients with silly, bizarrre, and regressed behaviors

A

Hecker

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16
Q

He added the term paranoia

A

Kraeplin

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17
Q

He coined the term schizophrenia

A

Bleuler

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18
Q

skhizo means

A

split

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19
Q

phren means

A

mind

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20
Q

He believed that dementia praecox was inappropriate

A

Bleuler

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21
Q

Bleuler’s 4A’s in Schizophrenia

A
  1. Affective disturbance
  2. Autism
  3. Associative looseness
  4. Ambivalence
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22
Q

Inappropriate, blunted or flat affect

A

Affective disturbance

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23
Q

Preoccupation with the self, with little concern for external reality

A

Autism

24
Q

The stringing together of unrelated topics

A

Associative Looseness

25
Q

Simultaneous opposite feelings

A

Ambivalence

26
Q

Is a diagnostic term used to describe a major psychotic disorders characterized by disturbances in the perception, though process, reality testing, feelings, behavior, attention, motivation

A

Schizophrenia

27
Q

Onset of Schizophrenia

A

Late adolescence to early adulthood

28
Q

Gender prevalence in Schizophrenia

A

Affects men and women equally

29
Q

The disease progression of schizophrenia

A
  1. Premorbid
  2. Prodromal
  3. Schizophrenia
  4. Residual
30
Q

Patients typically had schizoid or schizotypal personalities and has social withdrawal and introverted

A

Pre-morbid Phase

31
Q

Appearance of non-specific manifestations

A

Prodrome

32
Q

This may last for a few weeks or months but can extend up to 2 to 5 years

A

Prodrome or Prodomal Phase

33
Q

Early Prodromal Manifestations

A

-Sleep disturbance
- Anxiety
- Irritability
- Depressed mood
- Poor concentration
- Fatigue
- Social withdrawal

34
Q

Late Prodromal Manifestations

A

-Perceptual abnormalities
- Ideas of reference
- Suspiciousness

35
Q

Active Phase and Prominence of psychotic symptoms

A

Schizophrenia Phase

36
Q

-Stable phase
- Usually follows an active phase
-Symptoms of the acute stage are either absent or no longer prominent

A

Residual Phase

37
Q

Positive Symptoms of Schizophrenia

A

-Ambivalence
- Associative weakness
- Delusion
- Echopraxia
- Flight of ideas
- Hallucinations
- Ideas of reference
- Perseveration
- Bizarre behavior

38
Q

Holding seemingly contradictory beliefs or feelings about the same person, event or situation

A

Ambivalence

39
Q

Fragmented or poorly related thoughts and ideas

A

Associative looseness

40
Q

Fixed false beliefs that have no basis in reality

A

Delusion

41
Q

Irritation of the movements and gestures of another person whom the client is observing

A

Echopraxia

42
Q

Continuous flow of verbalizations in which the person jumps rapidly from one topic to another

A

Flight of ideas

43
Q

False sensory perceptions or perceptual experiences that do not really exist in reality

A

Hallucinations

44
Q

False impressions that external events have special meaning for the person

A

Ideas of reference

45
Q

Persistent adherence to a single idea or topic; verbal repetition of a sentence, word, or phrase resisting attempt to change topic

A

Perseveration

46
Q

Outlandish appearance or clothing; repetitive or stereotyped, seemingly purposeless movements

A

Bizarre Behavior

47
Q

Paranoid schizophrenia

A

-Hallucinations
- Persecutory delusions
- Religiosity
- Suspiciousness

48
Q

Catatonic Schizophrenia

A

-Stupor
- Waxy Flexibility
- Mutism
- Echopraxia

49
Q

Disorganized Schizophrenia

A

-Loose association
- Perseveration
- Bizarre behavior
- Flat/Inappropriate affect

50
Q

Residual Schizophrenia

A

-In remission but still with:

-Flat affect
- Social withdrawal
- Loose associations

51
Q

The First Generation Antipsychotic Medications

A

-Chlorpromazine
- Haloperidol

52
Q

Second Generation Antipsychotic

A

Clozapine, Olanzapine, Risperidone

53
Q

Has effect on positive symptoms only

A

First-generation antipsychotic

54
Q

Has effect on positive and negative symptoms

A

Second-generation antipsychotic

55
Q

Third-generation antipsychotic medications

A

Aripiprazole

Psychiatric Nursing (16 decks)

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