T2 - Schizophrenia (Josh) Flashcards
Bleuler’s Four ‘A’s’ of Schizophrenia.
- Affect
- Associative Looseness
- Autism
- Ambivalence
Negative Symptoms include –
Affect (ex: inappropriate)
Volition (ex: deteriorated appearance)
Interpersonal Functioning (ex: social isolation)
Psychomotor Behavior (ex: anergia)
Assoc. Features (ex: andedonia)
— reinforce hallucinations.
DO NOT
- let the client know you do not share the perceptions
- call them ‘voices’ not ‘they’ or ‘them’
Types of Hallucinations:
- Auditory
- Visual
- Tactile
- Gustatory
- Olfactory
A nurse is completing an admission assessment for a client who has schizo. Which of the following findings should the nurse document as positive symptoms? (SATA)
a) Auditory hallucination
b) Lack of motivation
c) Use of clang associations
d) Delusion of persecution
e) Constantly waving arms
f) Flat affect
a) Auditory hallucination
c) Use of clang associations
d) Delusion of persecution
e) Constantly waving arms
Interventions for a client who IS hallucinating.
- observe for OBJECTIVE S/S
- AVOID TOUCHING client
- ASSESS CONTENT ONCE A DAY
- DO NOT REINFORCE hallucination
- help client make CONNECTION BETWEEN HALLUCINATION and ANXIETY
- DISTRACTION METHODS – discuss ways of helping people cope
— are fixed, false beliefs.
Delusions
In — —, the the HCP can use praise and other positive reinforcements to help the client w/ schizo reduce the frequency of maladaptive behaviors.
Behavior Therapy
— has been shown to be effective when combined w/ drug treatment for schizophrenics.
Group Therapy
What is echolalia?
repeating words they hear
- it is an attempt to identify w/ the person speaking
Negative S/S of Schizophrenia:
- AFFECTIVE FLATTENING,
- ALOGIA (POVERTY OF SPEECH),
- AVOLITION/APATHY,
- ANHEDONIA,
- SOCIAL ISOLATION
Can schizophrenia be inherited?
Yes
Positive Symptoms are those that are —
exaggerated
- you can observe them
A nurse is caring for a client who has schizoaffective disorder. Which of the following statements indicates the client is experiencing depersonalization?
a) I am a superhero, I am immortal
b) I am no one and everyone is me
c) I feel monsters pinching me all over
d) I know that you are stealing my thoughts
b) I am no one and everyone is me
Hallucinations have to do with —–
your 5 senses