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Nursing 2600 Exam 1 > Thought Disorder > Flashcards

Thought Disorder Flashcards

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1
Q

What are the 4 neurotransmitters?

A

Dopamine, Norepinephrine, Serotonin, GABA

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2
Q

What neurotransmitters are excitatory?

A

Dopamine and Norepinephrine

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3
Q

What neurotransmitters are inhibitory?

A

Serotonin and GABA

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4
Q

What is the cause of thought disorders?

A

Unknown but thought to be genetic, neuroanatomical, neurochemical

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5
Q

What are Bleuler’s 4 A’s?

A

Affect
Associative Looseness
Ambivalence
Autism

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6
Q

What are the 5 main types of Schizophrenia?

A 
Paranoid
Catatonic
Disorganized
Undifferentiated
Residual
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7
Q

What are the positive symptoms of Schizophrenia?

A

Hallucinations, Delusions, Bizarre Behavior, Paranoia

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8
Q

What are the negative symptoms of Schizophrenia?

A

Apathy, Anahedonia, Poor Social Functioning

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9
Q

Do antipsychotics increase of decease the seizure threshold?

A

Decrease, easier to have a seizure

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10
Q

Ways to treat Extrapyramidal Side Effects?

A

Decrease dosage, Change to a different Antipsychotic, Administer medication to help side effects

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11
Q

1 cause of admittance of a pt?

A

Medication noncompliance

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12
Q

What is the most serious side effect of Clozaril?

A

Agranularcytosis

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13
Q

What is the usual onset for Pre-Schizophrenia?

A

16-25 Yrs Old

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14
Q

What are some medical conditions which may cause psychosis?

A

Infections, Tumors, End-Stage Renal Failure, Hypoglycemia, Dementias/Stroke/Head Injuries, Vitamin Deficiences

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15
Q

What are some drugs which may cause psychosis?

A

Marijuana, Amphetamines, Hallucinogens, Alcohol, Opiates

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16
Q

What is an Illusion?

A

Misinterpretation of a real sensory expericence

17
Q

What is a Delusion?

A

A False Fixed Belief

18
Q

Types of delusions?

A

Somatic, *Persecutory, *Grandiose, Jealousy, Religious

19
Q

What is a Hallucination?

A

False sensory perception in absence of actual stimuli

20
Q

Types of Hallucinations?

A

*Visual, *Auditory,Olfactory

21
Q

What are the 4 stages of Hallucinations?

Hint all Cs

A

Comforting, Condemning, Controlling, Conquering

22
Q

What are the lab values to diagnose Disorder Water Balance? (DWB) (Water Intoxication)

A

Na< 130mEq/L and specific gravity <1.003

23
Q

DWB will cause what 2 conditions?

A

Hypervolemia and Hyponatremia

24
Q

Nursing interventions for DWB?

A

Infuse normal saline IV, Frequent Vital signs and neuro checks, seizure precautions, try to prevent

25
Q

What are the 3 types of Antipsychotic Drugs? Which is older, which is newer, which is long lasting?

A

Conventional (Older), Atypical (Newer), Deconates (Long Lasting)

26
Q

Name some Extrapyramidal side effects?

A

Akathesia, Pseudoparkinsonism, Acute Dystonia, Tardive Dyskinesia, Neuroleptic Malignant Syndrome

27
Q

What is Akathesia?

A

Restlessness

28
Q

Name some symptoms of Pseudoparksonism?

A

Bradykinesia, Muscle Rigidity, Shuffling Gait, Decreased arm swing, Mask like face

29
Q

Describe symptoms of Acute Dystonia? Possible serious complication?

A

Acute muscle rigidity or spasms of neck or limbs with jerky movement/ Difficulty Swallowing

30
Q

Ways to reduce EPS?

A

Decrease dosage, change to different antipsychotic, administer medication to help with side effects

31
Q

Name some drugs to help treat EPS?

A

Cogentin, Benadryl, Valium, Ativan

32
Q

Name a few other side effects of antipsychotics?

A

Anticholinergic effects, Increase serum prolactin, Increase hyperlipidemia, Photosensitivity, Weight Gain, Sexual Dysfunction

33
Q

Name some sign of Neuropeltic Malignant Syndrome?

A

Muscle rigidity, High Fever, unstable vitals, increase enzyme levels esp. CPK, delirium, diaphoresis

34
Q

What are symptoms of Tardive Dyskinesia?

A

Rhythmical, involuntary movement of tongue/lips, blinking, face, neck and upper/ lower extremities.

35
Q

Is Tardive Dyskinesia permanent?

A

Yes, may be irreversible

36
Q

What are some names of long lasting Antipsychotics?

A

Haldol, Prolixin, Risperdal, Abilify,

Nursing 2600 Exam 1 (7 decks)

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