Thought disorders

Question 1

most stigmatized thought disorders

Answer 1

schizophrenia

Question 2

3 basic characteristics of thought disorders

Answer 2

1) delusions
2) hallucinations
3) disorganized thinking

Question 3

what are delusions

Answer 3

• fixed false beliefs
• delusional person is experiencing false beliefs

Question 4

paranoid delusions

Answer 4

make you scared, poisoned food, government monitors you

Question 5

persecutory delusions

Answer 5

food is being poisoned because you disagree with the government because of x
you are being targeted in some way and its causing you harm

Question 6

ideas of refence delusions

Answer 6

insert yourself into something
volcano exploded because I yelled

Question 7

religious delusions

Answer 7

profit
you are something related to faith or religious experience

Question 8

grandiose delusions

Answer 8

heightened sense of self, high level, most successful on the planet, richest person

Question 9

bizarre delusions

Answer 9

no basis for reality, aliens, creatures inside you

Question 10

thought withdrawal/insertion/broadcasting

Answer 10

• others are taking thoughts out of your head
• placing thoughts in your head, making you believe things, usually specific group
• people can hear your thoughts, everyone knows your thoughts

Question 11

hallucinations types

Answer 11

based on your senses
auditory- most common
visual
audio-visual
tactile
olfactory
gustatory

Question 12

number 1 assessment of psychosis is

Answer 12

detail, get as much information as you can

Question 14

can people recover from psychosis

Answer 14

yes the chemical balance in their brain

Question 15

poverty of speech

Answer 15

dont have enough to understand

Question 16

tangential speech

Answer 16

go off on tangents but come back to the question, answer it kind of makes sense but doesn’t make total sense.

Question 17

illogical statements

Answer 17

make to logical sense

Question 18

preservation

Answer 18

Focusing on it, stepping down from obsessive, thinking about it a lot, hard to get off that topic

Question 19

thought blocking

Answer 19

aren’t able to make any answers, stop in the middle of the sentence

Question 20

loose associations

Answer 20

alternative to tangential, topics all over the place loosely connected to each other

Question 21

ambivalence

Answer 21

believing two contradictory beliefs at the same time (talking to the person flying the plane and that same person is standing beside them)

Question 22

brain development happens in 3 ways

Answer 22

1- all human brains are built the same based on us as a genus species. Do the same foundational things
2- genetic brain: specific parts of development
3- specific to you, your lived experience, how you built them is what you are going through

Question 23

stress disrupts the

Answer 23

amygdala: deal with stress response, brain might build roads where it shouldn’t

Question 24

when the brain builds pathways that its not supposed to

Answer 24

It is psychosis because of stress and you experience weird things like hallucinations

Question 25

Schizophrenia
Unknown_______
Genetically:
Biochemical:
Brain abnormalities:

Answer 25

cause
no predictive ability at this time
genetically: the belief that multiple genes involved
strong suggestions that environmental conditions may play a role
Biochemical: Dopamine (experiments with meds) and serotonin most likely
enlarged ventricles?

Question 26

Epigenetics

Answer 26

• looking at the environment
  genetic sequences are activated or deactivated - - based on environmental conditions

Question 27

Neuroplasticity

Answer 27

the brain can continue to build pathways and reroute

Question 28

levodopa

Answer 28

higher levels people become more psychotic
dopamine on the frontal lobe
gives dopamine but if too much we get psychosis
a drug that decreases the amount of dopamine available in the frontal lobe- an antipsychotic drug

Question 29

Incidence of schizophrenia
___% of population above age 18
affects men in
affects women in
The later it is detected the harder

Answer 29

1.1%
late teens or early 20s
mid-teens to early 30s
it is to treat

Question 30

Schizophrenia DSM-5 Diagnostic criteria
A) __ or more of the following for a significant portion of time during a __ month period.
B) level of functioning is markedly below level achieved before onset
c) continuous signs of the disturbances persist for at least 6 months with a least 1 month that meets criteria A

Answer 30

A) 2, 1
1) delusions
2) hallucinations
3) disorganized speech
4) grossly disorganized or catatonic
5) negative symptoms

Question 31

Signs and symptoms
Positive
negative
cognitive

Answer 31

Addition: have been added to someone that’s not present in people
Negative: hygiene, things that are taken away and present in regular population

Question 32

Phases of schizophrenia

Answer 32

Prodromal
Active
Residual
1- before a diagnosis hits late teens are easily adulthood so research is focused here
2- actively showing
3- chronic but because remission is not necessarily obvious

the key is to catch it early
negative symptoms first

Question 33

Types of Schizophrenia

Answer 33

paranoid
disorganized
catatonic
undifferentiated
residual

Question 34

Treatment of schizophrenia

Answer 34

Medical
ECT - more effective in mood disorders
talk therapy
occupational therapy

• more or less the same action as the meds- decrease - - dopamine in the frontal lobe
  all based on the same
• hard to find another one that will work

Question 35

Side effects of medications

Answer 35

EPS
TD- irreversible
NMS
seizures
Anticholinergic symptoms

Question 36

biggest problem with meds

Answer 36

Adherence

Question 37

remove all the dopamine

Answer 37

now have Parkinson’s disease

Question 38

Nursing implications

Answer 38

• build trust
• what you are experiencing is real for you
• engage in activities based on reality
• focus on feelings to develop empathy, not the experiences