Unit 1 exam Flashcards
When is Schizophrenia usually diagnosed?
Late adolescents or early adult hood
In order to diagnose schizophrenia, the patient’s condition cannot be related to what?
Any medical problems or drugs
Schizophrenia causes distorted and bizarre..
Hint: T-heres, P-eople, E-ntering, M-y, B-rain.
Thoughts, perception, emotions, movements, and behaviors
What are the two major categories Schizophrenia is divided into?
Positive and Negative
What is another name for positive s/s?
Hard or excess
Why are positive s/s also known as “hard s/s or excess”
Easily identified as bizarre by others.
What is another name for negative s/s of schizophrenia
Soft s/s or deficit
Why are negative s/s also known as “soft or deficit s/s”
Not so easily identified by others
What are examples of positive s/s?
Delusions, hallucinations, disorganized thinking speech and behavior.
What are examples of negative s/s?
Flat effect, lack of volition, social with drawl or discomfort.
What is the downfall in pt’s who develop schizophrenia earlier in life?
Worse outcome than those who develop it later in life
What is the definition of delusions? and what kind of S/S is it?
Fixed false beliefs/Positive
What is the definition of hallucination? what kind of s/s is it?
False sensory perception/Positive
What is ambivalence? What kind of S/S
Contradictory beliefs on one thing/Positive
What is associative looseness? What kind of S/S?
Shift of ideas from one unrelated topic or another (Going off on a tangent)/ Positive.
What is echopraxia? What kind of S/S
imitation of movements/ positive
What kind of S/S is flight of ideas?
Positive
What is alogia? What kind of S/S?
Very little speech, Poverty of content/ negative
What is anhedonia? What kind of s/s?
Feeling of no joy, pleasure towards life, activities, or relationships. / Negative
What is apathy? What kind of s/s?
indifference toward people, activities, relationship/ negative
What is anergia? What kind of S/S?
Lack of energy/ Negative
What is asociality?
social isolation
What is blunted affect? What kind of S/S?
Restricted range of emotional feeling, tone, or mood/Negative
What is catatonia? What kind of S/S?
Physiological induced immobility marked by periods of agitation, or excitement./ Negative
What is flat effect? What kind of S/S?
Absence of facial expression/ Negative
What is avolition/lack of volition? What kind of S/S
Absence of will, ambition, or drive to complete task/ Negative.
What are the two clinical courses a patient can experience in an immediate-term course
- Client experiences on going psychosis and never fully recovers
- Client experiences episodes of psychotic symptoms that alternate with episodes of relatively complete recovery from the psychosis.
What combination therapy is essential for pt with schizophrenia to effectively manage condition?
Medication and therapy
What is Schizophreniform disorder?
pt who exhibits an ACUTE, reactive psychosis for LESS than 6 months necessary to meet DSM-5. If symptoms persist longer than 6 months, it is changed to schizophrenia.
What is delusional disorder?
One or more nonbizarre delusion (focus of the delusion is believable)
What is brief psychomotor disorder?
Client experiences sudden onset of at least 1 psychotic symptom, 1 delusion, hallucinations, disorganized speech or behavior, lasts less than a month to 1 day.
What is shared psychotic disorder?
2 people share the same delusion
What is it Psycho-typical personality disorder?
Odd eccentric behavior, including transient psychotic symptoms
What are the types of delusions associated with schizophrenia?
Hint: there are 7
Persecutory/paranoid delusions, grandiose, religious, somatic, sexual, nihilistic, referential
Describe a persecutory/paranoid deulsions
Belief that “others” are planning to harm him/her by spying, following, ridiculing, or belittling the client in some way.
“My food has been poisoned and my room have been bugged”
Persecutory/ paranoid delusion
Describe a grandiose delusions
Client claims to association w/ famous people or celebrities or client clams he/she is famous or capable of great feats.
“I am engaged to christina aguilera. We are in love and are getting married soon”
Grandiose Delusion
Describe a religious delusion?
Center around the second coming of christ or another significant religious figure or prophet
“I am the messiah sent from God”
Religious delusions
Describe somatic delusions
unrealistic beliefs about the clients health and bodily functions. Diagnostic testing does not change the belief
Male client claims he is pregnant
Somatic delusion
Describe Sexual delusions
Client’s belief that his/her sexual behavior is known; that the client is a rapist, prostitute, pedophile, or is pregnant. His/her excessive masturbation led to insanity
Describe nihilistic delusions
Clients belief that his or her organs are not functioning or rotting away or that some body part or feature is horribly disfigured.
Describe referential delusions
ideas of reference involve clients belief that TV broadcast, newspaper, or music have special meaning for them
“I got the message from the president, he told me in secret code through the newspaper”
Referential delusions
Name the type of hallucinations
Hint: There are 8 kinds
Command, visual, auditory, olfactory, tactile, gustatory, cenesthetic, kinesthetic
Describe command hallucination
Voices demanding the clinet take action, often to harm themselves, or others.
What is considered the most dangerous type of hallucination?
Command
Describe auditory hallucination
Involves the hearing of voices or sounds talking to or about the patient.
What is considered the most common type of hallucination
Auditory
Describe Visual hallucination
Seeing images that do not exist at all
What is considered the second most common type of hallucinations
Visual
Describe olfactory hallucination
Smells or odors
Describe tactile hallucinations
Sensations of electricity running through body, or bugs crawling on skin
Describe Gustatory hallucinations
Taste that lingers in pt mouth or the sense that food taste like something else, (may be metallic or bitter)
Describe cenesthetic hallucinations
Give an example
Feelings of bodily functions that are usually undetectable; I can feel my bladder making my urine
Describe kinesthetic hallucinations
When client is motionless but reports the sensation of bodily movement. Floating above the ground.
