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59 Cards in this Set
- Front
- Back
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What are the 3 essential criteria for diagnosing schizophrenia?
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Psychotic symptoms for more than 3 months.
Funtional impairment for 6 months Hallucinations, delusions. |
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What is positive schizophrenic behavior?
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Exists in their mind but is not there.
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What is a negative schizophrenic behavior?
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The behavior should be there, but it is not.
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What is the psychological theory of schizophrenia?
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Schizophrenia due to dysfunctional parenting and bonding issues.
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What is the neurobiological theory of schizophrenia?
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Hyper dopamine - either increased secretion or increased receptor activity.
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What is the etiology of schizophrenia?
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Genetic predisposition.
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What is the genetic theory of schizophrenia?
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Identical twins have an increased incidence.
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What is schizoaffective disorder (SAD)?
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Manic depressive along with schizophrenia.
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What is schizophrenia?
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Hallucinations, delusions, and bizarre behavior.
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What are the 4 types of schizophrenia?
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Paranoid
Disorganized Catonic Undifferentiated |
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What is paranoid schizophrenia?
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Delusions, disorganized thoughts and behviors.
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What is disorganized schizophrenia?
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Speech is nonsensical and behavior nonsensical.
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What is catonic schizophrenia?
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Waxy flexibility, inert movement.
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What is undifferentiated schizophrenia?
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Bits of pieces of all other types together.
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What is the normal course of schizophrenia?
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Acute illness - sudden changes - disruptive behavior.
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What is stabilization of schizohphrenia?
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S/s less active, involves intense treatment.
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What is the maintenance/recovery step of schizophrenia?
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Reside in a half way house until next relapse.
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What are some comorbities associated with schizophrenia?
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Dental issues, diabetes, STDs, liver issues, drug and alcohol addiction.
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Which drugs are no longer prescribed for new diagnoses?
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Mellaril
Thorazine |
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What are some extra pyramidal symptoms (EPS)?
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Targeted dyskinesia, pseudoparkinsonism, dystonia, akathesia.
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What is targeted dyskinesia?
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Involuntary movements in a specific area.
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What is dystonia?
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Contraction of the neck and lower jaw.
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What is akathesia?
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Jittery, tapping of feet.
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Why might Depakote be used?
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To decrease psychomotor activity and decrease the side effects of other medications.
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What is a benefit of Clozaril?
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Less EPS.
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What is a major side effect of Clozaril?
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Agranulocytosis.
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What is agranulocytosis?
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The wiping out of granulocytes.
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What is Clozaril used for?
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Schizophrenia.
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What drug is good for schizoaffective disorder?
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Risperidone.
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What is an important side effect of Risperidone?
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Hypotension.
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What is important to consider when administering Clozaril?
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Baseline WBC, check every week.
Neuroleptic malignant syndrome. |
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What is neuroleptic malignant syndrome?
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Hyperpyrexia - super increase in temperature.
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What are some treatment modalities for schizophrenia besides drugs?
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Therapy, rehabilitaion, support groups, nutrition, electroconvulsive therapy.
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What are some nursing intervetions when caring for a psychotic patient?
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Maintain a safe environment, come at them from the front, don't touch them, maintain routine, maintain boundaries.
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What is the best thing to do when a patient is hallucinating?
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Validate what they are saying, but bring them back to reality.
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How do you respond to a person with Alzhiemer's and they are hallucinating?
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Agree with their hallucination.
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What is echopraxic?
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Copying movement.
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Define loose thought.
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Loose or odd connections.
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What are cognative characteristics?
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Loose thoughts, referrential thinking, neologism, tangential thinking, delusions, hallucinations, clang assoc., echolalic, stilted language, pressured speech, blunt or flat effect.
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Define referrential thinking.
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Neutral, everyday occurences carry specific personal meaning to the individual.
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Define neologism.
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Newly invented word or phrase.
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Define tangential thinking.
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Digress from the topic. Topic never addressed.
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Define delusions.
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Misinterpretation or perception.
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Define hallucination.
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Perception in the absence of stimuli.
Involves all 5 senses. |
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Define clang association.
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Speech pattern where thinking is driven by word sounds.
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Define echolalic.
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Repetition of words or phrases.
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Define stilted language.
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Speech that has excessively stilted or formed quality.
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Define pressured speech.
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Rapid, virtually nonstop and hard speech.
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Define blunt or flat affect.
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Sever reduction in emotional expressiveness.
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What is the only way a person can be forcibly committed?
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The person must exhibit harm to themselves or others.
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What is the difference between acute stress disorder (ASD) and post traumatic stress disorder (PTSD)?
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ASD - diagnosed in 2 days to 4 weeks, dissociative symptoms
PTSD - cannot be diagnosed until 4 weeks after event |
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What is a major drug that is used to treat PTSD?
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Zoloft.
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What are some non-pharmacological treaments for PTSD?
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Stress reduction, counseling.
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Who is at risk for PTSD?
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Anyone who has been exposed to a traumatic event.
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What are the manifestations of PTSD?
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Hyperarousal, flashbacks, insomnia, intrusion, extinction, and dissociative symptoms.
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Define intrusion in regards to PTSD.
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Inclusions of manifestations together and intruding on being.
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Define extinction in regards to PTSD.
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Looking at something/experiencing something very ofte and then having no response to it.
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What is fear conditioning?
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See something normal and become fearful of it.
Learn to fear new stimuli. |
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What are some potential family and community stressors that are associated with mental illness.
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Alcoholism, no maternal bonding, drug abuse, homelessness, joblessness.
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