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17 Cards in this Set

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Delusions

Firm, inaccurate beliefs

Internal

Hallucinations

False sensory information

External

Paranoid Schizophrenia

Auditory hallucinations


Preoccupation with delusions


Hostile

Catatonic Schizophrenia

Stupor and rigidity. Echolalia, echopraxia, inappropriate body posture

Residual Schizophrenia

Absence of prominent psychotic symptoms


Social withdrawal


Lack of interest


Schizophrenia Assessment

Positive: distortion or excess of normal functioning


Negative: loss or lack of normal function


Blunted or flat affect


Incoherent, impulsive behavior


Neglect of hygiene


Difficulty establishing trust

Characteristics of Thought Processes

Loose associations, tangential speech, delusions, word salad, blocking, concrete thinking

Nursing Diagnoses - Schizophrenia

Disturbed sensory perception


Disturbed personal identity


Risk for violence


Anxiety


Ineffective coping


Social isolation


Disturbed sleep pattern


Low self esteem

Goals - Schizophrenia

Remain free of harm


Trusting relationship


Reduction in hallucinations


Increased socialization


Actively participate in care plan

Interventions - Schizophrenia

Trust


Sit with mute clients


Assist with ADLs


Clear, simple terms


Accept and support feelings


Reinforce congruent thinking


Encourage to identify positive characteristics


Promote family involvement


Set limits


Avoid stress


Add structure

Antipsychotic - Mechanism of Action

Blocks dopamine

Types of Antipsychotics

Typical and Atypical

Typical Antipsychotics

Phenothiazines


Nonphenothiazines

Atypical Antipsychotic

-spines, -idone, and aripiprazole

Extrapyramidal Syndrome

Stooped posture, rigidity, tremors, shuffling gait, bradykinesia, akathisia, acute dystonia, tardive dyskinesia

Neuroleptic Malignant Syndrome

Altered mental status, seizures, muscle rigidity, bp fluctuations, dysrhythmias, tachycardia, renal failure respiratory failure, coma

Neuroleptic Malignant Syndrome - Treatment

Immediate withdrawal


Hydration


Hypothermic blankets


Muscle Relaxers