Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
28 Cards in this Set
- Front
- Back
|
schizophrenia definition |
disease/syndrome of brain causing distorted, bizarre thoughts, perceptions, emotions, movements, behaivors |
|
|
schizophrenia normally diagnosed when |
late adolescence and early adulthood 1% of total US population |
|
|
non-genetic risk factors of shizophrenia |
stress complications w/pregnancy and/or birth |
|
|
dopamine and serotonin levels w/schizophrenia |
increased dopamine increased seratonin |
|
|
Episodic schizophrenia |
get better but still have symptoms, at times they will worsen
2 out of 3 w/schizophrenia |
|
|
Chronic/Continuous schizophrenia |
troublesome symptoms that will interfere w/their lives
1 out of 5 |
|
|
hallucination vs delusion |
hallucination- false sensory perception delusion- false fixed beliefs
*positive symptoms |
|
|
echopraxia |
imitation of movements and gestures
*positive symptom |
|
|
flight of ideas |
jumps rapidly from one topic to another
*positive symptom |
|
|
perseveration |
persistant single idea or topic, resists attempts to chg subject
*positive symptom |
|
|
loose associations |
fragmented poorly related thoughts
*positive symptom |
|
|
ideas of reference |
external events have special meaning, misinterprets meaning to communication
*positive symptom |
|
|
all positive symptoms of schizophrenia (7) |
hallucinations, delusions, echopraxia, flight of ideas, perseveration, loose association, ideas of reference |
|
|
apathy |
feelings of indifference towards people, social withdrawl
*negative symptom |
|
|
alogia |
tendency with speak w/little or no substance
*negative symptom |
|
|
flat affact |
little or no facial expression
*negative symptom |
|
|
blunted affact |
restricted range of expression
*negative symptom |
|
|
anhedonia |
no enjoyment of things in life anymore
*negative symptom |
|
|
catatonia |
psychologically induced immobility
*negative symptom |
|
|
lack of volition |
absence of will or ambition
*negative symptom |
|
|
all negative symptoms |
apathy, alogia, flat affect, blunted affect, anhedonia, catatonia, lack of volition |
|
|
nursing intervention - main |
promote safety of client and others |
|
|
nursing intervention - therapeutic relationship |
spend time, listen, reassure, understanding
"feeling like everyone is trying to hurt you must be frightening" |
|
|
nursing intervention w/hallucinations & dellusions |
reality orientation, diversion, don't argue w/pt allusions, clarify reality, empathize w/feelings |
|
|
tx- meds |
typical antipsychotics- less used d/t S.E. (TD, EPSE, AIMS)
atypical antipsych- minimal TD & EPSE, decreases negative s&sx, (wt gain, $, diabetes, HTN) |
|
|
other side effects from meds |
NMS- reduction of dopamine, can be fatal, flu like s&sx
agranulocytosis w/ Clozaril
|
|
|
other drugs |
lithium (agitation)
antidepressants |
|
|
nursing self awareness |
frightened, frustrated can't take pt success/failure personally focus on pt strength & time outside of hospital no nurse has all the answers |
