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51 Cards in this Set
- Front
- Back
Acute Dystonia |
painful, sustained contraction of muscles of head and neck typically, 2 to 5 days after the start of antipsychotics |
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Affect |
Emotions that are manifested through facial expression, tone of voice, and body language |
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Affective Symptoms |
Symptoms involving emotions and their expression |
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Akasthesia |
Regular rhythmic movements usually in the lower limbs with constant pacing sometimes seen; common after taking antipsychotics |
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Ambivelence |
Holding two opposing emotions, attitudes, ideas, or wishes towards someone or something at the same time |
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Agnosia |
"loss of knowledge" referring to a wide range of cognitive losses such as familiar sounds or objects |
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Anasognosia |
Inability for someone to realize they are ill which is caused by the illness itself |
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Associative Looseness |
Disturbance of thinking in which ideas shift from one topic to another in an unrelated manner |
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Clang Association |
meaningless rhyming of words usually in a forceful manner |
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Cognitive Symptoms |
Abnormalities in how a person thinks |
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Command Hallucinations |
Hearing voices that direct a person to take action |
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Concrete Thinking |
Thinking grounded rather than abstractly, over emphasis on specific detail "What brought you here today?" "My car." |
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Delusions |
A belief thought to be true even with evidence that it is not.
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Depersonalization |
Sense of unreality or estrangement from the self
Ex: one is dreaming or a limb has changed |
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Derealization |
False perception that environment has changed
Ex: Something may seem bigger or smaller |
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Echolalia |
Repeating of the last words spoken by another
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Echopraxia |
Imitation of the movements of another
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Executive Functioning |
Ability to set priorities or make decisions
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EPS |
Extra Pyramidal Side Effects
s/s seen when taking antipsychotics particularly Phenothiazines (acute dystonia, akathsia, and pseudoparkinsonism) |
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First Generation Antipsychotics |
Typical, Conventional
Originals meds used and treat only positive symptoms |
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Hallucinations |
Seeing, hearing, smelling, tasting or touching something that does not exist
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Ideas of Reference |
False impression that outside events have special meaning for oneself
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Illusions |
Errors in the perception of sensory stimulus
Ex: mistaken polka dots on a pillow for spiders |
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Metabolic Syndrome |
Weight gain, dyslipidemia, and altered glucose metabolism caused by atypicals
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Negative Symptoms |
Absence of something that should be present Ex: apathy, lack of motivation, anhedonia, poor thought process |
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Neologisms |
Words a person makes up personal for themselves, common with delusional patients
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NMS |
Neuroleptic Malignant Syndrome results from blockage of dopamine at the basal ganglia and hypothalamus
Muscle rigidity, fever elevated WBC's |
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Paranoia |
Intense and strongly defended suspicions, cannot be corrected by experience or facts
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Positive Symptoms |
Presence of something that is not normally present
Ex: Hallucinations, delusions, bizarre behavior, paranoia |
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Pseudoparkinsonism |
Medication induced temporary set of symptoms that mimic Parkinson's Disease including tremors, impaired gate, and stiffening of muscles
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Reality Testing |
Person is able to distinguish internal world (self) from external
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Recovery Model |
Patient/consumer centered, hopeful and empowering, and emphasizes the person and the future
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Second Generation Antipsychotics |
Newer set of antipsychotics used to target both positive and negative symptoms
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Stereotyped Behaviors |
motor pattern that originally had meaning (sweeping, washing) but has become mechanical and lacks purpose
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Tardive Dyskinesia |
Irreversable side effect of phenos consisting of involuntary tonic muscle spasms involving the tongue, fingers, toes, neck, trunk, or pelvis.
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Third Generation Antipsychotics |
Newest class that includes Aripiprzole (ambilify) that has the ability to increase or decrease dopamine depending of the condition
SE: insomnia and akathesia |
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Word Salad |
mixture of words meaningless to speaker and listener |
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Schitzotypal Personality Disorder |
Schizophrenia without the hallucinations and illusions, client ma exhibit eccentric and odd behavior, inappropriate emotions, alterations in identity, mistrust and sensitive to others |
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Delusional Disorder |
Experiences non bizarre delusions (things that could realistically happen, being followed or having a disease) functioning is not impaired and there are no other symptoms of psychosis |
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Brief Psychotic Disorder |
Acute onset of psychosis or disorganized catatonic behavior in response to extreme stress, last less than one month and recovers fully |
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Substance induced Psychotic Disorder |
Psychosis induced by drugs of abuse |
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Psychosis w/ medical condition |
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Schizoaffective |
An episode of major depression, mania, or mixed depression and mania occurs in the presence of sx of schizophrenia |
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Acute Dystonia |
Onset 1-5 days, happens with high potency of medication, treated with benztropine and diphenhydramine IM stat |
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Akathesia/Akinesia |
Onset 5-60 days, happens with high potency of medication, teaching dosage adjustments |
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Pseudoparkinsonism |
Onset 5-30 days, happens with higher potency of medication, treat with Benzotropine and Diphenhydramine IM |
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Tardive Dyskinesia |
Long term, happens with higher potency of medication, irreversible so plan with MD |
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AIMS test |
abnormal involuntary movement scale, used to assess for EPS, early detection of tardive dyskinesia |
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NMS |
Neuroleptic Malignant syndrome, develops after taking first generation antipsychotics, results from an excessive dopamine receptor blockage -Characteristics include muscle rigidity, hyperprexia, delirium, HTN, Tachy |
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2nd and 3rd generation s/s |
Metabolic Syndrome, weight gain altered glucose metabolism increased BP and HDL, also decreased WBC and greater risk of infection -Agranulocytosis WBC <3000 ANC <1500 |
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