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;
58 Cards in this Set
- Front
- Back
Schizophrenia is the most
|
Severe Disorder
|
|
Men between what age range are predisposed to Schizo
|
18 to 25
|
|
Women are more often predisposed for Schizo at what age
|
25- 35
|
|
Nicotine will decrease which Antipsychotic meds by 50%
|
Zyprexa
|
|
List Schizo Comorbidities
|
Substance abuse , Nicotine dependence, Depression (Suicide), Anxiety Disorders, Psychosis-induced polydipisa.
|
|
What is Psychosis induced polydipsia
|
PT needs water lots of water, water, water, water!!!!
|
|
Why is the Catatonic Subtype of Schizo not seen that much anymore
|
Medications
|
|
What is a False Fixed Belief that cannot be corrected by reasoning
|
Delusion
|
|
Sensory deficit perception experience without a Etiology
|
Halluciations
|
|
Disorganized Speech give Example
|
Go Shopping, Pick Up back pack, Car wont Start!
|
|
A Vegetative State
|
Disorganized Catatonic
|
|
This is the most common type of Hallucination
|
Auditory, Most Reported, 75% of PT experience.
|
|
Are the Negative or Positive Symptoms easier to treat
|
Positive
|
|
Eugen Bleuler is responsible for what
|
4 A’s of Schizo, Affect, Associative Looseness, Autism, Ambivalence
|
|
Affect relates to
|
What we the nurse see, an outward manifestation, S/S of Schizo, Flat effect, Rapid Eye movement (EB 4 A’s of Schizo.)
|
|
Word Salad is a type of which A
|
Associative looseness, illogical & hapharzard, (EB 4 A’s of Schizo.)
|
|
Pt is in their own world, which A might they be experiencing
|
Autism (EB 4 A’s of Schizo.)
|
|
Ambivalence
|
Opposing Position, Can’t make own decision, unrealistic
|
|
List Subtypes of Schizo
|
Paranoid, Catatonic, Disorganized, Undifferentiated, Residual
|
|
Which is the most common subtype
|
Paranoid
|
|
With this subtype of Schizo the PT gets increasingly worse with each episode
|
Residual
|
|
S/S if Schizo
|
Positive, Negative, Cognitive , Mood
|
|
Give an Example of Positive Symptoms
|
Hallucinations, Delusions
|
|
Give Example of Negative Symptoms
|
Poor Hyigene, Lack of motivation,
|
|
Give Example of Cognitive Symptoms
|
Poor problem solving, Poor decision making, Illogical thinking, Impaired Judgment
|
|
A Hallucination is what type of symptom
|
Positive
|
|
Poverty Thought or Speech is which type of symptom
|
Negative
|
|
A Flat or Blunt effect is which type of symptom
|
Mood
|
|
True or False Early DX & TX provided the PT with the Best Outcome
|
True
|
|
Name three phases in Course of Schizo
|
Acute, Maintenance , Stabilization
|
|
Positive & Negative S/S Sx are part of which phase
|
Acute Phase
|
|
When Acute S/S SX are less severe the PT is in this phase
|
Maintenance Phase
|
|
Remission of Symptoms allows the PT to be in which category phase
|
Stabilization Phase
|
|
List Prepsychotic S/S
|
Withdrawn from others, Depressed, Anzious, Phobia, Obession and compulsion, difficulty concentrating, Preoccupation with God & Self.
|
|
Anergia
|
no energy
|
|
Anhedonia
|
no pleasure
|
|
Avolition
|
no motivation
|
|
Dysphoria
|
abnormal depression and discontent
|
|
Which symptom is directly related to dysphoria
|
Mood Symptoms
|
|
Suicidal ideation is a _________ Symptom
|
Mood
|
|
Schizophrenia: A group of disorders includes what four categories
|
Neurobiochemical, Neuroanatomical, Genetic, Nongenetic risk factors.
|
|
Neologisms
|
a made up word
|
|
Echolalia
|
automated vocalization made repeatedly by another person
|
|
Clang association
|
Ex: Green Eggs and Ham, Sam I am!
|
|
Having No personal boundaries is what type of symptoms
|
Positive
|
|
What are some things a Schizo should avoid
|
Drugs & ETOH
|
|
What is the #1 Goal for a PT with Schizo
|
Saftey of Client and others.
|
|
Nursing DX for Schizo
|
Risk for self-directed or other directed violence, Disturbed sensory perception, Disturbed thought processes, Impaired verbal communication, Ineffective coping, compromised or disabled family coping.
|
|
Role as NSG for PT with Schizo
|
Reorient to reality, Keep PT Safe, Decrease Stress, Provide Distraction
|
|
True or False A Pt that has been Dx with Schizo is required to take his meds, regardless if is at the MH facility on a voluntary or involuntary bases.
|
False, The PT has the right to refuse his meds at any time.
|
|
Acute dystonia
|
Acute often painful sustained contraction of muscles, usually of the head and neck, which typically occur from 2 to 5 days after the introduction of antipsychotic medications.
|
|
Akathisia
|
Regular rhythmic movements, usually of the lower limbs constant packing may also be seen, often noticed in people taking antipsychotic medications
|
|
Depersonalization
|
A phenomenon whereby a person experiences a sense of unreality of or estrangement from self. Ex: seeing self or events from a distance.
|
|
Idea of reference
|
That false impression that outside events have special meaning for oneself. TV people know who you are.
|
|
Reality testing
|
a process by which a person is objectively able to evaluate the external world and adequately distinguish it from the internal world (the self).
|
|
Recovery Model
|
a Conceptual model of psychiatric illness that stresses hope, living a full and productive life, and eventually recovery.
|
|
A serious and irreversible side effect of phenothiazines and related drugs
|
conists of involuntary tonic muscle spasms typically involving the tongue, fingers, toes, neck, trunk & pelvis
|
|
Waxy Flexibility
|
Excessive maintenance of posture for example after the arms or legs are placed in a certain position the individual holds that same position for hours.
|