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29 Cards in this Set
- Front
- Back
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What is the difference between a hallucination and a illusion?
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An illusion is a misinterpretation of something that is really there, with a hallucination there is nothing really there
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A false, fixed belief is a?
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Delusion
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What is the leading cause of death in individuals with schizophrenia?
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Suicide, often during periods of remission
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Comorbidities with schizophrenia (5)?
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Substance abuse
Nicotine dependence Depression Anxiety disorders Psychosis-induced polydipsia |
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4 A's of schizophrenia?
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Affect
Associative looseness Autism Ambivalence |
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Two feelings that contradict one another is?
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Ambivalence
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Autism in a person with schizophrenia refers to?
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Persons own private world
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What type of patients with schizophrenia do better with treatment?
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Patients with abrupt onset of symptoms
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Big symptoms in a person with schizophrenia that are treated quickly are referred to as?
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Positive Sx's
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Negative Sx's?
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Symptoms that are probably more destructive, keep patients unmotivated and uncompliant
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List possible positive symptoms for schizophrenia?
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Delusions
Concrete thinking Looseness Echolalia Neologisms Clan associations Word Salad Hallucinations Waxy flexibility Extreme agitation Lack of impulse control Stereotype behaviors |
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List possible negative symptoms for schizophrenia?
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Affective blunting
Anergia Anhedonia Avolition Poverty of content of speech Thought blocking Flat / inappropriate affect |
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List possible cognitive symptoms for schizophrenia?
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Inattention
Impaired memory Poor problem solving skills Poor decision making skills Illogical thinking Impaired judgement |
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List possible depression and mood symptoms for schizophrenia?
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Dysphoria
Suicidal ideation Hoplesness |
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What are advantages of traditional antipsychotics?
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Target positive sx's of schizophrenia
Cheap and can give depot (long acting injection) |
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What are disadvantages of traditional antipsychotics in the treatment of schizophrenia?
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Do not treat negative sx's
EPS (pseudoparkinson) Tardive dyskinesis Anticholinergic effects Lower seizure threshold |
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What meds are used to treat EPS (4)?
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Artane
Cogentin Benadryl Parlodel |
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What cardiovascular side effects can traditional antipsychotics have?
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Hypotension
Postural hypotension Tachycardia |
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What rare and toxic effects can traditional antipsychotics have?
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Agranulocytosis
Cholestatic jaundice Neuroleptic malignant syndrome |
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What characterizes neuroleptic malignant syndrome (NMS)?
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Severe onset of EPS symptoms
Fever > 103 |
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What does high potency mean regarding traditional antipsychotics?
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Low sedation
Low ACH High EPS |
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What does low potency mean regarding traditional antipsychotics?
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High sedation
High ACH Low EPS |
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List high potency traditional antipsychotics? (3)
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Haldol
Prolixin Navane |
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List low potency traditional antipsychotics? (2)
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Thorazine
Mellaril |
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Which traditional antipsychotic is long-acting?
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Decanoate
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What are advantages of atypical antipsychotics?
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Decrease negative and positive sx's
Less side effects = more compliance Improves depression & anxiety Decreases suicidal ideations |
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What are disadvantages of atypical antipsychotics?
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Weight gain
Metabolic abnormalities |
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List atypical antipsychotics (6)?
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Clozaril
Seroquel Risperdal Geodon Zyprexa Abilify |
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What type of schizophrenia is the one we typically think of?
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disorganized
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