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21 Cards in this Set
- Front
- Back
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Define psychoses.
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Disordered cognitive and emotional processing(loss of functioning in 'reality')
Involves hallucinations, delusions |
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What are the different types of psychoses?
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Paranoid psychoses
Disorganized-excited psychoses Depressive psychoses |
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What are the characteristics of paranoid psychoses?
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Paranoid projections
Hostile projections Grandiose expansiveness |
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What are the characteristics of disorganized-excited psychoses?
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Conceptual disorganization
Disorientation Excitement Common with mania |
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What are the characteristics of depressive psychoses?
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Retardation and apathy
Anxious self-punishment(feeling blamed or condemned, guilty, unworthy or sinful) Common in postpartum depression |
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Explain conceptual disorganization associated with DE psychoses.
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Loose associations, drifts off subject, uses neologisms, repeats words orphrases
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Explain excitement associated with DE psychoses
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Expresses feeling without restraint; elevated mood, overactivity or restlessness
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What are the symptoms for schizophrenia?
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Perceptual disturbances
Thought disturbances Emotional disturbances Behavior disturbances Social disturbances |
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Emotional disturbances in schizophrenia are:
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Inappropriate affect(emotional state does not match thoughts or events)
Lability(changing emotional state;range of emotion for apathy to rage, sometimes very rapidly) |
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Behavior disturbances in schizophrenia are:
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Poor impulse control
Poor emotional management Substance use Noncompliance with therapy |
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Social disturbances in schizophrenia are:
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Poor relationships with others
Few interests(employment is difficult due to recurrent symptoms and social difficulties) |
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Thought disturbances in Schizophrenia:
Delusions Circumstantiality Tangentiality Autistic thinking Perseveration Loose association Flight of ideas Derealization Memory disturbances Poverty of thought |
D:omnipotence, persecution
C: speech includes too many details T: statements relate to topic but miss main point A: internally stimulated thoughts P: repeated use of same phrases L: frequent change of topics F: unrelated thoughts D: loss of boundaries; where body ends and environment begins M: attention difficulties P: lack of speech/thought production, silence |
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Positive symptoms of schizophrenia?
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Acute
Hallucinations Delusioms Thought disorder |
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Negative symptoms of schizophrenia
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Chronic
Apathy Lack of motivation Blunted affect(appear flat, unemotional) Loss of emotional warmth Impaired social skills Avolition |
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DSM-IV-TR criteria for shizophrenia
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Disturbance lasting 6 months
Active phase symptoms at least 1 month with: Hallucinations Delusions Disorganized or catatonic behavior Disorganized speech |
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Schizophrenia subtypes:
Catatonic Undifferentiated Residual |
C: unresponsive state; inability to move; fixed postures
U: feature of more than one type R: negative symptoms are prominent |
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Treatment for schizophrenia include:
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Psychopharmacology
Elctroconvulsive therapy Milieu therapy Psychosocial rehabilitation Individual therapy Group therapy Family therapy Behavior therapy Cognitive therapy Occupational therapy Recreational therapy |
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Intervention for schizophrenia pts:
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Assist with hygiene as needed
Set hygiene goals Assess self-concept Role model social behaviors Spend time with client in non-challenging activity |
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Interventions for perceptual disturbances:
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Reduce stress
Increase medication if ordered Reduce distractions Occupy mind with activities |
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Teaching tips for pts with schizophrenia
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Simplify material
Reduce distractions Give verbal and visual information Clear, direct terms Present small segments Reinforce frequently Do not offer confusing choices |
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Interventions to reduce and manage violence in pts with schizophrenia
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Reduce stress
Clarify expectations concerning rules Avoid behaviors that may be misinterpreted Determine etiology Avoid blame, ridicule, teasing Avoid whispering Respect boundaries Intervene early -remove from milieu Use deescalation skills Medicate (PO or IM) prn- Ativan, Haldol |
