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50 Cards in this Set
- Front
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Affective Disturbance
Autism Looseness of association Ambivalence |
Bleuler's Four A's
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preoccupation with self. They are living in their own little world, this is where we start to see the delusions and hallucinations.
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Autism
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Stringing together of unrelated topics, they have a bunch of phrases that they put together and they only make sense to them.
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Looseness of association
Ex: we wanted to take the bus but the airport took all the traffic. |
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Made up words, that only makes sense to them. Ex: I want all veg kiss to leave me alone and leave me be.
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Neologisms
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Rhyming. Ex: it is very cold, cold, and bold.
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Clang Association
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Bunch of words that are strung together randomly. You will see this with a acute psychotic episode.
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Word Salad
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Repeat words. Patient will repeat what you say to them. They will repeat it over and over.
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Echolalia
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Simultaneous opposite feelings (usually see this in a schizo patient with their relationship with their significant other). They love us, they hate us.
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Ambivalence
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In the active phase of schizophrenia, these symptoms are prominent
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Delusions, delusions of persecution, delusions of grandeur, somatic delusions, delusion of jealousy.
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? What Phase?
May last may years before the person actually goes into schizophrenia. May or may not be able to communicate with others, and have bizarre ideas, eccentric behavior. Neglect of personal hygiene and grooming. |
Prodromal phase.
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?Phase? Flat affect and impairment in role functioning are prominent.
They usually have recurrent exacerbation. They stop taking their meds and relapse. |
Residual phase
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?Type?
most regressed form of schizo. this person makes no sense at all. usually live in an institution. Their behavior is inappropriate Silliness or giggling common. Behavior is bizarre; social interaction impaired |
Disorganized Schizophrenia
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_____ excitement?
Extreme psychomotor agitation. Will have to give them an injectable med, additional fluids, rest, they be destructive and aggressive |
Catatonic excitement
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_______ characterized by extreme psychomotor retardation; patient usually mute; posturing common
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Catatonic stupor
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? type?
Everybody is talking about me, my food is poisoned, has delusions of persecution and grandeur, auditory hallucinations, client may be argumentative, hostile, and aggressive, more like to be violent. |
Paranoid schizophrenia
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?type of schizo?
Bizarre behavior that does not meet the criteria outlined for the other types of schizophrenia; delusions and hallucinations are prominent, called the waste basket category. Early onset with this dx is usually early to mid teens. |
Undifferentiated schizophrenia.
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Used to diagnose a person who has a history of at least one episode of schizophrenia do not have prominent psychotic symptoms
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Residual schizophrenia.
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Characterized by schizophrenic symptoms accompanied by a strong element of symptomatology associated with mood disorders
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Schizoaffective disorder.
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Cannot diagnose someone with schizophrenia until they show signs more than
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Six months.
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?_____disorder? same symptoms as schizoprhenia, with exception that the duration of the disorder has been at least 1 month but fewer than 6 months.
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Schizophreniform disorder.
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?delusional disorder?
the individual believes that someone usually of higher status is in love with him or her |
erotomanic type
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?delusional disorder?
person has irrational ideas regarding own worth, talent, knowledge, or power Ex: patient lives in Beverly Hills and have lots of money. Ex: patient thinks that he is the president of the US |
Grandiose type
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?delusional disorder?
Person believes he or she is being treated in some way |
persecutory type
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?delusional disorder?
person has an irrational belief he or she has some physical defect, disorder, or disease (ex: their body is rotting from inside out). |
Somatic type
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This disorder is manifested by schizophrenic behaviors, witha strong element of symptomatology associated with mood disorders?
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Schizoaffective disorder
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These are symptoms that include emotional flatness, avolition, apathy, anhedonia, social isolation.
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negative symptoms of schizo
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These are symptoms that include hallucinations, delusions, disorganized thinking/speech, and disorganized behavior?
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positive symptoms of schizo
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This subtype of schizo is characterized by extreme psychomotor retardation; patient usually mute; posturing common.
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Catatonic stupor or catatonic schizophrenia
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What are Bleuler's Four A's of Schizophrenia?
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Affective Disorder, Autism, Associative looseness, ambivalence
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The patient cannot decrease dietary sodium intake while taking this med?
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Lithium
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This classification of medications is administered for clients experiencing EPS?
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Antiparkinsonian agents
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Symptoms of toxicity of this drug appear at serum levels of 1.5 to 2.0: blurred vision, ataxia, tinnitus, persistent nausea and vomiting, severe diarrhea?
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Lithium
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This drug has a significant risk for agranulocytosis and hypersalivation?
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Clozaril or clozapine
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A rare but potentially fatal, complication of treatment with antipsychotic drugs, Ex: Fever of 107
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Neuroleptic Malignant Therapy
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This classification of meds is effective in the treatment of psychosis.
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Antipsychotics
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What are the common S/E of antipsychotics?
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Sedation, EPS, weight gain, increased agitation
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These meds have less risk for EPS but have higher risk of weight gain
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Thorazine and Haldol
they are typical/traditional antipsychotics |
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What are extrapyramidal side effects?
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Pseudoparkinsonism
Akinesia Dystonia Tardive dyskinesia |
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These drugs you see weight gain and see metabolic disorders with them
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Atypicals
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Traditional and Typical are the same
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EPS, tardive dyskinesia, oculogyric crisis
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This classification of antipsychotics target both positive and negative symptoms of schizophrenia?
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atypical antipsychotic agents
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These medications have high risk of EPS?
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Typical or traditional antipsychotic
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?group?
by observing the progress of others with similar problems, a group member hopes that his or her problems can be resolved |
Instillation of hope
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?group?
Individuals come to realize that they are not alone in their problems, thoughts, or feelings they are experiencing |
Universality.
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During this phase of group development the goals are established and boundaries are determined?
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initial or orientation phase of group development
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Client presents with bizarre facial and tongue movements, stiff neck, and difficulty swallowing?
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Tardive dyskinesia
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The client presents with uncontrolled rolling back of the eyes may be mistaken for a seizure. An emergency, contact MD and plan to administer what med?
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IV Cogentin
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Client presents with hyperprexia, diaphoresis, severe muscular rigidity, tachycardia, and tachypnea. These meds are administered STAT?
What is wrong with this patient? |
Parlodel Or Dntrium
Neuroleptic malignant syndrome. |
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An antiparkinsonian agent prescribed for neuroleptic malignant syndrome?
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Parlodel
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This skeletal muscle relaxant is administered for neuroleptic malignant syndrome?
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Dantrium
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