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Mental Health > Chapter 12: Schizophrenia Spectrum Disorders > Flashcards

Chapter 12: Schizophrenia Spectrum Disorders Flashcards

1
Q

affect of schizophrenia

A

flat

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2
Q

associative looseness schizophrenia

A

illogical thinking

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3
Q

schizophrenia autism

A

thinking that’s not bound to reality

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4
Q

schizophrenia ambivalence

A

feeling you can’t make up your mind

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5
Q

hallmark sign of schizophrenia spectrum disorders

A

psychosis

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6
Q

psychosis is
- altered _________
- altered ___________
and/or
- impaired ability to determine what is or is not ________

A

cognition
perception
real

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7
Q

delusional disorder

A

false thoughts or beliefs

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8
Q

time frame for delusional disorder

A

1 month

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9
Q

delusional disorder delusion types
- grandiose

A

better than everyone
the best

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10
Q

delusional disorder delusion types
- persecutory

A

after them

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11
Q

delusional disorder delusion types
- somatic

A

physical

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12
Q

delusional disorder delusion types
- referential

A

specific
can be religion
keep going back to it

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13
Q

delusional disorder
are delusions severe enough to impair functioning

A

no
- do not harm self or others
- do not cause unable to meet basic needs

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14
Q

schizophreniform disorder
- difference between this and schizophrenia

A

time difference
this one last less than 6 months

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15
Q

schizophreniform disorder
- will impaired social/occupational functioning be apparent

A

may or may not

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16
Q

will schizophreniform disorder return to previous level of funcitoning

A

maybe

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17
Q

what should be ruled out before a primary diagnosis of schizophrenia is made

A

substance use and medical conditions

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18
Q

brief psychotic disorder time frame

A

last longer than 1 day but no longer than 1 month

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19
Q

will brief psychotic disorder return to normal functioning

A

it is expected

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20
Q

brief psychotic disorder
- sudden onset of

A

delusions
hallucinations
disorganized speech
disorganized or catatonic behavior

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21
Q

schizoaffective disorder
- effects what

A

thought and mood!!!!

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22
Q

schizoaffective disorder
- schizophrenia mixed with

A

major depressive disored
manic
mixed episode

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23
Q

cis characterized by

A

psychosis

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24
Q

when do schizophrenia start to present

A

15-25 years old

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25
Q

time frame for schizophrenia

A

longer than 6 months otherwise it is schizophreniform disorder

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26
Q

schizophrenia onset

A

gradual

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27
Q

comorbidity disorders in schizophrenia

A

POLYDIPSIA
substance us disorders
suicude
anxiety
depression

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28
Q

schizophrenia
- dopamine hypothesis

A

excess dopamine is responsible for psychotic symptoms

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29
Q

stages of schizophrenia

A

prodromal
acute
stabilization
maintenance

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30
Q

prodromal stage

A

onset
mild changes
beginning stages
can treat to prevent psychosis

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31
Q

acute stage

A

exacerbations of symptoms
delusions and hallucinations
changed distortions
can be slow or abrupt
actively psychotic

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32
Q

stabilization phase

A

symptom diminishing
get to baseline
education

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33
Q

maintence or residual

A

new baseline is established
similar to symptoms experienced during prodromal

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34
Q

positive symptoms examples

A

deusions
hallucinations

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35
Q

negative symptoms examples

A

autism
affective flattening
avolition
social withdrawn
alogia

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36
Q

positive symptoms definition

A

presence of symptoms that should not be present

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37
Q

negative symptoms definition

A

absence of qualities that should be present

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38
Q

cognitive symptoms definition

A

subtle or obvious impairment in memory, attention, thinking, and impaired executive functioning

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39
Q

affective symptoms

A

symptoms involving emotions and their expression

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40
Q

positive symptoms are associated with

A

acute onset

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41
Q

word salad

A

jumble of words meaningless to a listener

42
Q

clang association

A

words chosen based on sound

43
Q

neologisms

A

meaning for the patient only

44
Q

echolalia

A

pathological repetition of another words

45
Q

associative looseness

A

loosely associated, haphazard, illogical, confused speech that can sometimes be decoded

46
Q

circumstantiality

A

including unnecessary and often tedium details in conversation but eventually reaching the point

47
Q

tangentiality

A

wandering off topic or going off on tangents and never reaching the point

48
Q

cognitive retardation

A

generalized slowing of thinking, which is represented by delays in responding to questions or difficulty finishing thoughts

49
Q

pressured speech

A

urgent or intense and resists comments from others

50
Q

flight of idea

A

moving rapidly from one though to the next, often making it difficult for others to follow

51
Q

symbolic speech

A

using symbols instead of direct communication

52
Q

thought blocking

A

reduction or stoppage of thought, interruption of thought by hallucinations can cause this

53
Q

thought insertion

A

the uncomfortable belief that someone else has inserted thoughts into their brains

54
Q

thought deletion

A

a belief that thoughts have been taken or are missing

55
Q

magical thinking

A

believing that thoughts or actions affect others consequences

56
Q

paranoia

A

irrational fear, ranging from mild to profound

57
Q

hallucination types

A

auditory: hearing
visual: seeing
olfactory: smelling
gustatory: taste
tactile: feeling
command: hallucinations are commanding person to do something

58
Q

illusions

A

misperceptions or misinterpretations or a real experience

59
Q

depersonalization

A

feeling of being unreal or having lost identity
body parts do not belong or the body has drastically changed

60
Q

derealization

A

false perception that the environment has changed

61
Q

catatonia

A

increase or decrease in rate and amount of movement

62
Q

waxy flexibility

A

excessive maintence of stupor- remaining motionless and unresponsive

63
Q

extreme motor agitation

A

running about in response to inner or outer stimuli

64
Q

stereotyped behaviors

A

motor patterns that have become mechanical and purposeless

65
Q

active negativism

A

involves the patient doing the opposite of what is suggested

66
Q

passive negativism

A

involves not doing the things one is expected to do, such as getting out of bed, eating, and so forth

67
Q

agitated behavior

A

related to difficulty with impulse control, because of cognitive deterioration, patients lack social sensitivity and may act out impulsively

68
Q

echopraxia

A

mimicking of movements of another

69
Q

gesturing or posturing

A

assuming unusual and illogical expressions, posture, or positions

70
Q

boundary impairment

A

an impaired ability to sense where ones body or influence ends and another begins

71
Q

alterations in speech

A

associative looseness
neologisms
clang associations
world salad
echolalia
circumstantiality
tangentiality
cognitive retardation
pressured speech
flight of ideas
symbolic speech

72
Q

disorders or distortions of thought

A

thought blocking
thought insertion
thought deletion
magical thinking
paranoia

73
Q

alterations in perception

A

hallucinations
illusions
depersonalization
derealization

74
Q

alterations in behavior

A

Catalonia
waxy flexibility
motor retardation
motor agitation
stereotyped behaviors
echopraxia
negativism
impaired impulse control
gesturing or posturing
boundary impairment

75
Q

negative symptoms

A

a words

76
Q

anhedonia

A

reduced ability or inability to experience pleasure in everyday life

77
Q

avolition

A

loss of motivation, difficulty beginning and sustaining goal directed activities

78
Q

asociality

A

decreased desired for, or comfort during, social interaction

79
Q

affective blunting

A

reduced or constricted

80
Q

apathy

A

decreased interest in, or attention to, activities or beliefs that would otherwise be interesting or important

81
Q

alogia

A

reduction in speech, poverty of speech

82
Q

affect

A

outward expression of a persons internal emotional state
- flat, blunted, constricted, inappropriate, bizarre

83
Q

flat affect

A

immobile or blank facial expression

84
Q

blunted affect

A

reduced or minimal emotional response

85
Q

constricted affect

A

reduced in range go intensity

86
Q

inappropriate affect

A

incongruent with the actual emotional state or situation

87
Q

bizarre affect

A

odd, illogical, inappropriate, or unfounded, includes grimacing

88
Q

cognitive symptoms

A

concrete thinking
impaired memory
impaired information processing
impaired executive functioning
anosognosia

89
Q

concrete thinking

A

impaired ability to think abstractly, resulting in interepreting or preceving thongs in a literal manner

difficult responding to things like love or humor

90
Q

impaired memory

A

impacts short term memory and ability to learn

91
Q

impaired information processing

A

delayed responses, misperceptions, or difficulty understanding others, may lose the ability to screen out insignificant stimuli

92
Q

anosognosia

A

do not realize they are ill

93
Q

it is important to assess for what other issue

A

depression

94
Q

what are some medical problems that mimic psychosis

A

delirium
hyperglycemia
hypoglycemia
substance use

95
Q

priority is

A

safety

96
Q

external factors that impact schizophrenia

A

living arrangement
economic
social supports
relationships

97
Q

internal factors that impact schizophrenia

A

resilience
coping skills

98
Q

regularly assess for

A

safety

99
Q

how should you respond to delusions

A

empathy
clarify misinterpretations

100
Q

how should you respond to associative looseness

A

mirror patient thoughts
don’t pretend to understand when you cant

101
Q

meds used for schizophrenia

A

antipsychotics (1 and 2 gen)

Mental Health (82 decks)

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