2 schizophrenia

Question 1

population

Answer 1

1% of world population has schizo

Question 2

schizoaffective disorder

Answer 2

combo of schizo + bipolar

-has mood disorder

Question 3

schizo + other psychotic disorders are some of the most ___ forms of psychopathology

Answer 3

impairing

Question 4

schizo manifestation often manifest right at the time of _______

Answer 4

the transition fr adolescence to adulthood

Question 5

***causes of schizophrenia

Answer 5

• usualy results fr complex ineraction bw genetics + environmental factors
• genetic causes
• environmental causes
• abnormal brain structure

Question 6

studies show that ppl with schizophrenia display…

Answer 6

the highest rate of genetic mutations

Question 7

course of illness

Answer 7

• continuous w/o temporary improvement
• episodic w progressive or stable deficit
• episodic w complete or incomplete remission

Question 8

stages of schizophrenia

Answer 8

1 prodromal
2 active/acute
3 residual

Question 9

10% of schizo pt…

Answer 9

die mainly by suicide

Question 10

**prodromal phase

Answer 10

refers to deterioration in function before the onset of the active psychotic phase

Question 11

**active/acute phase

Answer 11

active phase symptoms must be present for ATLEAST 1 MONTH

Question 12

**active phase symptoms

Answer 12

• delusions
• hallucinations
• disorganized speech
• grossly disorganized behavior, -negative symptoms such as flat affect, abolition, + alogia

Question 13

**residual phase

Answer 13

• follows the active phase

- functional impairment + abnormalities of affect, cognition, + communication

Question 14

15% of schizo pt remain hospitalized + do not improve…. they should be in…

Answer 14

locked facility

Question 15

positive signs

Answer 15

• disordered thought, perception, + behavior
• “visible” signs/more easily IDd
• too much “abnormal” behavior
• most affected + diminished w antipsychotics
• many symptoms which were resistant are reduced or eliminated w new atypicals

Question 16

hallucination is a ___ sign

Answer 16

positive

Question 17

hallucinations

Answer 17

sounds or other sensations experienced as real when they exist only in the person’s mind

Question 18

most common time of hallucination in schizophrenia

Answer 18

AUDITORY

-visual is next common

Question 19

auditory hallucination

Answer 19

-occurs when ppl misinterpret their own inner self-talk as coming fr an outside source

Question 20

types of disorganized speech

Answer 20

• fragmented thinking is characteristic of schizophrenia

- people w schizophrenia tend to have trouble concentrating + maintaining a train of thought

Question 21

common signs of disorganized speech

Answer 21

• loose assoc
• neologism
• preservation
• clanging
• circumstantiality
• thought blocking
• word salad
• mutism
• echolalia

Question 22

loose assoc

Answer 22

jump from one idea to another w increasingly more fragmented connections bw the thoughts

Question 23

neologism

Answer 23

new word or phrase of pt’s own making often seen in schizo

-or existing word in new sense

Question 24

perseveration

Answer 24

repetition of a particular response (such as a word, phrase, or gesture)

Question 25

clanging

Answer 25

speech pattern where ppl put words together bc of how they sound instead of what they mean

Question 26

circumstantiality

Answer 26

disturbed pattern of speech or writing characterized by delay in getting to the point bc of the interpolation of unnecessary details + irrelevant remarks

Question 27

thought blocking

Answer 27

person stops speaking suddenly + without explanation in the middle of a sentence

Question 28

word salad

Answer 28

confused or unintelligible mixture of seemingly random words or phrases

Question 29

echolalia

Answer 29

meaningless repetition of another person's spoken words | -schizo + autistic

Question 30

mutism

Answer 30

inability or unwillingness to speak | -pt may mouth words but no sounds

Question 31

disorganized behavior

Answer 31

- decline in overall daily functioning - unpredictable or inappropriate emo response - behaviors that appear bizarre, have no purpose - lack of inhibition + impulse control

Question 32

types of disorganized behavior

Answer 32

- catatonia - motor retardation - motor agitation - waxy flexibility - echopraxia - negativism - stupor - impaired impulse control - gesturing or posturing - boundary impairment

Question 33

catatonia

Answer 33

stiff tonic

Question 34

negative symptoms

Answer 34

- absence of normal behaviors found in healthy individuals | - more difficult to treat successfully than positive symptoms

Question 35

ngative sympt is neg vibes

Answer 35

-lazy, no talking, blunt, flat, unhappy

Question 36

when you give a pt chlorpromazine...

Answer 36

always monitor respiratory rate

Question 37

``` NMS F E V E R ```

Answer 37

``` Fever Encephalopathy Vital Sign disirregularity Elevated blood enzyme levels Rigidity ```

Question 38

if WBC is below 4k,

Answer 38

then hold clozapine

Question 39

signs of relapse

Answer 39

- difficulty sleeping - difficulty concentrating - begin to have hallucinations that they didn't have previously

Question 40

relapse prevention

Answer 40

- education - medication compliance - support system