T2-Schizophrenia

Question 1

Fact or fiction: Schizophrenia means that you have a split personality

Answer 1

Fiction

Question 2

What are the phases of schizophrenia? (4)

Answer 2

1. Premorbid Phase
2. Prodromal Phase
3. Schizophrenia
4. Residual

Question 3

Fact or fiction: Schizophrenia can be inherited

Answer 3

Fact

Question 4

What are the 4 A’s?

Answer 4

Affect
Associative looseness
Autism
Ambivalence

Question 5

What are positive S&S for schizophrenia? How many must you have?

Answer 5

• Hallucinations
• Delusions
• Disorganized thinking/speech
• Disorganized behavior

3

Question 6

What are negative S&S for schizophrenia?

Answer 6

• Affective flattening
• Alogia (poverty of speech)
• Avolition/apathy
• Anhedonia
• Social isolation

Question 7

Postive or negative sign:

Disorganized thinking/speech

Answer 7

Postive

Question 8

Postive or negative sign:

Alogia (poverty of speech)

Answer 8

Negative

Question 9

Postive or negative sign:

Affective flattening

Answer 9

Negative

Question 10

Postive or negative sign:

Hallucinations

Answer 10

Postive

Question 11

Postive or negative sign:

Delusions

Answer 11

Positive

Question 12

Postive or negative sign:

Avolition/apathy

Answer 12

Negative

Question 13

Postive or negative sign:

Disorganized behavior

Answer 13

Positive

Question 14

Postive or negative sign:

Avolition/apathy

Answer 14

Negative

Question 15

Postive or negative sign:

Anhedonia

Answer 15

Negative

Question 16

Positive or negative sign:

Social isolation

Answer 16

Negative

Question 17

What are the 8 nursing interventions for a patient with delusions?

*we need to know these!!!

Answer 17

• Convey acceptance
• Do not argue
• Focus on reality-based activities
• Discourage discussions about the delusion
• Use same staff if suspicious
• Dont touch, laugh or whisper if suspicious
• Give foods in sealed containers
• Discuss ways of helping cope with disturbing thoughts

Question 18

For interventions with clients with delusions, why is it so important that we don’t argue with them about the delusion?

Answer 18

If you do, it makes the delusion seem real [to them]

Question 19

What are interventions with a client who is hallucinating?

6

Answer 19

• Observe for OBJECTIVE S/S
• Avoid touching the client
• Assess CONTENT 1x/d
• Do not reinforce hallucinations!!!!
• Help client make connection btwn. hallucination and anxiety
• Distraction methods–discuss ways of helping COPE with the voices

Question 20

What is the clinical pearl associated with schiz.?

Answer 20

DO NOT REINFORCE HALLUCINATIONS!!!!!!

Question 21

What do we use: “voices” or “they” when talking about the voices the schiz. client is hearing?

Answer 21

Use “the voices”

Question 22

Should we let the client know that we don’t share the perception…meaning is it ok to say something like “I realize the voices are real to you, but I don’t hear any voices speaking”

Answer 22

Yes!–let the client know you do not share the perception

Question 23

What should we teach clients/families about the nature of the illness of schiz.?

Answer 23

1. What to expect as the illness progresses
2. Symptoms associated with the illness
3. Ways for family to respond to behaviors associated with the illness

Question 24

What should we teach the client/family about the management of the illness of schiz.?

Answer 24

• Exacerbation of symptoms during time of STRESS
• Medication management
• Side effects of meds
• IMPORTANCE OF NOT STOPPING THE MEDS
• When to contact the health care provider?
• Relaxation techniques
• Social skill training
• Daily living skills training

Question 25

What are some support services we should let the client/family know r/t schiz.?

Answer 25

1. Financial assistance
2. Legal assistance
3. Caregiver support groups
4. Respite care
5. Home health care