Final Exam Transition - Schizophrenia

Question 1

Case Study S&S

Answer 1

Negative symptoms:
- Withdrawn
- Lack of self-care/hygiene
- Gives little information
- Grades declining

Positive symptoms:
- whispering
- looking around
- talking to self
- making paranoid statements (contaminated food; they’re watching me)
- closed blinds

Question 2

Good to know

Answer 2

Polydipsia common; can lead to hyponatremia, further increasing CNS problems

80% of schizophrenia is genetic
(“watch 6 brothers with schizophrenia” and “a beautiful mind”)

Risk factors include birthed in late winter or early spring and father over 35 at conception

Question 3

Negative symptoms (6 A’s)

Answer 3

Anhedonia
Avolition
Asociality
Affective blunting
Apathy
Alogia

Question 4

Positive symptoms

Answer 4

Hallucinations and Delusions

Question 5

Delusion types

Answer 5

Grandeur: meant for great things

Persecutory/paranoid: people are after you; out to get you

Thought insertion: someone is putting thoughts into your head

Ideas of reference: thinking messages and information are coming from other places

Somatic delusions: feeling it in your body

Ertomatic: someone is romantically interested in you

Nihilistic: world is coming to an end

Question 6

What else could cause his symptoms?

Answer 6

Drugs

Meds: steroids

Infections: meningitis, encephalitis, UTI

Question 7

Screenings:

Answer 7

Meds
UA
Tox screen

Question 8

Important interventions

Answer 8

Safety
Rapport
Stabilizing with meds

Question 9

First line therapy

Answer 9

Second generation antipsychotics
AKA atypical

SE:
- metabolic side effects
- breasts in dudes
- hypercholesteremia
- fewer extrapyramidals
- better adherence than w/1st
- Neuroleptic Malignant Syndrome
- Metaabolic syndrome
- Prolonged QT (can become torssauds)
- Anticholinergic toxicity

Question 10

First generation antipsychotics side effects

Answer 10

Akathesia
Tardive dyskinesia
Dystonia/parkinsonism

Block muscarinic receptors - anticholinergics

Sexual dysfunction