Psychotic Disorders

Question 1

what are the positive and negative signs of schizophrenia

Answer 1

delusions, hallucinations, disorganized thoughts, bizarre

anahadonia

Question 2

what is a delusion

Answer 2

a false fixed belief (Rose Kennedy)

Question 3

what is a hallucination

Answer 3

a false perception (five senses)

Question 4

what is a command hallucination

Answer 4

*voices tell you to hurt someone else or yourself
actively suicidal
giving a directive

Question 5

what are the key principles of communication with a person who is hearing voices

Answer 5

ask them what that hallucination is saying/content

Question 6

shiber is an example of what

Answer 6

neologism

Question 7

who gets/can get schizophrenia

Answer 7

anyone - any culture/race/social-class

Question 8

schizophrenia is a devastating disorder, t or f

Answer 8

true

Question 9

spectrum of schizophrenia

Answer 9

individuals who pill-roll, laugh, homeless, talk to self, socially regressed, affected function/quality life
John Nash - professor at Princeton - fully functioning - bouts of acute illness, marries, children

Question 10

does schizophrenia have a genetic component

Answer 10

yes - a strong genetic component

Question 11

if schizophrenia comes on at a young age the prognosis is poorer, t or f

Answer 11

true

Question 12

those w/schizophrenia often times self medicate, t or f

Answer 12

true - alcohol/drugs

Question 13

co-morbidities w/schizophrenia

Answer 13

substance abuse
suicide/depression/anxiety
health problems - lack of coordinated care
polydipsia - increased thirst - intoxicate with water

Question 14

biological factors r/t schizophrenia

Answer 14

brain structure abnormalities
genetic component
neurobiologic theories (too much dopamine causes effects of schizophrenia, serotonin mood of depression, too little glutamate)

Question 15

schizophrenia is curable t or f

Answer 15

false - it is treatable not curable

Question 16

drugs used to treat schizophrenia

Answer 16

dopamine antagonists

Question 17

environmental factor r/t schizophrenia

Answer 17

prenatal stressors (toxins moms exposed to/flu)
family stressors
environmental stressors (high crime area)
cultural influence on perception of symptoms

Question 18

most common hallucination in schizophrenia

Answer 18

auditory - hearing voices (mostly derogatory, paranoia about the government)

Question 19

what symptoms come first in schizophrenia

Answer 19

positive symptoms

Question 20

what are positive symptoms of schizophrenia

Answer 20

*hallucinations, delusions, *disorganized speech/**associative looseness (nothing makes sense), bizarre behavior
unable to use abstract concepts
overemphasis on specific details
boundary difficulty
bizarre behaviors (waxy flexibility)
active (opposite of what you tell them to do)/passive (don’t do what you say to do) negativism

Question 21

what are negative symptoms of schizophrenia

Answer 21

blunted affect(minimal response), flat affect (no emotion), poverty of thought (alogia)
loss of motivation (avolition)
inability to experience pleasure/joy (anhedonia)
anergia (lack of energy)
alogia (poverty of thought)

Question 22

medications for schizophrenia trt positive or negative symptoms first

Answer 22

positive - left with negative symptoms which are harder to trt

Question 23

cognitive symptoms of schizophrenia resemble

Answer 23

depression - easily distracted, impaired memory

Question 24

the first thing you want to ask someone experiencing a hallucination

Answer 24

*what is the voice telling you

Question 25

hallucinations can affect all 5 senses, t or f

Answer 25

true

Question 26

**is psychosis a dx

Answer 26

no its a symptom

Question 27

define echolalia

Answer 27

repetition of words of another

Question 28

define echopraxia

Answer 28

mimicking movement of another

Question 29

course of schizophrenia

Answer 29

prodromal - early symptoms - social withdrawal, odd behavior acute - florid symptoms occur (+ symptoms) maintenance - positive symptoms decrease, negative present stabilization - functioning/back to work

Question 30

what is catatonic presentation of schizophrenia

Answer 30

abnormal motor behavior (waxy flexibility) | *extreme agitation

Question 31

what is paranoid presentation of schizophrenia

Answer 31

most common display of schizophrenia | thoughts that can't be modified by reality

Question 32

CPS stands for

Answer 32

chronic paranoid schizophrenia

Question 33

what is disorganized presentation in schizophrenia

Answer 33

looseness of association | bizarre mannerisms

Question 34

define alogia

Answer 34

poverty of thought

Question 35

define avolition

Answer 35

loss of motivation

Question 36

define anhedonia

Answer 36

inability to feel pleasure/joy

Question 37

define associative looseness

Answer 37

disorganized speech

Question 38

define ideas of reference

Answer 38

others are talking about individual

Question 39

define thought broadcasting

Answer 39

one's thoughts can be heard by others

Question 40

define thought withdrawal

Answer 40

thought's have been removed from one's mind by external party

Question 41

define delusion of being controlled

Answer 41

thoughts and body are controlled by external party

Question 42

define poverty of content speech

Answer 42

speech adequate amount/quantity, but vague

Question 43

define poverty of speech

Answer 43

speech inadequate in amount/quantity

Question 44

A patient with catatonic schizophrenia exhibits little spontaneous movement and demonstrates waxy flexibility. Which patient needs are of priority importance?

Answer 44

A.Psychosocial B.Physiologic C.Self-actualization D.Safety and security

Question 45

A patient’s care plan includes monitoring for auditory | hallucinations. Which assessment findings suggest the patient may be hallucinating?

Answer 45

A.Aloofness, haughtiness, suspicion B.Darting eyes, tilted head, mumbling to self C.Elevated mood, hyperactivity, distractibility D.Performing rituals, avoiding open places

Question 46

What is your best intervention when you assess that a patient is responding to an auditory hallucination?

Answer 46

1. Ask the patient, “Can you tell me what you are hearing?” 2. Ask the patient, “Are you afraid of the voice you are hearing?” 3. Tell the patient, “Try to ignore the voices you hear.” 4. Tell the patient, “The voices you hear are not real.”