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mental health > quiz 2-schizophrenia/Phases of patient relationship > Flashcards

quiz 2-schizophrenia/Phases of patient relationship Flashcards

1
Q

are HALLUCINATIONS positive or negative symptom of schizophrenia

A

POSITIVE

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2
Q

is acting ALOOF a positive or negative symptom of schizophrenia

A

NEGATIVE

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3
Q

is ANHEDONIA a positive or negative symptom of schizophrenia

A

NEGATIVE

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4
Q

are BIZARRE BEHAVIORS positive or negative symptom of schizophrenia

A

POSITIVE

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5
Q

is ANERGIA a positive or negative symptom of schizophrenia

A

NEGATIVE

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6
Q

is AVOLITION a positive or negative symptoms of schizophrenia

A

NEGATIVE

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7
Q

are DELUSIONS a positive or negative symptom of schizophrenia

A

POSITIVE

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8
Q

longest phase of the nurse client relationship

A

working phase

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9
Q

Aloof

A

distant/withdrawn

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10
Q

anhedonia

A

lack of pleasure

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11
Q

avolition

A

loss of motivation

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12
Q

anergia

A

lack of energy

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13
Q

apathy

A

decreased interest

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14
Q

alogia

A

poor or poverty of speech

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15
Q

1st gen, typical, or conventional medications treat positive negative, or both symptoms

A

positive

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16
Q

2nd gen or atypical medications treat positive, negative, or both symptoms

A

both positive and negative

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17
Q

symptoms of pseudoparkinsonism

A

stooped posture, shuffling gait, bradykinesia, pill-rolling motion

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18
Q

1st generation extrapyramidal symptoms

A

pseudoparkinsonism, acute or tardive dyskinesia, acute dystonia, akithesia

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19
Q

what is the difference between tardive dyskinesia and and acute dystonia

A

spasms are more severe in acute dystonia

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20
Q

what do you treat 1st gen Extrapyramidal symptoms with?

A

anti-parkinson medication such as benztropine

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21
Q

which 2nd gen medication causes fatal agranulocytosis?

A

clozapine

22
Q

what are some 2nd generation extrapyramidal symptoms?

A

metabolic syndrome, orthostatic hypertension, tremor, elevated prolactin levels, sexual dysfunction

23
Q

magical thinking is an example of _______

A

delusional thinking

24
Q

what is your #1 priority when a patient is hallucinating

A

SAFETY

25
Q

How can you ensure safety of a patient who is hallucinating ?

A

Ask the patient what they are hearing or seeing and make sure the voices aren’t telling them to harm themselves or others

26
Q

When the patient believes that thoughts are being put into their head, this is called ________

A

thought insertion

27
Q

a class example of thought insertion would be _____

a. fat, cat, mat
b. I have a chip in my brain
c. I see ghosts

A

B

28
Q

When the patient repeats what they hear, this is called?

A. Clang association
B. Echolalia
C. Verbigeration
D. Word Salad

A

B.

29
Q

When the patient begins to rhyme, this is called ?

A. Clang association
B. Echolalia
C. Verbigeration
D. Word Salad

A

A

30
Q

When the patient repeats their own words, this is called ?

A. Clang association
B. Echolalia
C. Verbigeration
D. Word Salad

A

C

31
Q

When the patient states random words, this is called ?

A. Clang association
B. Echolalia
C. Verbigeration
D. Word Salad

A

D

32
Q

what is the meaning of the word: Anosognosia

A

When the client is unaware that they are ill

33
Q

Select all that apply: what are symptoms of neuroleptic malignant syndrome

A. tachycardia
B. Bradycardia
C. fluctuation in BP
D. bulging eyes
E. sudden high fever
F. Muscle rigidity
G. diaphoresis
H. constipation
I. decreased level of conciousness
A

A, C, E, F, G, I

34
Q

neuroleptic malignant syndrome can be treated with ?

A

dantrolene, bromocriptine, and antipyretics for the high fever

35
Q

What is the first thing you should do when you realize that the patient may be experiencing neuroleptic malignant syndrome ?

A

Hold 1st generation drugs

36
Q

what is the prototype 1st gen medication

A

chlorpromazine

37
Q

what is the prototype 2nd gen medication

A

Risperidone

38
Q

what is the prototype 3rd gen medication

A

apriprazole

39
Q

what is acute dystonia

A

severe spasms of tongue, neck, face, and back

40
Q

begin to monitor for acute dystonia between _________ after admin

A

1 to 5 days

41
Q

Treat acute dystonia with:

A

benztropine(antiparkinson) + diphenhydramine im or iv

42
Q

If the patient experiences acute dystonia, stay with them and monitor __________ until spasm stop

A

airway

43
Q

pseudoparkinsonism can occur _______ following the first dose

a. 5-20 days
b. 4-20 days
c. 30 days
d. 5-30 days

A

d. 5-30 days

44
Q

implement the risk for _________ for patients who suffer from pseudoparkinsonism

A

falling

45
Q

what is akathesisa

A

can’t sit or stand still. Also continuous pacing and agitation

46
Q

observe for akathisia in the first ________ of after treatment initiation

A

2 months

47
Q

lip smacking, involuntary movements of arms, legs, and trunk, and tongue fasciculation’s describe :

A

tardive dyskinesia

48
Q

monitor the patients _____ when they are taking both generations of antipsychotics

a. weight
b. feet
c. appendix

A

a. weight

49
Q

what scale should be used to screen for the presence of EPS

A

AIMS

50
Q

Azine is the suffix for most 2nd gen medications

A

false, that is for 1st gen

51
Q

Azine and done is the suffix for most 2nd gen medications

A

true

mental health (3 decks)

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