Schizophrenia Flashcards

Question

paranoia

Answer 1

irrational fear, ranging

Answer 2

extremely detailed and lengthy talk about a topic but eventually gets to point

Answer 3

extremely detailed and lengthy talk but never gets to the point

Answer 4

absence of normal connected thoughts, ideas and topics ( i was home when drum beating began, i flew too low)

Answer 5

conversation topic changes repeatedly and rapidly with only superficial associative connections ( a man begins talking about his business, but quickly shifts to talking about the economy, government, and other countries)

Answer 6

repetition of another's words, pathological repetition

Answer 7

repetition of works with a similar sound but in no other way ( i heard a bell. well, hell then i fell)

Answer 8

overly and artificially formal language

Answer 9

words are being forced out

Answer 10

string of words totally unconnected, jumbled, meaningless to a listener (because is makes a twirl in life, my box is broken, help me blue elephant)

Answer 11

made up words meaning for the patient only ( I got to do angry, I picked up a dish and threw it at the geshinker)

Answer 12

suspiciousness that is unrealistic

Answer 13

conclusions are reached that do not follow logic

Answer 14

behaviors or attitudes that reflect rage

Answer 15

inability to sit still or attend to others, pacing

Answer 16

hyperactivity characterized by purposeless activity and abnormal movements

Answer 17

waxy, hold same position for hours, not just specific to schizophrenia, can be immobile, non-responsive

Answer 18

involuntary imitations of another's movements and gestures

Answer 19

childlike/immature

Answer 20

repetitive purposeless movements that are peculiar to the person

Answer 21

sustained attention to external stimuli

Answer 22

posture held in a flexible position, patient can be posed

Answer 23

symptoms that should be there aren't affective flattening or blunting ambivalence- presence of two opposing forces, leading to inaction, cant decide, stuck alogia- poverty of speech avolition- inability to complete projects, assignments, work, loss of motivation anhedonia- loss of pleasure, hijacks joy asociality- decreased desire for social interactions, isolation

Answer 24

concrete thinking- inability to think abstractly impaired memory- impacts short term memory and ability to learn impaired information processing- delayed responses, misperceptions or difficulty understanding others impaired executive functioning- difficulty with reasoning, setting priorities, comparing options, planning

Answer 25

mild changes in thinking insufficient to meet DSM 5 criteria for schizophrenia symptoms appear 1 month to more than 1 year before full blown episode speech and thought may be odd or eccentric anxiety, obsessive thoughts, and compulsive behaviors deterioration in concentration distressing thoughts, suspiciousness, memory impairment, significant disorganization in speech

Answer 26

later symptoms from few and mild to many and disabling symptoms include hallucinations, delusions, apathy, social withdraw, diminished affect, anhedonia, disorganized behavior, impaired judgement, and cognitive regression difficulty coping as symptoms worsen symptoms that were once concealed become apparent hospitalization required men late adolescents 15-25, women 25-35

Answer 27

symptoms are stabilizing and diminishing movement toward a previous level of functioning

Answer 28

condition has stabilized new baseline established positive symptoms are usually absent or significantly diminished but negative symptoms continue to be a concern

Answer 29

can occur at any time during treatment detrimental to the successful management with each relapse takes a longer time to recover combining meds with psychotherapy diminishes the severity and frequency of relapses major reason for relapse is nonadherence with meds stopping meds will certainly lead to relapse

Answer 30

no cure but can recover!

Answer 31

violence is a risk for those not medicated and experiencing command hallucinations and/or who have a substance abuse or alcohol abuse problem

Answer 32

suicide attempts are common within 3 yrs of diagnosis more common upon discharge following first episode

Answer 33

depressive symptoms young age at onset absence of supportive friends and family

Answer 34

higher mortality rate from accidents and medical illnesses (die at younger age because they dont take care of their physical health) high rates of smoking wt gain with neuroleptic meds can cause metabolic syndrome, type 2 DM, and cardiac problems

Answer 35

hallucinations with auditory delusions lack of emotion emotions are inappropriate social withdraw poor school performance decreased ability to practice self care strange eating rituals incoherent speech illogical thinking agitation

Answer 36

severe thought disorders such as schizophrenia and bipolar acute and chronic confusion psychosis, extreme aggression, and dementia

Answer 37

disorganized thinking, speech, and behavior flat or inappropriate affect delusions hallucinations catatonia

Answer 38

safety in all settings stabilization on antipsychotic client and family education physical care psychosocial support

Answer 39

risk of relapse risk of suicide increased mortality rates potential for hospital readmission declined quality of life social and occupational difficulty

Answer 40

symptoms during both acute and long term phases of illness

Answer 41

decreases some associated long term co-morbid, co-existing conditions

Answer 42

chlorpromazine (thorazine) haloperidol (haldol)

Answer 43

anticholinergic sedation EPS hypotension seizure photosensitivity skin rash GI upset EKG changes hormonal/endocrine agranulocytosis neuromalignant syndrome tardive dyskinesia Liver impairment prolonged QT

Answer 44

D2 receptor agonist target positive symptoms of schizophrenia less expensive than second generation disadvantages: EPS, Anticholinergic side effects, tardive dyskinesia, WT gain, sexual dysfunction, endocrine disturbances

Answer 45

inability to realize they are ill may cause resistance to treatment plan or cessation of treatment combined with paranoia so that accepting help is impossible

Answer 46

hot as a hare dry as a bone red as a beet mad as a hatter

Answer 47

psudoparkinsonism akathisia actue dystonia tardive dyskinesia usually start within a few weeks of starting antipsyhotics symptoms may cause discomfort, social stigma, and poor compliance

Answer 48

simulates parkinsons disease is reversible and includes tremors in hands and arms bradykinesia, akinesia, hypersalivation, masked faces, and shuffling gate

Answer 49

dose reduction or addition of oral anticholinergic med

Answer 50

inner restlessness manifested by excessive pacing or inability to remain still for any length of time

Answer 51

dose reduction of antipsychotic or addition of low-dose beta blocker, such as propranolol (inderal)

Answer 52

dystonic reactions caused by antipsychotics need to be monitored for and acted on emergently torticollis, oculogyric crisis, opisthotonus, laryngospasm, oral-facial maxillary spasm

Answer 53

spasmodic and painful spasm of muscles (head pulled to one side)

Answer 54

eyes roll back, only white visible emergency situation

Answer 55

a type of spasm om which the head and heels arch backward in extreme hyperextension and the body forms a reverse bow

Answer 56

spasm of throat impairing breathing and swallowing

Answer 57

treat emergently as the may progress (resembles bells palsy)

Answer 58

reduce dosage d/c med- taper them off switch to another med in same class- one is tapered down while one is tapered up add an anticholinergic- benztropine (Cogentin), diphenhydramine (Benadryl), trihexyphenidyl (atrane) sometimes anticholinergics are given with antipsychotics to reduce likelihood of EPS add beta blocker- propranolol

Answer 59

involuntary movement that can occur with long term antipsychotic treatment and may not be reversible even when med discontinued usually involves orofacial region, can include myoclonic jerks, tics, chorea, dystonia, symptoms become more evident when patient is aroused, and ease when pt is relaxed or disappear during sleep attempts to treat TD usually begin with discontinuing the offending agent or switch to one with lower risk

Answer 60

long term therapy with FGA's at higher doses older age female concurrent affective disorders

Answer 61

after many years of antipsychotics often permanent dysfunction of voluntary muscles effects mouth (tongue protrudes, smacking of lips, mouth movements) routinely evaluate client on AIMS scale changes may be gradual or mild and slowly progress, providers can miss signs often irreversible important to catch early

Answer 62

depends on severity, med may be discontinued thorough exam and documentation of symptoms use AIM scale close and continued follow up clozapine (Clozaril) has shown efficacy in symptom reduction

Answer 63

avobenzone

Answer 64

serious and potentially fatal usually associated with antipsychotics ( or drugs that block dopamine receptors) dehydration is predisposing factor more common in warm climates may have genetic predisposition

Answer 65

fever 103-105 diaphoresis muscle rigidity: arm/abdomen board like with corresponding increase in CPK levels labile BP swings from hypo to HTN tachycardia >130 Tachypnea >25 agitation r/t respiratory distress mental status changes; stupor/coma

Answer 66

stop all antipsychotics symptomatic; supportive treatment hospitalization required

Answer 67

dantrolene (dantrium) bromocriptone (parlodel) levodopa lorazepan (ativan) 10% fatality rate difficult to diagnose in emergent situation

Answer 68

treat both positive and negative symptoms minimal to no EPS disadvantages- tendency to cause significant weight gain, risk of metabolic syndrome

Answer 69

clozapine (clozaril) olanzapine (zyprexa) respiridone (respiradol) respiradol consta ziprasidone (geodon)

Answer 70

subset of second dopamine system stabilizers may improve positive and negative symptoms and cognitive function little risk of EPS or TD aripiprazole (abilify) brexpiprazole (rexulti) caripazine (vraylar)

Answer 71

sedation n/v- usually stops after 2 weeks less likely to cause anticholinergic effects, orthostatic hypotension, seizures, EPS more likely to cause major weight gain, changes in person metabolism leading to DM, hypoprolctinemia potential for cardiac dysrhythmias/ even sudden cardiac death rhinitis sexual dysfuntion more costly than antipyschotics

Answer 72

special concern with atypical antipsychotics heart disease, lipid problems, HTN, type 2 DM, dementia, cancer, PCOS, Non-alcoholic fatty liver disease monitor wt and girth, initial glucose tolerance test, monitor glucose, provide nutritional support and activity support, consider lifestyle changes

Answer 73

treats refractory schizophrenia or schizophrenia that doesn't respond to normal tx pts with refractory are prone to violence and suicide med results in decreased negative symptoms, increased pulse control, reduced violence to self harm and others, improved quality of life has potentially fatal side effect of agranulocytosis

Answer 74

low production of granulocytes body cannot fight off infection WBC drops dangerously low monitor WBC weekly for first 6 months, then every other week discontinue Clozaril if WBC falls below 3000 or granulocytes fall below 1500 reversible if treated early

Answer 75

for patients that are severely disturbed or present serious compliance risk also available in injectable form long acting only require administration once every 2 to 4 weeks fluphenazine decanoate haloperidol decanoate risperidone microspheres paliperidone palmitate olanzapine long acting injectable aripiprazole microspheres

Answer 76

long lasting 2 weeks haloperidol (Haldol decanoate) risperidone (consta) paliperidone (Invega Sustenna)

Answer 77

schizophrenia bipolar 1 and those unable to adhere to treatment be aware of patients travel/transportation, cognitive deficits, lack of social support * must have transportation to receive injection

Answer 78

3 month injection atypical antipsychotic for schizophrenia after successful treatment with Invega Sustenna (1 month injections) for at least 4 months

Answer 79

olanzipine (zydis) risperidone ( Risperdal M-tab) asenapine (saphris) indicated for severe agitation, inability to follow directions on how to take me, or inability to swallow tablets

Answer 80

Caffeine alcohol nicotine sugar

Answer 81

ECT behavior therapy group therapy family therapy social skills training case management support groups

Answer 82

for most symptoms improve with meds and psychosocial interventions can experience good quality of life, family and occupations sometimes does not respond fully to tx leaving mild to severe residual symptoms and varying degrees of dysfunction/disability

Answer 83

slow onset of disease (more than 2-3 yrs) younger age at onset longer duration between first symptom and first treatment longer periods of untreated illness more negative symptoms

Answer 84

often seen in borderline personality disorder tend to perceive and evaluate every thought or situation as black or white, good, or bad, all or nothing. unable to see grey areas

Answer 85

persistent repetition of words or ideas

Answer 86

does not just mean thinking fast. Thoughts wont be quiet ; they can be in the background of other thoughts or take over a persons consciousness; they can gallop around in the persons head like a carousel gone out of control

Answer 87

belief that neutral, everyday occurrences carry specific personal meaning to the individual. Varies in intensity. may be seen in someone with schizoaffective disorder

Answer 88

Poverty of speech

Schizophrenia Flashcards

(112 cards)