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PSYCH MENTAL HEALTH > Schizophrenia > Flashcards

Schizophrenia Flashcards

(90 cards)

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1
Q

schizophrenia spectrum disorders

A

psychosis with altered cognition, perception and reality testing

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2
Q

delusional disorder

A

false thoughts or beliefs that have lasted 1 mon or more but not impair functioning

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3
Q

grandiose delusions

A

grand, over the top (i am president)

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4
Q

persecutory delusions

A

accusing someone (stole my pen when there was none)

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5
Q

somatic delusions

A

pain or injury that has never been there

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6
Q

referential delusions

A

people out to get you

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7
Q

brief psychotic disorder

A

delusions, hallucinations, disorganized speech, catatonia lasting less than 1 mon w return to norm function

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8
Q

schizophreniform disorder

A

schiz symptoms lasting less than 6 months

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9
Q

schizoaffective disorder

A

depressive, mic or mixed episodes w schiz symptoms not caused by substance/condition

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10
Q

substance induced or medical condition psychotic disorder

A

delusions/hallucinations from illicit drugs, alc, meds or delirium, neuro disease

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11
Q

schizophrenia

A

psychosis w altered cognition, perception, reality testing that is highly hereditary from 15-25

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12
Q

DSM-V criteria

A

at least 2 every mon for 6 mon…delusions, hallucinations, disorganized speech, catatonia, neg symptoms, functional impairment

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13
Q

comorbidity of schiz

A

substance use disorders, anxiety, depression, suicide, physical illness, polydipsia

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14
Q

risk factors of schiz

A

genetics w abnl in brain, prenatal stressors, neurobio w glutamate, dopamine, serotonin, environment

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15
Q

prodromal phase of schiz

A

prior to diagnosis with odd speech and thoughts, decreased concentration but able to maintain functioning

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16
Q

acute phase of schiz

A

acute symptoms from few/mild to many/severe with poor coping, functional impairment, hallucinations, delusions, apathy

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17
Q

stabilization phase of schiz

A

stabilized/diminished symptoms w prodromal functioning, medicated

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18
Q

maintenance of residual schizophrenia

A

stable condition w neg and cognitive symptoms

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19
Q

general assessment

A

pos, neg, cognitive, affective symptoms

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20
Q

positive symptoms

A

adding symtpoms like delusions, altered speech, concrete thinking, altered reality testing

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21
Q

associative looseness (alter speech)

A

word salad: jumble of words meaningless to listener
illogical thinking w poor concentration

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22
Q

clang association (alter speech)

A

words chosen based on sound w no correlation

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23
Q

neologisms (alter speech)

A

words that are put together that have meaning towards pt

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24
Q

echolalia (alter speech)

A

pathological repetition of another

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25
circumstantiality (abnl speech)
unnecessary details in convo but soon getting to the point
26
tangentiality (abnl speech)
continuing to wander off topic but never reaching point of convo
27
cognitive retardation (abnl speech)
slowing cognition delaying thinking and responding
28
pressured speech (abnl speech)
urgent or intense speech and reluctance to allow comments from others
29
flight of ideas (abnl speech)
moving rapidly from one thought to the next making it difficult for people to follow
30
symbolic speech (abnl speech)
using words based on what they symbolize not what they mean
31
thought blocking (distorted thoughts)
reduction or stoppage of thought
32
thought insertion (distorted thoughts
often uncomfortable belief that someone has inserted into a pt brain
33
thought deletion (distorted thoughts)
belief that thoughts have been taken or missing
34
magical thinking (distorted thoughts)
believing that reality can be changed by thinking or unrelated actions
35
paranoia (distorted thoughts)
irrational fear ranging from mild to profound mild: suspicious/guarded profound: believing person will kill you
36
hallucinations (alter perceptions)
auditory:hearing voices/sounds visual: seeing things olfactory: smelling things gustatory: tasting things tactile: feeling body sensations command: something telling you to do something
37
illusions (alter perceptions)
something morphing into something else
38
depersonalization (alter perceptions)
dissociation aka out of body experience
39
derealization (alter perceptions)
person saying they feel like they are in simulation
40
catatonia (alter behavior)
pronounced increase of decrease movement, useless motor activity
41
motor retardation(alter behavior)
pronounced slowing of movement
42
motor agitation (alter behavior)
excited behavior such as running/pacing
43
stereotyped behaviors (alter behavior)
repetitive behaviors that dont have logical purpose
44
waxy flexibility
wont move at all and trying to move but unable to
45
echopraxia (alter behavior)
mimicking of movements of another person
46
negativism (alter behavior)
tendency to risk or repose others
47
impaired impulse control (alter behavior)
reduced ability to resist impulses
48
gesturing or posturing (alter behavior)
assuming unusual and illogical expression, posture, positions
49
boundary impairment
impaired ability to sense one's body or influence ends and other begins
50
negative symptoms
absence of symptoms/qualities
51
anhedonia (neg symptom)
reduced ability to experience pleasure and inability to enjoy things
52
avolition (neg symptom)
reduced motivation or goal directed behavior
53
asociality (neg symptom)
decreased desire for social interaction
54
affective blunting (neg symptom)
reduced or constricted affect
55
apathy (neg symptom)
decreased interest in activities
56
alogia (neg symptom)
reduction in speech
57
affect
outward expression of a person's internal emotional state
58
flat affect
expressionless, unreadable
59
blunted affect
reduced or minimal emotional response
60
constricted affect
reduced in range
61
inappropriate affect
incongruent w actual emotion/situation
62
bizarre affect
odd, illogical and inappropriate and unfounded
63
concrete thinking (cog)
impaired ability to think abstractly (literal)
64
impaired memory (cog)
effect short term memory and ability to learn
65
impaired info processing (cog)
delayed responses, misperceptions and cant understand others
66
impaired executive functioning (cog)
difficulty w reasoning, priorities, comparing options
67
anosognosia
inability to realize you are ill, often refuse treatment
68
affective symtpoms
assess for depression with increase substance use/suicide, further impair functioning
69
self assessment
anxiety, fear, frustration
70
assessment guidelines
med problems, psychosis symptoms, drug/alc use, MSE, reality test
71
nursing diagnoses
hallucinations, delusions, risk for violence, distorted thinking, anosognosia, risk for suicide
72
outcomes acute phase 1
pt safety and stabilize
73
outcomes stabilization phase 2
understand illness/treatment, stabilize meds, cope w symptoms
74
outcomes maintenance phase 3
prevent relapse, independence
75
planning acute phase 1
strategies for pt safety and symptom stabilization
76
planning maintenance phase 3
pt/fam ed, relapse prevention
77
acute implementation
psych/med/neuro eval, psychopharmaco, psychoed, work w aggression, limit setting
78
stabilization/maintenance implementation
meds, relationships, safety, groups
79
evaluation
adjust treatment, communication, small goals
80
anticholinergic toxicity
no peristalsis, urinary retention, hallucinations, seizures, unstable vitals, delirium, agitation
81
neuroleptic malignant syndrome
excessive dopamine receptor blocking causing severe muscle rigidity, no speech, low consciousness, delirium, coma, resp failure
82
severe neutropenia
reduced neutrophil count and increased severe infections causing infection S/S
83
prolonged QT interval
delay of ventricular depolarization causing tachycardia, fainting, seizures, death
84
liver impairment
in first wks of therapy or clozapine causing jaundice, edema, ascities, vomit, pain
85
metabolic syndrome
wt gain, high blood glucose, risk of diabetes/cancer/cardio disease
86
acute dystonia (EPS)
sudden, sustained contraction
87
akathisia (EPS)
motor restlessness w inability to stay still
88
pseudoparkinsonism (EPS)
temporary symptoms resembling parkinsons
89
tardive dyskinesia (EPS)
involuntary rhythmic movements
90
psychological therapies
individual/group, psychoed, med prescription, health assess, fam therapy

PSYCH MENTAL HEALTH (17 decks)

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