schizophrenia

Question 1

Phase of Schizophrenia

Answer 1

-premorbid:signs that happen before evidence of illness. shy/withdrawn, poor peer relationship
-prodromal:more developed signs; significant deterioration
-active: acute episodes are more pronounced
-residual: period of remission; symptoms can be absent

Question 2

which neurotransmitters are ones that people believe that can cause schizophrenia?

Answer 2

-dopamine, glutamate

Question 3

-significant motor disturbance that an range from stupor to excessive motor activity

Answer 3

catatonia

Question 4

name characteristics of brief psychotic disorder

Answer 4

-sudden onset of psychotic symptoms that could be from a stressor
-can be one day or last less than a month

Question 5

whats the difference between schizophreniform disorder and schizophrenia?

Answer 5

-schizophreniform is when the last three stages of schizophrenia all happen between 1 month and less than 6 months

Question 6

what is the first step in nursing process for schizophrenia?

Answer 6

-nurse must gather a database

Question 7

postive vs negative symptoms

Answer 7

-positive symptoms are things that are added such as delusions
-negative is a deficit such as apathy

Question 8

how many types of delusions are there?what are the names?

Answer 8

-8
-persecutory, grandiose, delusion of reference, control or influence, somatic, nihilistic , erotomania, and jealous

Question 9

persecutory delusion is what?

Answer 9

• the person believes someone is persecuting them or they’re being cheated, defrauded, followed drugged or spied on

Question 10

this is when the patient has exaggerated feeling of importance, power
-they might think they know a famous person or are a god

Answer 10

-grandiose deluseion

Question 11

delusions of reference

Answer 11

-people believe that whats happening around them are things that are referred to them
-ex “someone is trying to contact me through the magazines “

Question 12

delusion of control

Answer 12

patient believes that either an object or a person is having control over their behavior

Question 13

nihilistic delusion

Answer 13

they believe that part of their body or other are nonexistent
-ex, i have no heart

Question 14

somatic delusion

Answer 14

• they believe there has been a change in a body organ or its function
  -ex theres an alien force that is eating my brain

Question 15

jealous delusion

Answer 15

• they believe that their partner is cheating on them

Question 16

name the types of disturbances in thought process manifested in speech

Answer 16

-loose associations: ideas shift from one unrelated subject o another
-neologisms: make up new words
-clang associations: start to rhyme or make sound
-word salad
-circumstantiabiality: spews unnecessary details which don’t let them get to the point
-tangentiality: difficult to focus and avoid topics
perseveration: repeats word/sentence over and over
-echolalia: repeating words spoken by another

Question 17

how many times of hallucinations are there?

Answer 17

-5: auditory, visual, tactile, gustatory, and olfactory

Question 18

formication

Answer 18

sensation of something crawling on or under skin

Question 19

negative symptoms

Answer 19

-disturbances in affect, apathy, abolition, lack of interest, lack on insight, anergia, inability to experience pleasure, lack of abstract thinking

Question 20

disturbances in affect

Answer 20

-its the patients behavior
-theres inappropriate affect, so their emotional tone is not coherent with the situation
-flat affect; emotional tone is weak

Question 21

apathy

Answer 21

-uninterested in the environment

Question 22

anososgnosia

Answer 22

the patients lack awareness of any illness

Question 23

anergia

Answer 23

lack of sufficient energy so they might not do hygiene

Question 24

anhedonia

Answer 24

the patient inability to experience pleasure

Question 25

what is waxy flexibility?

Answer 25

the patient will place body parts in uncomfortable positions

Question 26

whats number one thing in nursing process?

Answer 26

ESTABLISHING TRUST

Question 27

typical vs atypical antipsychotics

Answer 27

-typical work by blocking postsynaptic dopamine receptors -atypical are weaker in blocking these receptors but are strong antagonists of the serotonin

Question 28

T or F typical antipsychotics work better in treating negative symptoms

Answer 28

FALSE; its atypical

Question 29

Name advice of what patient should do on these meds?

Answer 29

-wear sunscreen, report if feeling fever, bleeding, easy bruising, difficulty urinating or excessive, tremors, rise slowly, take frequent sips of water, dress warm in cold wether, avoid high or low temps,

Question 30

when are benzos used?

Answer 30

-they are used to treat extrapyramidal symptoms

Question 31

what are the phases of nursing patient relationship?

Answer 31

-orientation, -identification: client needs to be aware of illness and set goals -exploitation: client is using interventions and finding out triggers -resolution:client is able to live alone with disease

Question 32

clozapine therapeutic haloperidol

Answer 32

350-650 3-20