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Flashcards in Schizophrenia Deck (20):

assessing the schizophrenic pt

medical workup to rule out drug abuse/medical cause
suicidal/homicidal thoughts
clients belief system
substance use
command hallucinations
psych/med comorbidities
medication use/compliance
family response to pt/symptoms
social supports
level of functioning


which assessment tools would we use for schizo pt

positive and negative syndrome scale
abnormal involuntary movement scale


positive symptoms r/t schizophrenia

violence (self/other)
impaired verbal communication
disturbed thought processes
impaired environmental interpretation
disturbed sensory perception


negative symptoms r/t schizophrenia

risk for loneliness/suicide
self-care deficit
risk for violence
impaired social interaction
ineffective coping


goal for acute schizophrenic phase

SAFETY and medical stabilization


goal for maintenance and stabilization r/t schizo.

adhere to meds
prevent relapse
improved quality of life
understanding of disease


A patient with catatonic schizophrenia is semistuporous, demonstrates little spontaneous movement, and has waxy
flexibility. The patient’s activities of daily living are severely
compromised. An appropriate outcome is that the patient will:

B.perform self-care activities with coaching by the
end of day 3.


planning and implementation r/t schizophrenia

planning dependent on phase of illness
implementation is geared to pt. strengths (education and support are key to effective trt)


planing phases for schizo

acute phase - ensure safety/stabilize symptoms
maintenance phase - client/family education
stabilization phase - prevent relapse


A community mental health nurse wants to establish a relationship with a very withdrawn patient diagnosed with schizophrenia. The patient lives at home with a supportive family. Select the nurse’s best plan.

A.Visit daily for 4 days, then visit every other day for 1
week; stay with the patient for 20 minutes; accept silence; state when the nurse will return.


communication guidelines for schizophrenia

approach non-threatening and non-judgmental
identify feelings client is experiencing
clarify with concrete reality
avoid arguing/attempting to reason while delusional
distract attention from hallucinations/delusions


how to deal w/paranoid schizophrenia

be honest/consistent
avoid talking, laughing, whispering when client can't hear what is being said


how to deal with associative looseness r/t schizo

do not pretend to understand when you don't - tell client you are having trouble understanding
emphasis on the here and now
look for recurring topics/themes


A newly admitted patient with schizophrenia says, “The voices are bothering me. They yell and tell me I’m bad. I have got to get away from them.” Select the nurse’s most helpful reply.

C. I'll stay with you. Focus on what we are talking about, not the voices. (Attend to them, distract them)


milieu therapy for schizo pt. can take place where

hospital - partial hospital - halfway house - day trt prog


med (class) used to trt schizo.



what is the goal in medication trt for schizo

not a cure - alleviates symptoms
effective in acute exacerbation/prevention of relapse


when a pt. is non-compliant w/meds will symptoms come back



trt therapies for schizophrenia

(PACT) program for assertive community trt - 24/7
family therapy


A nurse at the mental health clinic plans a series of
psycho-educational groups for persons with schizophrenia.
Which two topics would take priority?

B.The importance of correctly taking your medication
E.Ways to quit smoking