Schizophrenia

Question 1

What does Schizophrenia cause?

Answer 1

distorted and bizarre thoughts, perceptions, emotions, movements, and behaviors

Question 2

Positive/Hard Symptoms

Answer 2

• ambivalence
• associative looseness
• delusions
• echopraxia
• flight of ideas
• hallucinations
• ideas of reference
• perseveration
• bizarre behavior

Question 3

Ambivalence

Answer 3

holding seemingly contradictory beliefs or feelings about the same person, event, or situation

Question 4

Associative looseness

Answer 4

fragmented or poorly related thoughts and ideas

Question 5

Delusions

Answer 5

fixed false beliefs that have no basis in reality

Question 6

Echopraxia

Answer 6

imitation of the movements and gestures of another person whom the client is observing

Question 7

Flight of Ideas

Answer 7

continuous flow of verbalization in which the person jumps rapidly from one topic to another

Question 8

Hallucinations

Answer 8

false sensory perceptions or perceptual experiences that do not exist in reality

Question 9

Ideas of Reference

Answer 9

false impressions that external events have special meaning for the person

Question 10

Perseveration

Answer 10

persistent adherence to a single idea or topic, verbal repetition of a sentence, word, or phrase; resisting attempts to change topic

Question 11

Bizarre Behavior

Answer 11

outlandish appearance or clothing; repetitive or stereotyped, seemingly purposeless movements; unusual social or sexual behavior

Question 12

Negative or Soft Behavior

Answer 12

• Alogia
• Anhedonia
• Apathy
• Asociality
• Blunted Affect
• Catatonia
• Flat Affect
• Avolition or lack of volition
• Inattention

Question 13

Alogia

Answer 13

tendency to speak very little or to convey little substance of meaning

Question 14

Anhedonia

Answer 14

feeling no joy or pleasure from life or any activities or relationships

Question 15

Apathy

Answer 15

Feelings of indifference toward people, activities, and events

Question 16

Asociality

Answer 16

social withdrawal, few or no relationships, lack of closeness

Question 17

Blunted Affect

Answer 17

Restricted range of emotional feeling, tone, or mood

Question 18

Catatonia

Answer 18

Psychologically induced immobility occasionally marked by periods of agitation or excitement; seems motionless as if in trance

Question 19

Flat Affect

Answer 19

Absence of any facial expression that would indicate emotions or mood

Question 20

Lack of Volition

Answer 20

Absence of will, ambition, or drive to take action or accomplish tasks

Question 21

Inattention

Answer 21

inability to concentrate or focus on a topic or activity regardless of its importance

Question 22

When is Schizophrenia usually diagnosed?

Answer 22

late adolescence or early adulthood

• age 15-25 men
• age 25-35 women

Question 23

When is a person diagnosed with Schizoaffective disorder?

Answer 23

when the client as a mixture of psychotic and mood symptoms

Question 24

What is the onset of schizophrenia typically like?

Answer 24

may be abrupt or insidious, but most clients slowly and gradually develop signs and symptoms

Question 25

Schizophreniform Disorder

Answer 25

the client exhibits an acute, reactive psychosis for less than 6 months necessary to meet the diagnostic criteria for schizophrenia

Question 26

Delusional Disorder

Answer 26

the client has one or more nonbizarre delusions that is the focus of the delusion is believable

Question 27

Brief Psychotic Disorder

Answer 27

client experiences sudden onset of at least one psychotic symptom which lasts from 1 day to 1 month; may or may not have an identifiable stressor or follow childbirth

Question 28

Shared Psychotic Disorder

Answer 28

two people share a similar delusion

Question 29

Schizotypal Personality Disorder

Answer 29

involves odd, eccentric behaviors, including transient psychotic symptoms

Question 30

What do the biologic theories of Schizophrenia focus on?

Answer 30

- genetic factors - neuroanatomic and neurochemical factors (brain structure and function) - immunovirology (body's response to virus)

Question 31

Dopamine Hypothesis

Answer 31

Dopamine excess and serotonin modulation of dopamine or excess

Question 32

What are some neurologic side effects of psych drugs?

Answer 32

``` Extrapyramidal Side Effects -Acute dystonic reactions -Akathisia -Parkinsonism Tardive Dyskinesia Seizures NMS ```

Question 33

Extrapyramidal Side Effects

Answer 33

reversible movement disorders induced by neuroleptic medications

Question 34

Dystonic Reactions

Answer 34

spasms in discrete muscle groups such as the neck muscles or eye muscles (torticollis, oculogyric crisis)

Question 35

Pseudoparkinsonism

Answer 35

neuroleptic-induced parkinsonism, includes a shuffling gait, masklike facies, muscle stiffness or cogwheel rigidity, drooling, and akinesia

Question 36

Akathisia

Answer 36

characterized by restless movement, pacing, inability to remain still, and the client's report of inner restlessness

Question 37

Tardive Dyskinesia

Answer 37

characterized by abnormal, involuntary movements such as lip smacking, tongue protrusion, chewing, blinking, grimacing, and choreiform movements of the limbs and feet

Question 38

Neuroleptic Malignant Syndrome (NMS)

Answer 38

-serious and frequently fatal condition | characterized by muscle rigidity, high fever, increased muscle enzymes, and leukocytosis

Question 39

Nonneurologic side effects of Psych Drugs

Answer 39

- weight gain, sedation, photosensitivity - anticholinergic symptoms - orthostatic hypotension - agranulocytosis

Question 40

Anticholinergic Symptoms

Answer 40

dry mouth blurred vision constipation urinary retention