Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

exam 4 > Schizophrenia > Flashcards

Schizophrenia Flashcards

You may prefer our related Brainscape-certified flashcards:
WSET ® Level 4 D2 Business of Wine flashcards
1
Q

What type of disorder is a chronic, severe mental disorder that affects a persona ability to think clearly (reality is abnormal)

A

Schizophrenia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

When would subtle signs start to appear?

Sever signs?

A
  • -A person may have a normal childhood
  • -subtle signs at puberty
  • -severe signs late teens, early adulthood
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Schizophrenia is linked to CNS irregularities, which causes defects in which part of the brain?

A

corpus callosum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What risk factors are associated with schizophrenia?

A
  • -Genetic
  • -no prenatal care/birth complications
  • -advanced PATERNAL age
  • -no social communication
  • -double bind theory
  • -bidirectional influence
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the double bind theory?

A
  • -Two conflicting levels of communication
  • -i.e. mother tells kid to be spontaneous, the kid acts spontaneously, he is not acting spontaneously because he is following his mothers direction.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is bidirectional influence?

A

–parents and children mutually influence each other
–child reacts to parent, parent responds to child
“theory that bad parents, produce bad kids. and good parents produce good kids”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are some ways to prevent Schizophrenia?

A
  • -reduce stress
  • -adequate sleep
  • -Avoid illegal drug use
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are some Positive clinical manifestations with Schizophrenia?

A
  • -hallucinations (usually auditory)
  • -Delusions (false beliefs)
  • -thought disorders (disorganized thinking)
  • -disorganized behavior (bizarre, overreact, poor impulse control)
  • -movement disorders (catatonia)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are some negative symptoms of Schizophrenia?

A
  • -anhedonia
  • -alogia
  • -avolition
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is catatonia?

A

state of immobility or stupor (pt. is awake but does not more or respond to stimuli)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is anhedonia?

A

inability to feel pleasure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is alogia?

A

cannot speak (due to mental defect, confusion)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is Avolition?

A

Lack of motivation to do anything

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are 3 related disorders to schizophrenia?

A
  • -Schizoaffective disorder
  • -brief psychotic disorder
  • -Schizophreniform disorder
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How long does a brief psychotic disorder last?

A

1 day to 1 month

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How long can symptoms last in Schizophreniform disorder last?

A

1-6 months

17
Q

Early onset Schizophrenia (EOS) affects 4% of sufferers. There is risk for greater childhood maladjustment and can lead to ___ delays, more ____, and fewer _____.

A
  • -developmental delays
  • -more hallucinations
  • -fewer delusions
18
Q

There is no single test for Schizophrenia. What diagnostic tests can be used in a patient with Schizophrenia?

A
  • -Psychological evaluation
  • -Blood tests
  • -Image studies
19
Q

What is the primary goal with pharm therapy?

A

Reduce positive psychotic symptoms with lowest possible dosage

20
Q

What are two typical antipsychotics that may be prescribed?

A
  • -Chlorpromazine

- -Haloperidol

21
Q

What are adverse effects of Chlorpromazine, and Haloperidol?

A
  • -Hypotension
  • -sudden cardiac death
  • -neuroleptic malignant syndrome
  • -impotence
  • -dyskinesia, dystonia
22
Q

How can antipsychotic side effects be counteracted?

A
  • -stop meds

- -administer anticholinergics and benzos

23
Q

what are 3 atypical antipsychotics that treat positive and negative symptoms?

A
  • -Clozapine
  • -Risperidone
  • -Olanzapine
24
Q

Adherence to medication regimen is a challenge for these patients they may….

A

relapse or have worsening symptoms

25
Q

Non pharm therapy related to psychiatric/psychosocial rehabilitation are:

A
  • -increase skill levels
  • -promote success in daily living
  • -assist clients to make decisions about care/treatment
26
Q

Nurses contribute to Psychiatric/Psychosocial rehabilitation with the patient. The nurse should…

A
  • -be sympathetic/empathetic
  • -ensure client follows tx. regimen
  • -Teaches skills
  • -help pt. find support in community
27
Q

What is assertive community service?

A

Proactive process of delivering individually tailored services for the pt.

28
Q

When and why would hospitalization be required for a pt. with schizophrenia?

A
  • -initial psychotic episode
  • -give meds to bring symptoms under control
  • -violence towards others/self
29
Q

What are 3 kind of alternative/complimentary therapies for the pt?

A
  • -Transcranial magnetic stimulation
  • -Omega 3
  • -Aromatherapy
30
Q

during the health history portion of the assessment the nurse should document…

A
  • -early behaviors
  • -direct observations
  • -Interview family members
  • -cultural influences
31
Q

During the Physical exam portion the nurse will document…

A
  • -overall physical condition
  • -malnutrition
  • -drug/alcohol use
  • -meds
32
Q

the nurse will perform a mental status evaluation, and synthesize assessment data. The nurse will document…

A
  • -how the pt. functions in daily life (i.e work)
  • -what are skills/talents
  • -Stability
  • -how well client communicates
  • -How well client gets along with others
33
Q

What are 3 nursing Dx. that can be assigned to this patient?

A
  • -Risk for injury
  • -Imbalanced nutrition (less than)
  • -Risk for imbalanced nutrition (more than)
  • -ineffective health maintenance
  • -self care deficit
34
Q

For clients experiencing psychosis, what are 3 nursing dx. for the pt.?

A
  • -risk for suicide
  • -risk for self directed violence
  • -risk for other directed violence
35
Q

when implementing care the nurse should include…

A
  • -prevent injury (SAFETY)
  • -provide symptomatic tx.
  • -educate client and family
  • -demonstrate client advocacy
36
Q

To prevent injury the nurse should…

A
  • -administer antipsychotic meds, as ordered
  • -ensure safe surroundings
  • -reduce stimuli
  • -use restraints, if necessary
37
Q

To provide symptomatic tx. the nurse should…

A
  • -control current symptoms
  • -orient to time, place
  • -remain calm
  • -provide consistency
  • -reduce stimuli
  • -make sure to tell the client before you touch them
38
Q

To educate the client and family, the nurse should…

A
  • -evaluate current family communication
  • -encourage effective coping strategies
  • -healthy behaviors
  • -promote social skills, job training
  • -provide positive reinforcement
39
Q

The nurse needs to demonstrate client advocacy, the nurse should….

A

encourage client develop advanced directive when schizo under control

exam 4 (10 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions