Schizophrenia - EXAM II

Question 1

a psychotic disorder that is characterized by:

• Delusions
• Depression
• Hallucinations
• Disorganized speech
• Disorganized catatonic behavior
• Psychotic symptoms more pronounced and disruptive

Answer 1

Schizophrenia

Question 2

-clozapine
-quetiapine
-risperidone
-ziprasidone
-olanzapine
-aripiprazole
-lurasidone HCL new atypcial
used to treat schizophrenia

Answer 2

Antipsychotic medications

PINE wants to be DONE with antipsychotic medications

Question 3

signs and symptoms that precede the acute (one month to a year) before fully manifested signs and symptoms of schizophrenia that is characterized by social withdrawal, deterioration in function, depressive mood, perceptual disturbances, magical thinking, peculiar behavior, appears a month to year before psychotic break. This shows increased stress, depression, anxiety, sleep disturbances and decreased functional ability.

Answer 3

Predromal Phase

Question 4

periods of florrid (symptoms that are so obvious that everyone is aware that something is wrong), as well as positive and negative symptoms and cognitive symptoms.

• inability to understand and process information and focus attention.
• mood is that of depression, anxiety, dysphoria, suicide and demoralization

Answer 4

Acute phase of schizophrenia

Question 5

delusions, hallucinations, perceptions not based in reality. These symptoms are the most obvious and capture your attention and is associated with acute onset

Answer 5

positive symptoms

Question 6

loss of function or neurocognitive deficit.
-poverty of thought, loss of motivation, inability to experience pleasure (anhedonia), blunted affect. These symptoms are persistent and extremely destructive.

Answer 6

negative symptoms

Question 7

phase of schizophrenia in which the acute symptoms decrease in severity but are still present and the remaining symptoms are considered positive (but they decrease the most)

Answer 7

stabilization phase of schizophrenia

Question 8

phase of schizophrenia in which the symptoms are in remission but there may be a presence of milder and more persistent symptoms.

Answer 8

maintenance phase of schizophrenia

Question 9

thoughts can be heard by others

Answer 9

thought broadcasting

Question 10

thoughts of others are being inserted into one’s mind

Answer 10

thought insertion

Question 11

thoughts have been removed from one’s mind by an outside agency

Answer 11

thought withdrawal

Question 12

things are taking literally and there is an inability to think abstractly

Answer 12

concrete thinking

Question 13

made up words

Answer 13

neologisms

Question 14

repeating the same thing over and over and/or mimicking others

Answer 14

echolalia

Question 15

forcefully singing in a rhyming manner

Answer 15

clang association

Question 16

jumbling up words together that doesn’t make much sense

Answer 16

word salad

Question 17

______ are something that is real in the environment but ends up being a misinterpretation of what actually is, there is always some type of illness associated with an ____. it could be due to withdrawal from a medication or an impending UTI

Answer 17

illusions

Question 18

they are unaware of where you start and they begin

Answer 18

depersonalization

Question 19

something may seem larger or smaller than it actually is

Answer 19

derealization

Question 20

sensory perceptions with no external stimuli

Answer 20

hallucinations

Question 21

this subtype of schizophrenia is centered around suspicousness, and they mainly used projection as their DM when feeling self-critical. They often misinterpret messages from others. Onset is late (20s-30s) and their cognitive abilities are intact. B/c of their suspicions they are guarded and tense and reserved.

Answer 21

Paranoid

Question 22

this subtype of schizophrenia is displayed by abnormal behavior, and they are agitation, psychomotor agitation, they won’t eat or move. Stupor and mute.

Answer 22

Catatonic

Question 23

subtype of schizophrenia that is characterized by loose association, bizarre mannerism, incoherent speech, poorly organized delusions and hallucinations. Odd, giggly grimacing behavior and the onset is early.

Answer 23

Disorganized

Question 24

diminishes negative as well as positive symptoms

• less side effects encourages patient compliance
• improves symptoms of depression and anxiety
• decreases suicidal behavior
• does cause weight gain
• metabolic abnormalities

Answer 24

atypical antipsychotics

PINE wants to DONE with antipsychotics

Question 25

targets positive symptoms of schizophrenia - less expensive than atypical antipsychotics - does not treat negative symptoms - extrapyramidal side effects - tardive dyskinesia - anticholinergic effects (ACH) - lower seizure threshold

Answer 25

traditional antipsychotics H - haloperidol T - trifluoperazine F - fluephenazine

Question 26

``` a toxic effect that can result from inappropriate/inadequate use of antipsychotics. signs and symptoms include: hyperpyrexia: 103 F hypertension tachycardia diaphoresis incontinence and extrapyramidal symptoms ```

Answer 26

neuroleptic malignant syndrome

Question 27

given to treat Parkinson's and involuntary movements due to the side effects of antipsychotic medications.

Answer 27

Cogentin

Question 28

given to treat muscle spasms due to the side effects of antipsychotic medications

Answer 28

Dantrolene

Question 29

given to treat muscle stiffness, tremors, muscle spasms, and poor muscle control in response to antipsychotic medciations.

Answer 29

Parlodel

Question 30

- severe extrapyramidal symptoms (EPS) - muscle rigidity - dysphasia - posturing - cog wheezing - temp 103 or greater - hypertension - tachycardia - diaphoresis - incontinence

Answer 30

signs and symptoms of NMS

Question 31

inner motor restless (foot tapping, rocking and weight shifting) that can have an onset from 2 hours to 60 days. In order to reverse this side effect decrease the dose or change prescription to a lower potent medication.

Answer 31

Akathisia | treated with benzo's and beta blockers

Question 32

facial protruding, rolling tongue (facial) neck and shoulder movement and pelvic thrusts. Onset of these symptoms can be months to years after initial treatment. There is no known treatment.

Answer 32

Tardive Dyskinesia