Test 2: Blueprint (4) Flashcards
What are the POSITIVE symptoms of schizophrenia?
(must have 3)
- hallucinations
- disorganized thinking/speech
- disorganized behavior
What are the NEGATIVE symptoms of schizophrenia?
- flat affect
- alogia (poverty of speech)
- avolition/apathy
- anhedonia (inability to feel pleasure)
- social isolation
Why do individuals with schiz. suffer from social isolation?
afraid, suspicious, paranoid
What are nursing diagnoses associated with schiz.?
- Disturbed thought processes
- Disturbed sensory perception
- Social isolation
- Risk for violence
- Impaired verbal communication
- Self-care deficit
What is seen with “Disturbed thought processes”?
delusions
What is seen with “Disturbed sensory perception”?
hallucinations
What is seen with “Social isolation”?
fearful of people/interacting with others
What is seen with “Risk for violence”?
command hallucinations; not always violent
What is seen with “Impaired verbal communication”?
abnormal thoughts can equal abnormal communication
What is seen with “self-care deficit”?
will not bathe; lack of clean underwear
What meds are used to manage schiz.?
Typical antipsychotics (1st gen, conventional) Atypical antipsychotics (2nd gen, novel)
What is seen with typical/1st gen antipsychotics?
- block dopamine receptors
- contraindicated for CNS depression
- don’t take with anti-hypertensives
- known for EPS
- anticholinergic side effects
- agranulocytosis (usually w/in first 3 mo)
- neuroleptic malignant syndrome
What is seen with atypical/2nd gen antipsychotics?
- weaker dopamine receptor antagonists but more potent antagonists of serotonin receptors
- watch out for antihypertensives and for CNS depressant drugs
- orthostatic hypotension
- sedation
- weight gain
- lower incidence of EPS, anticholinergic, agranulocytosis, NMS
What are the main nursing goals with schiz?
- non-threatening low stimuli milieu to reduce anxiety
- build trust
What senses are associated with hallucinations?
all of them
