Test #2 - Schizophrenia Flashcards Preview

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Flashcards in Test #2 - Schizophrenia Deck (30):
1

When a patient has Schizophrenia, they have a _____-_____ need for medication.

When a patient has Schizophrenia, they have a LIFE-LONG need for medication.

2

What does schizophrenia affect?

Thinkiing

Language

Emotions

Social Behavior

Ability to perceive reality accurately

 

3

At what age is the onset of schizophrenia in male and females?

Male:
18-25 years

Female: 
25-35 years

4

75-85% of patients with schizophrenia ______ and they usually ______ 2-3 times more than the general population.

75-85% of patients with schizophrenia SMOKE and they usually SMOKE 2-3 times more than the general population.

5

What is the leading cause of death in schizophrenics?

Suicide

6

What causes schizophrenia?

Combined inherited genetic factors and extreme nongenetic factors

Serotonin may play a role

Lack of Oxygen at birth

Street Drugs
Doesn't cause but can trigger mental break

7

What are some assessments for Schizophrenia?

Paranoid
Intense irrational suspicion

Defense mechanism of projection is common

Unable to trust actions of others

May adopt a superior, hostile and sarcastic attitude

Have a good outcome or recovery

8

Prevention of _______ is more important than side effects, with each relapse there is an increase in residual __________.

Prevention of RELAPSE is more important than side effects, with each relapse there is an increase in residual DYSFUNTION.

9

There are 3 types of Schizophrenia, they are Paranoid, Catatonic and Disorganized, What is the common defense mechanism and what do they do?

Common Defense: Projection

Unable to trust actions of others

May act superior, hostile w/ sarcastic attitude

Dwell on short comings of others

10

What do Catatonic Schizophrenics do?

Extreme abnormal motor behavior

Motor agitation to EXTREME psychomotor retardation

Echolalia - Repeating words

Echopraxia - mimmicking movement

11

What do disorganized schizo's do?

Grossly inappropriate affect

Bizarre mannerisms

Incoherence of speech

May be giggling or gimacing in response to internal stimuli

Found in State hospitals - HOMELESS

12

What are some interventions for halluci9nations?

Watch for cues: eyes darting, muttering, staring sideways, changes in facial expressions

Ask if they are hallucinating

Ask if voices are telling them to harm self

Document what pt says

accept that voices are real

Present calm demeanor

Keep focused on basic simple reality based topics

Help pt identify times and situations these happen

Assess for signs of inc anxiety, fear, agitation and intervene ASAP

13

What are some interventions for delusions?

Assess if external controls are needed

Be aware that pts delusions represent they way they are experiencing reality

Identify feelings

Do not argue or try to correct

Do not touch pt

Offer food in closed containers
They think someone is trying to poison them

Reality based activities

Observe events for triggers

Use least restrictive intervention
One on One, PRN meds, seclusion

14

What are some pt and family teachings for Hallucinations and Delusions?

Learn all they can about illness

Develop relapse plan
S&S of Relapse: social withdrawal, trouble sleeping, Inc bizarre or magical thinking

Relapse is part of illness not a sign of failure

Family and Group Therapy

Learn new behavior and Coping skills

Comply with treatment

Avoid alcohol & drugs

Keep in touch with supportive people

Keep healthy 

Keep Active

Get plenty of sleep

Give pt and family #'s to support groups

15

How to deal with client?

Try lowering anxiety

 Encourage participation in therapeutic & social events

Increase their feeling of self worth

Increase meditation compliance

If you don't understand, Say so

Reassure them

16

What are some common DX for schizophrenia?

Disturbed thought process

Social Isolation

Disturbed Sensory Perception

Risk for Self directed violence

17

What are some priority outcomes for schizo?

Safety & Stabilization

Reduction in symptoms

ADL Completion

Increased socialization

18

What are some interventions for schizo?

Provide safe useful activities

Resources to solve conflicts

Opportunities for learning social and vocational skills = Inc socialization

Partial hospitalization

Halfway houses

Day treatment programs

Programs for assertive community treatment

19

Conventional 1st generation anti-psychotic meds target ________ symptoms.

Atypical 2nd generation anti-psychotic meds target ________ symptoms.

 

Conventional 1st generation anti-psychotic meds target POSITIVE symptoms.

Atypical 2nd generation anti-psychotic meds target NEGATIVE symptoms.

20

Why are 1st generation meds less widely used?

B/c of side effects

Extrapyramidal symptoms consist of:
Akathisia
Dystonia
Parkinsonism
Tardive Dyskinesia
Anticholinergic effects

21

What is Tardive Dyskinesia?

Involuntary tonic muscular spasms that include:

tongue, fingers, toes, neck and pelvis

Not always REVERSIBLE

Abnormal involuntary movement scale (AIMS) is used for screening

22

What are some 2nd generation meds?

Clozapine (Clozaril)

Risperdal

Zyprexa

Seroquel

Geodon

Abilify

23

What are POSITIVE symptoms?

Florid psychotic symptoms

ADDS to personality

Leads to hospitalization

24

What are NEGATIVE symptoms?

Crippling

Takes away from personality

Affect: 
Flat (Blank Look)
Blunted (minimal response)
Inappropriate affect (response doesn't fit situation)
Bizarre affect (grimacing, gigling, mumbling to self)

25

What are some cognitive signs and symptoms?

Delusions:
Beliefs that can't be corrected by reasoning
Types: Persecutory, grandiose, religious, hypochondriacol
They feel what they think is REAL

Thought Broadcastings - Their thoughts can be heard

Thought Insertion - Thought of others inserted in mind

Thought Withdrawal - Thought have been removed

Delusion of being controlled (mind or body) by others

HALLUCINATIONS: 
sensory perceptions for whick no EXTERNAL stimuli exists
Types: Auditory, Visual, Olfactory, Gustatory, Tactile

Unable to manage health care, job, social system, LIVE ALONE

Depression is COMMON, watch for suicidal tendencies

26

What are some speech signs and symptoms?

Associative looseness
Linkage of one thought to another, thinking becomes illogical and confused

Neologisms
Words have special meanings

Echolalia
Repeating words of others

Clang Association
Meaningless rhyming

Word Salad
Jumble of words that are meaningless

27

What are some behavior signs and symptoms?

Extreme motor agitation

Stereotype: patterns that once having meaning lose purpose

Waxy Flexibility

Stupor: motionless for long periods

Negativism - Does opposite of what told to do

28

Schizo Mnemonic

29

Schizo chart

30

Wrapping your head around Schizo