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nsg215 Schizophrenia
Question | Answer |
---|---|
Ambivelance? | Holding seemingly contradictory beliefs or feelings about the same person, event or situation. |
Associative looseness? | Fragmented or poorly related thoughts and ideas. |
Delusions? | Fixed false beliefs that have no basis in reality. |
Echopraxia? | Imitations of the movements and gestures of another person whom the client is observing. |
Flight of ideas? | Continuous flow of verbalization in which the person jumps rapidly from one topic to another. |
Hallucinations? | False sensory perceptions or perceptual experiences that do not exist in reality. |
Ideas of reference? | False impressions that external events have special meaning for the person. |
Perseveration? | Persistent adherence to a single idea or topic and verbal repetition of a sentence, word or phrase. |
Alogia? | Tendency to speak very little or to convey little substance of meaning. |
Anhedonia? | Feeling no joy or pleasure from life or any activities or relationships. |
Apathy? | Feeling of indifference toward people, activities and events. |
Blunted affect/ | Restricted range of emotional feeling, tone or mood. |
Flat affect? | Absence of any facial expression that wood indicate emotions or mood. |
Lack of Volition? | Absence of will, ambition, or drive to take action or accomplish tasks. |
When is Schizophrenia usually Dx? And when is the peak incidence of onset? | Usually in late adolescence or early adulthood. Peak incidence is 15-25 for M and 25-35 for F. |
What are the two kinds of symptoms of Schizophrenia? | Positive or hard signs and Negative or soft signs. |
What are the pos or hard signs? | Delusions, hallucinations and grossly disorganized thinking, speech and behavior. |
What are the Neg or soft signs? | Flat affect, lack of volition and social withdrawal or discomfort. |
Medication can help control which of these symptoms if any? | Meds help control the + signs but frequently do nothing foe the - signs. |
What is Schizophrenia paranoid type? | Characterized by grandiose delusions(feeling victimized or spied om) hallucinations and on occaisionally excessive religiosity or hostile and aggressive behavior. |
Schizophrenia disorganized type? | Grossly inappropriate or flat affect, incoherence, loose associations, and extremely disorganized behavior. |
Schizophrenia catatonic type? | Marked psychomotor disturbance, either motionless or excessive motor activity waxy flexability you see in this. |
Schizophrenia undifferentiated type? | Mixed schizophrenic symptoms along with disturbances of thought, affect and behavior. |
Schizophrenia residual type? | characterized by at least one previous, though not a current episode of social withdrawal, flat affect and looseness of association. |
when is Schizoaffective disorder Dx? | Dx when the client has the psychotic symptoms of schizophrenia and meets the criteria for a major affective mood disorder. |
In schizophrenia we notice a decrease in these 2 things? | Brain tissue and CSF. |
What area of the brain are these diff. noted? | Temporal, frontal and limbic areas. |
What two neurotransmitters have been associated with schizophrenia? | Dopamine and serotonin. |
in schizophrenic pts what are these levels? | Increased. |
What cells are thought to play a role in schizophrenia? | Cytokines. |
How do cytokines do this? | Signalling the brain to produce behavioral and neurochemical changes needed in the face of physical or psychological stress to maintain homeostasis? |
Bouffee delirante? | Found in west Africa and Haiti sudden outburst of agitated and aggressive behavior with marked confusion and psychomotor excitement. sometimes with auditory and visual hallicinations. |
ghost sickness? | preoccupation with death symptoms include bad dreams, feelings of danger, weakness, loss of appettite, fainting, dizziness, fear, anziety and hallucinations. |
Locura? | Latinos, symptoms include incoherence agitation, visual and auditory hallucinations, inability to follow social rules. |
Qi qong? | Chinesse, dissociative, paranoid especially in those that become over involved in the practice. |
Zar | north african and middle eastern, banging head against the wall. |
What are the advantages of prolixin in decanoate and haloperidal in decanoate? | they are injections that last for 2-4 weeks for uncooperative pts. |
What are Extrapyramidal side fx? | Dystonic reactions, parkinsonism and akathisia. |
Dystonic reactions? | spasms in discrete muscle groups such as neck and eye muscles. |
What is Akathisia? | restless movement inabillity to remain still and usually develops when the antipsychotic is started or when the dose is increased. |
what drugs are good for reducing akathisia? | Beta-blockers. |
What is tardive dyskinesia? | lip smacking,tongue pertrusion, chewing, blinking and grimacing and choreoform movements(think hunnigtons). |
The one medication that does not cause Tardive dyskinesia? | Clozapine. |
Neuroleptic Malignant Sydrome? | Sx of meds Muscle rigidity,high fever and increased muscle enzymes(creatine phosphokinase)and leukocytosis. Give dantrium. |
Agranulocytosis? what med associated with? | decreased production of white blood cells, Clozapine. |
Anhedonia? | Having no pleasure or joy in life. |