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Schizophrenia

QuestionAnswer
tool used to screen for symptoms of movement disorders (side effects of neuroleptic medications) abnormal involuntary movement scale (AIMS)
intense need to move about; characterized by restless movement, pacing, inability to remain still, and the client’s report of inner restlessness akathisia
a lack of any real meaning or substance in what the client says alogia
having no pleasure or joy in life; losing any sense of pleasure from activities formerly enjoyed anhedonia
showing little or a slow-to-respond facial expression; few observable facial expressions blunted affect
psychomotor disturbance, either motionless or excessive motor catatonia
disturbed auditory sensory perceptions demanding that the client take action, often to harm self or others, and are considered dangerous; often referred to as “voices” command hallucinations
a fixed, false belief not based in reality delusion
feelings of being disconnected from himself or herself; the client feels detached from his or her behavior depersonalization
reversible extrapyramidal effect that can occur after administration of a neuroleptic drug; symptoms: intermittent spasmodic or sustained involuntary contractions of muscles in the face, neck, trunk, pelvis, extremities, and even the larynx acute dystonia
repetition or imitation of what someone else says; mimicking echolalia
imitation of the movements and gestures of someone an individual is observing echopraxia
reversible movement disorders induced by antipsychotic or neuroleptic medication extrapyramidal side effects
showing no facial expression flat affect
false sensory perceptions or perceptual experiences that do not really exist hallucinations
client’s inaccurate interpretation that general events are personally directed to him or her, such as hearing a speech on the news and believing the message has personal meaning ideas of reference
refers to hesitation before the client responds to questions latency of response
a potentially fatal, idiosyncratic reaction to an antipsychotic (or neuroleptic) drug; symptoms: rigidity, hyperpyrexia, unstable/elevated BP, diaphoresis, pallor, delirium neuroleptic malignant syndrome (NMS)
another name for antipsychotic medications neuroleptics
excessive water intake polydipsia
shuffling gait, masklike faces, muscle stiffness (continuous) or cogwheeling rigidity (ratchet-like movements of joints), drooling, and akinesia (slowness and difficulty initiating movement) pseudoparkinsonism
overall slowed movements; a general slowing of all movements; slow cognitive processing and slow verbal interaction psychomotor retardation
cluster of symptoms including delusions, hallucinations, and grossly disordered thinking and behavior psychosis
a late-onset, irreversible neurologic side effect of antipsychotic medications; characterized by abnormal, involuntary movements such as lip smacking, tongue protrusion, chewing, blinking, grimacing, and choreiform movements of the limbs and feet tardive dyskinesia
stopping abruptly in the middle of a sentence or train of thought; sometimes client is unable to continue the idea thought blocking
a delusional belief that others can hear or know what the client is thinking thought broadcasting
a delusional belief that others are putting ideas or thoughts into the client’s head; that is, the ideas are not those of the client thought insertion
a delusional belief that others are taking the client’s thoughts away and the client is powerless to stop it thought withdrawal
maintenance of posture or position over time even when it is awkward or uncomfortable waxy flexibility
flow of unconnected words that convey no meaning to the listener word salad
positive or negative? delusions, hallucinations; grossly disorganized thinking/speech/behavior positive (hard) symptoms
positive or negative? flat affect, lack of volition, social withdrawal or discomfort negative (soft) symptoms
diagnosis? The client is severely ill and has a mixture of psychotic and mood symptoms. The signs and symptoms include those of both schizophrenia and a mood disorder such as depression or bipolar disorder. Schizoaffective disorder
diagnosis? The client exhibits an acute, reactive psychosis for <6 months necessary to meet the diagnostic criteria for schizophrenia. If symptoms >6 months, diagnosis changed to schizophrenia. Social or occupational functioning may/may not be impaired. Schizophreniform disorder
diagnosis? marked psychomotor disturbance, either excessive movement or immobile Catatonia
diagnosis? has one or more nonbizarre delusions; the focus of the delusion is believable; may be persecutory, erotomanic, grandiose, jealous, or somatic Delusion disorder
diagnosis? sudden onset of at least one psychotic symptom that lasts 1-day to 1-month Brief Psychotic Disorder
diagnosis? two people share similar delusion Shared Psychotic Disorder (folie deux)
diagnosis? odd, eccentric behavior; 20% will eventually be diagnosed with schizophrenia Schizotypal Personality Disorder
neurotransmitter related to schizophrenia? (excess of what?) dopamine
It is believed that _______ may have a role in the development of major psychiatric disorders such as schizophrenia cytokines
Created by: nurse savage
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