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Schizophrenia Test 3

Schizophrenia

QuestionAnswer
Alogia poverty of thought or speech; client may sit with visitor but may only mumble or respond vaguely to questions
Avolition lack of motivation in activities and hygiene. Ex: client completes an assigned task but is unable to start the next common chore without prompting.
Anhedonia lack of pleasure or joy; client is indifferent to things that often make others happy
Anergia lack of energy
Paranoid Schizophrenia Characterized by suspicion towards other
Common symptoms of Paranoid Schizo hallucinations(hearing threatening voices) and delusions (believing oneself president of USA)
Disorganized Schizophrenia characterized by withdrawal from society and very inappropriate behaviors (poor hygiene or muttering constantly to oneself) Frequently seen in homeless population
Common symptoms of Disorganized Schizo Loose associations, bizarre mannerisms, incoherent speech, hallucinations and delusions may be present but are much less organized than those seen with paranoid schizo.
Catatonic Schizophrenia Characterized by abnormal motor movements.
Two stages of Catatonic Shizo Withdrawn stage and excited stage
Withdrawn stage Symptoms of Catatonic Psychomotor retardation (appear comatose); Waxy flexibility; Client often has extreme self care needs (such as feeding tube)
Excited stage symptoms of Catatonic Constant movement, unusual posturing, incoherent speech; self care needs may predominate; client may be a danger to self and others.
Residual Schizophrenia Active symptoms are no longer present, but the client has two or more residual symptoms
Common symptoms of residual schizo Anergia(lack of energy), anhedonia (lack of pleasure), avolition (lack of motivation); withdrawal from social activities, impaired role fx, speech problems, such as alogia (poverty of speech or thought); odd behaviors, such as walking in strange way
Undifferentiated Schizophrenia client has symptoms of schizophrenia but does not meet criteria for any other type
Schizoaffective disorder client's disorder meets both the criteria for shizophrenia and one of the affective disorders (depression, mania, or mixed disorder)
Brief psychotic disorder client has psychotic symptoms that last between 1 day to 1 month duration
Schizophreniform disorder client has symptoms like those of schizophrenia but the duration is from 1 to 6 months and social/occupational dysfunction may or may not be present
Shared psychotic disorder one person begins to share the delusional beliefs of another person with psychosis. Also called "Folie a Deux"
Secondary (induced) psychosis signs of psychosis are brought on by a medical disorder, such as Alzheimer's dx, or by use of chemical substances, such as alcohol abuse
Ideas of reference Misconstrues trivial events and attaches personal significance to them, such as believing that others, who are discussing the next meal, are talking about them.
Persecution feels singled out for harm by others; Ex: being hunted down by the FBI
Grandeur believes that she is all powerful and important, like God
Somatic Delusions believes that his body is changing in an unusual way, such as growing a third arm.
Jealousy may feel that her spouse is sexually involved with another individual
Being controlled believes that a force outside his body is controlling him
thought broadcasting believes that her thoughts are heard by others
thought insertion believes that others' thoughts are being inserted into his mind
thought withdrawal believes that her thoughts have been removed from her mind by an outside agency
religiousity is obsessed with religious beliefs
flight of ideas associative looseness; client may say sentence after sentence, but each sentence may relate to another topic, and the listener is unable to follow the client's thoughts.
Neologisms made up words that only have meaning to the client, such as "I tranged and flittled"
Echolalia Client repeats the words spoken to him
Clang association meaningless rhyming of words, often forceful, such as "Oh fox, box, and lox."
Word salad words jumbled together with little meaning or significance to listener, such as "Hip hooray, the flip is cast and wide-sprinting in the forest"
Depersonalization nonspecific feeling that a person has lost her identity; self is different or unreal
Derealization perception of environment has changed
Negativism doing opposite of what is required
Echopraxia purposeful imitation of movements made by others
Medications used for Schizo disorders Antipsychotics, antidepressants, and anti-anxiety
Premorbid Phase (Phase I of Schizophrenia) Predictor of schizophrenia; early precursors of etiological interest and personality and behavioral measurements signaling latent mental illness
Prodromal Phase (Phase II of Schizophrenia) Start to see behaviors are quite different, socially withdrawn, fx impairment. Learning to identify will decrease the severity of dx
Schizophrenia Phase (Phase III of Schizophrenia) Disordered symptoms, affect/thought processes are skewed
Residual Phase (Phase IV of Schizophrenia) Where symptoms of schizophrenia come and go, a pt is well managed and stabilized
Nursing Interventions for Delusions Ask client to describe; Open and honest to reduce suspicion; focus on reality; set firm limits on time for discussing delusions; no arguing!; validate if PART of delusion is real; encourage expression on feelings associated with delusions
Nursing Interventions for Hallucinations Ask to describe; avoid reacting as if real; decrease stimuli; do not cancel out client's experience; focus on reality based topics; distract through concrete activity; do not touch client; assess for escalating behavior
Positive Symptoms excess or distortion of normal functions; have better responses to treatment
Negative Symptoms loss of normal functions; most destructive and difficult to treat.
Created by: 705757596
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