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Schizophrenia Test 3
Schizophrenia
Question | Answer |
---|---|
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Two stages of Catatonic Shizo | Withdrawn stage and excited stage |
Withdrawn stage Symptoms of Catatonic | Psychomotor retardation (appear comatose); Waxy flexibility; Client often has extreme self care needs (such as feeding tube) |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. |