click below
click below
Normal Size Small Size show me how
NUR 205 Quiz 4
NUR 205 QUIZ 4
Question | Answer |
---|---|
Holding seemingly contradictory beliefs or feelings about the same person, event, or situation | Ambivalence |
Associative looseness | Fragmented or poorly related thoughts and ideas |
Bizarre behavior | Outlandish appearance or clothing; repetitive or stereotyped, seemingly purposeless movements; unusual social or sexual behavior |
Delusions | Fixed false beliefs that have no basis in reality |
Imitation of the movements and gestures of another person whom the client is observing | Echopraxia |
Flight of ideas | Continuous flow of verbalization in which the person jumps rapidly from one topic to another |
False sensory perceptions or perceptual experiences that do not exist in reality are called: | Hallucinations |
Ideas of reference | False impressions that external events have special meaning for the person |
Persistent adherence to a single idea or topic; verbal repetition of a sentence, word, or phrase; resisting attempts to change the topic is called: | Perseveration |
Alogia | Tendency to speak little or to convey little substance of meaning (poverty of content) |
Anhedonia | Feeling no joy or pleasure from life or any activities or relationships |
Apathy | Feelings of indifference toward people, activities, and events |
Asociality | Social withdrawal, few or no relationships, lack of closeness |
Avolition or lack of volition | Absence of will, ambition, or drive to take action or accomplish tasks |
What is the restricted range of emotional feeling, tone, or mood? | Blunted affect |
What is distorted and bizarre thoughts, perceptions, emotions, movements, and behavior? | Schizophrenia |
Inability to concentrate or focus on a topic or activity, regardless of its importance | Inattention |
What is the absence of any facial expression that would indicate emotions or mood? | Flat affect |
Psychologically induced immobility occasionally marked by periods of agitation or excitement; the client seems motionless, as if in a trance | Catatonia |
Abnormal Involuntary Movement Scale (AIMS) | A test used to screen for symptoms of movement disorders (side effects of neuroleptic medications) |
ideas that are related to one another based on sound or rhyming rather than meaning. | Clang associations |
Neologisms | words invented by the client. |
the repetition of words or phrases that may or may not have meaning to the listener. Example: “I want to go home, go home, go home, go home.” | Verbigeration |
Echolalia | the client’s imitation or repetition of what the nurse says. |
What is Stilted language? | The use of words or phrases that are flowery, excessive, and pompous. Example: “Would you be so kind, as a representative of Florence Nightingale, as to do me the honor of providing just a wee bit of refreshment, perhaps in the form of some clear spring water?” |
Perseveration | the persistent adherence to a single idea or topic and verbal repetition of a sentence, phrase, or word, even when another person attempts to change the topic. |
A combination of jumbled words and phrases that are disconnected or incoherent and that make no sense to the listener. Example: “Corn, potatoes, jump up, play games, grass, cupboard.” | Word salad |
What is the average age range of onset of Schizophrenia in women? | 25-35 |
what is the population percentage of Schizophrenia | 1% of the total population. |
Schizoaffective disorder | diagnosed when 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. |
True or False: Positive symptoms of Schizophrenia include flat affect and social withdrawal. | False |
True or False: The nurse should comfort the client's delusions. | False |
When does late onset of Schizophrenia happen? | 45-Usually associated with dementia or depression. |
Pseudo parkinsonism | neuroleptic-induced parkinsonism, includes a shuffling gait, masklike facies, muscle stiffness (continuous) or cogwheeling rigidity (ratchet-like movements of joints), drooling, and akinesia (slowness and difficulty initiating movement). These symptoms usually appear in the first few days after starting or increasing the dosage of an antipsychotic medication. |
What causes Tardive Dyskinesia? | a late-appearing 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 is irreversible once it appears |
Bipolar Disorder vs Schizophrenia | Bipolar-mood disorder Schizophrenia-cognitive disorder |
The family of a client with schizophrenia asks the nurse about the difference between conventional and atypical antipsychotic medications. The nurse’s best answer may include : | Conventional antipsychotics have serious side effects; atypical antipsychotics have virtually no side effects. |
The nurse is planning discharge teaching for a client taking clozapine (Clozaril). Which teaching is essential to include? | Remind the client to go to the lab to have blood drawn for a white blood cell count. |
What are the side effects of Psychopharmacology? | Neurological Tardive dyskinesia Seizures Neuroleptic malignant syndrome |
When the client describes fear of leaving their apartment as well as the desire to get out and meet others, it is called: | ambivalence |
What is a neurological side effect of antipsychotic therapy? | Tardive dyskinesia |
Personality | an ingrained, enduring pattern of behaving and relating to the self, others, and the environment; it includes perceptions, attitudes, and emotions. A person is often not consciously aware of their personality |
Personality disorders | diagnosed when there is impairment of personality functioning and personality traits that are maladaptive. |
Polydipsia | The need to drip a lot of water. This is a psychotic component. |
Thought stopping | a cognitive–behavioral technique to alter the process of negative or self-critical thought patterns |
positive self-talk | cognitive–behavioral technique in which the client changes thinking about the self from negative to positive |
What is Paranoid personality disorder? | pervasive mistrust and suspiciousness of others |
a pervasive pattern of detachment from social relationships and a restricted range of emotional expression in interpersonal settings | schizoid personality disorder |
What is Temperament? | the biologic processes of sensation, association, and motivation that underlie the integration of skills and habits based on emotion |
BORDERLINE PERSONALITY DISORDER-BPD | characterized by a pervasive pattern of unstable interpersonal relationships, self-image, and affect as well as marked impulsivity. |
Histrionic personality disorder | characterized by a pervasive pattern of excessive emotionality and attention seeking. This disorder is diagnosed more frequently in females than in males |
Narcissistic personality disorder | characterized by a pervasive pattern of grandiosity (in fantasy or behavior), need for admiration, and lack of empathy. The majority of people with this diagnosis are men |
Avoidant personality disorder | characterized by a pervasive pattern of social discomfort and reticence, low self-esteem, and hypersensitivity to negative evaluation. Equally common in men and women |
What personality disorder is characterized by a pervasive and excessive need to be taken care of, which leads to submissive and clinging behavior and fears of separation? | Dependent personality disorder |
Obsessive–compulsive personality disorder | characterized by a pervasive pattern of preoccupation with perfectionism, mental and interpersonal control, and orderliness at the expense of flexibility, openness, and efficiency. Incidence is higher in oldest children and people in professions involving facts, figures, or methodical focus on detail. |
True or False When discussing personality disorders, the term treatment resistant refers to a lack of response to medications prescribed. | False |
Which behavior would a nurse expect to assess in a client with antisocial personality disorder? | Manipulation |
At what age are personality disorders usually diagnosed? | 18 |
Depressive behavior | characterized by a pervasive pattern of depressive cognitions and behaviors in various contexts. It occurs more often in people with relatives who have major depressive disorders. People with depressive personality disorders often seek treatment for their distress. |
The nurse is assessing for negative symptoms in a newly admitted schizophrenic client. What symptom with be a negative behavior? | Alogia-the tendency to speak very little or to convey little substance of meaning (poverty of content) |
The client is believes that someone is spying on them. The client is suffering from: | Delusions |
What is the most dangerous type of hallucination? | Command |
Which are central components of a psychiatric rehabilitation and recovery program. | Working with clients to manage their own lives. Working with clients to make effective treatment decisions. Working with clients to have an improved quality of life according to his/her point of view. |
Which personality disorder is most likely related to lack of caring for others? | Schizotypal personality disorder |
What is Passive-Aggressive behavior? | characterized by negative attitude and a pervasive pattern of passive resistance to demands for adequate and occupational performance. |
What is a realistic outcome for a person with a personality disorder? | Outcomes that focus on change in behavior. |
Personality disorders | diagnosed when there is impairment of personality functioning and personality traits that are maladaptive. |
Schizoid vs Schizotypal | Schizoid-does not want to be around people Schizotypal-social awkwardness causes difficulties with relationships |
mood that involves unhappiness, restlessness, and malaise | dysphoric |