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NUR 205 Quiz 4

NUR 205 QUIZ 4

QuestionAnswer
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
Created by: shondell1971
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