Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
ch:14 schizo
schizo
| Question | Answer |
|---|---|
| schizophrenia | distorted and bizarre thoughts,mvms,emotions perceptions,behaviors.dx earlier in men |
| positive(hard) symptoms | delusions,hallucinations,grossly disorg thinking,speech and behavior.Can tx with typical meds |
| negative(soft) symptoms | flat affect,lack of volition,social w/d or discomfort.atypical meds tx both (+)(-) s/sx. can persist after (+) have abated and cause barrier to recovery |
| ambivalence(+) | holding seemingly contradicctory bleiefs or feelings about the same person,event, or situation |
| associative looseness(+) | fragmented or poorly related thoughts and ideas |
| echopraxia(+) | imitation of the mvms and gestures of anouther person whom the pt is observing |
| delusions(+) | fixed false beliefs that have no basis in reality |
| flight of ideas(+) | continous flow of verbalization in which the person jumps rapidly from one topic to another |
| hallucinations(+) | false sensory perceptions or perceptual experiences that do not exist in reality |
| ideas of reference(+) | false impressions that external events have special meaning for the person |
| perserveration(+) | persistent adherence to a single idea or topic, verbal repetition of a sentence or word or phrase,resisting to change the topic |
| alogia(-) | tendency to speak very little |
| anhedonia(-) | feeling no joy or pleasure from life |
| apathy(-) | feelings of indiff toward people, activities, events |
| blunted affect(-) | restricted range of emotional feeling,tone,mood |
| catatonia(-) | psychologically induced immobility occasionally marked by periods of agitationor excitement |
| flat affect(-) | absence of any facial expression that would indicate emotions or mood |
| lack of volition(-) | absence of will,ambition, or drive to take action or finish tasks |
| paranoid schizo | persucatory(feel vicitimized)granidose del, halluc,^religiosity, hostile |
| disorganized schizo | inapp or flat affect,loose assoc, extremely disorg behavior |
| catatonic schizo | psychomotor disturbance,motionless or excessive, catalepsy(waxy flex)or stupor ^ activity is purposeless not stimulate by external stimuli |
| undiff schizo | mixed schizo s/sx along with disturbances of thought affect and behavior |
| residual schizo | at least 1 previous though not current episode,social w/d,flat affect,& loose assoc |
| onset schizo | abrupt or insidious, most pts dev s/sx slow suchs as social w/d,unusual behavior, loss in interest of school/work, neglect hygiene |
| dx schizo | made when more acitve (+) s/sx such as delusions,halluc,& disordered thinking(psychosis) appear, ealier in age worse outcome |
| immediate course | 2 patterns- ongoing psychosis & never fully recovers; episodes of psychotic s/sx alternating w/episodes of complete recovery |
| long term course | intensity of psychosis diminishes w/age, most with difficulty functioning, few w/ability to live indep lives |
| related disorders | schizophreniform,delusional,brief psychotic, shared psychotic |
| etiology schizo | genetic factors(partial) neuroanatomic/neurochem-(less brain tissues &CSF,dop)imunnovirologic factors |
| schizophreniform disorder | s/sx schizo but for < 6 months necessary ti neet dx criteria for schizo |
| delusional disorder | 1+ nonbizzare delusions-focus of del is believable |
| brief psychotic disorder | sudeen onset of at least 1 psych s/sx such as del,halluc,or disorg speech or behavior, lasts 1 day-1month. may follow childbirth |
| shared psychotic disorder(folie a deux) | 2 people share a similar del. dev del in the context of a clos r/t with someone who has psych del |
| cultural considerations | del in 1 culture may be accepted by other cultures, aud/vis halluc normal in some,culture bound syndrome |
| psychopharmacology | primary tx,neuroleptics(tx s/sx) |
| conventional antipsychotics(dopamine agonists) | thorazine,haldol,navane,prolixin, target(+)s/sx, no effect on (-) |
| atypical antipsy (dopamine,serotonin antagonists) | clozapine,risperdal,zyprexa geodon, abilify, diminish(+) and lessen(-) |
| depot injection forms | prolixin in decanoate&enanthate preps, haldol in decanoate, risperidal costa(atypical) effects last 2-4 weeks elim daily PO med |
| EPS | acute dystonia,akathisia,parkinsonism,TD(use AIMS),seizures,NMS |
| Abnormal Involuntary Mvm scale (AIMS) | used to screen for s/sx of mvm disorders(TD) observe pt in several positions rate 0-4, done at admit,dc,or every month |
| non-neuro s/e | weight gain, sedation,photosen,antichol,ortho hypo,agranulocytosis(clozaril) |
| psychosocial tx | indiv/group therapy,social skills training(CET),family therapy, family ed |
| history | previous schizo hx, prev suicidal ideation, current support system, pts perception of current situation |
| gen appearance,motor behavior,speech | odd,bizzare,catatonia(restless)echopraxia(imitate mvms)psychomotor retard, word salad,echolalia(repeat)latency response |
| clang associations | ideas that are related to one another based on sound or rhythm, i WILL take a PILL if i go UPHILL not if my name is JILL |
| neologisms | words invented by pt, im afraid of grittiz. are you grittiz? |
| verbigeration | sterotyped repitition of words that may/not have meaning to listener, i want to go home go home... |
| echolalia | pts imitation or repitition of what nurse says |
| stilted language | use of words or phrases that are flowery,excessive-would ou be so kind as rep of florence nightengale, to bring me wee bit of h2o |
| perseveration | persistent adherance to a single idea or topic and verbal repeat of a sentence- |
| ex persveration | n- how have yo been sleeping pt- ithink people have been following me n-where do you live pt- at the place where people have been following me |
| word salad | combo or jumbled words that are disconnected and make no sense- corn,potatoes,jump up |
| mood/affect | flat,blunted, anhedonia(depressed no joy in life) |
| thought process | thought blocking, broadcasting, withdrawl, insertion |
| sensorium/intellctual process | halluc(7 types), depersonalization9 most extereme form of disorientation pt detached from their behavior |
| auditory halluc | most common, involve hearing sounds, most often voices-command halluc- tell pt to take action to harm self or others |
| visual halluc | seeing images that dont exist, lights dead people,distortions like seeing monster and not nurse, 2nd most common |
| olfactory halluc | smell/odors, may be specific scent lilke pee/poo or rotten odor, also seen in pts with dementia,seizures and CVA |
| tactile halluc | sensations like electricity running through body or bugs on skin, often seen in pts with ETOH w/d rare in schizo |
| gustatory halluc | taste lingering in mouth or thatfood tastes like something else- taste may be metallic or bitter |
| cenesthetic halluc | pts report they feel bodily functions that are undetectable- urine formings, impulses in brain |
| kinesthetic halluc | pt is motionless but reports senstaion of body mvm- floating about ground |
| persuctory/paranoid del | believe "others" are planning to harm pt,spy, ridicule,follow. sometimes can define who "others" are- pt food poisioned or room bugged |
| grandiose del | pt claims to associate w/famous people or that they are famous- pt engaged to celebrity, daughter or president, cure for cancer |
| religious del | second coming of chris, prophet,del appear suddenly and notpart of religious beliefs-pt claims to be messiah,prophet from god |
| somatic del | vague&unrealistic beliefs about pts healthor body function,facts or dx tests dont change beliefs- man saing he is preggo, decaying intestines,worms in brain |
| referential del | ideas of ref, involve pts belief that tc broadcasts, music,newspaper have special meaning to pt-presidents speech directed to them |
| judgement/insight | usually impaired,can be severe pt cant protect themselves, fail to wear warm clothes in winter, insight severely impaired early |
| self concept | loss of ego boundries-lack of clear sense of where their body mind and influence end and whre those aspects of other animate/inanimate objects begin, ideas of ref |
| roles&r/ts | social isolation, trust intimacy problems, lack of confidence,feel strange/diff |
| physiologic and self care considerations | inattention to hygiene and grooming, failure to recognize sensations(hunger,thirst) polydipsia(h2o intox) |
| nursing dx based on (+) s/sx | risk for violence,suicide, disturbed thought process,sensory perception, personal identity, impaired verbal comm |
| nursing dx based on (-) s/sx | self care defecits, social isolation,ineffective health maintenance,ineff therapeutic regimen management |
| outcome identification | acute psychosis wiill get tx in an intensive setting, focus is to stabilize thought processes and reality to orientation-ex:not injure self or others,contact w/reality,interact w/others,express thoughts, participate |
| interventions | safety,therapeutic r/t,interventions for del thoughts,interventions for halluc(voice hearer groups),manage inapp behavior, pt/fam ed(s/sx relapse,selfcare,socialskills,meds) |
| s/sx of relapse | impaired cause-effect reasoning, poor nutriton, lack of sleep, lack of exercise,fatigue,poor social skills,mood swings,hopeless,anxiety, ^ negativity, forgetful, neglect looks |
| elder considerations | late oset ^45, psychotic s/sx later in life associtated w/depression or dementia not schizo, 1/4 exp dementia 1/4 reduction in(+) s/sx, remainder mostly unchanged |
| mental health promo | goal of rehab is recovery, accurate id of those at risk, early interventions- improved prodromal s/sx, prevent social stagnation or decline, prevent or dealy progression of psychosis |
Created by:
536862996
Popular Nursing sets