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Details Title: Psychiatric Nursing Description: Psych/Mental Health Exam 2 - Schizophrenia Total Flash Cards: 20 Created: 03/27/2005 19:51:27	To study from this set of flash cards, or to create your own your own study flash cards, register HERE. If you are already a registered user, CLICK HERE.
Cards Term Depersonalization Definition Feeling "unreal" - when looking in the mirror and saying "that's not me" Term Hypochondriasis Definition preoccupied by symptoms that aren't based on reality Term blunted affect Definition doesn't show emotion Term Inappropriate affect Definition content of thoughts is different from tone Term Autistic Thinking (Not the disease "autism") Definition magical thinking - "I can do anything" concrete thinking - can't think abstractly and has an inward focus Term Association Disrders Definition Loss of logical thought process -trouble reading and putting words together Term Private Languate includes: Definition neologism - meaning of word only pertains to that person clang association - repetition of rhyming words ("eat, meat, feet") echolalia - repeating speech of others word salad - linking words without relation together Term Ways of coping with hallucinations and delusions (8) Definition 1. fighting back 2. doing nothing 3. isolated diversion 4. time out 5. medical intervention 6. social diversions 7. prayer 8. family Term side effect of anitpsychotics Definition weight gain, type II DM, orthostatic hypotension, photosensitivity, blurred vision, EPS (dystonia - small muscle spasms, akathisia - can't sit still, very common, pseudo-parkinsonism - give anticholenergic drugs like cojentin) Term Other side effects of antipsych drugs (besides EPS) Definition sedation, lethargy, seizures, temp regulation, tardive dyskinesia (long term effect; can't stop movement i.e. lips keep moving) Term problem with smoking and coffee in schizo -% of those who smoke? Definition can affect NT's in the brain -80-90% smoke (compared to 30% in gen. pop) Term what is the #1 cause of premature death in schizo? -who is most at risk for this? Definition suicide - 10-18% of schizophrenics commit suicide (3/4 are men) - remitting/relapsing course -good insight (realize how serious the disease is and become hopeless) -socially isolated -hopeless -discrepancy between achievements Term Typical/Conventional/Old Antipysch Drugs Definition -focus on blocking dopamine receptos; more chance for EPS and pseudo-parkinsonism Term Atypical/New/Novel Antipsych Meds Definition - focus on blocking both dopamine and serotonin receptors; less chance for EPS; more expensive; treat both pos and neg symptoms (better at treating the neg symptoms than typical meds) Term to increase compliance: Definition minimize side effects, increase med supervision, use long-acting injectable meds Term Clozapine Definition good for people who haven't responded to other meds; low risk for EPS; relatively no risk for TD; check CBC for agranulocytosis weekly; orthostatic hypotension possible (check BP lying/standing), other side efx include wt. gain, sedation, drooling, dizziness Term affective flattening (similar to blunted affect) Definition face doesn't show expression, fewer gestures, can't smile or laugh approp., monotone voice, poor eye contact Term the 4 A's of Negative Symptoms in schizo Definition Anhedonia Affective Flattening Avolition - can't initiate activity of follow thru Alogia - impoverished thinking and cognition Term Diagnosing Schizo - DSMIV Definition -charicteristic sx for one month -social/occupational dysfxn -overall duration for 6+ months -not attributable to other mood disorder, substance use, or other medical condition Term Characteristic Symptoms for Schizo (must have at least 2 for majority of one month) Definition -delusions -hallucinations -disorganized speech -grossly disorganized/catatonic behav -negative symptoms