Shared Flashcard Set

Details

Psychiatric Nursing: Schizophrenia
Psychiatric Nursing: Adult Health I/Queens University, Charlotte, NC
55
Nursing
Not Applicable
06/30/2012

Additional Nursing Flashcards

 


 

Cards

Term
4 "A's" of the Diagnosis (according to Bleuler)
Definition
Affective disturbance
Association: disordered
Autistic characterization
Ambivalence
Term
Affective disturbance
Definition
Bizarre behavior, possibly hostile
Affect: blunted, flat, or incongruent
Possibly monotone voice
Term
Association: Disordered
Definition
All about thought!
No progression to thought: disrupted
Thought blocking- stop in midsentence
Loose associations- no connection, haphazard
Term
Autistic characteristic
Definition
Preoccupied with self and inner experiences
Preoccupied with voices and what they are saying
Term
Ambivalence
Definition
Positive and negative feelings all at the same time.
Impossible to make a decision.
Term
Onset
Definition
15-25 years old: prime time
Often an earlier diagnosis in males.
Average age: 19
Term
Insidious onset
Definition
Comes on over a period of years.
This often has to do with how well the patient masks or copes with symptoms OR
No one is there to observe the symptoms and see what is happening.
Term
Abrupt onset
Definition
Stressor or trigger brings it on quickly and unexpectedly.
Term
Premorbid personality
Definition
Client may have a history of ADD
May have a history of social maladjustment: doesn't respond to others in a meaningful way.
Term
Etiology
Definition
Multiple causations:
*Genetic factors
*Neuro-anatomic and neuro-chemical factors: reticular activating system not working properly/increase in number of dopamine receptors.
*Immunologic factors
Term
Positive Symptoms
Definition
Unusual things or experiences that persons without schizophrenia wouldn't do or have
Term
Negative Symptoms
Definition
Things that persons with schizophrenia cannot do or neglect to do. Indicate a lessening or flattening of normal behavior and affect.
Term
(+) Delusion
Ideas of reference
Definition
Person misconstrues some trivial event or remark and gives is some personal significance
Term
(+)
Delusion of Persecution
Definition
One is being singled out for harm by others
Term
(+)
Delusion of grandeur
Definition
False belief that one is a very powerful person
Term
(+)
Somatic delusion
Definition
False belief that one's body is changing in an unusual way
Ex. body is rotting from inside
Term
(+)
Delusion of Jealousy
Definition
False belief that one's mate is unfaithful
Term
(+)
Thought-broadcasting
Definition
One's thoughts can be heard by others
Term
(+)
Thought-insertion
Definition
Belief that thoughts of others are being inserted into your mind
Term
(+)
Thought withdrawal
Definition
Belief that thoughts have been removed from one's mind by someone else or an agency
Term
(+)
Delusions of Being Controlled
Definition
Belief that one's body or mind is being controlled by an outside agency
Ex: electrical waves or microwaves
Term
(+)
Neologisms
Definition
Person has ability to make new words
Term
(+)
Concrete thinking
Definition
Implies overemphasis on specific details. No impairment in ability to talk, but no abstract thinking.
Term
(+)
Echolalia
Definition
Pathological repetition of another's words by imitation
Term
(+)
Clang association
Definition
Meaningless rhyming of words, often in a forceful manner
Term
(+)
Word salad
Definition
Mixture of phrases that are meaningless to the listener
Term
(+)
Hallucinations: Auditory
Definition
Most common
Command: patient may say that someone is telling me to do something.
Term
(+)
Hallucinations: Visual
Definition
Patient sees something that is not real
Term
(+)
Hallucinations: Olfactory
Definition
Patient smells something that others aren't smelling
Term
(+)
Hallucinations: Gustatory
Definition
Patient tastes something that isn't really there
Term
(+)
Hallucinations: Tactile
Definition
Patient may feel like insects are crawling on his skin
Term
(+)
Hallucinations:Somatic
Definition
Patient thinks he has a hole in his body but this is not based in reality. Altered perception of self: may think of self as a doll.
Term
(+)
What to do with patient experiencing an hallucination
Definition
Validate THEN present reality!
Term
(+)
Loss of ego boundaries
Definition
Depersonalization; feeling detached from one's body
Patient doesn't feel as if his body parts belong to him.
Term
(+)
Derealization
Definition
False perception that environment has changed.
Term
(+)
Extreme motor agitation
Definition
Walking, pacing all the time
Cannot control impulses: if this patient wants to get up in the middle of group, he will just do it.
Term
(+)
Stereotypical behavior
Definition
Doing an activity but without the props
Ex: It looks like the patient is sweeping the floor but he has no broom.
Term
(+)
Automatic behavior
Definition
Ask the client to do something and he will do it exactly and automatically.
Term
(+)
Waxy flexibility
Definition
Client will keep the position
He will hold the posture/position for a long protracted period of time.
Term
(-)
Affective blunting
Definition
Severe reduction in expression/range and intensity of emotional expressions
Term
(-)
Anergia
Definition
loss of energy, passivity, lack of persistence at work/school
Term
(-)
Anhedonia
Definition
loss of pleasurable activities
Any experience that has brought pleasure in the past no longer does.
Term
(-)
Avolition
Definition
lack of motivation, unable to initiate tasks
Term
(-)
Poverty of content of speech
Definition
Speech is adequate in amount, but it conveys little info
Term
(-)
Poverty of speech
Definition
restriction in amount of speech
answers range from brief to monosyllabic
Term
(-)
Thought blocking
Definition
May stop in middle of sentence and remain silent
Term
Water intoxication
Definition
Excessive consumption of water by psychiatric patients receiving medicines.
Polydipsia: psychosis-induced
May ingest more than 10-15 L of fluid in 24 hours
Can cause cerebral edema or herniation
Term
Antipsychotic medication: Dopamine
Definition
Block post-synaptic dopamine receptors
Term
Antipsychotic medication: Seizures
Definition
May lower the seizure threshold.
The patient may be more susceptible to seizures if he has had them in the past.
Term
Antipsychotic medication: Temperatures
Definition
Avoid extremes in temperature.
Body cannot adjust to extreme temperatures well when on these meds.
Term
Antipsychotic medication: Anticholinergic effects
Definition
Can't:
Spit
See
Poop
Pee
Term
Antipsychotic medication: Classes
Definition
Typical
Atypical
Term
Antipsychotic medication: Typical
Definition
Older/have been around longer
Act as dopamine antagonists
Target the (+) signs
Term
Antipsychotic medication: Atypical
Definition
Newer medications (from 1996 on)
Act as dopamine AND serotonin antagonists
Diminish psychotic symptoms AND also lessen negative symptoms.
Term
Antipsychotic medication: Side Effects of Both Classes
Definition
Sedation
Photosensitivity
Anticholinergic symptoms
Orthostatic hypotension
Supporting users have an ad free experience!