Term
| What are the ages of onset for Schizo? |
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Definition
| Late Adolesence (17-21), Early Adulthood (21-30), Middle Adulthood (35-60), Late Adulthood (60+) |
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Term
| What is Male's typical age of onset? |
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Definition
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Term
| What is the gender difference between male and female? |
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Definition
| Male have their "psychotic break" at a younger age. Men typicall exhibit more negative symptoms, which are harder to treat. |
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Term
| What are the Biological Theories? |
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Definition
| Genetic, Brain Anatomy Changes, Biochemical |
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Term
| What are the Brain Anatomy Changes? |
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Definition
| 1. Decrease blood flow to left Blobus Plaletus 2. Absence of working blood flow to working memory tasks 3. Thinner cortex of the median temporal lobe 4. General decrease in grey matter. |
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Term
| What is the PSychological Theories? |
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Definition
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Term
| What is Social Theory/Expressed Emotion Theory? |
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Definition
| Families that were emotional, loud, chaotic, expressive had worse schizophrenia patients |
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Term
| What are comorbity for Schizo? |
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Definition
| 1. Increased risk of medical problems (cardio, obesity, diabetes) 2. Depression & Suicide 3. Substance abuse 4. Cigarette smoking |
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Term
| What are the diagnostic criteria for Schizo? |
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Definition
| 1 month with continuous signs of disturbance persisting for 6 months. At leas 2/5 Criterion A present |
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Term
| What are the Criterion As? |
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Definition
| Delusions, Hallucinations, Disorganized Speech, Grossly disorganized or catatonic behavior, Alogia, anhedonia, flat affect, avolition, apathy |
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Term
| What are positive symptoms of Schizo? |
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Definition
| Hallucinations, Auditory, Visual, Tactile, Olfactory, Gustatory |
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Term
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Definition
| False beliefs about the self or the environment that are firmly held by the person even in the face of disconfirming evidence. |
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Term
| What types of delusions are there? |
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Definition
| Persecutory, Reference, Grandiose, Nihilistic, Somatic, Religious, Substitution |
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Term
| What is Persecutory Delusion? |
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Definition
| Others intend to harm or persecute |
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Term
| What is Reference Delusions? |
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Definition
| Events within environment pertain to individual |
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Term
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Definition
| Exaggerated feelings of importance, power, knowledge or identity |
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Term
|
Definition
| Self, part of self, others or world is nonexistent |
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Term
| What is Somatic Delusions? |
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Definition
| False idea about body function (being pregnant) |
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Term
| What is Religious Delusion? |
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Definition
| Excessive demonstration of or obsession with religious ideas/behaviors |
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Term
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Definition
| Belief that an individual is someone else |
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Term
| What cause Neurocognitive Impairments? |
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Definition
| Neurocognitive Impairment cause patients to be unhappy b/c they can't remember. |
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Term
| What is Disorganized Thinking? |
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Definition
| Loose Associations, Word Salad, Clang Associations, Echolalia, Perseveration |
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Term
| What is Loose Association? |
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Definition
| Ideas shift from one unrelated topic to another |
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Term
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Definition
| Group of random, unconnected words |
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Term
| What is Clang Associations? |
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Definition
| Choosing words based on sounds, rhyming |
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Term
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Definition
| Repeating words or phrases said by another |
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Term
|
Definition
| Repetition of same word or idea in response to different questions |
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Term
| What are Disorganized Behavior? |
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Definition
| Catatonic Excitement, Waxy Flexibility, Catatonic Posturing, Catatonic Stupor, Echopraxia |
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Term
| What is Catatonic Excitement? |
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Definition
|
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Term
| What is Waxy Flexibility? |
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Definition
| Maintains rigid position, moveable |
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Term
| What is Catatonic Posturing? |
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Definition
| Voluntary assumption of bizzare position |
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Term
| What is Catatonic Stupor? |
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Definition
| Seemingly unaware of surroundings |
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Term
|
Definition
| Pathological imitation of body movement |
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Term
| What are Negative Symptoms? |
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Definition
| Affective Blunting, Anhedonia, Avolition, Alogia, Apathy |
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Term
| What is Affective Blunting? |
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Definition
| Reduced range of emotional expression |
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Term
|
Definition
| Inability to experience pleasure |
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Term
|
Definition
| Inability to pursue and persist in goal-directed behavior or activities? |
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Term
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Definition
| Reduced fluency and production of language and thought |
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Term
|
Definition
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Term
| What are Types of Schizophrenia? |
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Definition
| Paranoid, Disorganized, Catatonic, Undifferentiated, Residual |
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Term
| What is Paranoid Schizophrenia? |
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Definition
| Prominent delusions and/or hallucinations? |
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Term
| What is Disorganized Schizophrenia? |
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Definition
| Disorganized speech or behavior; flat or inappropriate affect |
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Term
| What is Catatonic Schizophrenia? |
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Definition
| Extreme psychomotor disruptions |
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Term
| What is Undifferentiated Schizophrenia? |
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Definition
| Criterion A symptoms present w/o meeting criteria for another type |
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Term
|
Definition
| One documnted episode but not prominent positive symptoms |
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Term
| What is Schizoaffective Disorder? |
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Definition
| Uninterrupted period of illness during which there is a major depressive, manic or mixed episode concurrent with 2 Criterion A symptoms for Schizophrenia |
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Term
| Is Schizoaffective Disorder more or less common than Schizophrenia? |
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Definition
|
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Term
| Is Schizoaffective Disorder more common in women or men? |
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Definition
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Term
| What is one major risk for Schizoaffective Disorder? |
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Definition
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Term
| What is Dilusional Disorder? |
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Definition
| Stable, well systemized and logical, nonbizzarre, delusions that occur in the absence of other psychiatric disorders for at least 1 month |
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Term
| How is the functional level for Delusional Disorder? |
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Definition
| Function well in areas not related to delusion |
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Term
| Is Delusional Disorder common? |
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Definition
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Term
| WHat is onset age for Delusional Disorder? |
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Definition
|
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Term
| Specify Type of Delusional Disorder: |
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Definition
| Erotomanic, Jealous, Unspecified, Grandiose, Somatic, Persecutory |
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Term
| What is Brief Psychotic Disorder? |
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Definition
| One or more Criterion A symptoms for Schizophrenia present for at least 1 day but less than 1 month |
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Term
| What is functional level for Brief Psychotic Disorder? |
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Definition
| Return to prior level of functioning |
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Term
| What can cause Brief Psychotic Disorder? |
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Definition
| Maybe due to stressful event |
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Term
| How common is Brief Psychotic Disorder? |
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Definition
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Term
| What are Pharmacologic Interventions for Schizo? |
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Definition
| Serotonin-Dopamine Antagnists |
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Term
| What do Serotonin-Dopamine Antagonists do? |
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Definition
| Block dopamine and serotonin receptors |
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Term
| What are some other Pharmocologic Interventions? |
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Definition
| Anticonvulsants, Benzodiazepines, ECT, Psychosurgery |
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Term
| What do Benzodiazepines do? |
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Definition
| used in the management of anxiety disorders, insomnia, seizure disorders, skeletal muscle spasticity, alcohol withdrawal, panic disorder and as premedicants prior to surgical or diagnostic procedures. Benzodiazepines have also been used in the management of nausea and vomiting associated with emetogenic cancer chemotherapy. |
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Term
| How should you monitor the effect of Antipsychotic Drugs? |
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Definition
| Realize some improve immediately, some take 1-2 weeks to work |
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Term
| Trial of Antipsychotic Drugs should take how long? |
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Definition
|
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Term
| What are various forms of administering antipsychotic drugs? |
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Definition
|
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Term
| What are Side Effects of Antipsychotic Drugs |
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Definition
| Extrapyramidal Side Effects, Parkinsonism, Dystonia, Akathisia, Tardive Dyskinesia |
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Term
| What is Extrapyramidal Side Effects? |
|
Definition
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Term
|
Definition
| degenerative disorder of the central nervous system characterized by tremor and impaired muscular coordination |
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|
Term
|
Definition
| A state of abnormal muscle tone resulting in muscular spasm and abnormal posture |
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Term
|
Definition
| syndrome characterized by unpleasant sensations of "inner" restlessness |
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Term
| What is Tardive Dyskinesia? |
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Definition
| A neurological disorder characterized by involuntary movements of the face and jaw. |
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Term
| What are other side effects of Antipsychotic Drugs? |
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Definition
| Anticholinergic, Orthostatic Hypotension, Elevated prolactin, Weight gain, Sedation |
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Term
| What are Anticholinergics? |
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Definition
| Anticholinergics are a class of medications that inhibit parasympathetic nerve impulses by selectively blocking the binding of the neurotransmitter acetylcholine to its receptor in nerve cells. |
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Term
| What is Elevated Prolactin? |
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Definition
| Prolactin is a peptide hormoneproduced by the anterior pituitary gland primarily associated withlactation and plays a vital role in breast development during pregnancy. |
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Term
| What are other serious side effects of antisychotic drugs on senses, sugar level, heart, and immune sys? |
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Definition
| Photosensitivity, New-onset diabetes, Cardiac arrhythmias, Agranulocytosis (A deficiency of granulocytes in the blood, causing increased vulnerability to infection) |
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Term
| What is in teh Assessment Process of Schizo? |
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Definition
| Mental Status Exam (subjective & objective data), Changes in role functioning, self-care, substance use, past & present health status, Family Health History, Family Issues, Environmental assessment |
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Term
| What are some Nursing Diagnoses for Schizo? |
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Definition
| Disturbed Thought Processes, Disturbed Sensory Perception, Risk for violence, Ineffective coping, Self-Care deficit, Impaired Social Interaction, Ineffective Role Performance, Interrupted Family Processes |
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Term
| What are some Nursing Planning and Implementations? |
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Definition
| Therapeutic nurse-patient relationship, Symptom assessment and management, Assisting with grooming & hygiene, Promote adherence with medication, community supports, Promote social activity, interaction, skills and activities, replase prevention, patient teaching, family understanding & involvement, appropriate referrals |
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Term
| What is Affective Flattening? |
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Definition
| Blunted affect is the scientific term describing a lack of emotional reactivity on the part of an individual |
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|
Term
| Review DSM Diagnostic Criteria for Schizo |
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Definition
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