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Schizophrenia
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Schizophrenia

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Questions and Answers

Which phase of schizophrenia is characterized by the absence or no longer prominence of symptoms from the acute stage?

  • Prodromal Phase
  • Residual Phase (correct)
  • Premorbid Phase
  • Active Psychotic Phase
  • During which phase of schizophrenia do acute episodes with prominent psychotic symptoms occur?

  • Residual Phase
  • Premorbid Phase
  • Active Psychotic Phase (correct)
  • Prodromal Phase
  • What type of signs may be observed during the premorbid phase of schizophrenia?

  • Physical abnormalities in the brain
  • Distinctive personality traits or behaviors (correct)
  • No signs at all
  • Clear evidence of illness
  • Which of the following is NOT mentioned as a predisposing factor for schizophrenia?

    <p>Positive parent-child relationships</p> Signup and view all the answers

    What does waxy flexibility in a client with schizophrenia refer to?

    <p>Allowing body parts to be placed in bizarre positions</p> Signup and view all the answers

    Which cognitive symptom is characteristic of schizophrenia?

    <p>Impaired sensory perception</p> Signup and view all the answers

    What is a common manifestation of posturing in individuals with schizophrenia?

    <p>Voluntarily assuming bizarre postures</p> Signup and view all the answers

    Which nursing intervention is recommended for catatonic patients?

    <p>Monitor nutritional intake closely</p> Signup and view all the answers

    Which medication is NOT typically a first-line treatment for schizophrenia?

    <p>Clozapine (Clozaril)</p> Signup and view all the answers

    Which disorder is characterized by sudden onset of psychotic symptoms lasting at least 1 day but less than 1 month?

    <p>Brief Psychotic Disorder</p> Signup and view all the answers

    In which disorder are the symptoms of delusions, hallucinations, and disorganized speech present for at least 6 months?

    <p>Schizophrenia</p> Signup and view all the answers

    Which disorder is directly attributable to substance intoxication or withdrawal or after exposure to a medication or toxin?

    <p>Substance and Medication Induced Psychotic Disorder</p> Signup and view all the answers

    Which disorder has symptoms that are identical to schizophrenia but have a duration of at least 1 month but less than 6 months?

    <p>Schizophreniform Disorder</p> Signup and view all the answers

    Which disorder is manifested by signs and symptoms of schizophrenia, along with a strong element of symptomatology associated with the mood disorders?

    <p>Schizoaffective Disorder</p> Signup and view all the answers

    Which type of delusion involves the belief that cues in the environment are specifically referring to the individual?

    <p>Referential</p> Signup and view all the answers

    What type of false belief involves the idea that the self, a part of the self, others, or the world is nonexistent?

    <p>Nihilistic</p> Signup and view all the answers

    Which sensory perception without external stimuli involves false perceptions of taste?

    <p>Gustatory</p> Signup and view all the answers

    What is characterized by persistently repeating the same word or idea in response to different questions?

    <p>Perseveration</p> Signup and view all the answers

    Which type of abnormal motor behavior can range from rigid postures to a complete lack of verbal response?

    <p>Catatonia</p> Signup and view all the answers

    Which symptom of schizophrenia is characterized by slow, rhythmic, backward-and-forward swaying of the trunk from the hips, usually while sitting?

    <p>Pacing back and forth and body rocking</p> Signup and view all the answers

    What is the term used to describe the retreat to an earlier level of development observed in clients with schizophrenia?

    <p>Regression</p> Signup and view all the answers

    Which of the following symptoms of schizophrenia is characterized by an inability to experience pleasure?

    <p>Anhedonia</p> Signup and view all the answers

    Which type of antipsychotic drugs are usually the first line of treatment for schizophrenia and are associated with an increased risk of metabolic symptoms?

    <p>Atypical antipsychotics (2nd generation)</p> Signup and view all the answers

    What nursing intervention is essential for the safety promotion of catatonic patients in schizophrenia management?

    <p>Monitoring nutritional intake</p> Signup and view all the answers

    What is the term for the condition in schizophrenia where the emotional tone appears to be devoid of expression?

    <p>Flat affect</p> Signup and view all the answers

    Which antipsychotic drug is NOT typically considered a first-line treatment option for schizophrenia?

    <p>Clozapine</p> Signup and view all the answers

    What is the term for the symptom of schizophrenia characterized by an indifference to or uninterest in the environment?

    <p>Apathy</p> Signup and view all the answers

    Which negative symptom of schizophrenia is characterized by a deficiency in energy?

    <p>Anergia</p> Signup and view all the answers

    Which postural abnormality in schizophrenia involves voluntary assumption of inappropriate or bizarre postures?

    <p>Posturing</p> Signup and view all the answers

    What is the term used to describe a deficiency of energy in clients with schizophrenia?

    <p>Anergia</p> Signup and view all the answers

    Which type of symptom in schizophrenia is characterized by a retreat to an earlier level of development?

    <p>Regression</p> Signup and view all the answers

    Which term describes a symptom in schizophrenia where it manifest as difficulty maintaining focus on a stationary object?

    <p>Eye movement abnormalities</p> Signup and view all the answers

    Which nursing intervention is crucial for the safety promotion of catatonic patients?

    <p>Safety promotion- monitor nutritional intake</p> Signup and view all the answers

    Which antipsychotic drug is NOT typically considered a first-line treatment option for schizophrenia?

    <p>Clozapine (Clozaril)</p> Signup and view all the answers

    Which type of antipsychotic drugs carry an increased risk of extrapyramidal symptoms (EPS) but are not usually the first line of treatment for schizophrenia?

    <p>Typical antipsychotics (1st generation)</p> Signup and view all the answers

    What is the term for the inability to experience pleasure, often seen as a negative symptom in schizophrenia?

    <p>Anhedonia</p> Signup and view all the answers

    Study Notes

    Predisposing Factors

    • Biological factors include genetics, biochemical imbalances, viral infections, anatomical abnormalities, abnormal electrical activity in the brain, and other physical conditions.
    • Psychological aspects involve poor parent-child relationships and childhood trauma.
    • Environmental influences are sociocultural factors and stressful life events, including a connection between cannabis use and genetic vulnerability.

    Phases of Schizophrenia

    • Premorbid Phase: Characterized by distinctive personality traits or behaviors that occur before the onset of illness.
    • Prodromal Phase: Marks a transitional period from normal functioning to the emergence of psychotic symptoms.
    • Active Psychotic Phase: Features prominent psychotic symptoms and is marked by acute episodes of schizophrenia.
    • Residual Phase: Follows an acute phase with symptoms that are either absent or diminished.

    Schizophrenia Spectrum and Psychotic Disorders

    • Schizophrenia: Diagnosis requires symptoms such as delusions, hallucinations, and disorganized speech lasting at least 6 months.
    • Delusional Disorder: Defined by delusions persisting for at least 1 month without other significant symptoms.
    • Brief Psychotic Disorder: Characterized by sudden onset of psychotic symptoms lasting from 1 day to less than 1 month.
    • Substance-Induced Psychotic Disorder: Symptoms arise from substance use or withdrawal or exposure to toxins.
    • Psychotic Disorder Due to Another Medical Condition: Hallucinations and delusions attributed to a medical condition.
    • Catatonic Disorder: Involves significant motor disturbances, ranging from stupor to excessive motor activity.
    • Schizophreniform Disorder: Symptoms resemble schizophrenia, but duration is 1 to 6 months.
    • Schizoaffective Disorder: Shows signs of schizophrenia alongside mood disorder symptoms.

    Symptoms of Schizophrenia

    • Positive Symptoms: Include fixed false beliefs (delusions), sensory perceptions without their stimuli (hallucinations), disorganized thinking, and grossly disorganized behavior.
      • Delusions:
        • Persecutory: belief of being targeted for harm.
        • Referential: ascribing personal significance to external cues.
        • Grandiose: belief in having exceptional abilities.
        • Somatic: beliefs related to body function.
        • Bizarre: implausible ideas with no grounding in reality.
        • Nihilistic: belief that self or the world does not exist.
        • Erotomanic: belief that another person is in love with them.
        • Jealous: belief that a partner is unfaithful.
      • Hallucinations:
        • Auditory: hearing voices or sounds.
        • Visual: seeing things that are not present.
        • Tactile: sensations perceived on or under the skin.
        • Olfactory: false sense of smell.
        • Gustatory: distorted tastes.
      • Disorganized Thinking:
        • Loose associations: wandering train of thought.
        • Neologisms: meaningless made-up words.
        • Clang associations: speech based on similar sounds.
        • Word salad: nonsensical jumbling of words.
        • Circumstantiality: excessive detail delaying message delivery.
        • Tangentiality: off-topic responses and lost focus.
        • Perseveration: repeated responses.
        • Echolalia: repetition of others' words.

    Abnormal Motor Behavior

    • Catatonia: Ranges from rigid posture to complete lack of response or excessive movement.

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    Description

    Learn about different types of delusions such as persecutory, referential, grandiose, somatic, and bizarre delusions. Understand how individuals with delusions of reference interpret events in the environment.

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