Podcast
Podcast
Podcast
Something went wrong
Questions and Answers
Questions and Answers
Which of the following is a cluster of related psychotic brain disorders with unknown origin?
Which of the following is a cluster of related psychotic brain disorders with unknown origin?
- Generalized anxiety disorder
- Schizophrenia (correct)
- Bipolar disorder
- Obsessive-compulsive disorder
A patient is exhibiting disordered thinking, perceptual disturbances, and impaired social competency. Which condition is most likely indicated by these symptoms?
A patient is exhibiting disordered thinking, perceptual disturbances, and impaired social competency. Which condition is most likely indicated by these symptoms?
- Attention deficit hyperactivity disorder
- Autism spectrum disorder
- Schizophrenia (correct)
- Post-traumatic stress disorder
According to DSMIV-TR criteria, how many symptoms must be present to consider a diagnosis of schizophrenia?
According to DSMIV-TR criteria, how many symptoms must be present to consider a diagnosis of schizophrenia?
- At least three
- All of the listed symptoms
- At least two (correct)
- At least one
A client displays auditory hallucinations and delusions. These behaviors are categorized as what type of symptoms?
A client displays auditory hallucinations and delusions. These behaviors are categorized as what type of symptoms?
A patient with schizophrenia believes that he is the president of the United States. What type of delusion is the patient experiencing?
A patient with schizophrenia believes that he is the president of the United States. What type of delusion is the patient experiencing?
A patient with schizophrenia reports that the news anchor on television is sending coded messages directly to them. Which type of delusion is the patient experiencing?
A patient with schizophrenia reports that the news anchor on television is sending coded messages directly to them. Which type of delusion is the patient experiencing?
A patient with schizophrenia believes that their neighbor is trying to poison them. Which type of delusion are they experiencing?
A patient with schizophrenia believes that their neighbor is trying to poison them. Which type of delusion are they experiencing?
During an assessment, a patient with schizophrenia states that there are worms eating their intestines. This is an example of what type of delusion?
During an assessment, a patient with schizophrenia states that there are worms eating their intestines. This is an example of what type of delusion?
A patient with schizophrenia reports that their thoughts are being controlled by external forces. Which type of delusion are they experiencing?
A patient with schizophrenia reports that their thoughts are being controlled by external forces. Which type of delusion are they experiencing?
A nurse is caring for a patient experiencing hallucinations and delusional thinking. Which nursing diagnosis is most appropriate for this patient?
A nurse is caring for a patient experiencing hallucinations and delusional thinking. Which nursing diagnosis is most appropriate for this patient?
A patient with schizophrenia is having difficulty sleeping due to auditory hallucinations. What is the most appropriate nursing diagnosis related to this?
A patient with schizophrenia is having difficulty sleeping due to auditory hallucinations. What is the most appropriate nursing diagnosis related to this?
When providing care for a patient with schizophrenia, which aspect of nursing management is likely to take priority?
When providing care for a patient with schizophrenia, which aspect of nursing management is likely to take priority?
Which factor represents a key barrier to the successful management of schizophrenia?
Which factor represents a key barrier to the successful management of schizophrenia?
What is the primary goal of antipsychotic medication in the treatment of schizophrenia?
What is the primary goal of antipsychotic medication in the treatment of schizophrenia?
Which of the following medications is classified as a typical or traditional antipsychotic?
Which of the following medications is classified as a typical or traditional antipsychotic?
Which of the following medications is classified as an atypical antipsychotic?
Which of the following medications is classified as an atypical antipsychotic?
A nurse is monitoring a patient taking antipsychotic medication. For which of the following potential side effects should the nurse monitor?
A nurse is monitoring a patient taking antipsychotic medication. For which of the following potential side effects should the nurse monitor?
Which of the following is an extrapyramidal side effect (EPS) that should be monitored in patients taking antipsychotic medications?
Which of the following is an extrapyramidal side effect (EPS) that should be monitored in patients taking antipsychotic medications?
A patient on antipsychotic medication is restless and has an inability to sit still. Which extrapyramidal side effect is the patient experiencing?
A patient on antipsychotic medication is restless and has an inability to sit still. Which extrapyramidal side effect is the patient experiencing?
A patient on antipsychotic medication exhibits slowed movement, a mask-like face, and rigidity. Which extrapyramidal side effect is the patient experiencing?
A patient on antipsychotic medication exhibits slowed movement, a mask-like face, and rigidity. Which extrapyramidal side effect is the patient experiencing?
A patient on antipsychotic medication is experiencing muscle spasms of the tongue, face, and neck. What extrapyramidal side effect is the patient experiencing?
A patient on antipsychotic medication is experiencing muscle spasms of the tongue, face, and neck. What extrapyramidal side effect is the patient experiencing?
Which intervention is most appropriate in the treatment plan for a patient who is withdrawn and disconnected?
Which intervention is most appropriate in the treatment plan for a patient who is withdrawn and disconnected?
A patient with paranoid schizophrenia is admitted to an acute-care psychiatric unit. What nursing diagnosis has the highest priority for this patient?
A patient with paranoid schizophrenia is admitted to an acute-care psychiatric unit. What nursing diagnosis has the highest priority for this patient?
A patient presents with mutism and wax-like flexibility. Which type of schizophrenia is most likely?
A patient presents with mutism and wax-like flexibility. Which type of schizophrenia is most likely?
A patient with schizophrenia is speaking in a group by putting rhyming words that have no meaning together. What term does a nurse use to assess this behavior?
A patient with schizophrenia is speaking in a group by putting rhyming words that have no meaning together. What term does a nurse use to assess this behavior?
A patient with schizophrenia believes his roommate is inserting thoughts in his mind against his will. How does the nurse interpret this statement?
A patient with schizophrenia believes his roommate is inserting thoughts in his mind against his will. How does the nurse interpret this statement?
Which individual is credited with designing the four basic diagnostic areas for characterizing schizophrenia?
Which individual is credited with designing the four basic diagnostic areas for characterizing schizophrenia?
A client experiencing hallucinations is perceiving:
A client experiencing hallucinations is perceiving:
A patient misinterprets the sound of rustling leaves as voices plotting against them. The nurse would document this as:
A patient misinterprets the sound of rustling leaves as voices plotting against them. The nurse would document this as:
The nurse is caring for a patient exhibiting echolalia and echopraxia. These symptoms are most closely associated with which subtype of schizophrenia?
The nurse is caring for a patient exhibiting echolalia and echopraxia. These symptoms are most closely associated with which subtype of schizophrenia?
A patient diagnosed with schizoaffective disorder is exhibiting which of the following?
A patient diagnosed with schizoaffective disorder is exhibiting which of the following?
Which of the following best describes a 'delusion'?
Which of the following best describes a 'delusion'?
When caring for a disorganized patient, which nursing intervention would be most beneficial?
When caring for a disorganized patient, which nursing intervention would be most beneficial?
A common side effect of antipsychotic medications is dry mouth. What medication is often prescribed to counter this?
A common side effect of antipsychotic medications is dry mouth. What medication is often prescribed to counter this?
A patient is diagnosed with Schizophreniform disorder. This indicates they have experienced symptoms for:
A patient is diagnosed with Schizophreniform disorder. This indicates they have experienced symptoms for:
A patient firmly believes that they can fly, despite evidence to the contrary. They deny that this is a hallucination or misinterpretation, but insist that it is a real capability. What is this called?
A patient firmly believes that they can fly, despite evidence to the contrary. They deny that this is a hallucination or misinterpretation, but insist that it is a real capability. What is this called?
A patient experiencing auditory hallucinations appears to be listening to someone who is not there. What nursing intervention would be most effective in this situation?
A patient experiencing auditory hallucinations appears to be listening to someone who is not there. What nursing intervention would be most effective in this situation?
While working with a withdrawn patient, what is an appropriate short-term goal to incorporate into the treatment plan?
While working with a withdrawn patient, what is an appropriate short-term goal to incorporate into the treatment plan?
Which of the following medications requires monitoring for agranulocytosis, a potentially life-threatening side effect?
Which of the following medications requires monitoring for agranulocytosis, a potentially life-threatening side effect?
Questions and Answers
Something went wrong
Flashcards
Flashcards
Loss of Ego Boundaries
Loss of Ego Boundaries
Losing the awareness of the boundary between oneself and others.
Hallucinations
Hallucinations
Experiencing sensory perceptions wihout external stimuli.
Delusions
Delusions
A false, fixed belief that can't be changed by logic.
Schizophrenia Definition
Schizophrenia Definition
Signup and view all the flashcards
Schizophrenia Symptoms
Schizophrenia Symptoms
Signup and view all the flashcards
Schizophrenia Symptoms list
Schizophrenia Symptoms list
Signup and view all the flashcards
DSMIV-TR Criteria
DSMIV-TR Criteria
Signup and view all the flashcards
Echolalia
Echolalia
Signup and view all the flashcards
Echopraxia
Echopraxia
Signup and view all the flashcards
Clanging
Clanging
Signup and view all the flashcards
Neologisms
Neologisms
Signup and view all the flashcards
Delusion of Grandeur
Delusion of Grandeur
Signup and view all the flashcards
Delusion of Persecution
Delusion of Persecution
Signup and view all the flashcards
Thought Insertion
Thought Insertion
Signup and view all the flashcards
Antipsychotics
Antipsychotics
Signup and view all the flashcards
Schizophreniform length?
Schizophreniform length?
Signup and view all the flashcards
Schizoaffective Disorder
Schizoaffective Disorder
Signup and view all the flashcards
Bleuler's Diagnostics
Bleuler's Diagnostics
Signup and view all the flashcards
Flashcards
Something went wrong
Study Notes
Study Notes
Schizophrenia Overview
- Schizophrenia is a cluster of related psychotic brain disorders that have an unknown etiology.
- It is characterized by a combination of disordered thinking, perceptual disturbances, behavioral abnormalities, affective disruptions, and impaired social competency.
- Symptoms typically include delusions, hallucinations, disorganized speech patterns, bizarre behaviors, social impairment, and cognitive impairment.
- The DSMIV-TR criteria requires that two of the listed symptoms must be present for diagnosis
Symptoms of Schizophrenia
- Loss of ego boundaries can occur.
- Auditory hallucinations and delusions are common.
- Hypersensitivity to sound, sight, and smell may be present.
- Difficulty relating to others is a symptom.
- Negativism, religiosity, and a lack of social awareness may occur.
- Disorganized behavior can be observed.
- Illusions involve misinterpretation of real external stimuli.
- Hallucinations involve sensory impressions without external stimuli.
- Delusions are false fixed beliefs.
Etiology and Correlating Factors
- The exact etiology of schizophrenia is unknown.
- Correlating factors include family history, stress, and environmental factors.
Subtypes of Schizophrenia
- Paranoid Schizophrenia
- Catatonic Schizophrenia
- Residual Schizophrenia
- Disorganized Schizophrenia
- Undifferentiated Schizophrenia
- Catatonic Schizophrenia may be characterized by Echolalia and Echopraxia.
Positive and Negative Symptoms
- Positive symptoms are present
- Negative symptoms are absent.
Common Delusions
- Delusion of Grandeur
- Delusion of Persecution: Others are out to harm or persecute them.
- Delusion of Reference
- Somatic Delusion
- Control Delusion
Nursing Diagnosis
- Impaired thought processes can be related to possible inherited factors, delusional thinking, hallucinations, or inaccurate interpretation of the environment.
- Sleep Pattern Disturbance can be related to repressed fears, hallucinations, or delusional thinking.
Nursing Management Issues
- Crisis stabilization usually requires inpatient hospitalization.
- Engaging the patient in treatment is important.
- Patient and family education
- Medication noncompliance
- Substance use & abuse
- Potential for assaultive behavior
- Assessing for suicide risks
Patient Care Approaches
- For paranoid patients, the priority nursing diagnosis is the risk for violence directed at self or others.
- For withdrawn patients: Set up small achievable goals, encourage patient participation, provide positive reinforcement, involve the patient in treatment planning, and link the plan to discharge.
- For disorganized patients: provide 1:1 nursing assistance, sequence steps with the patient, assist with ADLs, grooming, and monitor intake & output.
Antipsychotic Medication
- The goal is to suppress psychotic symptoms and improve the overall level of functioning.
- A significant barrier to optimal management is a lack of patient adherence.
Typical/Traditional Antipsychotics
- Thorazine
- Prolixin
- Haldol
- Loxitane
- Moban
- Trilafon
- Mellaril
- Navane
- Stelazine
Atypical Antipsychotics
- Aripiprazole (Abilify)
- Asenapine (Saphris)
- Clozapine (Clozaril)
- Iloperidone (Fanapt)
- Lurasidone (Latuda)
- Olanzapine (Zyprexa)
- Paliperidone (Invega)
- Quetiapine (Seroquel)
- Risperidone (Risperdal)
- Ziprasidone (Geodon)
Interventions
- Monitor extrapyramidal side effects like Akathisia, Akinesia, Dystonias, Pseudo-parkinsonism, Tardive dyskinesia, and NMS.
Planning & Implementation
- Psychopharmacology
- Individual & group interventions
- Milieu therapy
- Family therapy
Differentiating Between Disorders
- Schizophreniform: Less than 6 months
- Psychotic Disorder NOS
- Schizoaffective Disorder: Mood and psychotic symptoms
- Delusional Disorder
- Brief Psychotic Disorder
- Shared Psychotic Disorder (folie a deux)
- Substance-induced psychotic disorder
- Psychotic Disorder due to a general medical condition
Historical Context
- Eugen Bleuler designed the four basic diagnostic areas for characterizing schizophrenia: Affect, Associations, Autistic thoughts, Ambivalence.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Study Notes
Something went wrong
