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Schizophrenia
| Question | Answer |
|---|---|
| tool used to screen for symptoms of movement disorders (side effects of neuroleptic medications) | abnormal involuntary movement scale (AIMS) |
| intense need to move about; characterized by restless movement, pacing, inability to remain still, and the client’s report of inner restlessness | akathisia |
| a lack of any real meaning or substance in what the client says | alogia |
| having no pleasure or joy in life; losing any sense of pleasure from activities formerly enjoyed | anhedonia |
| showing little or a slow-to-respond facial expression; few observable facial expressions | blunted affect |
| psychomotor disturbance, either motionless or excessive motor | catatonia |
| disturbed auditory sensory perceptions demanding that the client take action, often to harm self or others, and are considered dangerous; often referred to as “voices” | command hallucinations |
| a fixed, false belief not based in reality | delusion |
| feelings of being disconnected from himself or herself; the client feels detached from his or her behavior | depersonalization |
| reversible extrapyramidal effect that can occur after administration of a neuroleptic drug; symptoms: intermittent spasmodic or sustained involuntary contractions of muscles in the face, neck, trunk, pelvis, extremities, and even the larynx | acute dystonia |
| repetition or imitation of what someone else says; mimicking | echolalia |
| imitation of the movements and gestures of someone an individual is observing | echopraxia |
| reversible movement disorders induced by antipsychotic or neuroleptic medication | extrapyramidal side effects |
| showing no facial expression | flat affect |
| false sensory perceptions or perceptual experiences that do not really exist | hallucinations |
| client’s inaccurate interpretation that general events are personally directed to him or her, such as hearing a speech on the news and believing the message has personal meaning | ideas of reference |
| refers to hesitation before the client responds to questions | latency of response |
| a potentially fatal, idiosyncratic reaction to an antipsychotic (or neuroleptic) drug; symptoms: rigidity, hyperpyrexia, unstable/elevated BP, diaphoresis, pallor, delirium | neuroleptic malignant syndrome (NMS) |
| another name for antipsychotic medications | neuroleptics |
| excessive water intake | polydipsia |
| shuffling gait, masklike faces, muscle stiffness (continuous) or cogwheeling rigidity (ratchet-like movements of joints), drooling, and akinesia (slowness and difficulty initiating movement) | pseudoparkinsonism |
| overall slowed movements; a general slowing of all movements; slow cognitive processing and slow verbal interaction | psychomotor retardation |
| cluster of symptoms including delusions, hallucinations, and grossly disordered thinking and behavior | psychosis |
| a late-onset, irreversible neurologic side effect of antipsychotic medications; characterized by abnormal, involuntary movements such as lip smacking, tongue protrusion, chewing, blinking, grimacing, and choreiform movements of the limbs and feet | tardive dyskinesia |
| stopping abruptly in the middle of a sentence or train of thought; sometimes client is unable to continue the idea | thought blocking |
| a delusional belief that others can hear or know what the client is thinking | thought broadcasting |
| a delusional belief that others are putting ideas or thoughts into the client’s head; that is, the ideas are not those of the client | thought insertion |
| a delusional belief that others are taking the client’s thoughts away and the client is powerless to stop it | thought withdrawal |
| maintenance of posture or position over time even when it is awkward or uncomfortable | waxy flexibility |
| flow of unconnected words that convey no meaning to the listener | word salad |
| positive or negative? delusions, hallucinations; grossly disorganized thinking/speech/behavior | positive (hard) symptoms |
| positive or negative? flat affect, lack of volition, social withdrawal or discomfort | negative (soft) symptoms |
| diagnosis? The client is severely ill and has a mixture of psychotic and mood symptoms. The signs and symptoms include those of both schizophrenia and a mood disorder such as depression or bipolar disorder. | Schizoaffective disorder |
| diagnosis? The client exhibits an acute, reactive psychosis for <6 months necessary to meet the diagnostic criteria for schizophrenia. If symptoms >6 months, diagnosis changed to schizophrenia. Social or occupational functioning may/may not be impaired. | Schizophreniform disorder |
| diagnosis? marked psychomotor disturbance, either excessive movement or immobile | Catatonia |
| diagnosis? has one or more nonbizarre delusions; the focus of the delusion is believable; may be persecutory, erotomanic, grandiose, jealous, or somatic | Delusion disorder |
| diagnosis? sudden onset of at least one psychotic symptom that lasts 1-day to 1-month | Brief Psychotic Disorder |
| diagnosis? two people share similar delusion | Shared Psychotic Disorder (folie deux) |
| diagnosis? odd, eccentric behavior; 20% will eventually be diagnosed with schizophrenia | Schizotypal Personality Disorder |
| neurotransmitter related to schizophrenia? (excess of what?) | dopamine |
| It is believed that _______ may have a role in the development of major psychiatric disorders such as schizophrenia | cytokines |
Created by:
nurse savage
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