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psych final review
psych
| Question | Answer |
|---|---|
| Muscle spasms, particularly in neck andeyesTongue protrusion, dysphagia and spasms in the throat can compromise airwayAre painful and frightening to the patient | Dystonic Reactions |
| reaction mustly linked with clozapine | Agranulocytosis |
| Which of the following is administered for EPS? | cogentin and benadrlyl |
| Restlessness, Pacing, Inability to be still, no purpose to movementOccurs when antipsychotic is started or increased | Akathisia |
| Shuffling gaitMuscle stiffnessMask-like facial expressionCogwheeling of jointsDrooling | Pseudoparkinsonism |
| Phase I: the schizoid phases- | indifferent to social relationships and having a very limited range of emotions. They do not enjoy close relationships and prefer to be “loners” they appear cold and aloof |
| s/s: delusional thinking, Suspiciousness | Nursing dx= disturbed thought processes |
| Positive Symptoms of schizo | Also referred to as psychosis Includes hallucinations, delusions, bizarrethinking and speech, bizarre behavior |
| Phases II: the prodromal phase- | social withdrawal; impairment in role functioning;peculiar or eccentric behav; neglect of hygiene blunted or inappropriate affect disturbances in communication; bizarre ideas; unusual perceptual experiences; and lack of initiative, interest, or energy. |
| Tardive Dyskinesia | Abnormal, involuntary movements afterlong-term use of antipsychoticsCauses patient to socially isolateIs irreversible, but can stop progressionwith decreasing or stopping the medicationAIMS screening tool |
| verbalizes hearing voices listening pose | Nursing dx= disturbed sensory perception (auditory) |
| May be poverty of speech (alogia), nointerest in life (anhedonia), lack of will,flat or blunted affect (most visible)Catatonia: rare, most bizarre of the_____ symptoms | negative symptoms |
| Phases III: schizophrenia- | psychotic symptoms are prominent. (delusions, hallucinations, social/occupational dysfunction, continuous signs for at least 6 months |
| Neuroleptic Malignant Syndrome | Can be fatalCharacterized by fever, muscle rigidity andabnormal muscle enzymes (show in lab)Must stop the antipsychotic immediately (this is an emergency), but another may work |
| Phase IV: residual phase- | characterized by periods of remission and exacerbation. A residual phase usually follows an active phase of the illness. Symptoms are similar to those of the prodromal phase, with flat affect and impairment in role functioning being prominent. |
| Agranulocytosis | Potentially fatalMost linked with clozapineFailure of bone marrow to produce adequate white blood cellsCharacterized by fever, malaise, sore throat |
Created by:
chelsea309
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