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Mental - Module 9

Schizophrenia Spectrum Disorders - Ch. 12

QuestionAnswer
acute dystonia a sudden, sustained contraction of one or several muscle groups, usually of the head and neck
affective symptoms symptoms involving emotions and their expression
akathisia a motor restlessness that causes pacing and/or an inability to stay still or remain in one place.
anosognosia the inability to realize one is ill - an inability caused by the illness itself
anticholinergic toxicity potentially life-threatening medical emergency caused by antipsychotics or other anticholinergic medications, including many antiparkinsonian drugs and over the counter cold/allergy medicines.
antipsychotic medication medications used to treat psychotic disorders such as schizophrenia
associative looseness results from haphazard and illogical thinking where concentration is poor and thoughts are only loosely connected
clang association choosing words based on their sound rather than their meaning and often involves words that rhyme or have a similar beginning sound
command hallucination auditory hallucinations that instruct a person to act in a specific way
concrete thinking an impaired ability to think abstractly, resulting in interpreting or perceiving things in a literal manner
delusions false beliefs that are held despite a lack of evidence to support them
echopraxia mimicking the movements of others
executive functioning when impaired includes difficulty with reasoning, setting priorities, comparing otions, placing things in logical order or groups, anticipating and planning, and inhibiting undesirable impulses or actions
extrapyramidal side effects side effects that occur when taking certain medications, especially antipsychotic drugs, that affect the motor system (including acute dystonia, akathisia, pseudoparkinsonism, and tardive dyskisnesia)
hallucinations occurs when a person perceives a sensory experience for which no exteral source exists (e.g. hearing a voice when no one is speaking)
illusions misinterpretations of a real experience (e.g. seeing a coat on a coat rack and believing it is a bear)
long-acting injectable formulations that only need to be administered only every 2 to 4 weeks or even months
metabolic syndrome includes weight gain (especially in the abdominal area), dyslipidemia, increased blood glucose, and insulin resistance
negative symptoms the absence of qualities that should be present. The inability to enjoy activities (anhedonia), social discomfort, or lack of goal-directed behavior.
neologism words that have meaning for the patient but a different or nonexistent meaning for others
neuroleptic malignant syndrome NMS - caused by excessive dopamine receptor blockade - occurs w/first generation antipsychotic medications - characterized by reduced consciousness and responsiveness, increased muscle tone (generalized muscle rigidity), and autonomic dysfunction.
paranoia an irrational fear, ranging from mild (being suspicious, wary, guarded) to profound (believing irrationally that another person intends to kill you)
positive symptoms the presence of symptoms that should not be present. Hallucinations, delusions, paranoia, or disorganized or bizarre thoughts, behavior, or speech.
prodromal phase phase in which milder symptoms of the disorder occur, often months or years before the full disorder becomes mainifest
pseudoparkinsonism a temporary group of symptoms that resemble Parkinson disease: tremor, reduced accessory movements (arms swinging when walking), gait impairment, reduced facial expressiveness (mask facies), and slowing of moter behavior (bradykinesia)
psychosis altered cognition, altered perception, and/or an impaired ability to determine what is or is not real
reality testing the automatic and unconscious process by which we determine what is real and is not real
recovery model stresses hope, living a full productive life, and eventual recovery rather than focusing on controlling symptoms and adapting to disability
severe neutropenia most often associated with clozapine (Clozaril), also possible with other antipsychotics, is an acute condition involving a dangerously low white blood cell count (neutropenia), which increases the risk of a serious infection.
tardive dyskinesia a persistent EPS involving involuntary rhythmic movements
cognitive impairment difficulties with thinking, learning, remembering, and making decisions
Created by: Blackbeltmom
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