Thought Disorders
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| What is delirium? | A rapid change in consciousness that occurs over a short time. Reversible.
🗑
|
||||
| List four causes of delirium: | *Hypoxia *Electrolyte imbalances *Drugs *Pain *Fatigue *Infections
🗑
|
||||
| List four S/Sx of delirium: | *Disorientation *Overwhelming anxiety *Tremors *Florid (elaborate/flamboyant) delusions *Illusions and/or hallucinations *Disturbed psychomotor activity *Sleep-wake cycles *Incoherence
🗑
|
||||
| What is Sun-downing syndrome? | *Nocturnal delirium *Displays increased disorientation and agitation only during the evening or nighttime
🗑
|
||||
| What is the most common form of dementia? | Alzheimers
🗑
|
||||
| What are delusions? | A fixed, false belief that cannot be corrected by feedback and is not accepted as true by others in the culture
🗑
|
||||
| Give an example of delusional ideas of reference. | Thinking someone on TV took your idea
🗑
|
||||
| Give an example of Somatic Delusions. | Person thinking they have an illness with no proof
🗑
|
||||
| Give an example of delusional thought broadcasting | “You know what I am thinking”
🗑
|
||||
| Give an example of delusional Thought Insertion | “She put these thoughts in my head”
🗑
|
||||
| Give an example of delusional Thought Withdrawal | “You have been stealing my thoughts!”
🗑
|
||||
| What complications and enviromental factors during pregnancy can increase the chances of child being schizophrenic? | *Birth trauma *Mother contracting a virus like the flu, especially in 2nd trimester *Winter birth
🗑
|
||||
| What are the structural brain abnormalities in people with schizophrenia? | *Enlarged lateral and third ventricles *Enlarged sulci *Brain atrophy *Hypofrontality (reduced activation in the frontal cortex)
🗑
|
||||
| How does dopamine relate to schizophrenia? | *Excess of Dopamine in the center of the brain *Lowered Dopamine levels in the prefrontal cortex region
🗑
|
||||
| What does the schizophrenia vulnerability model propose? | that each of us is endowed with a degree of vulnerability that under suitable circumstances will express itself in an episode of schizophrenic illness
🗑
|
||||
| What is Alogia? | reduced content of speech
🗑
|
||||
| What is Anhedonia? | inablity to experience pleasure
🗑
|
||||
| What is Avolition? | lack of initiative/motivation
🗑
|
||||
| What are the S/Sx of schizophrenia? | *Alogia *Anhedonia *Avolition *Attentional impairment *Affective flattening *Hallucinations *Delusions *Formal thought disorder *Repeated instances of bizarre or disorganized behavior
🗑
|
||||
| What are the four stages of schizophrenia? | *Prodromal Phase: Begins with lack of energy or motivation *Prepsychotic Phase: Presents with desire to be left alone *Acute Phase: S/Sx vary; lose contact with reality *Residual Phase: Symptoms resemble prodromal phase
🗑
|
||||
| What are the antipsychotic (neuroleptic) drugs used in Tx of schizophrenia? | *Clozapine *Risperidone *Olanzapine *Sertindol *Ziprasidone *Quetiapine
🗑
|
||||
| What blood disorder can clozapine cause? | Agranulocytosis
🗑
|
||||
| How will antipsychotic medications affect epileptics? | It lowers the seizure threshold (Increasing chances of seizure) so anti-seizure medications may need increased doses
🗑
|
||||
| What is Neuroleptic Malignant Syndrome? | *An extreme adverse reaction to antipsychotic drugs characterized by; *Rigidity with high fever *Water intoxication: Polydipsia with hyponatremia (life threatening)
🗑
|
||||
| What is Acute Extrapyramidal Syndrome? | *An adverse raction to antipsychotic drugs *Dystonia: thick/protruding tongue, stiff neck, abnormal posture of upper limbs *Parkinson like symptoms *Akathisia: extreme restlessness/inability to sit still w/increased motor activity
🗑
|
||||
| What are the medications used to manage extrapyramidal side effects? | *Cogentin *Artane *Symmetril
🗑
|
||||
| What is the evidence to support the genetic basis of schizophrenia? | First degree relatives are 10 times more likely to develop schizophrenia than the general population
🗑
|
||||
| Clozapine (Clozaril) is used only for schizophrenic PTs who are what? | unresponsive to other antipsychotic drugs
🗑
|
||||
| Chlorpromazine (Thorazine) is used to treat what in addition to schizophrenia? | Uncontrolled hiccups
🗑
|
||||
| What is Tardive Dyskinesia? | *Antipsychotic side effect *Rhythmic, involuntary movements of tongue, face, mouth or jaw *Tongue may protrude and there may be chewing movements, puckering of the mouth and facial grimacing
🗑
|
||||
| How often must PTs on antipsychotics be monitored for onset of akathisia, extrapyramidal, parkinsonian, and dystonia? | every two months during therapy and 8-12 weeks after therapy has been discontinued
🗑
|
||||
| What must you do with a schizophrenic patient after administering parenteral neuroleptics? | Keep patient recumbent for at least 30 minutes following parenteral administration to minimize hypotensive effects
🗑
|
||||
| How are PO neuroleptic medications to be administered? | with food, milk, or a full glass of water to minimize gastric irritation
🗑
|
||||
| PO neuroleptic medication concentrates must be diluted in what? | 120mL distilled or acidified water, or fruit juice
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
Shanejqb
Popular Nursing sets