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Mental Health - Schizophrenia
Varcarolis & ATI Books
15
Nursing
Undergraduate 3
11/13/2011

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Cards

Term
schizophrenia DX criteria
Definition
->2 of the following S&S are present for a significant portion of time during a 1 month period - hallucinations, delusions, disorganized speech, grossly disorganized or catatonic behavior, & negative S&S

->1 areas of social/occupational dysfunction exist

-duration - at least 6 months

-S&S are not r/t substances or medical condition

-Prominent delusions/hallucinations must be present if pervasive developmental DO exists
Term
Schizophrenia - Positive S&S
Definition
hallucinations, delusions, disorganized speech & behavior
Term
Schizophrenia - Negative S&S
Definition
blunted or flat affect, alogia, avolition, anhedonia, anergia
Term
Schizophrenia Subtype - Paranoia
Definition
characterized by suspicion; hallucinations/delusions & other directed violence risk
Term
Schizophrenia Subtype - Disorganized
Definition
characterized by withdrawal from societ & very inappropriate behaviors; loose associations, bizarre mannerisms, incoherent speech, halluciations/delusions may be present but not as organized as paranoia
Term
Schizophrenia Subtype - Catatonic
Definition
chracterized by abnormal motor movements; withdrawn stage S&S - psychomotor retardation... appear comatose, waxy flexibility, extreme self care needs; excited stage - constant movement, unusual posturing, incoherent speech, self care needs may predominate, may be danger to self others
Term
Schizophrenia Subtype - Residual
Definition
active S&S are gone, but 1 r 2 reside still; anergia, anhedonia, avolition, withdrawal from social activities, speech problems (alogia), odd behaviors
Term
Schizophrenia Subtype - Undifferentiated
Definition
has schizo S&S but doesn't meet the criteria of any other type; positive & negative S&S may be present
Term
Schizoaffective DO
Definition
DO meets the criteria for schizo & affective DO (depression, mania, or mix)
Term
Brief Psychotic DO
Definition
Psychotic S&S that last 1 day - 1 month
Term
Schizophreniform DO
Definition
Schizo S&S but the duration is <6 months & social/occupational dysfunction may or may not occur
Term
Shared Psychotic DO
Definition
1 schizo shares delusion with 2 schizo; AKA folie a deux
Term
Secondary (Induced) Psychosis
Definition
psychosis S&S that are caused by a medical condition or some sort of substance
Term
Nursing AX's R/T Suspected Hallucinations & Delusions -- on paper behind this!
Definition
ask directly about hallucination, watch for cues that pt is hallucination, avoid reacting to hallucination (dont argue or agree), dont negate pt's experience, but offer your own perception, focus on reality-based "here & now" diversions, be alert to S&S of anxiety
Term
Sc
Definition
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