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Schizophrenia
Nus 471 exam 1
52
Nursing
Undergraduate 3
09/23/2012

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Cards

Term
Disorganized schizo
Definition
• Chronic
• Flat or inappropriate affect
• Silliness or giggling
• Bizarre behavior
• Impaired social interaction
limited contact with reality
Term
Catatonic schizopherenia
Definition
Catatonic stupor
• Extreme psychomotor retardation
• Patient mute with posturing
Catatonic excitement
• Extreme psychomotor agitation
• Purposeless movements
Term
Paranoid schizo
Definition
• Delusion of persecution or grandeur
• Auditory hallucinations
• Argumentative, hostile and aggressive
Term
Undifferentiated schizo
Definition
• Bizarre behavior not meeting criteria outlined by other types of schizo
• With delusions and hallucinations
Term
Schizoaffective disorder
Definition
• Schizo symptoms
• Accompanied by strong symptoms of mood disorders
-Either manic or depressive
Term
Brief psychotic disorder
Definition
• Acute onset of psychotic symptoms (including hallucinations) following severe psychosocial stressor
• Symptoms for less than one month
• Client returns to full premorbid level of functioning
Term
Schizophreniform disorder
Definition
Schizophrenia that lasts between one and six months
Term
Delusional disorder
Definition
existence of significant, non bizarre delusions
Term
Erotomanic delusional disorder
Definition
Individual believes someone is in love with them, usually a person of higher status
Term
Grandiose delusional disorder
Definition
Pt has irrational ideas regaurding own worth, talent, knowledge or power
Term
Jealous delusional disorder
Definition
Idea that significant other is unfaithful
Term
Persecutory delusional disorder
Definition
Believes that he or she is being treated malevolently
Term
Somatic delusional disorder
Definition
• Person has an irrational belief that they have some physical defect, disorder or disease.
• Ie bad body odor
Term
Shared psychotic disorder
Definition
• Delusional system developing in second person as result of close relationship with person who already has psychotic disorders.
• Folie a deux
Term
Agranulocytosis
Definition
Extremely low levels of white blood cells. Symptoms include sore throat, fever, and malaise. This may be a side effect of long-term therapy with some antipsychotic medications.
Term
Akathisia
Definition
Restlessness; an urgent need for movement. A type of extrapyramidal side effect associated with some antipsychotic medications.
Term
Akinesia
Definition
Muscular weakness; or a loss or partial loss of muscle movement; a type of extrapyramidal side effect associated with some antipsychotic medications.
Term
Amenorrhea
Definition
Cessations of the menses; may be a side effect of some antipsychotic medications.
Term
Anhedonia
p or n
Definition
The inability to experience or even imagine any pleasant emotion.
negative
Term
Associative looseness
p or n
Definition
POSITIVE
Sometimes called loose associations, a thinking process characterized by speech in which ideas shift from one unrelated subject to another. The individual is unaware that the topics are unconnected.
Term
Autism
Definition
focus inward on a fantasy world while distorting or excluding the external environment; common in schizophrenia.
Term
Catatonic
Definition
A type of schizophrenia that is typified by stupor or excitement. Stupor is characterized by extreme psychomotor retardation, mutism, negativism, and posturing; excitement by psychomotor agitation, in which the movements are frenzied and purposeless.
Term
Circumstantiality
p or n
Definition
In speaking, the delay of an individual to reach the point of a communication owing to unnecessary and tedious details.
POSITIVE
Term
Clang association
p or n
Definition
A pattern of speech in which the choice of words is governed by sounds. Clang associations often take the form of rhyming.
POSITIVE
Term
Delusions
p or n
Definition
False personal beliefs not consistent with a person’s intelligence or cultural background. The individual continues to have the belief in spite of obvious proof that it is false and/or irrational.
POSITIVE
Term
Dystonia
Definition
involuntary muscular movements (spasms) of the face, arms, legs, and neck; may occur as an extrapyramidal side effect of some antipsychotic medications.
Term
Echolalia
p or n
Definition
The parrotlike repetition, by an individual with loose ego boundaries, of the words spoken by another.
POSITIVE
Term
Echopraxia
p or n
Definition
An individual with loose ego boundaries attempting to identify with another person by imitating movements that the other person makes.
POSITIVE
Term
Extrapyramidal symptoms
Definition
A variety of responses that originate outside the pyramidal tracts and in the basal ganglion of the brain. Symptoms may include tremors, chorea, dystonia, akinesia, akathisia, and others. May occur as a side effect of some antipsychotic medications.
Term
Gynecomastia
Definition
Enlargement of the breasts in men; may be a side effect of some antipsychotic medications.
Term
Hallucinations
p or n
Definition
false sensory perceptions not associated with real external stimuli. Hallucinations may involve any of the five senses.
POSITIVE
Term
Illusion
p or n
Definition
misperception of a real external stimulus.
positive
Term
Magical thinking
p or n
Definition
primitive form of thinking in which an individual believes that thinking about a possible occurrence can make it happen
positive
Term
Neologism
p or n
Definition
New words that an individual invents that are meaningless to others but have symbolic meaning to the psychotic person
POSITIVE
Term
Neuroleptic malignant syndrome
Definition
A rare but potentially fatal complication of treatment with neuroleptic drugs. Symptoms include severe muscle rigidity, high fever, tachycardia, fluctuations in blood pressure, diaphoresis, and rapid deterioration of mental status to stupor and coma.
Term
Neuroleptic
Definition
Antipsychotic medication used to prevent or control psychotic symptoms.
Term
Oculogyric crisis
Definition
An attack of involuntary deviation and fixation of the eyeballs, usually in the upward position. It may last for several minutes or hours and may occur as an extrapyramidal side effect of some antipsychotic medications.
Term
Paranoia
p or n
Definition
A term that implies extreme suspiciousness. Paranoid schizophrenia is characterized by persecutory delusions and hallucinations of a threatening nature.
positive
Term
Perseveration
p or n
Definition
Persistent repetition of the same word or idea in response to different questions.
positive
Term
Pseudoparkinonism
Definition
Tremor, shuffling gait, drooling, rigidity; may occur as a side effect of antipsychotic medications.
Term
Religiosity
p or n
Definition
Excessive demonstration of or obsession with religious ideas and behavior; common in schizophrenia.
positive
Term
Retrograde ejaculation
Definition
Ejaculation of the seminal fluid backward into the bladder; may occur as a side effect of antipsychotic medications.
Term
Social skills training
Definition
Educational opportunities through role play for the person with schizophrenia to learn appropriate social interaction skills and functional skills that are relevant to daily living.
Term
Tangentiality
p or n
Definition
The inability to get to the point of a story. The speaker introduces many unrelated topics, until the original topic of discussion is lost.
positive
Term
Tardive dyskinesia
Definition
Syndrome of symptoms characterized by bizarre facial and tongue movements, a stiff neck, and difficulty swallowing. It may occur as an adverse effect of long-term therapy with some antipsychotic medications.
Term
Waxy flexibility
p or n
Definition
A condition by which the individual with schizophrenia passively yields all movable parts of the body to any efforts made at placing them in certain positions
occurs in catatonic stupour
negative
Term
Word salad
Definition
A group of words that are put together in a random fashion without any logical connection.
Term
psychosis
Definition
-disorganization of personality
-deterioration in social function
-lost contact with reality
may have hallucinations and or delusions
occurs with or without organic impairment
Term
dopamine hypothesis
Definition
suggests that schizo is caused by an excess of dopamine dependant neruonal activity.
Term
concrete thinking
Definition
Literal interpretations of the environment
o Its actually raining cats and dogs
Term
Volition
Definition
impairment in ability to initiate goal directed activity
Term
Emotional ambivalence
Definition
coexistence of opposite emotions toward same object, person or situation
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