Basics
This term describes a loss of contact with reality, often including delusions, hallucinations, and disorganized thinking.
Answer: What is psychosis?
This is the minimum duration of continuous signs of schizophrenia required for diagnosis.
Answer: What is 6 months?
Proficient nurses can detect these subtle signs of psychosis, while novice nurses typically only notice overt delusional behavior.
Answer What are hallucinations and negative symptoms?
The first step in the LEAP approach where you try to understand the patient's experience.
Answer: What is Listen?
One-third of adults with schizophrenia have onset before this age.
Answer: What is 18 years old?
This type of hallucination is most commonly associated with psychosis.
Answer: What are auditory hallucinations?
These are at least two of the key symptom domains of schizophrenia required for diagnosis (name two).
Answer: What are delusions, hallucinations, disorganized speech, grossly disorganized or catatonic behaviour, and negative symptoms (any two)?
This systematic assessment includes history, physical assessment, mental status examination, and diagnostic testing for psychosis.
Answer What is a comprehensive psychosis assessment?
This type of relationship between nurse and patient facilitates recovery in schizophrenia.
Answer: What is a therapeutic nurse-patient relationship (or helping partnership)?
Early warning signs of relapse include reduced sleep and this cognitive symptom.
Answer: What is reduced concentration?
This type of delusion involves a fixed false belief that one is being harmed, spied on, or plotted against.
Answer: What is a persecutory delusion?
This phase of schizophrenia precedes the active phase and is characterized by subtle changes such as social withdrawal and decline in functioning.
Answer: What is the prodromal phase?
Subclinical symptoms appear during this phase before the patient becomes overtly psychotic.
Answer What is the pre-psychotic (or prodromal) phase?
Strong emotional reactions like fear or anger that staff experience toward patients.
Answer: What is counter-transference?
With each relapse of psychosis, there is an increase in this type of dysfunction.
Answer: What is residual dysfunction and deterioration?
This concept from Giddens refers to the degree to which individuals can understand and interpret reality accurately.
Answer: What is reality testing?
This psychotic disorder has schizophrenia‑like symptoms that last more than 1 month but less than 6 months.
Answer: What is schizophreniform disorder?
Expert nurses can sometimes perceive psychosis at this level, even before symptoms meet diagnostic criteria.
Answer: What is below the clinical threshold?
This essential nursing characteristic combats stigma and is well-documented as critical when caring for people with schizophrenia.
Answer: What is hope (or being hopeful)?
Primary prevention involves monitoring these high-risk individuals for abnormal social development.
Who are children of parents diagnosed with schizophrenia?
Name two major negative symptoms of psychosis commonly discussed in Giddens.
Answer: What are flat affect, alogia, avolition, anhedonia, or social withdrawal (any two)?
This psychotic disorder includes symptoms of both schizophrenia and a mood disorder (major depressive or bipolar) with a period of psychosis lasting at least 2 weeks without mood symptoms.
Answer: What is schizoaffective disorder?
To casual observers, individuals with subclinical psychosis symptoms may appear this way.
Answer: What is odd, socially awkward, or easily distracted?
he third step in LEAP where you identify facts both you and the patient can accept.
Answer: What is Agree (finding common ground)?
First episode psychosis treatment should include antipsychotic medication in conjunction with these types of interventions.
What are psychological and psychosocial interventions?