Psychosis
This positive symptom involves hearing voices that are not present.
auditory hallucination
This is difficulty logically connection thoughts, leading to garbled speech
disorganized thinking
This scale is used to assess severity of alcohol withdrawal symptoms
CIWA-Ar scale
These medications are first-line treatment for psychosis
antipsychotics
This disorder is most commonly associated with chronic psychosis
schizophrenia
This negative symptom is characterized by reduced emotional expression.
flat affect
This hallmark feature of delirium involves a sudden change in mental status
acute onset
This medication class is first-line for alcohol withdrawal delirium
benzodiazepines
This serious side effect of antipsychotics includes muscle rigidity, fever, and confusion
neuroleptic malignant syndrome (NMS)
This substance withdrawal can cause delirium with psychosis
alcohol withdrawal
This refers to speech in which there is an absence of reason and rationality
Illogicality
This type of environment is best for a patient with delirium
calm, low-stimulation environment
This complication occurs 12–48 hours after cessation
seizures
This medication is commonly used to prevent Wernicke’s encephalopathy
thiamine (vitamin B1)
This screening tool is used for early psychosis detection
PQ-16
This is a pattern of speech in which a person’s ideas slip off track onto another unrelated or obliquely related topic
loose associations or derailment
What are 3 characteristics of delirium
confusion, inability to focus, disorientation, sleep disturbance, mood changes, disorganized thinking
This life-threatening complication includes fever, severe agitation, and autonomic instability
delirium tremens
This movement disorder side effect includes tremors, rigidity, and bradykinesia
extrapyramidal symptoms (EPS)
Which precautions are used in alcohol withdrawal with delirium (3)
aspiration, fall, and seizure precautions
What are 2 out of the 3 phases of psychosis?
prodome, acute (critical period), recovery
This is the priority question when assessing a client with hallucinations
“Are the voices telling you to hurt yourself or others?”
Alcohol withdrawal leads to overactivity of this excitatory neurotransmitter
glutamate
This is often given along with thiamine to correct deficiencies
folic acid
This neurotransmitter is most associated with psychosis when elevated
dopamine