Pathophysiology
This is the main neurotransmitter implicated in Schizophrenia.
What is Dopamine
The patient Alee says, "Tugboat orange and run glass stained computer, Tuesday banana blue"
What is Word Salad
Patient states with a blank facial expression, "My mom died in front of me last weekend."
What is Flat Affect
Until reality testing improves, it is NEVER helpful to _________?
What is prove delusions are false
Fluphenazine is in this class of medications
What is first generation antipsychotics
This model is probably the best explanation for the existence of schizophrenia.
What is diathesis-stress model
The newly admitted patient was once enrolled in the 4th semester of the nursing program at LAHC. The patient dropped saying she no longer wants to continue to pursue a nursing career.
What is Avolition
A patient goes to his bathroom sink and grabs the toothbrush out of the drawer but cannot remember what to do with it.
What is Impaired Memory
When a patient is hallucinating, the nurse should focus on ________________?
What is understanding the patient's experiences and responses
This medication used for psychosis has the unwanted side effect of potentially suppressing the bone marrow, requiring CBC and ANC to be measured weekly for the first 6 months of use.
What is Clozapine/Clozaril
MRI's, CT's, and PET scans may show this?
What is brain structure abnormalities
You say to the patient, "Larissa it's time to het your medication." Larissa responds, "Time to get your medication."
What is Echolialia
Patient's inability to screen out background noise leading to overstimulation.
What is impaired information processing
The outcome criteria of this STAGE focuses on patient understanding of illness and/or controlling symptoms.
What is Phase II: Stabalization
Patient on olanzapine has these signs/symptoms: Blind as a bat, Red as a beet, Dry as a bone, Hot as a hare, Mad as a hatter.
What is anticholinergic toxicity
Second generation antipsychotics differ from first generation antipsychotic because they act on this neurotransmitter.
What is Serotonin
You observe a patient sitting in the day room at Bridges. He is facing the television sitting by himself. Occasionally, he turns his head slightly to the right, shuffles his feet, and moves his lips. He diverts his attention back to the television intermittently.
What is Auditory Hallucinations
The student nurse hears in report, "the patient has difficulty with problem solving causing inappropriateness in social situations"...what is this describing?
What is impaired executive functioning
A patient is experiencing auditory hallucinations. How can the student nurse intervene?
What is distraction (watching TV, listening to music, conversing with others)
The patient receiving haloperidol (Haldol) on your shift becomes unable to close his mouth and has overt torticollis. These signs and symptoms are a result of this condition.
What is acute dystonia
This pathway in the brain is responsible for reward motivation, emotions and positive symptoms of schizophrenia.
What is Mesolimbic Pathway
John, a patient o the psychiatric floor of the hospital states, "The nurse keeps walking past my room to show me they are the boss and in charge."
What is Referential Delusions
A new patient is admitted to Bridges. During the initial assessment, the nurse asks the patient, "What brought you to the hospital?". The patient replies "a cab" rather than explaining a suicide attempt.
What is concrete thinking
Max is a 24-year-old male, newly diagnosed with schizophrenia. Max's nurse recognizes that self-medicating with excessive alcohol is common in this disease and can co-occur with ________?
What is anxiety and depression
This potentially fatal condition can be found NOTABLY in these medications: ziprasiDONE, paliperiDONE, iloperiDONE, asenapine.
What is QT prolongation