Patient/family teaching guidelines about psychosis
Positive and negative symptoms of schizophrenia/AIMS scale and coping skills
Antipsychotic medication and teaching
Extrapyramidal side effects
Nursing interventions/de-escalation techniques
100


A therapeutic interpersonal relationship


What is educating about individual psychotherapy?

Rationale: Education about identifying sources of real or perceived danger and ways of acting appropriately. P.486

100


Fixed false beliefs that are irritational and that the individual maintains are true.  

What are hallucinations-Positive symptom

Rationale – These beliefs are not explainable as part of the person’s usual religious or cultural precepts (Morgan, 2024, p.474)

100


This type of antipsychotics is considered weaker than the other dopamine antagonists but more useful as serotonin type 2A receptor antagonists.

What is an Atypical Antipsychotic medication.

 Rational "Atypical antipsychotics are weaker dopamine receptor antagonists then conventional antipsychotics but more potent antagonists of the serotonin (5-hydroxytryptamine) type 2A (5HT2A) receptor" (Morgan, 2024 Pg. 490).

100


A patient who is taking an antipsychotic agent develops extrapyramidal symptoms.


What is tongue protrusions, neck torsions, shuffling gait, and seizures.

(Willihnganz et al., 2022, P. 275)

100


Stopping mid-sentence and cocking her head to the side as if listening.


What are signs of hallucinations?


Rationale: Early intervention may prevent aggressive response to command hallucinations. P.479

200


Groups offer a supportive environment.



What is educating about group therapy? 

Rationale: Group therapy has been most useful over the long-term course of the illness. P.487

200


The most common type of hallucinations

What is auditory hallucinations- Positive symptom

Rationale– Auditory hallucinations are false perceptions of sound (Morgan, 2024, p.474)


200


This type of antipsychotic blocks post synaptic dopamine receptors

What is a typical antipsychotic medication.

Rational: "Typical antipsychotics work by blocking postsynaptic dopamine receptors in the basal ganglia, hypothalamus, limbic system, brainstem, and medulla"(Morgan, 2024 Pg. 490).

200


Adverse effects a patient should be monitored for.  

What are seizures, dyslipidemia, and hyperglycemia?

 (Willihnganz et al., 2022, P.275)

200


"Every student has been told to keep an eye on me"


What is assess the patient's anxiety level?

Rationale: If the patient can learn to interrupt anxiety, episodes may be prevented. P.482

300


Topics related to schizophrenia



What is educating about nautre of the illness, management of the illness, and support services?

Rationale: The role of patient teacher is important in the psychiatric area, as it is in all areas of nursing. P.486

300


Retreat to an earlier level of development

What is Regression-Negative symptom

Rationale- Regression is a primary defense mechanism of schizophrenia (Morgan, 2024, p.475)

300


Do not stop taking the medications because symptoms can return in the absence.


What is a piece of teaching that is important for Caroline to know about compliancy? 

"Continue to take the medication, even if feeling well and as tough it is not needed. Symptoms may return if medication is discontinued" (Morgan, 2024 Pg. 493).


300

 

Part of the nurse’s ongoing assessment of the client taking antipsychotic medications is to observe for extrapyramidal symptoms.

What are muscular weakness, rigidity, tremors, facial spasms?

(Morgan & Townsend, 2021, P. 84)

300


 "They are so jealous".  "I am the chosen one"!


What is should you not argue or deny belief?


Rationale: A trusting relationship may be impeded. P.482


400


Groups offer a supportive environment.


What is educating about group therapy? 

Rationale: Group therapy has been most useful over the long-term course of the illness. P.487

400


Withdrawing from others or social relationships

What is social isolation- Negative symptom

Rationale – Some may experience ambivalence in social relationships or may withdraw from relationships altogether (Morgan, 2024, p.475)


400


Also called antipsychotic agents.

What is neuroleptics?

"Antipsychotics agents are also called neuroleptics"(Morgan, 2024 Pg. 73).

400


 Extrapyramidal side effects


What is pseudo parkinsonism, akathisia, dystonia?

(Morgan & Townsend, 2021, P. 70-71)

400


 "I'm an expert chemist that's why everyone is out to get me"!

What is maintain an assertive, genuine, matter-of-fact approach?

Rationale: Approaches that are overly cheerful may increase a patient's suspiciousness. P. 482

500


                    Behavior modification

What is behavior therapy?

Rationale: Behavior therapy is a powerful tool for helping patient change undesirable behavior. P. 484


500


Deficiency of energy


What is anergia? 

Rationale: The individual with schizophrenia may lack sufficient energy to carry out activities of daily living or to interact with others (Morgan, 2024, p.475)


500


  • Why should the patient be careful operating or driving machinery?


  • What is drowsiness and dizziness

  • Rational: "Use cation when driving or operation dangerous machinery. Drowsiness and dizziness can occur"(Morgan, 2024 Pg. 491)

500


When a patient is experiencing the extrapyramidal side effect of acute dystonia, this drug class should be administered as ordered and immediately.


What are Antiparkinsonian Agents?

500


"Her thought process was loose and vague, and often circumstantial.


What is use an attitude of acceptance?

Rationale:  This question is important to prevent injury to the patient and others from command hallucinations. P. 482