Psychosis
Symptoms
Medications
Prioritization
Delirium or Dementia?
100

These symptoms include flat affect, lack of motivation, social withdrawal, and anhedonia

Negative symptoms

100

This type of hallucination is most common in psychotic disorders

Auditory Hallucinations

100

This medication class, often used for pain, is a frequent treatment-related cause of delirium

Opioids

100

A patient is pacing and appears increasingly agitated. What is the priority intervention for this patient

Reduce environmental stimuli and use de-escalation techniques

100

This condition is an example of chronic, permanent confusion

Dementia

200

A sensory perception without an external stimulus is called this

Hallucination

200

This specific type of delusion involves the belief that other people can hear what is going on inside your brain

Thought Broadcasting

200

Most antipsychotics primarily work by blocking this neurotransmitter receptor

Dopamine (D2 receptors) 

200

A patient reports hearing voices. What is priority nursing intervention

Assess safety by asking if voices are telling them to harm themselves or others

200

This condition is considered a medical emergency and often a symptom of an underlying disorder like sepsis

Delirium

300

This phase of psychotic disorders occurs before full psychosis and may include subtle changes in behavior or thinking

Prodromal phase

300

An example of this symptom is a patient who repeats the nurse’s words back immediately after hearing them

Echolalia

300

Serious side effect of antipsychotics causing fever, rigidity, and confusion

Neuroleptic Malignant Syndrome (NMS)

300

What are two things you should not do to a patient expressing delusional thinking (communication) 

- Challenging the belief 

- Reinforcing or validating the delusion 

300

This assessment is used to help the diagnosis of delirium

Confusion Assessment Method (CAM)

400

A  diagnosis for this disorder requires at least one characteristic symptom, such as delusions, hallucinations, or disorganized speech, to be present for at least one month 

Schizophrenia


400

This negative symptom is defined as a total lack of pleasure in activities a person used to enjoy

Anhedonia

400

This medication is sometimes given IM in emergency settings for acute psychosis or severe agitation

Haloperidol (Haldol)

400

The first priority in treating delirium is not medication, but rather identifying and treating this

Underlying cause (causative agent)

400

This condition is less likely to involve altered level of consciousness early on 

Dementia