Fundamentals
The two components of schizoaffective
What is schizophrenia paired w/ mood disorder?
Weight loss is a side effect of Antipsychotic meds
True or False
False
Gain weight
ABC in Psychotic Disorders represent:
A-Afferent & Appearance B- Behavior C- Context
Suicidal thoughts, DTS
What is Risk for Suicide?
“I feel” is connected to terminology
What is Mood?
Symptoms of Mood Disorders associated with Schizoaffective Disorder can include: severe mania, severe depression, or swings between the two, otherwise called
What is Bipolar Disorder?
Lithium is excreted in the _________.
Kidneys
Elevated levels of this neurotransmitter leads to psychosis and too little leads to depression
Dopamine D2
Self negative talk, expression of worthlessness, lack of eye contact
What is Low self-esteem?
The prognosis for schizoaffective disorder is generally better than that for other schizophrenic disorders but worse than that for mood disorders alone.
True
Fixed, false beliefs that are irrational and that the individual maintains are true despite evidence to the contrary.
What is Delusions?
Rx Indication: Reduce recurrent suicidal behavior in Schizoaffective disorder
Clozapine
Generic: Clozaril
Hallucinations: false sensory perception, most common: audio & vision, dissociation in normal ability is also known as
Internal Stimuli
Patient will shower today and put on clean clothes.
What is Self-care deficit?
A client diagnosed with schizoaffective disorder is admitted for social skills training. Which information should be taught by the nurse?
A. The side effects of medications B. Deep breathing techniques to decrease stress
C. How to make eye contact D. How to be a leader
C. The nurse should plan to teach the client how to make eye contact when communicating. Social skills, such as making eye contact, can assist clients in communicating needs and maintaining connectedness.
The 3 main characteristics (core concepts) of psychotic disorder are
1. Disorganization 2. Social Functioning 3.Contact with Reality
Action-Probably alters chemical transmitters in the CNs, possibly by interfering w/ ionic pump mechanisms in the brain cells, and may compete w/ or replace sodium ions
What is Lithium Carbonate?
A client diagnosed with schizophrenia tells a nurse, The Shopatouliens took my shoes out of my room last night. Which is an appropriate charting entry to describe this clients statement?
A. The client is experiencing command hallucinations. B. The client is expressing a neologism.
C. The client is experiencing a paranoia. D. The client is verbalizing a word salad.
B. A neologism is when a client invents a new word that is meaningless to others but may have symbolic meaning to the client.
Inappropriate thinking, confusion, difficulty concentrating, impaired problem-solving ability, inaccurate interpretation of environment, memory deficit
What is Disturbed thought process?
They don't believe they are ill, everyone else is otherwise called
Anosognosia
The decisive factor in the diagnosis of schizoaffective disorder is the presence of hallucinations and/or delusions that occur for at least 1 month in the absence of a major mood episode
True or False
False
2 weeks
Vomiting, dehydration, or diuretics leads to FLUID LOSS which leads to concentrated blood, increasing Li in blood will lead to:
What is Lithium toxicity?
Symptoms have to be present for at least 6mo to be dx
True or False
True
Withdrawn, uncommunicative, seeks to be alone, dysfunctional interaction with others, discomfort in social situations
Per this model, the development of depression is:
Combined effects of genetic predisposition, biochemical and psychosocial influence on individuals
What is Transaction model?