Medications
POSITIVE VS. NEGATIVE SYMPTOMS
PSYCHOTIC PHENOMENA
DOPAMINE PATHWAYS
Schizo "Fun" Renia
100

This antipsychotic is often used IM for acute psychosis and has a high rate of EPS.

What is Haldol (haloperidol)?

100

Hallucinations and delusions are examples of these symptoms.

What are positive symptoms?

100

Believing the FBI is following you is what type of delusion?

What is a delusion of persecution?

100

This pathway is associated with positive symptoms when dopamine is excessive.

What is the mesolimbic pathway?

100

A patient states, “Bananas fly Tuesday pillows while the river dances inside my calculator.”

What is word salad?

200

This SGA is known as the worst culprit for galactorrhea due to prolactin elevation.

What is Risperidone (Risperdal)?

200

This negative symptom is a lack of motivation for activities and hygiene.

What is avolition?

200

Hearing voices that tell a patient to hurt themselves is this type of hallucination.

What is a command hallucination?

200

Blocking dopamine in the nigrostriatal pathway can cause this movement disorder characterized by lip smacking, tongue movements, and facial grimacing.

What is tardive dyskinesia?

200

If a patient starts repeating every word the nurse says, they are demonstrating this behavior.

What is echolalia?

300

This medication requires CBC monitoring because of agranulocytosis risk.

What is Clozapine (Clozaril)?

300

This negative symptom refers to poverty of thought or speech.

What is alogia?

300

Believing the TV is sending you special messages is this delusion.

What is a delusion of reference?

300

The major consequence of dopamine blockade in this pathway causes EPS symptoms to develop and worsen.

What is the nigrostriatal pathway?

300

"I died 25 years ago, but my spirit is still here." This is an example of what type of delusion?

What is a nihilistic delusion?

400

This antipsychotic must be taken with at least 350 calories for proper absorption.

What is Lurasidone (Latuda)?

400

The inability to experience pleasure is called this.

What is anhedonia?

400

The belief that others can hear your thoughts is called this.

What is thought broadcasting?

400

A student remembers the four dopamine pathways by saying, “One causes positive symptoms, one worsens negative symptoms, one causes movement problems, and one affects hormones.” Which pathway affects hormones?

What is the tuberoinfundibular pathway?

400

A patient smells smoke and burning rubber even though nothing is there. This type of hallucination is:

What is an olfactory hallucination?

500

Treatment for dystonia, akathisia, and parkinsonism caused by antipsychotics often includes this medication.

What is Benztropine (Cogentin)?

500

Positive symptoms are caused by excess dopamine in this pathway.

What is the mesolimbic pathway?

500

Made-up words that only have meaning to the client are called this.

What are neologisms?

500

A nurse notices that a patient’s positive symptoms have improved, but the patient now appears emotionally flat, has little motivation, and speaks very little. Antipsychotic medication may be worsening symptoms in which dopamine pathway?

What is the mesocortical pathway?

500

A patient claims Taylor Swift is secretly in love with them and sends messages through her songs.

What is an erotomanic delusion?