DSM5/stats
Schizophrenia is more common in which gender
What is males?
The prefx "A" is latin for?
What is "without"?
Give the definition of a delusion.
What is a false belief that has no evidence to back them up?
Speech that is moving so rapidly from one thought to the other that it is impossible to comprehend
what is flight of ideas?
the main adverse effect clozaril is known for
What is agranulocytosis?
State the time frame symptoms must be present to diagnose with schizophrenia
What is for more than 6 months?
Theory behind the cause of negative symptoms
What is low dopamine in the prefrontal cortex? (area that affects exeutive functioning, working memory, social cognition, and emotional regulation)
Describe delusion of Grandeur
What is a belief of self-importance that is extensively inflated
Describe catatonia
what is
Pronounced increase or decrease of movement
Rigidity
waxy flexibility
A teenaged client is being discharged from the psychiatric unit with a prescription for risperidone. The nurse providing medication teaching to the client’s mother should provide which response when asked about the risk her child faces for extrapyramidal side effects (EPSs)?
A. All antipsychotic medications have an equal chance of producing EPSs.
B. Advise the mother to ask the provider to change the medication to clozapine instead of risperidone.
C. Newer antipsychotic medications have a higher risk for EPSs.
D. Risperidone is a newer antipsychotic medication and has a lower risk of EPSs than older antipsychotics.
D. Risperidone is a newer antipsychotic medication and has a lower risk of EPSs than older antipsychotics.
List the typical onset age for male and females.
What is late 20s (male) and late 30s (female)?
Describe Anhedonia
what is lack of pleasure in activities that are usually considered to be pleasurable?
Which delusion involves maintaining false beliefs having to do with their body?
What is somatic?
List the 5 types of hallucinations
What is
auditory
visual
gustatory (taste)
olfactory
tactile
Describe treatment for pseudoparkinsonism
What is anticholinergic/antiparkinsonian?
Benzotropine/ trihexyphenidyl
How many symptoms must be present for a dx of schizophrenia?
what is 2 or more symptoms?
Describe alogia
What is lack of words?
This delusion involves believing that others can hear your thoughts
what is Thought broadcasting?
Type of speech where words are jumbled together with little to no meaning
what is word salad?
List symptoms for NMS
What is FEVER?
Fever: 105 degreees+, sweating
Encephalopathy: confusion, impaired memory, decreased LOC
Vital signs instability: BP fluctuation, tachycardia
Elevated WBC and CPK
Rigidity
What symptoms can be present for schizophrenia based on the DSM5 criteria?
What is:
Delusions
Hallucinations
Speech Alteration
Behavior Bizzare ?
Negative symptoms ("A")
Describe avolition
What is lack of motivation?
Describe ideas of reference
What is false belief where one attaches self to events that have no relationship to them
type of speech where words chosen for communication are based solely on their sound (rhyme-time)
What is clang association?
List nursing actions for anticholinergic manifestations caused by first-generation antipsychotics
SUGARLESS GUM =dry mouth
SIPPING ON WATER =dry mouth
AVOIDING HAZARDOUS ACTIVITIES =blurred vision
WEARING SUNGLASSES OUTSIDE=photophobia
EATING FOODS HIGH IN FIBER constipation
REGULAR EXERCISE=constipation
MAINTAINING FLUID INTAKE OF 2-3 LITERS PER DAY=urinary hesitency or retention
VOIDING AFTER TAKING MEDICATION=urinary hesitency or retention