| A | B |
|---|
| Catatonia | Lessened reactivity to the environment, rigid posture, resistance to being moved, and even bizarre posturing |
| Biological and genetic factors | Commonly believed to be the cause of Schizophrenia |
| Suicide risk & Schizophrenia | 10% of those with this disorder will eventially commit suicide |
| Example of rehabilitative services | Providing productive activity and occupational therapy |
| Humane care does not protect the client from... | Lack of support, lack of monetary funds, and lack of treatment |
| Neuroleptic medication | controls positive symptoms of schizophrenia |
| Dystonia | A side effect of neuroleptic medication that will likely respond to other drugs, painful muscle spasms commonly of the neck or facial muscles |
| Agranulocytosis | Problem most often associated with taking clozapine |
| When you suspect neuroleptic malignant syndrome, you should | Hold the neuroleptic medication and call the health provider |
| Neuroleptic Malignant Syndrome | signs and symptoms may include fever, confusion, and muscle rigidity |
| Weight Gain | A possible side effect of neuroleptics, which may be a factor in the development of diabetes |
| Suicide in the Schizophrenic | is more likely to occur when positive symptoms are improving |
| Promote Trust | First of 5 aims of nursing intervention based on theory of modeling and role modeling |
| Assess Delusions | for the effect of the delusion on the client's judgment and responses |
| Altered Role Performance | nursing diagnosis appropriate for client who has lost job r/t illness |
| Short-term goals for client | should be realistic and mearsurable |
| Intervention for auditory hallucinations | interrupt the client's voices by getting the client to talk to you |
| Empathetic response to paranoid client | "That sounds frightening" |
| Negative Symptoms of Schizophrenia | Flattened affect, Alogia, Avolition, Anhedonia |
| Positive Symptoms of Schizophrenia | Disordered thoughts/behavior, Delusions, Hallucinations |
| Schizophrenia | Thought process disorder, major cause of prolonged psychosis |
| Neologisms | invented words |
| Derailment | going off the point or subject |
| Tangentiality | fail to reach a goal or stick to the original point |
| Incoherence | speech is not logically connected |
| Word salad | a group of disconnected words |
| Grandiose delusion | perception of importance, believe themselves to have special powers, may claim to be religious Messiahs |
| Persecutory delusion | paranoid, believe others intend to do them harm |
| Referential delusion | believe that common events refer to specifically them |
| Hallucinations | sensory experience not perceptible to others |
| Flattened affect | loss of expressiveness, emotional distance, lack of human response |
| Alogia | tendency to speak very little, use brief and empty phrases |
| Avolition | lack motivation for work or other goal-directed activities |
| Anhedonia | inability to find enjoyment in activities that would be pleasurable to unaffected individual |
| Akathisia | side effect of neuroleptics, physically restless and unable to sit still |
| Akinesia | side effect of neuroleptics, poverty of movement |
| Tardive Dyskinesia | side effect of neuroleptic, troublesome movement disorder, commonly repetitive and involve the face or hands |
| Psychotic | loss of rational thought and/or ability to accurately interpret the environment |
| Psychosocial treatment of Schizophrenia | includes clinical and family support, rehabilitative services, humanitarian aid/public safety, Maximize medication compliance |
| Pharmacological treatment of Schizophrenia | first and second generation neuroleptics |
| Antipsychotic medications | also known as neuroleptics |
| First generation neuroleptics | Examples: chlorpromazine (Thorazine), haloperidol (Haldol), fluphenazine (Prolixin) |
| Second generation neuroleptics | Examples: clozapine (Clozaril), quetiapine (Seroquel), olanzapine (Zyprexa), risperidone (Risperdal) |
