Schizophrenia

Question 1

Distorted and bizarre thoughts, perceptions, emotions, movements, behavior

Answer 1

schizophrenia

Question 2

What are the categories of symptoms for schizophrenia?

Answer 2

• positive (hard)

* negative (soft)

Question 3

•Delusions, hallucinations; grossly disorganized thinking, speech, behavior

Answer 3

positive (hard)

Question 4

Flat affect, lack of volition, social withdrawal, or discomfort

Answer 4

negative (soft)

Question 5

what is the peak onset age for men and women?

Answer 5

The peak onset is age 15 to 25 for men and age 25 to 35 for women

Question 6

Targeting positive symptoms

No observable effect on negative symptoms

Answer 6

Conventional antipsychotics (dopamine antagonists)

Question 7

Diminish positive symptoms

Lessen negative symptoms

Answer 7

Atypical antipsychotics (dopamine, serotonin antagonists)

Question 8

What are the six antipsychotics available in depot injections forms?

Answer 8

• Fluphenazine in decanoate and enanthate
• Haloperidol in decanoate
• Risperidone
• Paliperidone
• Olanzapine
• Aripiprazole

Question 9

What are the nonneurologic side effects?

Answer 9

• Weight gain, sedation, photosensitivity
• Anticholinergic symptoms (dry mouth, blurred vision, constipation, urinary retention)
• Orthostatic hypotension
• Agranulocytosis (clozapine)

Question 10

Psychosocial treatment for schizophrenia?

Answer 10

*Individual, group therapies
Supportive, medication management, use of community supports
*Social skills training
Cognitive adaptation training
Cognitive enhancement therapy (CET)
*Family therapy
*Family education

Question 11

general appearance schizophrenia

Answer 11

motor behavior

speech (odd, bizarre; catatonia; echopraxia, psychomotor retardation, word salad, echolalia, latency of response

Question 12

what is the mood and affect for a person with schizophrenia?

Answer 12

(flat, blunted; anhedonia)

Question 13

nursing interventions

Answer 13

Safety of patient, others
Therapeutic relationship; therapeutic communication
Interventions for delusional thoughts (focus on reality; no confrontation or reinforcement)
Interventions for hallucinations
Management of socially inappropriate behavior

Question 14

what are the neurologic side effects?

Answer 14

Extrapyramidal side effects
Acute dystonic reactions
Akathisia
Parkinsonism
Tardive dyskinesia
Seizures
Neuroleptic malignant syndrome