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Medical Diagnoses that Mimic Psychotic Disorders - Answers -Alzheimer's disease
Huntington disease
brain tumors
Creutzfeldt-Jakob disease
adrenal disorders
Rationale: Medical conditions that commonly present with psychotic symptoms include
Alzheimer's disease, Huntington disease, multiple sclerosis, brain tumors, head trauma,
Creutzfeldt-Jakob disease, syphilis, viral encephalitis, hepatic encephalopathy, adrenal disorders,
and vitamin B12 deficiency.
medications or substances commonly cause symptoms that mimic psychosis - Answers -
cephalosporins
steroids
amphetamines
alcohol
marijuana
Rationale: Medications with side effects mimicking psychosis include cephalosporins, penicillin,
anticholinergics, steroids, amphetamines, cocaine, alcohol, marijuana, and hallucinogens.
treatment of psychotic disorders - Answers -complex
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,-Decision-making about medications is influenced by treatment response and side effects, as
well as the phase of illness (acute vs. stable)
-antipsychotics as well as other medications, psychotherapy, and close collaboration between
providers and the client's support system
-Treatment goal setting should be client-driven, though some clients may be too ill or agitated
to participate in the process
-care should include the client's wishes, safety is of paramount importance
• Providers may need to initiate treatment and/or hospitalization against a client's will
treatment of psychotic disorders: Pharmacologic - Answers -Antipsychotic medications
-management of psychosis
• Second-generation or atypical antipsychotics (SGA) are effective for the tx of both (+) & (-)
symptoms, first-line treatment for psychotic disorders
• First-generation antipsychotics or typical antipsychotics, effective for (+) symptoms but have a
higher incidence of unwanted side effects
Antipsychotics: Potency low to high - Answers -Chlorpromazine - Low
Mesoridazine - Low
Thioridazine - Low
Thiothixene - Medium
Fluphenazine - Medium
Haloperidol - High
Second Generation Antipsychotics (SGA) - Answers -Pines
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, -olanzapine (Zyprexa)
-quetiapine (Seroquel)
-asenapine (Saphris)
-clozapine (Clozaril)
Many Dones and a Rone
-risperidone (Risperidol)
-paliperidone (Invega)
-ziprasidone (Geodon)
-iloperidone (Fanapt)
-lurasidone (Latuda)
2 Pips and a Rip
-aripiprazole (Abilify)
-brexpiprazole (Rexulti)
-cariprazine (Vraylar)
Erica is a 24-year-old with a newly diagnosed schizophreniform disorder. She is a current
smoker. She does not use alcohol or other drugs. She has no medical history. Which of the
following would be the least appropriate initial medication for Erica?
aripiprazole
lurasidone
olanzapine
quetiapine - Answers -olanzapine
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