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CORRECT |A GRADE
psychosis Correct Answer disruptions in thoughts and perceptions
leading to a disconnection from reality
-symptoms may include abnormal behaviors and sensations, including
catatonic behavior
-may be acute or chronic
-Although psychosis is categorized as a psychiatric disorder, it
commonly occurs as a secondary condition due to underlying endocrine,
vascular, immunologic, or metabolic problems
-Drugs, other substances, or other psychiatric conditions such as
depression or mania may also cause symptoms
Psychosis: Clinical Presentation Correct Answer divided into several
clinical domains
-positive
• occur when clients experience things in addition to reality
• hearing voices or seeing things that are not there
-negative
• involve a loss of something
• loss of ability to experience pleasure or loss of motivation
-cognitive
• disorganization in thoughts, memories, focus, or attention
-affective
• the client's feelings and emotions
-motor
• may include abnormalities in gait, balance, and coordination, irregular
muscle contractions, or tremors
Psychosis: Positive Symptoms Correct Answer Hallucinations
Delusions
Thought disorder
,Hostility
Excitability
Psychosis: Motor Symptoms Correct Answer Motor delay
Dyscoordination
EPS
-Parkinsonism
-Dyskinesia
Psychosis: Affective Symptoms Correct Answer Depression
Anxiety
Suicidality
Psychosis: Cognition symptoms Correct Answer Attention
Working memory
Verbal memory
Visual memory
Executive functioning
Processing speed
Social conditioning
Psychosis: Negative Symptoms Correct Answer Affective flattening
Alogia
Anhedonia
Amotivation
Asociality
Hallucinations: Correct Answer perceptual experiences in the
absence of external stimuli
-Auditory
• may include command hallucinations
-Visual
-Tactile: feeling sensations in the body in the absence of stimuli
-Olfactory: smelling things that are not there
-Gustatory: tasting things that are not there
Delusions: Correct Answer fixed false, irrational beliefs
-persecution: delusions r/t being threatened, victimized, or spied on
-reference: delusions r/t receiving personal messages from tv, radio, or
actions of others
-somatic: delusions r/t the body, including illness or the presence of
foreign objects
, • may believe there are objects in their body (may think they are infested
with insects.)
-grandeur: delusions r/t beliefs of special abilities or powers
-control: delusions that actions & thoughts are controlled by others
Symptoms of Psychosis: Thought Disorder Correct Answer
impairment in the process of thinking and difficulty organizing thoughts in
a logical pattern.
-incoherent speech
-loose associations
-meaningless words
-perseveration
Symptoms of Psychosis: Disorganized Behavior Correct Answer
disordered or impaired behavior or communication
-childlike silliness
-unpredictable agitation
-inappropriate clothing for the weather
-poor hygiene
schizophrenia is a diagnosis commonly associated with __________
Correct Answer psychosis
psychosis neurobiological factors: genetics Correct Answer -Many
genes play a role in the likelihood that an individual will develop
schizophrenia as do epigenetic factors
• Heritability for schizophrenia may be as high as 79%
• links gene-environment interaction to the diagnosis of schizophrenia
psychosis neurobiological factors: Environmental Triggers Correct
Answer Regular Cannabis Use
Exposure to Early Life Trauma
-Sexual Abuse
-Emotional Abuse
-Emotional Neglect
-Bullying
psychosis neurobiological factors: Neuroanatomy
Several areas of the brain are associated with the symptoms of
schizophrenia. When brain circuitry in the prefrontal cortex malfunctions,
patients may experience symptoms.