NUR422 Exam 3 Guide With
Complete Solution
What combination of factors probably cause schizophrenia? - ANSWER
genetics
viral infection/anatomical abnormalities (physiological)
poverty, stressful life events, cannabinoid use (sociocultural/environmental)
Positive symptoms of schizophrenia - ANSWER hallucinations and delusions;
disorganized thoughts, speech or behavior/catatonic behavior
*psychotic symptoms*
Negative symptoms of schizophrenia - ANSWER blunted emotion (flat
affect), lack of motivation (avolition), alogia (poverty of speech), or difficulty
experiencing pleasure (anhedonia)
Cognitive symptoms of schizophrenia - ANSWER deficits in attention,
memory or concentration
What is a major safety concern with schizophrenia? - ANSWER Risk for
suicide
Schizoid personality disorder - ANSWER no interest in relationships, seclusive
to self, "loner", works night jobs
schizotypal personality disorder - ANSWER eccentric/magical thinking, odd
beliefs, aloof/dress weirdly, malignant personality (highest likelihood of
transitioning into a psychotic disorder like schizophrenia)
,Schizophrenia vs. Schizophreniform vs. Brief psychotic disorder - ANSWER
Brief psychotic disorder: 1 month or less of symptoms
Schizophreniform: 1-6 months of symptoms
Schizophrenia: 6 months or more of symptoms
schizoaffective disorder - ANSWER Psychotic disorder featuring symptoms of
both schizophrenia and major mood disorder (either MDD or bipolar)
*schizophrenia is the primary diagnosis (only presenting illness for at least 2
weeks without other symptoms)
delusions of control - ANSWER belief that outside forces are controlling
one's body or actions
delusions of reference - ANSWER the belief that common elements in the
environment are directed toward the individual
Prodromal phase of schizophrenia - ANSWER Lasts from a few weeks to a
few years
Deterioration in role functioning
Cognitive impairment
Obsessive-compulsive behavior
social withdrawal
Significant deterioration in function
Sleep disturbance, anxiety, irritability
50 percent have depressive symptoms
,Depressed mood, poor concentration, fatigue
Perceptual abnormalities, ideas of reference, and suspiciousness herald onset
of psychosis
Residual phase of schizophrenia - ANSWER return to prodromal levels, mild
symptoms, impairment of functioning, no delusions or hallucinations,
impairment of cognitive functioning
Active phase of schizophrenia - ANSWER Delusions
Hallucinations
Disorganized speech and behavior
Decreased level of functioning in work, personal relationships, or self-care
premorbid phase of schizophrenia - ANSWER occurs before there is clear
evidence of illness
Social maladjustment
Antagonistic thoughts and behavior
Shy and withdrawn
Poor peer relationships
Doing poorly in school
Antisocial behavior
What nursing intervention would you focus on during the active phase of
schizophrenia? - ANSWER first empathize with the client by focusing on
, feelings generated by the hallucination, present objective
reality, and then distract or redirect the client to reality-based activities.
T/F: Schizophrenia is characterized by a splitting personality. - ANSWER False
(characterized by a deteriorating personality)
T/F: Dysfunctional family dynamics has been identified as a strong link to the
cause of schizophrenia. - ANSWER True
echolalia - ANSWER automatic and immediate repetition of what others say
circumstantiality - ANSWER Speech that is delayed in reaching the point and
contains excessive or irrelevant details
loose associations - ANSWER disorganized thinking that jumps from one idea
to another with little or no evident relation between the thoughts
tangentiality - ANSWER inability to get to the point of communication due to
introduction of many new topics
neologisms - ANSWER made up words
Complete Solution
What combination of factors probably cause schizophrenia? - ANSWER
genetics
viral infection/anatomical abnormalities (physiological)
poverty, stressful life events, cannabinoid use (sociocultural/environmental)
Positive symptoms of schizophrenia - ANSWER hallucinations and delusions;
disorganized thoughts, speech or behavior/catatonic behavior
*psychotic symptoms*
Negative symptoms of schizophrenia - ANSWER blunted emotion (flat
affect), lack of motivation (avolition), alogia (poverty of speech), or difficulty
experiencing pleasure (anhedonia)
Cognitive symptoms of schizophrenia - ANSWER deficits in attention,
memory or concentration
What is a major safety concern with schizophrenia? - ANSWER Risk for
suicide
Schizoid personality disorder - ANSWER no interest in relationships, seclusive
to self, "loner", works night jobs
schizotypal personality disorder - ANSWER eccentric/magical thinking, odd
beliefs, aloof/dress weirdly, malignant personality (highest likelihood of
transitioning into a psychotic disorder like schizophrenia)
,Schizophrenia vs. Schizophreniform vs. Brief psychotic disorder - ANSWER
Brief psychotic disorder: 1 month or less of symptoms
Schizophreniform: 1-6 months of symptoms
Schizophrenia: 6 months or more of symptoms
schizoaffective disorder - ANSWER Psychotic disorder featuring symptoms of
both schizophrenia and major mood disorder (either MDD or bipolar)
*schizophrenia is the primary diagnosis (only presenting illness for at least 2
weeks without other symptoms)
delusions of control - ANSWER belief that outside forces are controlling
one's body or actions
delusions of reference - ANSWER the belief that common elements in the
environment are directed toward the individual
Prodromal phase of schizophrenia - ANSWER Lasts from a few weeks to a
few years
Deterioration in role functioning
Cognitive impairment
Obsessive-compulsive behavior
social withdrawal
Significant deterioration in function
Sleep disturbance, anxiety, irritability
50 percent have depressive symptoms
,Depressed mood, poor concentration, fatigue
Perceptual abnormalities, ideas of reference, and suspiciousness herald onset
of psychosis
Residual phase of schizophrenia - ANSWER return to prodromal levels, mild
symptoms, impairment of functioning, no delusions or hallucinations,
impairment of cognitive functioning
Active phase of schizophrenia - ANSWER Delusions
Hallucinations
Disorganized speech and behavior
Decreased level of functioning in work, personal relationships, or self-care
premorbid phase of schizophrenia - ANSWER occurs before there is clear
evidence of illness
Social maladjustment
Antagonistic thoughts and behavior
Shy and withdrawn
Poor peer relationships
Doing poorly in school
Antisocial behavior
What nursing intervention would you focus on during the active phase of
schizophrenia? - ANSWER first empathize with the client by focusing on
, feelings generated by the hallucination, present objective
reality, and then distract or redirect the client to reality-based activities.
T/F: Schizophrenia is characterized by a splitting personality. - ANSWER False
(characterized by a deteriorating personality)
T/F: Dysfunctional family dynamics has been identified as a strong link to the
cause of schizophrenia. - ANSWER True
echolalia - ANSWER automatic and immediate repetition of what others say
circumstantiality - ANSWER Speech that is delayed in reaching the point and
contains excessive or irrelevant details
loose associations - ANSWER disorganized thinking that jumps from one idea
to another with little or no evident relation between the thoughts
tangentiality - ANSWER inability to get to the point of communication due to
introduction of many new topics
neologisms - ANSWER made up words
