NSG 322 TOPIC 7 SCHIZOPHRENIA
1. what are the stages of schizophrenia?
Answer: prodromal
1: acute
2: stabilization
3: maintenance
2. prodromal stage of schizophrenia
Answer:
-occur before acute symptoms
-mild changes in thinking, reality, mood
-odd speech /thoughts
-anxiety
-obsessive thoughts
-deteriorating social function/concentration
-may feel "strange" or "not right"
3. prodromal stage may occur
Answer: 1 to 12 months before full schizophrenia
4. phase 1: acute stage
Answer:
-hallucinations
-delusions
-apathy
-social withdrawal
-diminished effect
-anhedonia
-disorganized behavior
-impaired judgement & cognition= functional impairment
-difficulty coping
-S/S become apparent to thers
5. phase 1: acute stage duration
Answer:
-can last several months, even with treatment.
-Increased support and additional treatment or hospitalization may be required.
6. phase 2: stabilization duration
Answer: can last for months
, 7. phase 2: stabilization
Answer: -symptoms diminishing, movement toward previous level of functioning
8. phase 3: maintenance
Answer:
-stabilized & new baseline
-diminished positive symptoms, negative and cognitive symptoms are still a concern
-recovery w few symptoms, can live independently/with family
9. What are the positive symptoms of schizophrenia?
Answer:
-symptoms that seemdramatic or urgent
-alterations in reality
-hallucinations
(command hallucinations)
-delusions
-alterations in speech
-thought distortions
-bizarre behaviors
(catatonia, boundary impairment)
10. command hallucinations are
Answer:
-person is directed to take action
-ex: "hit that nurse"
-sign of psychiatric emergency
11. how would a nurse act in a command hallucination?
Answer:
-positive symptom
-assess what the patient hears, the source, the patient's ability to recognize thehallucination as
"not real" and resist commands.
12. Catatonia
Answer:
-increase or decrease in amount of movement
-person moves little or not at all
-muscular rigidity can be severe to the point where the limbs remain in a position
-could contribute to exhaustion, pneumonia, blood clots, malnutrition, dehydration
13. what connects the 5 types of schizophrenia spectrum disorders?
Answer: psychosis
1. what are the stages of schizophrenia?
Answer: prodromal
1: acute
2: stabilization
3: maintenance
2. prodromal stage of schizophrenia
Answer:
-occur before acute symptoms
-mild changes in thinking, reality, mood
-odd speech /thoughts
-anxiety
-obsessive thoughts
-deteriorating social function/concentration
-may feel "strange" or "not right"
3. prodromal stage may occur
Answer: 1 to 12 months before full schizophrenia
4. phase 1: acute stage
Answer:
-hallucinations
-delusions
-apathy
-social withdrawal
-diminished effect
-anhedonia
-disorganized behavior
-impaired judgement & cognition= functional impairment
-difficulty coping
-S/S become apparent to thers
5. phase 1: acute stage duration
Answer:
-can last several months, even with treatment.
-Increased support and additional treatment or hospitalization may be required.
6. phase 2: stabilization duration
Answer: can last for months
, 7. phase 2: stabilization
Answer: -symptoms diminishing, movement toward previous level of functioning
8. phase 3: maintenance
Answer:
-stabilized & new baseline
-diminished positive symptoms, negative and cognitive symptoms are still a concern
-recovery w few symptoms, can live independently/with family
9. What are the positive symptoms of schizophrenia?
Answer:
-symptoms that seemdramatic or urgent
-alterations in reality
-hallucinations
(command hallucinations)
-delusions
-alterations in speech
-thought distortions
-bizarre behaviors
(catatonia, boundary impairment)
10. command hallucinations are
Answer:
-person is directed to take action
-ex: "hit that nurse"
-sign of psychiatric emergency
11. how would a nurse act in a command hallucination?
Answer:
-positive symptom
-assess what the patient hears, the source, the patient's ability to recognize thehallucination as
"not real" and resist commands.
12. Catatonia
Answer:
-increase or decrease in amount of movement
-person moves little or not at all
-muscular rigidity can be severe to the point where the limbs remain in a position
-could contribute to exhaustion, pneumonia, blood clots, malnutrition, dehydration
13. what connects the 5 types of schizophrenia spectrum disorders?
Answer: psychosis
