CMN 350 Exam 3
Schizophrenia - CORRECT ANSWER-Is characterized by a deteriorating personality. It
affects perception (Hallucinations), Thought process (thought derailment), Reality
testing (delusions), Feeling (flat or inappropriate affect), Behavior (social withdrawal),
Attention (inability to concentrate), and motivation (Cannot initiate or persist in goal
directed activities).
Schizophrenia - CORRECT ANSWER-Onset is almost always during late adolescence
or early adulthood.
Onset and relapse are almost always related to stress.
Drugs that block dopamine receptors are therapeutic.
Acute phase - CORRECT ANSWER-The patient experiences severe psychotic
symptoms.
Stabilizing phase - CORRECT ANSWER-The patient is getting better.
Stable phase - CORRECT ANSWER-In this phase the patient might still experience
hallucinations and delusions, but they are not as severe or disabling as they were
during the acute phase.
Positive (Type 1) Symptoms of Schizophrenia - CORRECT ANSWER-Caused by
excessive dopamine in mesolimbic tract.
symptoms: abnormal thoughts, agitation, bizarre behavior, delusions, excitement,
feelings of persecution, grandiosity, hallucinations, hostility, illusions, insomnia, and
suspiciousness.
Negative/Type II symptoms - CORRECT ANSWER-Caused by too little dopamine in the
mesocortical tract.
Symptoms: Alogia, Anergia, asocial behavior, attention deficits, avolition, blunted effect,
communication difficulties, difficulty with abstractions, passive social withdrawal, poor
grooming and hygiene, poor rapport, poverty of speech.
-Examples of negative symptoms include flat affect, anergia (lack of energy), anhedonia
(inability to enjoy otherwise pleasurable activities), and thought blocking.
Objective signs of schizophrenia - CORRECT ANSWER--Alterations in personal
relationships (Hostility, withdrawal, decreased attention to grooming and social
amenities).
-Alterations in activity and behavior: psychomotor agitation, catatonic rigidity(inactive),
Echopraxia(repetitive movements), Stereotypy(repetitive actions or words).
, Subjective signs of schizophrenia - CORRECT ANSWER--Altered perceptions:
Hallucinations,
-Alterations of thought: loose associations
-Altered consciousness: confusion, incoherent speech.
-Alterations of affect: inappropriate, blunted, or labile affect.
Antipsychotic side effects - CORRECT ANSWER-EPSEs effects: Parkinsonism,
Akathisia, Dystonias, Neuroleptic malignant syndrome, pisa syndrome.
Anticholinergic effects: Dry mouth, blurred vision, constipation, urinary hesitation, and
tachycardia.
Tardive dyskinesia caused by hypersensitivity to dopamine.
Delusional Disorder - CORRECT ANSWER--Symptoms last for at least a month.
-Patient's have never met the criteria for schizophrenia.
-The behavior of these patients is relatively normal.
-The symptoms are not the direct result of a substance induced or medical condition.
-If hallucinations are present the are not prominent.
Psychotic Disorder - CORRECT ANSWER-At least one of the following psychotic
disturbances must be present: Delusions, hallucinations, disorganized speech, or
grossly disorganized or catatonic behavior.
Early warning signs of schizophrenia - CORRECT ANSWER--Deterioration of personal
hygiene
-Bizarre behavior
-Irrational statements
-Social withdrawal, isolation, and reclusiveness
-shift in basic personallity
-deterioration in social relationships
-inability to concentrate or to cope with minor problems
-extreme preoccupation with religion or with the occult
-excessive writing without meaning
-Indifferrence
-Dropping out of activities or out of life
-Decline in academic or athletic interests.
Paranoid personality disorder - CORRECT ANSWER--The people interpret the actions
of others as personal threats, which result in an increase in anxiety and the need for
defensiveness.
-They are unable to laugh at themselves and are often humorless, rigid, and guarded.
-They do not have fixed delusions or hallucinations.
-They are quick to respond with anger or rage if they feel threatened.
Schizophrenia - CORRECT ANSWER-Is characterized by a deteriorating personality. It
affects perception (Hallucinations), Thought process (thought derailment), Reality
testing (delusions), Feeling (flat or inappropriate affect), Behavior (social withdrawal),
Attention (inability to concentrate), and motivation (Cannot initiate or persist in goal
directed activities).
Schizophrenia - CORRECT ANSWER-Onset is almost always during late adolescence
or early adulthood.
Onset and relapse are almost always related to stress.
Drugs that block dopamine receptors are therapeutic.
Acute phase - CORRECT ANSWER-The patient experiences severe psychotic
symptoms.
Stabilizing phase - CORRECT ANSWER-The patient is getting better.
Stable phase - CORRECT ANSWER-In this phase the patient might still experience
hallucinations and delusions, but they are not as severe or disabling as they were
during the acute phase.
Positive (Type 1) Symptoms of Schizophrenia - CORRECT ANSWER-Caused by
excessive dopamine in mesolimbic tract.
symptoms: abnormal thoughts, agitation, bizarre behavior, delusions, excitement,
feelings of persecution, grandiosity, hallucinations, hostility, illusions, insomnia, and
suspiciousness.
Negative/Type II symptoms - CORRECT ANSWER-Caused by too little dopamine in the
mesocortical tract.
Symptoms: Alogia, Anergia, asocial behavior, attention deficits, avolition, blunted effect,
communication difficulties, difficulty with abstractions, passive social withdrawal, poor
grooming and hygiene, poor rapport, poverty of speech.
-Examples of negative symptoms include flat affect, anergia (lack of energy), anhedonia
(inability to enjoy otherwise pleasurable activities), and thought blocking.
Objective signs of schizophrenia - CORRECT ANSWER--Alterations in personal
relationships (Hostility, withdrawal, decreased attention to grooming and social
amenities).
-Alterations in activity and behavior: psychomotor agitation, catatonic rigidity(inactive),
Echopraxia(repetitive movements), Stereotypy(repetitive actions or words).
, Subjective signs of schizophrenia - CORRECT ANSWER--Altered perceptions:
Hallucinations,
-Alterations of thought: loose associations
-Altered consciousness: confusion, incoherent speech.
-Alterations of affect: inappropriate, blunted, or labile affect.
Antipsychotic side effects - CORRECT ANSWER-EPSEs effects: Parkinsonism,
Akathisia, Dystonias, Neuroleptic malignant syndrome, pisa syndrome.
Anticholinergic effects: Dry mouth, blurred vision, constipation, urinary hesitation, and
tachycardia.
Tardive dyskinesia caused by hypersensitivity to dopamine.
Delusional Disorder - CORRECT ANSWER--Symptoms last for at least a month.
-Patient's have never met the criteria for schizophrenia.
-The behavior of these patients is relatively normal.
-The symptoms are not the direct result of a substance induced or medical condition.
-If hallucinations are present the are not prominent.
Psychotic Disorder - CORRECT ANSWER-At least one of the following psychotic
disturbances must be present: Delusions, hallucinations, disorganized speech, or
grossly disorganized or catatonic behavior.
Early warning signs of schizophrenia - CORRECT ANSWER--Deterioration of personal
hygiene
-Bizarre behavior
-Irrational statements
-Social withdrawal, isolation, and reclusiveness
-shift in basic personallity
-deterioration in social relationships
-inability to concentrate or to cope with minor problems
-extreme preoccupation with religion or with the occult
-excessive writing without meaning
-Indifferrence
-Dropping out of activities or out of life
-Decline in academic or athletic interests.
Paranoid personality disorder - CORRECT ANSWER--The people interpret the actions
of others as personal threats, which result in an increase in anxiety and the need for
defensiveness.
-They are unable to laugh at themselves and are often humorless, rigid, and guarded.
-They do not have fixed delusions or hallucinations.
-They are quick to respond with anger or rage if they feel threatened.
