NUR 256 Mental Health Exam 2 |
Detailed Questions and Answers |
Complete A+ Guide
• Schizophrenia DSM 5 -✓✓To meet the criteria for diagnosis of
schizophrenia, the patient must have experienced at least 2 of the
following symptoms[1] :
-Delusions
-Hallucinations
-Disorganized speech
-Disorganized or catatonic behavior
-Negative symptoms
-Functional impairment of some kind
DISRUPTS DAILY LIFE
• How many people affected by schizophrenia? -✓✓1% of adults
(1 in 100 , 1 in 40,000 children)
• Schizophrenia more common in -✓✓Men
• Schizophrenia usually presents -✓✓At 15-25 years
• Comorbids to Schizo -✓✓Substance abuse disorders
(Nicotine dependence)
Anxiety, depression, and suicide
Physical health or illness
(CV disease)-related to medications
Psychosis-induced polydipsia
• Comorbids to BD -✓✓
,• Schizo is characterized by -✓✓Psychosis
(Altered cognition, perception, and reality testing)
• Risk factors of schizophrenia -✓✓Genetic
Neurobiological
(Dopamine theory)-Positive symptoms
Brain structure abnormalities
Psychological and environmental factors
• Hypothesis is based on -✓✓Treatment, how the person responds to the
specific medications/interventions
• Four main symptom groups of schizo -✓✓Positive
Cognitive
Negative
Affective
• Positive symptoms -✓✓Delusions
Hallucinations
Bizarre behavior
(ADD)
• Delusions include... -✓✓Persecution (paranoia)
Referential
Grandiosity
Erotomanic
Nihilistic
Somatic Sensations
Control
• Alterations in speech include... -✓✓Flight of ideas
Neologisms
Echolalia
Circumstantiality
, Tangentiality
Symbolic speech
Clang associations
Word salad
• Circumstantial speech -✓✓A pattern of speech characterized by
indirectness and delay before the person gets to the point or answers a
question; the person gets caught up in countless details and explanations.
• Tangentiality speech -✓✓Wandering off topic or going off on tangents
and never reaching the point
• Cognitive symptoms -✓✓Disorganized thinking (Usually concrete)
Inattention, distracted
Impaired memory
Poor problem solving
Impaired judgement
• Alterations in Perception -✓✓Depersonalization
Hallucinations
Illusions
Command hallucinations
Derealization
• Alterations in behavior -✓✓Catatonia
Motor retardation
Motor agitation
Stereotyped behaviors
Waxy flexibility
Echopraxia
Negativism
Impaired impulse control
Gesturing or posturing
Boundary impairment
Detailed Questions and Answers |
Complete A+ Guide
• Schizophrenia DSM 5 -✓✓To meet the criteria for diagnosis of
schizophrenia, the patient must have experienced at least 2 of the
following symptoms[1] :
-Delusions
-Hallucinations
-Disorganized speech
-Disorganized or catatonic behavior
-Negative symptoms
-Functional impairment of some kind
DISRUPTS DAILY LIFE
• How many people affected by schizophrenia? -✓✓1% of adults
(1 in 100 , 1 in 40,000 children)
• Schizophrenia more common in -✓✓Men
• Schizophrenia usually presents -✓✓At 15-25 years
• Comorbids to Schizo -✓✓Substance abuse disorders
(Nicotine dependence)
Anxiety, depression, and suicide
Physical health or illness
(CV disease)-related to medications
Psychosis-induced polydipsia
• Comorbids to BD -✓✓
,• Schizo is characterized by -✓✓Psychosis
(Altered cognition, perception, and reality testing)
• Risk factors of schizophrenia -✓✓Genetic
Neurobiological
(Dopamine theory)-Positive symptoms
Brain structure abnormalities
Psychological and environmental factors
• Hypothesis is based on -✓✓Treatment, how the person responds to the
specific medications/interventions
• Four main symptom groups of schizo -✓✓Positive
Cognitive
Negative
Affective
• Positive symptoms -✓✓Delusions
Hallucinations
Bizarre behavior
(ADD)
• Delusions include... -✓✓Persecution (paranoia)
Referential
Grandiosity
Erotomanic
Nihilistic
Somatic Sensations
Control
• Alterations in speech include... -✓✓Flight of ideas
Neologisms
Echolalia
Circumstantiality
, Tangentiality
Symbolic speech
Clang associations
Word salad
• Circumstantial speech -✓✓A pattern of speech characterized by
indirectness and delay before the person gets to the point or answers a
question; the person gets caught up in countless details and explanations.
• Tangentiality speech -✓✓Wandering off topic or going off on tangents
and never reaching the point
• Cognitive symptoms -✓✓Disorganized thinking (Usually concrete)
Inattention, distracted
Impaired memory
Poor problem solving
Impaired judgement
• Alterations in Perception -✓✓Depersonalization
Hallucinations
Illusions
Command hallucinations
Derealization
• Alterations in behavior -✓✓Catatonia
Motor retardation
Motor agitation
Stereotyped behaviors
Waxy flexibility
Echopraxia
Negativism
Impaired impulse control
Gesturing or posturing
Boundary impairment
