Behavioral & Mental Health Nursing Exam 2
What is psychosis A symptom with impaired reality testing + disorganized thinking + hallucinations
or delusions
How is psychosis different from schizophrenia Psychosis is a symptom + schizophrenia is a specific disorder with duration and
functional decline criteria
What are the core domains of psychosis Delusions + hallucinations + disorganized speech/thinking + grossly disorganized
or catatonic behavior + negative symptoms
What are positive symptoms of psychosis Hallucinations + delusions + disorganized speech or behavior + psychotic
agitation
What are negative symptoms of schizophrenia Anhedonia + affective flattening + avolition + alogia + social withdrawal
Which schizophrenia symptoms respond best to Positive symptoms
antipsychotics
Why are negative symptoms high yield They are difficult to treat pharmacologically and predict long term functional
incapacity
What is brief psychotic disorder duration More than 1 day but less than 1 month
What is required after brief psychotic disorder Full return to premorbid functioning
What is schizophreniform disorder duration 1 to 6 months
What is schizophrenia duration At least 6 months
What active symptom duration is required for At least 1 month of active phase symptoms
schizophrenia
Is functional decline required for schizophrenia Yes
Is functional decline required for schizophreniform No
disorder
What is schizoaffective disorder Mood symptoms plus psychosis with at least 2 weeks of psychosis without mood
symptoms
What distinguishes schizoaffective disorder from mood Psychosis occurs for at least 2 weeks without mood symptoms
disorder with psychotic features
, Behavioral & Mental Health Nursing Exam 2
What is delusional disorder One or more delusions for at least 1 month with preserved functioning and
schizophrenia criterion A never met
What are delusion subtypes Persecutory + grandiose + jealous + erotomanic + somatic
What is substance induced psychotic disorder Psychosis directly related to substance or medication exposure and improves
after removal of cause
What is psychotic disorder due to another medical Psychosis attributable to a medical condition with evidence of physiologic
condition causation
What is schizotypal personality disorder in the psychotic Social deficits + cognitive perceptual distortions + eccentric behavior without full
spectrum psychosis
What is anosognosia Unawareness of symptoms or illness
Why does anosognosia matter in schizophrenia Linked to nonadherence + relapse + involuntary treatment + aggression + poor
outcomes
What substances can cause psychosis Alcohol + cocaine + stimulants + cannabis + hallucinogens + dextromethorphan
+ PCP + ketamine
What should be included in new onset psychosis Psych history + medical history + substance use + physical exam + mental status
evaluation exam + suicide and danger assessment + labs
What is schizophrenia suicide risk About 5 to 6 percent die by suicide and about 20 percent attempt
Who is highest risk for suicide in schizophrenia Younger males with substance use or command hallucinations
What psychosocial treatments help schizophrenia Family interventions + supported employment + assertive community treatment +
social skills training + CBT oriented psychotherapy
What is the goal of psychotic disorder treatment Reduce symptoms and maximize functioning
What are first generation antipsychotics also called Typical antipsychotics
Are first generation antipsychotics first line maintenance No
treatment
When might first generation antipsychotics be used Atypical failure + prior effectiveness without EPS + limited formulary + cost
barrier + patient preference
What is psychosis A symptom with impaired reality testing + disorganized thinking + hallucinations
or delusions
How is psychosis different from schizophrenia Psychosis is a symptom + schizophrenia is a specific disorder with duration and
functional decline criteria
What are the core domains of psychosis Delusions + hallucinations + disorganized speech/thinking + grossly disorganized
or catatonic behavior + negative symptoms
What are positive symptoms of psychosis Hallucinations + delusions + disorganized speech or behavior + psychotic
agitation
What are negative symptoms of schizophrenia Anhedonia + affective flattening + avolition + alogia + social withdrawal
Which schizophrenia symptoms respond best to Positive symptoms
antipsychotics
Why are negative symptoms high yield They are difficult to treat pharmacologically and predict long term functional
incapacity
What is brief psychotic disorder duration More than 1 day but less than 1 month
What is required after brief psychotic disorder Full return to premorbid functioning
What is schizophreniform disorder duration 1 to 6 months
What is schizophrenia duration At least 6 months
What active symptom duration is required for At least 1 month of active phase symptoms
schizophrenia
Is functional decline required for schizophrenia Yes
Is functional decline required for schizophreniform No
disorder
What is schizoaffective disorder Mood symptoms plus psychosis with at least 2 weeks of psychosis without mood
symptoms
What distinguishes schizoaffective disorder from mood Psychosis occurs for at least 2 weeks without mood symptoms
disorder with psychotic features
, Behavioral & Mental Health Nursing Exam 2
What is delusional disorder One or more delusions for at least 1 month with preserved functioning and
schizophrenia criterion A never met
What are delusion subtypes Persecutory + grandiose + jealous + erotomanic + somatic
What is substance induced psychotic disorder Psychosis directly related to substance or medication exposure and improves
after removal of cause
What is psychotic disorder due to another medical Psychosis attributable to a medical condition with evidence of physiologic
condition causation
What is schizotypal personality disorder in the psychotic Social deficits + cognitive perceptual distortions + eccentric behavior without full
spectrum psychosis
What is anosognosia Unawareness of symptoms or illness
Why does anosognosia matter in schizophrenia Linked to nonadherence + relapse + involuntary treatment + aggression + poor
outcomes
What substances can cause psychosis Alcohol + cocaine + stimulants + cannabis + hallucinogens + dextromethorphan
+ PCP + ketamine
What should be included in new onset psychosis Psych history + medical history + substance use + physical exam + mental status
evaluation exam + suicide and danger assessment + labs
What is schizophrenia suicide risk About 5 to 6 percent die by suicide and about 20 percent attempt
Who is highest risk for suicide in schizophrenia Younger males with substance use or command hallucinations
What psychosocial treatments help schizophrenia Family interventions + supported employment + assertive community treatment +
social skills training + CBT oriented psychotherapy
What is the goal of psychotic disorder treatment Reduce symptoms and maximize functioning
What are first generation antipsychotics also called Typical antipsychotics
Are first generation antipsychotics first line maintenance No
treatment
When might first generation antipsychotics be used Atypical failure + prior effectiveness without EPS + limited formulary + cost
barrier + patient preference
