NURS 222 Quiz 2 Questions and
Complete Solutions
What is schizophrenia and what is the average lifespan? ✅- thought disorder
- average lifespan on 53 years
If a person has a mental disorder, what should the nurse do FIRST? ✅- Assess:
medications, alcohol withdrawal, UTIs, sepsis, dementia, injury, trauma
Cormorbidity ✅-the appearance of multiple simultaneous psychological disorders in
the same person
-Substance abuse disorders
Nicotine dependence
Alcohol abuse
Anxiety disorder (OCD)
Major Depressive Disorder
Physical illness
Suicide
Brain Structure Abnormalities Course of the Disorder: Prodromal ✅Early symptoms
¡ Decrease functioning's, onset of psychotic symptoms- hallucinations, delusions,
eccentric (odd), social withdrawal, irritable, anxious
¡ Fast onset= increases morbidity
¡ The younger the patient is onset, the worse the prognosis
Neurobiological and brain abnormality theory ✅- common among schizophrenics
- Disruptions in the pathways of the brain is schizophrenia are thought to be severe. It is
possible that structural abnormalities cause such disruptions.
Structural brain abnormalities such as: ✅-Enlargement of the lateral cerebral
ventricles, Third ventricle dilation, and/or ventricular asymmetry
-Reduction in the cortical, frontal lobe, hippocampal and/or cerebellar volumes
-Reduced cortical thickness and reduced connectivity in various brain regions
-Increased dopamine activity in the mesolimbic system (good to know these facts)
Phases of Schizophrenia: Phase 1 ✅- Acute
- Onset or exacerbation of symptoms - premorbid symptoms, hallucinations, delusions,
disorganized behavior, perception problems = may need hospitalization
Phases of Schizophrenia: Phase 2 ✅- Stabilization
- Symptoms diminishing
- Movement toward previous level of functioning
, Phases of Schizophrenia: Phase 3 ✅- Maintenance
- At or near baseline functioning- get person on discharge = outpatient level of care,
follow up with psychiatrist, get pt to stay on meds, and prevent reoccurance of
hospitalization
DSM-5 Criterion ✅-Symptoms present for at least 6 months
-Active-phase symptoms present at least 1 month.
-Symptoms are defined as positive and negative
Positive Symptoms ✅normal functioning individual, it is something that is added on or
extra
positive symptoms of schizophrenia ✅delusions, alterations in speech, alterations in
perception
grandiose delusions ✅false, persistent beliefs that one has superior talents and traits
"I am the best instructor"
persecutory delusions ✅beliefs of being targeted by others
referential delusions ✅the belief that external events have special meaning for the
person
"they're pretty into me"
somatic delusions ✅believes that his body is changing in an unusual way
"I'm growing a third arm"
"I have words eating my stomach"
jealous delusions ✅delusions that the individual's sexual partner is unfaithful
"I just know they are cheating on me"
nihilistic delusions ✅involve the conviction that a major catastrophe will occur
"the government is after me, and will put a chip in my brain"
Erotomanic delusions ✅patently false beliefs that another person, often someone
famous or of higher status or authority, is in love with the individual
clang associations ✅rhythmic patterns associated with psychotic speech
word salad ✅Incoherent mixture of words, phrases, and sentences
Complete Solutions
What is schizophrenia and what is the average lifespan? ✅- thought disorder
- average lifespan on 53 years
If a person has a mental disorder, what should the nurse do FIRST? ✅- Assess:
medications, alcohol withdrawal, UTIs, sepsis, dementia, injury, trauma
Cormorbidity ✅-the appearance of multiple simultaneous psychological disorders in
the same person
-Substance abuse disorders
Nicotine dependence
Alcohol abuse
Anxiety disorder (OCD)
Major Depressive Disorder
Physical illness
Suicide
Brain Structure Abnormalities Course of the Disorder: Prodromal ✅Early symptoms
¡ Decrease functioning's, onset of psychotic symptoms- hallucinations, delusions,
eccentric (odd), social withdrawal, irritable, anxious
¡ Fast onset= increases morbidity
¡ The younger the patient is onset, the worse the prognosis
Neurobiological and brain abnormality theory ✅- common among schizophrenics
- Disruptions in the pathways of the brain is schizophrenia are thought to be severe. It is
possible that structural abnormalities cause such disruptions.
Structural brain abnormalities such as: ✅-Enlargement of the lateral cerebral
ventricles, Third ventricle dilation, and/or ventricular asymmetry
-Reduction in the cortical, frontal lobe, hippocampal and/or cerebellar volumes
-Reduced cortical thickness and reduced connectivity in various brain regions
-Increased dopamine activity in the mesolimbic system (good to know these facts)
Phases of Schizophrenia: Phase 1 ✅- Acute
- Onset or exacerbation of symptoms - premorbid symptoms, hallucinations, delusions,
disorganized behavior, perception problems = may need hospitalization
Phases of Schizophrenia: Phase 2 ✅- Stabilization
- Symptoms diminishing
- Movement toward previous level of functioning
, Phases of Schizophrenia: Phase 3 ✅- Maintenance
- At or near baseline functioning- get person on discharge = outpatient level of care,
follow up with psychiatrist, get pt to stay on meds, and prevent reoccurance of
hospitalization
DSM-5 Criterion ✅-Symptoms present for at least 6 months
-Active-phase symptoms present at least 1 month.
-Symptoms are defined as positive and negative
Positive Symptoms ✅normal functioning individual, it is something that is added on or
extra
positive symptoms of schizophrenia ✅delusions, alterations in speech, alterations in
perception
grandiose delusions ✅false, persistent beliefs that one has superior talents and traits
"I am the best instructor"
persecutory delusions ✅beliefs of being targeted by others
referential delusions ✅the belief that external events have special meaning for the
person
"they're pretty into me"
somatic delusions ✅believes that his body is changing in an unusual way
"I'm growing a third arm"
"I have words eating my stomach"
jealous delusions ✅delusions that the individual's sexual partner is unfaithful
"I just know they are cheating on me"
nihilistic delusions ✅involve the conviction that a major catastrophe will occur
"the government is after me, and will put a chip in my brain"
Erotomanic delusions ✅patently false beliefs that another person, often someone
famous or of higher status or authority, is in love with the individual
clang associations ✅rhythmic patterns associated with psychotic speech
word salad ✅Incoherent mixture of words, phrases, and sentences
