Questions and Complete Solutions
Graded A+
antipsychotic meds - Answer: primarily used for schizophrenia & psychotic disorders
-also used as adjunctive meds for management of tx-resistant depression & other conditions
-not curative
-decrease/control symptoms/improve quality of life
Schizophrenia - Answer: a disturbance that must last for 6 months or longer, including at least one
month of positive symptoms or negative symptoms
-neurodevelopmental, brain disorder
-psychological condition involving chronic or repeated episodes of psychosis
cause: combination of genetics and environmental factors
DX: based on clinical interview
Schizophrenia increases the risk of: - Answer: suicide
homeless
jail/prison
psychosis - Answer: set of symptoms in which a person's mental capacity, affective response, and
capacity to recognize reality, communicate, and relate to others is impaired
Hallmarks of psychosis - Answer: Delusions and hallucinations
-often called the "positive symptoms" of psychosis
-Delusions are fixed beliefs - often bizarre - that have an inadequate rational basis and can't be changed
by rational arguments or evidence to the contrary
-Hallucinations are perceptual experiences of any sensory modality - especially auditory - that occur
without a real external stimulus, yet are vivid and clear, just like normal perceptions, but not under
voluntary control
,Symptoms of psychosis: - Answer: -hallucinations
-delusions
-disorganized speech
-disorganized behavior
-distortions of reality
-inappropriate or very strong emotions or apathy
-negative symptoms: diminished emotional expression and decreased motivation
perceptual distortions and motor disturbances can be associated with _________ - Answer: any type of
psychosis.
-Perceptual distortions include being distressed by hallucinatory voices; seeing visions; reporting
hallucinations of touch, taste, or odor; or reporting that familiar things and people seem changed.
-Motor disturbances are peculiar, rigid postures; overt signs of tension; inappropriate grins or giggles;
peculiar repetitive gestures; talking, muttering, or mumbling to oneself; or glancing around as if hearing
voices.
-paranoid psychosis, the patient has paranoid projections, hostile belligerence, and grandiose
expansiveness. often occurs in schizophrenia and in many drug-induced psychoses
Grandiose expansiveness - Answer: exhibiting an attitude of superiority; hearing voices that praise and
extol; believing one has unusual powers or is a well-known personality, or that one has a divine mission,
which is often seen in schizophrenia and in manic psychosis
Psychosis can affect a person's: - Answer: -cognition
-affective response
-communication
-capacity to recognize reality
-ability to relate to others
_________ is a defining feature for some psychotic disorders while other disorders may have a psychotic
component - Answer: psychosis
, Diagnoses Requiring the Presence of Psychosis - Answer: -Schizophrenia
-Substance-induced psychotic disorders
-Schizophreniform disorder
-Shizoafffective disorder
-Delusional disorder
-Brief psychotic disorder
-Psychotic disorder d/t a medical condition
Diagnoses with Psychosis as a Feature - Answer: -Mania
-Depression
-Cognitive disorders
-Dementia
schizophrenia: positive symptoms - Answer: -hallucinations
-delusions
-thought disorder
-hostility
-excitability
schizophrenia: motor symptoms - Answer: -motor delay
-dyscoordination
-extrapyramidal symptoms (parkinsonism, dyskinesia)
schizophrenia: affective symptoms - Answer: -depression
-anxiety
-suicidality
schizophrenia: affects on cognition - Answer: -attention
-working memory