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Week 3: NR546 / NR 546 (Latest Update 2025 / 2026) Advanced Pharmacology Psychopharmacology for the Psychiatric-Mental Health Nurse Practitioner | Questions with Verified Answers – Chamberlain.

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Psychosis 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 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: -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 _________ 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 antipsychotic meds 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 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: suicide homeless jail/prison Grandiose expansiveness 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 Week 3: NR546 / NR 546 (Latest Update 2025 / 2026) Advanced Pharmacology Psychopharmacology for the Psychiatric-Mental Health Nurse Practitioner | Questions with Verified Answers – Chamberlain.

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Institution
NR546 / NR 546
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NR546 / NR 546

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Uploaded on
February 4, 2025
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36
Written in
2024/2025
Type
Exam (elaborations)
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Week 3: NR546 / NR 546 (Latest Update )
Advanced Pharmacology Psychopharmacology for the
Psychiatric-Mental Health Nurse Practitioner |
Questions with Verified Answers – Chamberlain.


Psychosis set of symptoms in which a person's mental
i,-i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



capacity, affective response, and capacity to recognize reality,
i,- i,- i,- i,- i,- i,- i,- i,-



communicate, and relate to others is impaired i,- i,- i,- i,- i,- i,-




Hallmarks of psychosisi,- i,- i,-i,- i,- Delusions and hallucinations i,- i,-




-often called the "positive symptoms" of psychosis
i,- i,- i,- i,- i,- i,-




-Delusions are fixed beliefs - often bizarre - that have an
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



inadequate rational basis and can't be changed by rational
i,- i,- i,- i,- i,- i,- i,- i,- i,-



arguments or evidence to the contrary
i,- i,- i,- i,- i,-




-Hallucinations are perceptual experiences of any sensory i,- i,- i,- i,- i,- i,- i,-



modality - especially auditory - that occur without a real external
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



stimulus, yet are vivid and clear, just like normal perceptions, but
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



not under voluntary control
i,- i,- i,-




Symptoms of psychosis: i,- i,- i,-i,- i,- -hallucinations
-delusions
-disorganized speech i,-




-disorganized behavior i,-

,-distortions of reality i,- i,-




-inappropriate or very strong emotions or apathy i,- i,- i,- i,- i,- i,-




-negative symptoms: diminished emotional expression and
i,- i,- i,- i,- i,- i,-



decreased motivation i,-




perceptual distortions and motor disturbances can be associated
i,- i,- i,- i,- i,- i,- i,- i,-



with _________
i,- any type of psychosis. i,-i,- i,- i,- i,- i,-




-Perceptual distortions include being distressed by hallucinatory
i,- i,- i,- i,- i,- i,- i,-



voices; seeing visions; reporting hallucinations of touch, taste, or
i,- i,- i,- i,- i,- i,- i,- i,- i,-



odor; or reporting that familiar things and people seem changed.
i,- i,- i,- i,- i,- i,- i,- i,- i,-




-Motor disturbances are peculiar, rigid postures; overt signs of
i,- i,- i,- i,- i,- i,- i,- i,- i,-



tension; inappropriate grins or giggles; peculiar repetitive
i,- i,- i,- i,- i,- i,- i,-



gestures; talking, muttering, or mumbling to oneself; or glancing
i,- i,- i,- i,- i,- i,- i,- i,- i,-



around as if hearing voices.
i,- i,- i,- i,-




-paranoid psychosis, the patient has paranoid projections, hostile
i,- i,- i,- i,- i,- i,- i,- i,-



belligerence, and grandiose expansiveness. often occurs ini,- i,- i,- i,- i,- i,- i,-



schizophrenia and in many drug-induced psychoses i,- i,- i,- i,- i,-




antipsychotic meds i,- i,-i,- i,- primarily used for schizophrenia & i,- i,- i,- i,- i,-



psychotic disorders i,-




-also used as adjunctive meds for management of tx-resistant
i,- i,- i,- i,- i,- i,- i,- i,- i,-



depression & other conditions i,- i,- i,-




-not curative
i,-




-decrease/control symptoms/improve quality of life i,- i,- i,- i,-

,Schizophrenia a disturbance that must last for 6 months or
i,-i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



longer, including at least one month of positive symptoms or
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



negative symptoms i,-




-neurodevelopmental, brain disorder i,- i,-




-psychological condition involving chronic or repeated episodes i,- i,- i,- i,- i,- i,- i,-



of psychosis
i,-




cause: combination of genetics and environmental factors
i,- i,- i,- i,- i,- i,-




DX: based on clinical interview
i,- i,- i,- i,-




Schizophrenia increases the risk of: i,- i,- i,- i,- i,-i,- i,- suicide
homeless
jail/prison




Grandiose expansiveness exhibiting an attitude of superiority;
i,- i,-i,- i,- i,- i,- i,- i,- i,-



hearing voices that praise and extol; believing one has unusual
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



powers or is a well-known personality, or that one has a divine
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



mission, which is often seen in schizophrenia and in manic
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



psychosis


Psychosis can affect a person's: i,- i,- i,- i,- i,-i,- i,- -cognition
-affective response i,-

, -communication
-capacity to recognize reality
i,- i,- i,-




-ability to relate to others
i,- i,- i,- i,-




_________ is a defining feature for some psychotic disorders while
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



other disorders may have a psychotic component
i,- i,- psychosis i,- i,- i,- i,- i,-i,- i,-




Diagnoses Requiring the Presence of Psychosis
i,- i,- i,- i,- i,- i,-i,- i,- -
Schizophrenia
-Substance-induced psychotic disorders i,- i,-




-Schizophreniform disorder i,-




-Shizoafffective disorder i,-




-Delusional disorder i,-




-Brief psychotic disorder
i,- i,-




-Psychotic disorder d/t a medical condition
i,- i,- i,- i,- i,-




Diagnoses with Psychosis as a Feature
i,- i,- i,- i,- i,- i,-i,- i,- -Mania
-Depression
-Cognitive disorders i,-




-Dementia

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