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
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capacity, affective response, and capacity to recognize reality,
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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
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-Delusions are fixed beliefs - often bizarre - that have an
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inadequate rational basis and can't be changed by rational
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arguments or evidence to the contrary
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-Hallucinations are perceptual experiences of any sensory i,- i,- i,- i,- i,- i,- i,-
modality - especially auditory - that occur without a real external
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stimulus, yet are vivid and clear, just like normal perceptions, but
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not under voluntary control
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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
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decreased motivation i,-
perceptual distortions and motor disturbances can be associated
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with _________
i,- any type of psychosis. i,-i,- i,- i,- i,- i,-
-Perceptual distortions include being distressed by hallucinatory
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voices; seeing visions; reporting hallucinations of touch, taste, or
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odor; or reporting that familiar things and people seem changed.
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-Motor disturbances are peculiar, rigid postures; overt signs of
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tension; inappropriate grins or giggles; peculiar repetitive
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gestures; talking, muttering, or mumbling to oneself; or glancing
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around as if hearing voices.
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-paranoid psychosis, the patient has paranoid projections, hostile
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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
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depression & other conditions i,- i,- i,-
-not curative
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-decrease/control symptoms/improve quality of life i,- i,- i,- i,-
,Schizophrenia a disturbance that must last for 6 months or
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longer, including at least one month of positive symptoms or
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negative symptoms i,-
-neurodevelopmental, brain disorder i,- i,-
-psychological condition involving chronic or repeated episodes i,- i,- i,- i,- i,- i,- i,-
of psychosis
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cause: combination of genetics and environmental factors
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DX: based on clinical interview
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Schizophrenia increases the risk of: i,- i,- i,- i,- i,-i,- i,- suicide
homeless
jail/prison
Grandiose expansiveness exhibiting an attitude of superiority;
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hearing voices that praise and extol; believing one has unusual
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powers or is a well-known personality, or that one has a divine
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mission, which is often seen in schizophrenia and in manic
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psychosis
Psychosis can affect a person's: i,- i,- i,- i,- i,-i,- i,- -cognition
-affective response i,-
, -communication
-capacity to recognize reality
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-ability to relate to others
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_________ is a defining feature for some psychotic disorders while
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other disorders may have a psychotic component
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Diagnoses Requiring the Presence of Psychosis
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Schizophrenia
-Substance-induced psychotic disorders i,- i,-
-Schizophreniform disorder i,-
-Shizoafffective disorder i,-
-Delusional disorder i,-
-Brief psychotic disorder
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-Psychotic disorder d/t a medical condition
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Diagnoses with Psychosis as a Feature
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-Depression
-Cognitive disorders i,-
-Dementia