NUR 314 Exam 3 || with A+ Guaranteed Solutions.
Bleuler's signs of Schizophrenia correct answers Affect- flat, blunted, inappropriate, or bizarre
Associative looseness- LOA-disorganized thinking and reasoning
Autism-delusion, hallucinations and neologisms; focused inward
Ambivalence-pathologic holding of opposing emotions, attitudes, ideas, wishes
S/s of schizophrenia correct answers Bleuler's signs of Schizophrenia
Schizophreniform-time difference
Adults: difficulty with social, occupational, and family; self cares affected
Children-rare
Positive symptoms of schizophrenia correct answers -Florid (really evident) symptoms=
admitted!
-Alterations in thinking: reality testing.
-Delusions: false fixed beliefs that can't be changed by reasoning; 75% experience
-Concrete thinking: they can't think abstractly. We test this with proverbs. Ask them why is the
grass always greener on the other side
-Alterations in Speech- Looseness of Association (makes people hard to follow)
-Neologisms (words that are made up or used in a different way than typically defined)
-Echolalia (repeat, repeat, repeat)
-Clang Associations: choose words based on sound rather than meaning
-Word salad: when words have no connection what-so-ever
-Paranoia-MOST DANGEROUS
-Circumstantiality (they will talk around your question)
-Tangentiality (convo veers off topic)
-Rapid or pressured speech (very rapidly speaking)
-Flight of ideas (off topic and you have no idea where they're going)
-Thought broadcasting (they believe people can hear their thoughts)
-Thought insertion/withdrawal/deletion (insertion: believe thoughts aren't their own; WD/del:
they believe their thoughts are taken)
-Alterations in perception (illusions, hallucinations, depersonalization, derealizations)
-Alterations in behavior (catatonia- increase or decrease in movement; motor retardation/motor
agitation; echopraxia- mimicking of behaviors)
-Stereotyped behavior (behavior with meaning to only the person)
-Waxy flexibility (holding position for a long time after being put in it)
-Negativism (resistance, doing the opposite)
-Impaired impulse control
-gesturing or posturing ( they maintain a position no one puts them in)
- boundary impairment
Types of hallucinations: correct answers -Auditory: 60% of schizophrenics have this at some
point. Voices OUTSIDE of head. Brain is activated as if external sounds. Misinterpretation of
inner thoughts. Command hallucinations.
-Visual: usually with alcohol withdrawal and dementia, but also seen with schizophrenia
-Olfactory, gustatory, tactile (more rare)
, Positive symptoms of schizophrenia definition correct answers the presence of something that
could not be present. They include hallucinations, delusions, paranoia, disorganized or bizarre
thoughts, behavior or speech
Negative symptoms of schizophrenia definition correct answers the absence of something that
should be present. Negative symptoms include the inability to enjoy activities, social discomfort,
or lack of goal-directed behavior
Negative symptoms of schizophrenia correct answers -develop slowly and are those that most
interfere with a person's adjustment and ability to cope TABLE 12-2
-contribute to poor social functioning and social withdrawal
-Affect: flat or blunt; inappropriate; bizarre
-anergia (decreased energy)
-anhedonia (they don't take pleasure in activities)
-avolution (decreased motivation, decreased spontaneous activity)
-poverty of content (might say a lot of words; but very vague and doesn't have much meaning)
-poverty of speech (brief speech, 1 word)
-thought blocking (stop mid-sentence and don't know what they were gonna say)
Cognitive symptoms of schizophrenia correct answers Cognitive development stops when s/s
appear
-Inattention (distractible)
-impaired memory (forgetful; poor historians)
-poor problem-solving and poor decision-making skills
-illogical thinking (don't see their difference and don't ask for help; anosognosia)
-impaired judgement- vulnerable with sex, alcohol, drugs, money
Affective symptoms of schizophrenia correct answers depressive and other mood disorders are
important to assess because:
-Herald an impending relapse
-increase substance abuse
-increase suicide risk
-further impairs functioning
Communication techniques correct answers -Trust building: short-frequent approaches to
increase trust, keep promises, non-judgmental
-calm, quiet, matter of fact approach
-passive friendliness- approach with neutral facial expression
-use touch judiciously, if at all
-do not give multiple demands
-always think: decrease anxiety for patient and Me!
-facilitating self-esteem: call by name, sincere praise, ID strengths, involve in tasks they can be
successful in
Intervening with Hallucinations correct answers -Monitor for hallucinations and cues
Bleuler's signs of Schizophrenia correct answers Affect- flat, blunted, inappropriate, or bizarre
Associative looseness- LOA-disorganized thinking and reasoning
Autism-delusion, hallucinations and neologisms; focused inward
Ambivalence-pathologic holding of opposing emotions, attitudes, ideas, wishes
S/s of schizophrenia correct answers Bleuler's signs of Schizophrenia
Schizophreniform-time difference
Adults: difficulty with social, occupational, and family; self cares affected
Children-rare
Positive symptoms of schizophrenia correct answers -Florid (really evident) symptoms=
admitted!
-Alterations in thinking: reality testing.
-Delusions: false fixed beliefs that can't be changed by reasoning; 75% experience
-Concrete thinking: they can't think abstractly. We test this with proverbs. Ask them why is the
grass always greener on the other side
-Alterations in Speech- Looseness of Association (makes people hard to follow)
-Neologisms (words that are made up or used in a different way than typically defined)
-Echolalia (repeat, repeat, repeat)
-Clang Associations: choose words based on sound rather than meaning
-Word salad: when words have no connection what-so-ever
-Paranoia-MOST DANGEROUS
-Circumstantiality (they will talk around your question)
-Tangentiality (convo veers off topic)
-Rapid or pressured speech (very rapidly speaking)
-Flight of ideas (off topic and you have no idea where they're going)
-Thought broadcasting (they believe people can hear their thoughts)
-Thought insertion/withdrawal/deletion (insertion: believe thoughts aren't their own; WD/del:
they believe their thoughts are taken)
-Alterations in perception (illusions, hallucinations, depersonalization, derealizations)
-Alterations in behavior (catatonia- increase or decrease in movement; motor retardation/motor
agitation; echopraxia- mimicking of behaviors)
-Stereotyped behavior (behavior with meaning to only the person)
-Waxy flexibility (holding position for a long time after being put in it)
-Negativism (resistance, doing the opposite)
-Impaired impulse control
-gesturing or posturing ( they maintain a position no one puts them in)
- boundary impairment
Types of hallucinations: correct answers -Auditory: 60% of schizophrenics have this at some
point. Voices OUTSIDE of head. Brain is activated as if external sounds. Misinterpretation of
inner thoughts. Command hallucinations.
-Visual: usually with alcohol withdrawal and dementia, but also seen with schizophrenia
-Olfactory, gustatory, tactile (more rare)
, Positive symptoms of schizophrenia definition correct answers the presence of something that
could not be present. They include hallucinations, delusions, paranoia, disorganized or bizarre
thoughts, behavior or speech
Negative symptoms of schizophrenia definition correct answers the absence of something that
should be present. Negative symptoms include the inability to enjoy activities, social discomfort,
or lack of goal-directed behavior
Negative symptoms of schizophrenia correct answers -develop slowly and are those that most
interfere with a person's adjustment and ability to cope TABLE 12-2
-contribute to poor social functioning and social withdrawal
-Affect: flat or blunt; inappropriate; bizarre
-anergia (decreased energy)
-anhedonia (they don't take pleasure in activities)
-avolution (decreased motivation, decreased spontaneous activity)
-poverty of content (might say a lot of words; but very vague and doesn't have much meaning)
-poverty of speech (brief speech, 1 word)
-thought blocking (stop mid-sentence and don't know what they were gonna say)
Cognitive symptoms of schizophrenia correct answers Cognitive development stops when s/s
appear
-Inattention (distractible)
-impaired memory (forgetful; poor historians)
-poor problem-solving and poor decision-making skills
-illogical thinking (don't see their difference and don't ask for help; anosognosia)
-impaired judgement- vulnerable with sex, alcohol, drugs, money
Affective symptoms of schizophrenia correct answers depressive and other mood disorders are
important to assess because:
-Herald an impending relapse
-increase substance abuse
-increase suicide risk
-further impairs functioning
Communication techniques correct answers -Trust building: short-frequent approaches to
increase trust, keep promises, non-judgmental
-calm, quiet, matter of fact approach
-passive friendliness- approach with neutral facial expression
-use touch judiciously, if at all
-do not give multiple demands
-always think: decrease anxiety for patient and Me!
-facilitating self-esteem: call by name, sincere praise, ID strengths, involve in tasks they can be
successful in
Intervening with Hallucinations correct answers -Monitor for hallucinations and cues
