EXAM 2-1023 SCHIZOPHRENIA
QUESTIONS WITH VERIFIED ANSWERS
Biochemical influences (predisposing factors) - ANSWER--one theory suggests that
schizophrenia may be caused by an excess of dopamine activity in the brain
-abnormalities in other neurotransmitters have also been suggested
Psychological influences (predisposing factors) - ANSWER-Factors that have been
implicated include:
-viral infection
-anatomical abnormalities
-histological changes in the brain
psychological influences (predisposing factors) - ANSWER-Various physical
conditions
-epilepsy
-myxedema (severe hypothyroidism)
-Huntington's disease
-birth trauma
-Parkinsonism
-alcohol abuse
-head injury in adulthood
-cerebral tumor
-cerebrovascular accident
-systemic lupus erythmatosus
-Wilson's disease
Psychological influences (predisposing factors) - ANSWER--These theories no longer
hold credibility, researchers now focus their studies of schizophrenia as a brain
disorder
-psychosocial theories probably Developed early on our of lack of information related
to a biological connection
Environmental influences (predisposing factors) - ANSWER-Sociocultural factors:
-Poverty has been linked with the development of schizophrenia
-downward drift. Hypothesis; poor social conditions seen as consequences of, rather
than a cause of schizophrenia
Theoretical integration (predisposing factors) - ANSWER--Schizophrenia is most likely
a biologically based disease, the onset of which is influenced by factors in the internal
or external environment
Environmental influences (predisposing factors) - ANSWER--stressful life events may
be associated with exacerbation of schizophrenia symptoms and increased rates of
relapse
-studies of genetic vulnerability for schizophrenia have linked certain genes to
increase risk for psychosis, particularly in adolescents who use cannabinoids
, Types of schizophrenia - ANSWER--Erotomanic
-Grandoise
-Jealous
-Persecutory
-Somatic
-Mixed
Brief psychotic disorder - ANSWER--Sudden onset of symptoms
-May or may not be preceded by a severe psychosocial stressor
-lasts less than 1 month
-return to the full premorbid level of functioning (phase 1)
Substance-induced psychotic disorder - ANSWER--the presence of prominent
hallucinations and delusions that are judged to be attributed to substance intoxication
or withdrawal
-50% of Schizophrenia abuse substances
-noncompliance with meds
-repeated illness relapses
-frequent hospitalization
-declining function
-loss of social support
Psychotic disorder associated with another medical condition - ANSWER--prominent
hallucinations and delusions are directly attributed to general medical condition
-can cause Catatonia
Catatonic Schizophrenia - ANSWER--A rare disease form in which the patient tends to
remain in a fixed stupor or position for long periods, periodically yielding to brief spurts
of extreme excitement
-increased potential for destructive, violent behavior
-stupor, muscle rigidity
-excessive purposelessness motor activity, waxy flexibility, negativism, Echolalia,
echopraxia
Patient and family education - ANSWER--Schizophrenia profoundly affects patients
family
-can be frightening to family
-families are not adequately prepared to deal with stressors
-lack of information can cause many problems
Patient and family education (cont) - ANSWER-Make sure family understands:
-what to expect as illness progresses
-symptoms associated
-ways to respond to behaviors associated with illness
Patients and family education(cont) - ANSWER-Management of illness
-connection of worsening of symptoms to times of stress
-appropriate medication management
-med side effects
QUESTIONS WITH VERIFIED ANSWERS
Biochemical influences (predisposing factors) - ANSWER--one theory suggests that
schizophrenia may be caused by an excess of dopamine activity in the brain
-abnormalities in other neurotransmitters have also been suggested
Psychological influences (predisposing factors) - ANSWER-Factors that have been
implicated include:
-viral infection
-anatomical abnormalities
-histological changes in the brain
psychological influences (predisposing factors) - ANSWER-Various physical
conditions
-epilepsy
-myxedema (severe hypothyroidism)
-Huntington's disease
-birth trauma
-Parkinsonism
-alcohol abuse
-head injury in adulthood
-cerebral tumor
-cerebrovascular accident
-systemic lupus erythmatosus
-Wilson's disease
Psychological influences (predisposing factors) - ANSWER--These theories no longer
hold credibility, researchers now focus their studies of schizophrenia as a brain
disorder
-psychosocial theories probably Developed early on our of lack of information related
to a biological connection
Environmental influences (predisposing factors) - ANSWER-Sociocultural factors:
-Poverty has been linked with the development of schizophrenia
-downward drift. Hypothesis; poor social conditions seen as consequences of, rather
than a cause of schizophrenia
Theoretical integration (predisposing factors) - ANSWER--Schizophrenia is most likely
a biologically based disease, the onset of which is influenced by factors in the internal
or external environment
Environmental influences (predisposing factors) - ANSWER--stressful life events may
be associated with exacerbation of schizophrenia symptoms and increased rates of
relapse
-studies of genetic vulnerability for schizophrenia have linked certain genes to
increase risk for psychosis, particularly in adolescents who use cannabinoids
, Types of schizophrenia - ANSWER--Erotomanic
-Grandoise
-Jealous
-Persecutory
-Somatic
-Mixed
Brief psychotic disorder - ANSWER--Sudden onset of symptoms
-May or may not be preceded by a severe psychosocial stressor
-lasts less than 1 month
-return to the full premorbid level of functioning (phase 1)
Substance-induced psychotic disorder - ANSWER--the presence of prominent
hallucinations and delusions that are judged to be attributed to substance intoxication
or withdrawal
-50% of Schizophrenia abuse substances
-noncompliance with meds
-repeated illness relapses
-frequent hospitalization
-declining function
-loss of social support
Psychotic disorder associated with another medical condition - ANSWER--prominent
hallucinations and delusions are directly attributed to general medical condition
-can cause Catatonia
Catatonic Schizophrenia - ANSWER--A rare disease form in which the patient tends to
remain in a fixed stupor or position for long periods, periodically yielding to brief spurts
of extreme excitement
-increased potential for destructive, violent behavior
-stupor, muscle rigidity
-excessive purposelessness motor activity, waxy flexibility, negativism, Echolalia,
echopraxia
Patient and family education - ANSWER--Schizophrenia profoundly affects patients
family
-can be frightening to family
-families are not adequately prepared to deal with stressors
-lack of information can cause many problems
Patient and family education (cont) - ANSWER-Make sure family understands:
-what to expect as illness progresses
-symptoms associated
-ways to respond to behaviors associated with illness
Patients and family education(cont) - ANSWER-Management of illness
-connection of worsening of symptoms to times of stress
-appropriate medication management
-med side effects
