25 questions - 20 Multiple choice/1 Fill in/ 4 SATA
Phases Of Schizophrenia
- Phase 1:
- Prodromal(Onset)
- Social Withdrawal
- Prodromal has Negative symptoms
- Acute
- Exacerbation of symptoms: Hallucination, Delusion, Bizarre
behavior
- Goal: Patient safety and medical stabilization
- Phase 2: Stabilization
- Symptoms are diminishing
- Goal: to help patients understand illness and treatment
- Phase 3: Maintenance or Residual
- At or near baseline functioning and new baseline is
established
- Goal:To maintain achievement and treatment Plan
Assessment of Schizophrenia
Positive
- Delusion: False Fixed belief
- Hallucination: Something that isn’t there
- Experience 1) Auditory 2) Command 3) Visual
- If patient is having auditory hallucinations, offer patient to sit
with them. Say I will sit with you, what are the voices telling you
- Illusion: Something there, but distorted
- Neologism
- Hitting the Nurse
- Disorganized thinking/thought
- Speech
- Flight of ideas
- Alterations in Speech
- Word salad: Jumble of words meaningless to the listener
- Clang Association: Words based on sound/rhythm; oh fox, box
and lox
- Neologism: Make up words by the client
- Echolalia: Repetition of words
- Echopraxia: Imitation of body Movement
This study source was downloaded by 100000832361371 from CourseHero.com on 06-04-2022 14:06:12 GMT -05:00
, -
Pressured Speech: Speech that has a sense of urgency and
deliver at a fast pace due to overflow of ideas
- Tangentiality: Question never fully answered. Avoid questions
- EX: Nurse: How are you” Patient: I like carrots and playing
games
- Symbolic Speech: Using symbols instead of direct speech
- Ex: The demon or devil is taking me
- Disorder or distortions of Thoughts
- Thought Blocking: A reduction or stoppage of thought caused by
hallucination
- Thought insertion: Belief that someone else has inserted
thoughts into their brain
- Thought Deletion: A belief that thoughts have been taken or are
missing
- Magical thinking: GOAL SETTING Belief that thoughts/action
affect other consequences
- EX: Wearing a certain hat makes him invisible to others
- Paranoia: Irrational fear
- Depersonalization: “I am me but i feel like someone else”
- Derealization: “I’m in space” or “I see legs but they’re not mine”
- Alterations in Thoughts
- Ideas of Reference: Misconstrues others behavior
- Ex: Believe people are talking about you when they are
discussing about something else
- Persecution/Persecutory: Being followed/watch by FBI
- Tell them “It sounds like you are concerned about your
safety”
- Grandeur: Believe that you’re superior like a god, queen or king
- Somatic Delusion: Body is changing like growing an extra arm
- Jealousy: Believe S/O is cheating with no factual basis
Negative Symptoms
- 5A’s: Affect(Outward expression), Alogia(Inability to speak),
Anergia(Lack of Energy), Anhedonia(Lack of pleasure), Avolition(Lack of
motivation)
- Disheveled appearance
- Flat affect(Diminished emotional expression)
- Social withdrawal
- Affective blunting: Slight Grim
This study source was downloaded by 100000832361371 from CourseHero.com on 06-04-2022 14:06:12 GMT -05:00
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