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Exam (elaborations)

NUR422 Exam 3 Guide With Complete Solution

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NUR422 Exam 3 Guide With Complete Solution...

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  • August 11, 2024
  • 52
  • 2024/2025
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NUR422 Exam 3 Guide With
Complete Solution

What combination of factors probably cause schizophrenia? - ANSWER
genetics

viral infection/anatomical abnormalities (physiological)

poverty, stressful life events, cannabinoid use (sociocultural/environmental)

Positive symptoms of schizophrenia - ANSWER hallucinations and delusions;
disorganized thoughts, speech or behavior/catatonic behavior

*psychotic symptoms*

Negative symptoms of schizophrenia - ANSWER blunted emotion (flat
affect), lack of motivation (avolition), alogia (poverty of speech), or difficulty
experiencing pleasure (anhedonia)

Cognitive symptoms of schizophrenia - ANSWER deficits in attention,
memory or concentration

What is a major safety concern with schizophrenia? - ANSWER Risk for
suicide

Schizoid personality disorder - ANSWER no interest in relationships, seclusive
to self, "loner", works night jobs

schizotypal personality disorder - ANSWER eccentric/magical thinking, odd
beliefs, aloof/dress weirdly, malignant personality (highest likelihood of
transitioning into a psychotic disorder like schizophrenia)

,Schizophrenia vs. Schizophreniform vs. Brief psychotic disorder - ANSWER
Brief psychotic disorder: 1 month or less of symptoms

Schizophreniform: 1-6 months of symptoms

Schizophrenia: 6 months or more of symptoms

schizoaffective disorder - ANSWER Psychotic disorder featuring symptoms of
both schizophrenia and major mood disorder (either MDD or bipolar)

*schizophrenia is the primary diagnosis (only presenting illness for at least 2
weeks without other symptoms)

delusions of control - ANSWER belief that outside forces are controlling
one's body or actions

delusions of reference - ANSWER the belief that common elements in the
environment are directed toward the individual

Prodromal phase of schizophrenia - ANSWER Lasts from a few weeks to a
few years

Deterioration in role functioning

Cognitive impairment

Obsessive-compulsive behavior

social withdrawal

Significant deterioration in function

Sleep disturbance, anxiety, irritability

50 percent have depressive symptoms

,Depressed mood, poor concentration, fatigue

Perceptual abnormalities, ideas of reference, and suspiciousness herald onset
of psychosis

Residual phase of schizophrenia - ANSWER return to prodromal levels, mild
symptoms, impairment of functioning, no delusions or hallucinations,
impairment of cognitive functioning

Active phase of schizophrenia - ANSWER Delusions

Hallucinations

Disorganized speech and behavior

Decreased level of functioning in work, personal relationships, or self-care

premorbid phase of schizophrenia - ANSWER occurs before there is clear
evidence of illness

Social maladjustment

Antagonistic thoughts and behavior

Shy and withdrawn

Poor peer relationships

Doing poorly in school

Antisocial behavior




What nursing intervention would you focus on during the active phase of
schizophrenia? - ANSWER first empathize with the client by focusing on

, feelings generated by the hallucination, present objective

reality, and then distract or redirect the client to reality-based activities.




T/F: Schizophrenia is characterized by a splitting personality. - ANSWER False
(characterized by a deteriorating personality)




T/F: Dysfunctional family dynamics has been identified as a strong link to the
cause of schizophrenia. - ANSWER True




echolalia - ANSWER automatic and immediate repetition of what others say




circumstantiality - ANSWER Speech that is delayed in reaching the point and
contains excessive or irrelevant details




loose associations - ANSWER disorganized thinking that jumps from one idea
to another with little or no evident relation between the thoughts




tangentiality - ANSWER inability to get to the point of communication due to
introduction of many new topics




neologisms - ANSWER made up words

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