Exam (elaborations)
MENTAL HEALTH ECPI EXAM #3 QUESTIONS WITH CORRECT ANSWERS
MENTAL HEALTH ECPI EXAM #3 QUESTIONS WITH CORRECT ANSWERS
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MENTAL HEALTH ECPI EXAM #3QUESTIONS WITH CORRECT ANSWERS
Schizophrenia - Answer-Distorted and bizarre thoughts, perceptions, emotions,
movements, behavior
Schizophrenia categories of symptoms Positive - Answer-Delusions, hallucinations,
bizarre behaviors, flight of ideas, perseveration
Schizophrenia categories of symptoms Negative - Answer-Flat/blunted affect, lack of
volition, inattention, asociality, anhedonia
Schizophrenia is usually diagnosed in... - Answer-Late adolescence or early adulthood
schizoaffective disorder - Answer-Combined psychosis and mood disorder
Schizophrenia: onset - Answer-Abrupt or insidious: most with slow, gradual
development of signs and symptoms
Schizophrenia: diagnosis - Answer-Usually with more actively positive symptoms of
psychosis
long term course of schizophrenia - Answer-intensity of psychosis diminishes with age;
disease becomes less disruptive; clients may live independently later in life; many have
difficulty functioning in the community.
Schizophreniform - Answer-1-6 months before schizophrenia diagnosis
Catalonia - Answer-Marked psychomotor disturbance, usually stuporous, motionless
brief psychotic disorder - Answer-1 day-1 month
schizotypal personality disorder - Answer-Odd, eccentric behaviors
psychopharmacology schizophreniaConventional antipsychotics: - Answer-- dopamine
antagonists
- targeting positive signs
psychopharmacology schizophrenia atypical antipsychotics - Answer-Dopamine and
serotonin antagonists
Diminish positive symptoms
Lessen negative signs
Less incidence of EPS
, Neurological side effects (schizophrenia) - Answer--Extrapyramidal side effects
-Tardive dyskinesia
-Agranulocytosis
-Neuroleptic malignant syndrome NMS
Extrapyramidal side effects - Answer--Acute dystonic reactions
-Akathisia- restless movement, pacing
-Parkinsonism- shuffling gait, muscle stiffness, rigidity, masklike facies
tardive dyskinesia - Answer-Abnormal, involuntary movement
Lip smacking, facial tics, younger protrusion, blinking, grimacing
Agranulocytosis - Answer-Failure of bone marrow to produce adequate WBCs
Fever, sore throat, exhaustion/ lethargy, WBC down, Clozapine
Neuroleptic Malignant Syndrome (NMS) - Answer-FEVER, muscle rigidity/stiffness,
exhaustion/lethargy, leukocytosis WBC raised
- Answer-READ THIS
She said for dystonic DO NOT administer meds
Tardive : you should administer meds as ordered
NMS: immediately call physician
nonneurologic side effects of antipsychotics - Answer-Weight gain, sedation,
photosensitivity
Anticholinergic symptoms (dry mouth, blurred vision, constipation, urinary retention)
Orthostatic hypotension
Agranulocytosis (clozapine)
- Answer-Read this
Psychosocial Treatment of Schizophrenia - Answer-Individual, group therapies
-Supportive, medication management, use of community supports
Social skills training
-Cognitive adaptation training
-Cognitive enhancement therapy (CET)
Family therapy
Family education
Is tardive dyskinesia reversible? - Answer-NO = IRREVERSIBLE!!!
Schizophrenia data analysis and priorities - Answer-Risk for violence
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