Neuroleptic Malignant Syndrome - correct answer Rare - occurs in 0.2-1.0% of patients
More likely with 1st Generation antipsychotics
Can occur 1st week of drug therapy often occurs later
Risk factors- older age, female, concomitant use of antipsychotics, presence of mood disorder, rapid
drug titration
Antipsychotics 1st gen - correct answer Haldol
Thorazine
Navane
Loxapine
Prolixin
Antipsychotics 2nd gen - correct answer Abilify (sometimes classified as 3rd gen)
Saphris
Vraylar
Clozaril
Latuda
Zyprexa
Seroquel
Risperdal
Geodon
anosognosia - correct answer is a deficit of self-awareness, a condition in which a person with some
disability seems unaware of its existence
,hallucinations - correct answer False sensory perceptions not associated with real external stimuli
anergia - correct answer a deficiency in energy
Persecutory(+) - correct answer belief that others are out to harm them
Referential(+) - correct answer belief that public events or people are directly related to the individual
(Belief that evening news is about him)
Somatic(+) - correct answer body is altered from normal
Religious(+) - correct answer "My daughter is the devil", "I am Jesus speaks of in parables recites
scripture"
Substitution(+) - correct answer "It looks like my brother but is really an alien"
Thought insertion(+) - correct answer "an alien put thoughts into my mind"
Nihilistic(+) - correct answer belief that reality and existence are gone or were never there
"everything is falling apart my insides are rotting"
Grandiose.(+) - correct answer I made 6 million dollars- belief that they have exceptional wealth or
fame. "I own this hospital"
Loose Associations(+) - correct answer threads of speech are interrupted or disjointed- haphazard,
illogical "I need to get a band aid for my cut. My friend was talking about AID's, friends talk about French
fries, how can you trust the French"
Word Salad(+) - correct answer Jumble of words that is meaningless " Throat horses strength of policy
dreadfully essential Brazilian highlighters on a boat reining supreme"
, Clanging(+) - correct answer Click clack clutch close, Choosing words based on their sound rather than
meaning, on the track have a big mac.
Echolalia(+) - correct answer pathological repeating of another's words, often seen in catatonia. ex.
RN: "Mary do you need help" Mary: "Do you need help?"
Disorganized Behavior(+) - correct answer Walking around room re- arranging items in a nonsensical
patter,
Disorganized thinking(+) - correct answer lack of ability to complete tasks, lack of ability to problem
solve.
Avolition(-) - correct answer inability to pursue or participate in goal directed activities -not motivated
Type 2 patho - correct answer 4 metabolic Abnormalities
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