PNG 2254 Mental Health
Nursing- Module #4 Exam Study
Guide
Causitive factors - Answer Schizophrenia is not a homogenous disease it may have
many of these
genetic predisposition, Biochemical dysfunction, physiological factors, psychosocial
stresses - Answer What are some of the causative factors of Schizophrenia
Pharmacotherapy, Psychosocial care, social skills training, rehab and recovery, family
therapy - Answer What are some of the treatments used fro schizophrenia?
lengthier hospitalizations, higher cost, chaos to families and fear - Answer
Schizophrenia and other psychotic disorders is often responsible for this
1/3 - Answer How many people attempt suicide?
1 in 10 - Answer How many people succeed in suicide attempts?
Psychosis - Answer a severe mental condition in which there is disorganization of the
personality, deterioration in social functioning, loss of contact with reality. There may be
hallucination and delusional thinking
Thought processes, perception and affect - Answer What can schizophrenia cause
disturbances in?
early onset - Answer What is schizophrenia referred to as when it is diagnosed before
17?
Very Early onset - Answer What is schizophrenia referred to as when it is diagnosed
before age 13?
adolescence or early adulthood - Answer When does schizophrenia usually occur?
Mental illness, has 4 stages, psychosis is a symptom - Answer When comparing
Schizophrenia with psychosis what are some characteristics of schizophrenia?
Irrational thoughts, loss of reality, hallucination, paranoia, may occur post-op - Answer
When comparing schizophrenia and psychosis what are some characteristics of
psychosis?
Pre-morbid phase - Answer You patient does not have a clear evidence of illness but
, they seem shy and withdrawn, they also describe their social relationships as poor.
What stage of schizophrenia are they in?
Prodromal Phase - Answer You notice that there is a significant deterioration in function
in your patient, they are more socially withdrawn and they say they've been having
difficulty holding a job, you note some perceptual abnormalities and sleep disturbances
What phase of schizophrenia are they in?
scizophrenia phase - Answer There are obvious psychotic symptoms present, the
patient meets the DSM-5 criteria for schizophrenia What stage are they in?
true - Answer True or False: A person must meet two or the following for a long period of
time in order to be diagnosed with schizophrenia: Delusions, hallucinations,
disorganized speech, catatonic behaviour and negative symptoms
Two or more of: Hallucinations, delusions, disorganized speech, catatonic behaviour,
negative symptoms. 2. low level functioning 3.continuous signs of disturbance 4.
schizoaffective disorder and depressive/bi polar ruled out, 5. not attributable to
substance use 6. If there is a Hx of autism/com disorder diagnosis only prominent is
hallucinations/delusions present - Answer What are the DSM-5 criteria for being
diagnosed with schizophrenia (its a long one)
Residual phase - Answer You patients negative symptoms are still present, and they
seem to have a flat affect but they are in a period following an active phase of the illness.
What phase of Schizophrenia do you think they are in
Being female. late onset, no family HX, no brain anomalies - Answer What are some
factors associated with a good schizophrenia prognosis
Biological, Psychological and Environmental - Answer Cause of schizophrenia is still
uncertain, no single factors can be implicated in the aetiology, rather the disease
probably results from a combination of factors including ____________________________.
Genetics - Answer this plays an important role in the development of Schizophrenia,
siblings have a 10% chance of being diagnosed if their siblings do.
The Dopamine Hypothesis - Answer Schizophrenia may be caused by an excess of
dopamine dependant neuronal activity in the brain.
norepinephrine, serotonin, acetylcholine, GABA - Answer Abnormalities in these
Neurotransmitters have been linked to Schizophrenia
serotonin - Answer Excess of this have been linked to the negative symptom of
Schizophrenia
Ventricular enlargement and reduction in grey matter - Answer What are some
anatomical abnormalities that have been seen with schizophrenia
Limbic System - Answer MRI's have revealed reduced symmetry in the brain with
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