MH - Quiz 3 - Thought D/O

Beliefs about abnormalities in bodily functions or structures

Belief that one has exceptional powers, wealth, skill, influence or destiny

Belief that another person, group of people, or external force controls thoughts, feelings, impulses or behavior

Belief that one is being watched, ridiculed, harmed or plotted against

Attaching personal significance to trivial events; perceiving events are relating to you when they are not

Belief that one’s mate is unfaithful

Belief that another person desires you romantically

“It is very cold. I am old and bold. The gold has been sold.”

The client imitates the movements of others

The client has repeated motor behaviors that do not serve a logical purpose

RN- “Hello. My name is Yvette and I’m going to be your nurse today.”Client- “Hello. My name is Yvette and I’m going to be your nurse today.”

“We wanted to take the bus, but the airport took all the traffic. Driving is the ticket when you want to get somewhere. No one needs a ticket to heaven. We all have it in our pockets.”

The client displays reduced fluency and productivity of thought and speech.

“You’re incorrect. It is not raining cats and dogs. There is water falling from the sky.”

The person never gets to the point of the conversation. Unrelated topics are introduced and the focus of the original conversation is lost.

“She wanted to give me a ride in her new uniphorum.”

“Most forward action grows life double plays circle uniform.”

The client does the opposite of what they are told to do.

The client is unable to experience pleasure.

“My legs are tree trunks and I can’t move because I am stuck to the floor.”

The topic of conversation changes repeatedly and rapidly, generally after just one sentence or phrase.

The client speaks as if words are being forced out of their mouth.

The client exhibits withdrawal and inability to initiate and persist in goal-directed activity.

The client holds their posture or body parts in abnormal positions for prolonged periods of time.

“I can’t leave through that door. Only a mouse would only be able to go through there.”

The individual delays in reaching the point of the conversation because of unnecessary or tedious details.

Schizophrenic disorders are HARD to deal with. What does the acronym HARD stand for?

Schizophrenia requires different treatment modalities such as:

Name the phases of Schizophrenia

During this phase of Schizophrenia, there are no distinct impairments but the person may isolate and show signs of personality disorders

During this phase of Schizophrenia, noticeable things like difficulty sleeping, depression, irritability, magical thinking occur

During this phase of Schizophrenia, symptoms of delusions, hallucinations, disordered speech/thought, and catatonia appear

During this phase of Schizophrenia, negative symptoms still maintain such as a flat affect and impairment in role functioning

In Schizophrenia that are stages of...

Name some predisposing factors for developing Schizophrenia

Name some physical conditions that predispose a person to develop Schizophrenia

Blaming someone else for your faults

Three people in the conversation sender doesn’t send to receiver (miscommunication) – very manipulative and a form of splitting

To be diagnosed with Schizophrenia the DSM-V requires what?

Presence of one or more non-bizarre delusions persist for at least one month
Erotomanic
Grandiose
Jealous
Persecutory
Somatic
Mixed

in love with movie star

think they are God or jesus

think spouse is unfaithful

Someone (FBI) is out to get them

misrepresentation of own body

A person that has some of all of the delusions

Sudden onset of psychotic symptoms that

–Last at least one day but less than one month

–There is an eventual full return to the premorbid level of functioning

Same features as schizophrenia except symptoms last at least one month but less than 6 months

Schizophrenic behaviors with mood disorder (mania or depression)
May appear depressed with psychomotor retardation & suicidal
May have euphoria, grandiosity, and hyperactivity
Absence of mood episode with hallucinations/ delusions for at least 2 weeks

The presence of prominent hallucinations and delusions that are judged to be directly attributable to substance intoxication or withdrawal

Characterized by marked abnormalities in motor behavior

A delusional system that develops with another person who already has a psychotic disorder

Manifestation of things that are not normally present
Hallucinations, Delusions, Alterations in Speech, Bizarre Behavior
Normal brain structures, respond well to antipsychotics

Reflect a lessening or loss of normal functions
Respond less to antipsychotics, most difficult to treat.
Atypicals are more effective in treatment of negative symptoms than typical antipsychotics

Environment is sending him a message

Forces outside of body are controlling him

False idea about his body

False idea that the self or part of self does not exist

Lack of insight, lack of awareness of what is going on with them

Lack of energy

first-generation/conventional antipsychotics

  used to treat mainly positive symptoms  Haloperidol, Loxapine, Chlorpromazine,   Fluphenazine

second-generation

  great both positive and negative symptoms

  Risperidone, Olanzapine, Quetiapine,   Ziprasidone, Clozapine

Aripiprazole
Used to treat both positive and negative symptoms while improving cognitive function

Psychopharmacology Side Effects - KNOW These

Extrapyramidal symptoms (EPS) include:

Client/Family Education for psychopharmacology