PSYCH Exam 2

What are some clinical manifestations for schizophrenia?
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What are some clinical manifestations for schizophrenia?
-delusions
-hallucinations
-disorganized speech
-disorganized thoughts
-behavior disorganization
-negative symptoms
Doing less in school than peers, being less socially engaged, and being suspicious all represents what phase of schizophrenia?
-Prodromal
Delusions, disorganized speech, disorganized thought thoughts and hallucinations happen during which phase of schizophrenia?
-acute
Group therapy and management happen during which phase of schizophrenia?
-Stabilization
Being discharged from the hospital and going out to the community to help get better and trying to event a relapse of symptoms, occurs during which phase of schizophrenia?
-Maintenance/Residual
A schizophrenic patient comes into the ER complaining of seeing dead people. On top of being paranoid and agitated, the patient speech is all over the place and disorganized. Based on the symptoms listed, would the patient be experiencing negative or positive symptoms?
-Positive
A schizophrenic patient on the psychiatric unit is becoming more socially withdrawn and seems to have no motivation or interest into anything. Based on these symptoms, you would expect the patient to be experiencing negative or positive symptoms?
-Negative
The following is an example of what type of delusion: Shannon believes that her food is poisoned, therefore she eats only prepackaged food.
-Persecutory
The following is an example of what type of delusion: Barbara believes that the birds sing songs to cheer her up.
-Referential
The following is an example of what type of delusion: Brianna believes that she's God.
-Grandiose
The following is an example of what type of delusion: Although he barely knows her, Patty insists that Eric will marry her if only his current wife would stop interfering.-ErotomaticThe following is an example of what type of delusion: Larry gives away all his belongings since they won't be of any use when the comet hits.-NihilisticThe following is an example of what type of delusion: Chris says her heart is dead and rotting away.-SomaticThe following is an example of what type of delusion: Brian covered his apartment walls with aluminum foil to block aliens' efforts to control his thoughts.-ControlWhen the mind goes blank, what would this be known as.-Thought blockingSeeing a coat on the coat rack and thinking its a bear would be known as what?-an illusionsWhat does anhedonia mean?-lack of interestWhat does avolition mean?-lack of motivationA schizophrenic patient on the psychiatric unit refuses treatment because he doesn't believe he is sick. This is known as what?-AnosognosiaChild abuse that is deliberate and intentional and includes physical, sexual, and emotional abuse is known as what?-Acts of commissionWhen the child's basic physical, emotional, or educational needs are not met or when a child is not protected from harm, this is known as what?-Acts of omission or neglectTrue or False. The younger you are the more vulnerable you are to being abused.-TrueWhat are some risk factors for child abuse?-young age (4 and under) -chronic disease -congenital abnormalitiesWhat happens during the tension-building stage of the cycle of violence?-minor incidents such as pushing, shoving and verbal abuse -victim ignores or accept behavior due to fear of escalation (feel like they're walking on eggshells)What happens during the acute battering stage of the cycle of violence?-the tension becomes unbearable and the victim may provoke an incident to get the abuse over with -usually triggered by an external event or by the abuser's emotional stateWhat happens during the honeymoon stage of the cycle of violence?-period of calm -abuser demonstrates kindness and loving behavior and may feel remorseful and apologetic -victim feels needed and loved and hopes for changeWhat are some risk factors for intimate partner violence?-jealousy -male dominance -substance abuse -pregnancyTrue or False. Victims are at greatest risk for violence when they threaten to or actually leave the relationship.TrueWhat are some risk factors for older adult abuse?-dependencyWhat are some key things you should do as a nurse when interviewing a patient that may have been abused?-conduct interview in private -build rapport and trust before asking the serious questions -the interview should be nonthreatening and supportive -ask about ways of solving issues instead of using words like abuse or violence -use the term partner when asking about relationships -don't assume a person's sexual orientationWhat are some common areas you may find bruises, burns, and other wounds at?-head -face -chest -arms -abdomen -back -butt -genitaliaWhat are some S&S of a baby that may been shaken?-respiratory problems -bulging fontanels -retinal hemorrhages -central nervous system damages that result in seizures, vomiting and comaWhat things should you assess with a patient that may be experiencing abuse?-level of anxiety and coping responses -family coping patterns -support systems -suicide potential -homicide potential -drug and alcohol use -maintaining accurate recordsTrue or False. Nurses AREN'T responsible to report suspected or actual cases of child and vulnerable adult abuse.FALSEWhat is something a nurse can do to help a patient going through abuse?-teach them about creating a safety plan that includes a pack bag that is hidden somewhere the persecutor cannot find, transportation, and a destinationWhat are some primary prevention methods for abuse?-reducing stress -reducing the influence of risk factors -increasing social support -increasing coping skills -increasing self-esteemWhat are some secondary prevention methods for abuse?-early intervention in abusive situations -support groups -supportive therapy for reducing stress and depressionWhat are some tertiary prevention methods for abuse?-nurses facilitating the healing and rehabilitative process by counseling individuals and families -providing support groups of survivors -assisting survivors of violence to achieve their optimal level of safety, health, and well-being -legal advocacy programs for survivors