NURS 665 exam 1 syndromes and
miscellaneous
Capgras syndrome - answera delusional belief that a person has been replaced by an
imposter
de Clerambault syndrome/Erotomania - answeris a psychiatric syndrome characterized
by the delusional belief that one is loved by another person of, generally a higher social
status.
Delusions of grandeur - answerBelief that one is a famous or powerful person from the
past or present
Delusions of reference - answerBelief that all happenings revolve around oneself,
and/or one is always the center of attention
Erotomania - answerbelief that another person, usually of higher status, is in love with
you
Persecutory type delusions - answerBelief that one is the target of others' mistreatment,
evil plots, and/or murderous intent
Somatic delusions - answerbelief that you have a physical defect or general medical
condition•
NMS: Neuroleptic malignant syndrome (NMS) - answeris a life-threatening neurologic
emergency associated with the use of antipsychotic (neuroleptic) agents and
characterized by a distinctive clinical syndrome of mental status change, rigidity, fever,
and dysautonomia.
NMS progression - answerEvolves over 1-3 days Mental status changes is initial
symptom, Agitated delirium with confusion, Catatonia, mutism, Coma, Muscle rigidity
Generalized, often extreme Moving the extremities, superimposed tremor,
ratcheting/cogwheeling, Less common: dystonia, opisthotonus (spasm of the muscles
causing backward arching of the head, neck, and spine), trismus (restriction of the
range of motion of the jaws), chorea, other dyskinesias, Hyperthermia,
Tachycardia/dysrhythmias, Diaphoresis is often perfuse
NMS Treatment - answerStop causative agent (usually the psychotropic agent,
anticholinergic therapy, serotonin agents), Supportive care, Dehydration, Electrolyte
imbalance, Acute renal failure associated with rhabdomyolysis, Cardiac arrhythmias,
including torsades de pointes and cardiac arrest, Myocardial infarction,
miscellaneous
Capgras syndrome - answera delusional belief that a person has been replaced by an
imposter
de Clerambault syndrome/Erotomania - answeris a psychiatric syndrome characterized
by the delusional belief that one is loved by another person of, generally a higher social
status.
Delusions of grandeur - answerBelief that one is a famous or powerful person from the
past or present
Delusions of reference - answerBelief that all happenings revolve around oneself,
and/or one is always the center of attention
Erotomania - answerbelief that another person, usually of higher status, is in love with
you
Persecutory type delusions - answerBelief that one is the target of others' mistreatment,
evil plots, and/or murderous intent
Somatic delusions - answerbelief that you have a physical defect or general medical
condition•
NMS: Neuroleptic malignant syndrome (NMS) - answeris a life-threatening neurologic
emergency associated with the use of antipsychotic (neuroleptic) agents and
characterized by a distinctive clinical syndrome of mental status change, rigidity, fever,
and dysautonomia.
NMS progression - answerEvolves over 1-3 days Mental status changes is initial
symptom, Agitated delirium with confusion, Catatonia, mutism, Coma, Muscle rigidity
Generalized, often extreme Moving the extremities, superimposed tremor,
ratcheting/cogwheeling, Less common: dystonia, opisthotonus (spasm of the muscles
causing backward arching of the head, neck, and spine), trismus (restriction of the
range of motion of the jaws), chorea, other dyskinesias, Hyperthermia,
Tachycardia/dysrhythmias, Diaphoresis is often perfuse
NMS Treatment - answerStop causative agent (usually the psychotropic agent,
anticholinergic therapy, serotonin agents), Supportive care, Dehydration, Electrolyte
imbalance, Acute renal failure associated with rhabdomyolysis, Cardiac arrhythmias,
including torsades de pointes and cardiac arrest, Myocardial infarction,
