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What are cognitive symptoms of psychotic disorders
- ANSWER--disordered thinking
-inability to make decisions
-poor problem solving ability
-difficult concentrating to perform tasks
-Memory deficits
Misconstrues trivial events and attaches personal significance
to them, such as believing that others, who are discussing
the next meal, are talking about them - ANSWER-ideas of
reference
Feels singled out for harm by others (being hunted down
by FBI) - ANSWER-Persecution
,Believes that she is all powerful and important like a god
- ANSWER-grandeur
believes that his body is changing in an unusual way,
scubas growing a third arm - ANSWER-somatic delusions
May feel that her spouse is sexually involved with
another individual - ANSWER-Jealousy
Believes that a force outside his body is controlling him
- ANSWER-being controlled
believes that her thoughts are heard by others -
ANSWER-thought broacasting
believes that others thoughts are being inserted into his
mind - ANSWER-thought insertion
Believe that her thoughts have been removed form her
mind by an outside agency - ANSWER-thought withdrawal
is obsessed with religious beliefs - ANSWER-religiosity
,The client may say sentence after sentence but each
sentence may relate to another topic and the listeniner is
bale to follow the clients thoughts - ANSWER-flight of ideas
Made up words that have meaning only to the client such as
i tranged and flitted. - ANSWER-neologisms
What are the standardized screen tools for psychotic
disorders - ANSWER--Global assessment of functioning scale
-scale for assessment of negative symptoms
-brief psychiatric rating scale
-Brief psychiatric rating scale
-abnormal involuntary movement scale (AIMS)
What antidepressants are prescribed for psychotic disorders
- ANSWER-Paxil (Peroxetine)
-monitor for SI
-Notify for deepened depression
-Do not stop abruptly
What are the anxiolytics/ benzo's used for psychotic
disorders? - ANSWER--Ativan (Lorazepam)
, -Klonopin
-sedative effects
-need to get blood tests for ANC
-use caution in older adults
What are the personality disorders in cluster A -
ANSWER-(Odd and eccentric traits)
-Paranoid
-Schizoid
-Schizotypal
Characterized by odd beliefs leading to interpersonal
difficulties, an eccentric appearance, and magical thinking
or perceptual distortions that are not clear delusions or
hallucinations - ANSWER-schizotypal
Dealing with anxiety by reaching out to others.
Ex: a nurse who lost a family member in a fire is a
volunteer firefighter - ANSWER-Altruism
Dealing with unacceptable feelings or impulses by
unconsciously substitute acceptable forms of expression.