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2022 (QUESTIONS & RATIONALES FROM
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Exam covers Chapters 12, 13, 14, 22, 25, & 26 and content from weeks 7, 8, & 9
75 test questions, 4 Select all that apply
Chapter 12 Schizophrenia & Schizophrenia Spectrum Disorders
Auditory hallucinations
- Hearing voices, noises, music or sounds that are not actually real
Waxy flexibility
- Extended maintenance of posture
DO NOT COPY
- Usually seen in catatonia
- Nurse raises patients arm and the patient continues to hold position
in statue like manner.
Loose Associations
- Communication pattern characterized by lack of clarity of
connection between one thought and the next
- Thoughts, speech jump around from topic to topic, and makes little to
no sense
Concrete thinking
- Impaired ability to think abstractly
- Resulting in interpreting or perceiving things in a literal manner
- Difficulty responding to concepts like love or humor
Neologism
, - Newly coined word expression
- Made up word
- Ex: headshoe= hat
Command hallucinations
- Disturbed auditory sensory perceptions demanding that client take
action often to harm self or others
- Considered dangerous
- Often referred as voices
Schizophrenia – outcomes; prodromal stage assessment findings
- Prodromal stage
o Symptoms are subtle but present
, - Affective Symptoms
o involve emotions and expression
▪ dysphoria
▪ suicidality
▪ hopelessness
o cognitive symptoms:
▪ subtle changes in memory or attention or thinking
• inattention
• poor problem-solving skills
• poor decision-making skills
• impaired judgement
o negative symptoms
▪ blunt affect
▪ poverty of thought (alogia)
▪ loss of motivation (avolition)
▪ Inability to experience pleasure (anhedonia)
o Positive
▪ Hallucinations
▪ Delusions
▪ Disorganized
▪
speech Bizarre
behavior
What are interventions for delusions of persecution?
- Give patient prepackaged food
Chapter 13 Bipolar and Related Disorders
, Mood
- Euphoric mood associated with mania is unstable
- Overly joyous mood is out of proportion to what is going on and
the cheerfulness may be inappropriate for the circumstances
- Person will often give away money, prized possessions and expensive gifts
Grandiosity
- Exaggerated sense of superiority or self-importance
- Beliefs that one holds special superpower, unique knowledge or is
extremely important