lOMoARcPSD|27916040
NR 326 Mental
Health Exam 3 -
Final Exam Study
Guide
Mental-Health
Nursing
,
, lOMoARcPSD|27916040
1
Week 5: Ch 24, 30, 31 mental health exam 3
Ch 24: Schizophrenia
● Schizophrenia is a type of psychosis
● Psychosis - disorganization of personality, deterioration in social/occupational fx, loss of
contact/distortion of reality
○ Evidence of hallucinations & delusional thinking
○ Disturbance in thought process, perception & affect
■ Goal - reorient & bring patient back to reality
● Concern - risk for suicide
● Schizophrenia Risk factors
○ Smoking
○ Genetics - not solely responsible for causing the dz
○ Biochemical - insufficient dopamine
○ Physiological - viral infx, anatomical abn
○ Sociocultural - poverty & stress linked to schizo
○ Psychological - per researchers, schizo is a brain disorder
○ Psychosocial stress - stress → relapse
○ Theoretical - onset is triggered by internal/external environment
● 4 phases of Schizophrenia
○ Premorbid - identify at-risk pts to prevent transition to illness
■ Shy & withdrawn
■ Poor peer relationships/school performance
■ Antisocial behavior - pt doesn’t care or have respect for others, can hurt others w/o
remorse
○ Prodromal - pt undergoes behavioral/cognitive changes (50% have depressive s/s)
■ Significant deterioration in fx
■ Social withdrawal
■ OCD behavior
■ Cognitive impairment
○ Active psychotic - can occur w/ or w/o prodromal phase
■ Psychotic s/s are prominent
■ Delusions, hallucinations, disorgan. speech & behavior
■ Dec level of fx in work, personal relationships, self-care
○ Residual - can occur w/ or w/o active psychotic phase
■ Absent or decreased s/s
■ 2 categories of s/s
● Positive - the presence of abnormal s/s
○ Delusions, hallucinations, disorganized speech, magical thinking
● Negative - the absence of normal s/s
○ Flat affect, apathy, withdrawal, impaired role fx, avolition (lack of
motivation), alogia (lack of communication)
○ Regression, posturing, pacing/rocking, abn eye movements
NR 326 Mental
Health Exam 3 -
Final Exam Study
Guide
Mental-Health
Nursing
,
, lOMoARcPSD|27916040
1
Week 5: Ch 24, 30, 31 mental health exam 3
Ch 24: Schizophrenia
● Schizophrenia is a type of psychosis
● Psychosis - disorganization of personality, deterioration in social/occupational fx, loss of
contact/distortion of reality
○ Evidence of hallucinations & delusional thinking
○ Disturbance in thought process, perception & affect
■ Goal - reorient & bring patient back to reality
● Concern - risk for suicide
● Schizophrenia Risk factors
○ Smoking
○ Genetics - not solely responsible for causing the dz
○ Biochemical - insufficient dopamine
○ Physiological - viral infx, anatomical abn
○ Sociocultural - poverty & stress linked to schizo
○ Psychological - per researchers, schizo is a brain disorder
○ Psychosocial stress - stress → relapse
○ Theoretical - onset is triggered by internal/external environment
● 4 phases of Schizophrenia
○ Premorbid - identify at-risk pts to prevent transition to illness
■ Shy & withdrawn
■ Poor peer relationships/school performance
■ Antisocial behavior - pt doesn’t care or have respect for others, can hurt others w/o
remorse
○ Prodromal - pt undergoes behavioral/cognitive changes (50% have depressive s/s)
■ Significant deterioration in fx
■ Social withdrawal
■ OCD behavior
■ Cognitive impairment
○ Active psychotic - can occur w/ or w/o prodromal phase
■ Psychotic s/s are prominent
■ Delusions, hallucinations, disorgan. speech & behavior
■ Dec level of fx in work, personal relationships, self-care
○ Residual - can occur w/ or w/o active psychotic phase
■ Absent or decreased s/s
■ 2 categories of s/s
● Positive - the presence of abnormal s/s
○ Delusions, hallucinations, disorganized speech, magical thinking
● Negative - the absence of normal s/s
○ Flat affect, apathy, withdrawal, impaired role fx, avolition (lack of
motivation), alogia (lack of communication)
○ Regression, posturing, pacing/rocking, abn eye movements
