Morrison Valfre | 9780323810296 | All Chapters with Answers
and Rationals
What does psychotic mean? - ANSWER: out of touch with reality
what types of behavior does psychotic behavior lead to? - ANSWER: bizarre, odd, weird
How many people out of 100 people are diagnosed with schizophrenia? - ANSWER: 1 out of 100 (1%)
What does the term psychosis mean? - ANSWER: It is a broad term that is kind of the umbrella term
for different types of psychotic behavior (delusions/hallucinations)
What is the most common type of psychosis? - ANSWER: schizophrenia
If their is a genetic link of schizophrenia when is the onset? - ANSWER: typically earlier onsets are
genetically linked
What is pathophysiology of schizophrenia? - ANSWER: - brain disease and there is brain dysfunction
- there is still a great amount of research that needs to and is still being done to understand this
disorder
- This is a biological and biochemical problem with structural anatomical alterations
- decreased volume of gray matter in prefrontal cortex, temporal, enlarged ventricles, sulci
(this is present before the onset of symptoms but difficult to detect)
- dopamine accumulates in that synaptic junction so it isn't communicating messages
- glutamate also accumulates in that synaptic junctions
- serotonin accumulates as well
Will stress causes schizophrenia? - ANSWER: No but it can activate it
Risk Factors: Schizophrenia - ANSWER: - genetic predisposition
- 1st generation: 50% risk
-2nd degree relative: 2-6%
- Individual conceived when father is in advanced maternal age
- No known family history
- males: typically diagnosed earlier (18-25 y/o)
-Females: (25-35 y/o)
- psychosocial factors: early life adversity- increased where disparities in healthcare exist
Risk Factors: Males are typically diagnoses at what age? - ANSWER: 18 years old - 25 years old
Risk Factors: Females are typically diagnosed at what age? - ANSWER: 25 years old - 35 years old
Risk Factors: my brother has been diagnosed with schizophrenia, what is my risk? - ANSWER: 50% risk
Risk Factors: my 2nd degree relative has been diagnosed with schizophrenia, what is my % chance of
getting it? - ANSWER: 2-6% chance
I am pregnant at 37 years of age and I heard that having children at an advanced maternal age could
increase my risk of schizophrenia....! Is my baby at risk? - ANSWER: NO, if the father of the baby has
an advanced maternal age then that would increase your childs risk but the mother being advanced
maternal age does not increase your risk
Prevention of schizophrenia - ANSWER: - eliminate adversity
, - environmental insults
Tertiary Prevention: Schizophrenia - ANSWER: - focused on reducing impact of disease in diagnosed
people
- Holistic Care
-Emphasis on recovery and rehabilitation
-GOAL: prevention of relapse
What is the GOAL of Tertiary prevention for a patient with schizophrenia? - ANSWER: PREVENTION OF
RELAPSE
Clinical Manifestations: Schizophrenia - ANSWER: -Positive Symptoms
- Negative Symptoms
Clinical Manifestations: Positive: - ANSWER: - Excess or distortion of normal functions
- Delusions and hallucinations
- Behaviors that are different than the pattern of most people
- Bring them to the attention of health care system
- treated with meds to reduce symptoms or take them away
Clinical Manifestations: Negative Symptoms: - ANSWER: - Lessening or loss of normal functions
- could persist even when the illness is treated
- chronic absence or lessening usual behaviors of most people
- aptathy: don't seem to care about things
- a lack of motivation
- treated with medications
Positive Symptoms: Hallucinations without stimulus - ANSWER: - they tend to be upsetting or
frightening
- sensory perceptions for which no external stimulus exists
- (Auditory) *** MOST COMMON ***
- Visual: eye gazing (2nd COMMON)
- olfactory: they smell things that others don't smell
-tactile: feel something on them... on their skin
- gustatory: unpleasant tastes
What is a command hallucinations? Is it a positive or negative symptoms? - ANSWER: - it is a positive
symptom.
- it is where they hear a voice saying to stab myself or someone else or to drink bleach....
-early on in the illness, suicide is a higher risk
Positive Symptoms: Delusions - ANSWER: -false beliefs that cannot be corrested by reasoning
Delusions: Grandeur - ANSWER: - unreaslistic belief that one is powerful, important, beautiful
Delusions: Persecution: - ANSWER: - paranoid delusions: others are out to get him or her. one is
getting persecuted, "they are following me"
Delusions: Reference: - ANSWER: idea of reference: external events have a direct personal reference
to the patient
- they often misconstrue conversation or events around them
Delusions: Thought Broadcasting - ANSWER: others can hear or read your thoughts
Delusions: Thought insertion: - ANSWER: the belief that others can put thoughts in your mind
Delusions: Thought Withdrawal: - ANSWER: someone can remove thoughts from your mind