What are cognitive symptoms of psychotic disorders ANS: -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 ANS: ideas of reference
Feels singled out for harm by others (being hunted down by FBI) ANS: Persecution
Believes that she is all powerful and important like a god ANS: grandeur
believes that his body is changing in an unusual way, scubas growing a third arm ANS: somatic delusions
May feel that her spouse is sexually involved with another individual ANS: Jealousy
Believes that a force outside his body is controlling him ANS: being controlled
believes that her thoughts are heard by others ANS: thought broacasting
believes that others thoughts are being inserted into his mind ANS: thought insertion
Believe that her thoughts have been removed form her mind by an outside agency ANS: thought
withdrawal
,is obsessed with religious beliefs ANS: 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 ANS: flight of ideas
Made up words that have meaning only to the client such as i tranged and flitted. ANS: neologisms
What are the standardized screen tools for psychotic disorders ANS: -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 ANS: Paxil
-monitor for SI
-Notify for deepened depression
-Do not stop abruptly
What are the anxiolytics/ bento's used for psychotic disorders? ANS: -Ativan
-Klonopin
-sedative effects
-need to get blood tests for ANC
, -use caution in older adults
What are the personality disorders in cluster A ANS: (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 ANS: schizotypal
Dealing with anxiety by reaching out to others.
Ex: a nurse who lost a family member in a fire is a volunteer firefighter ANS: Altruism
Dealing with unacceptable feelings or impulses by unconsciously substitute acceptable forms of
expression.
Ex: a person who has feelings of anger and hostility toward his work supervisor sublimates those feelings
by working out vigorously a the gym during his lunch period ANS: Sublimation
Voluntarily denying unpleasant thoughts and feelings.
Ex: A person who has lost his job states he will worry about paying his bills next week ANS: Suppression
Putting unacceptable ideas, thoughts, and emotions out of conscious awareness.
Ex: a person who has a fear of the dentist's drill continually "forgets" his dental appointments. ANS:
Repression
What are healthy defense mechanisms? ANS: alturism and sublimation