BRAINSCAPE1
CMN 350 Exam 4 Exam with complete
solutions latest version
Schizophrenia - CORRECT ANSWER-major psychotic disorder.
characterized by disturbances in:
perception
feeling
thought process
reality testing
attention
motivation
behavior
Types of schizophrenia - CORRECT ANSWER-positive and negative
Positive (Type 1) Symptoms of Schizophrenia - CORRECT ANSWER-addition.
florid and dramatic Symptoms(hallucinations ,delusions )
Excessive dopamine , abnormal thoughts agitation, delusions
Grandiosity
hostility
Suspicious
hallucinations, delusions, abnormal thoughts, agitation, bizarre behavior, excitement,
hostility)
ØExcessive dopamine in the mesolimbic tract
Negative (Type 2) Symptoms of Schizophrenia - CORRECT ANSWER-subtraction
subtle symptom, ex: apathy, anxiety, anhedonia (loss of pleasure).
social withdrawal
failure to communicate
flattened affect, avolition, alogia, anergia, attention deficits, communication difficulties,
difficulty with abstractions, poverty of speech)
ØToo little dopamine in the mesocortical tract
BRAINSCAPE1
, BRAINSCAPE1
3 types of schizophrenia - CORRECT ANSWER-age and onset: always during late
adolescence or early adulthood .
role of stress: onset and relapse are almost always related to stress: Onset and relapse
are almost always related to stress.
Efficacy of dopamine antagonists: Drugs that block dopamine receptors are therapeutic.
Schizophrenia : objective signs - CORRECT ANSWER-alteration in personal
relationship(withdrawal)
alteration in activity and behavior(echopraxia).
Etiology schizo - CORRECT ANSWER-dopamine hypothesis.
brain atrophy.
genetic theories.
perinatal risk factor.
developmental theories:
Freud:
Chlorpromazine (Thorazine) - CORRECT ANSWER-considered the first antipsychotic
drug.
major tranquilizers, ataractics
Traditional - CORRECT ANSWER-first-generation antipsychotics (FGAs)
Atypical - CORRECT ANSWER-second-generation antipsychotics (SGAs)
Atypical - CORRECT ANSWER-third-generation antipsychotics (TGAs)
Clozapine (Clozaril) - CORRECT ANSWER--Antipsychotic medication
- Want to watch for tachycardia and seizures
- May cause severe agranulocytosis (weekly blood draws)
Olanzapine (zyprexa) - CORRECT ANSWER-Antipsychotic meds.
monitor bp, Orthostatic Hypotension, weight loss or gain. Tachycardia , seizure.
Quetiapine (Seroquel) - CORRECT ANSWER-Antipsychotic, mood stabilizers
*Indication*: schizophrenia, depressive disorder, mania
*Action*: dopamine and serotonin antagonist
*Nursing Considerations*:
- may cause neurolyptic malignant syndrome, seizures, dizziness, palpitations, weight
gain, anorexia
- QT interval prolongation
- don't use with CNS depressants
- assess weight frequently
- monitor liver function test and CBC
- may increase cholesterol
Ziprasidone (geodon) - CORRECT ANSWER-reduce symptom of mania.
BRAINSCAPE1
CMN 350 Exam 4 Exam with complete
solutions latest version
Schizophrenia - CORRECT ANSWER-major psychotic disorder.
characterized by disturbances in:
perception
feeling
thought process
reality testing
attention
motivation
behavior
Types of schizophrenia - CORRECT ANSWER-positive and negative
Positive (Type 1) Symptoms of Schizophrenia - CORRECT ANSWER-addition.
florid and dramatic Symptoms(hallucinations ,delusions )
Excessive dopamine , abnormal thoughts agitation, delusions
Grandiosity
hostility
Suspicious
hallucinations, delusions, abnormal thoughts, agitation, bizarre behavior, excitement,
hostility)
ØExcessive dopamine in the mesolimbic tract
Negative (Type 2) Symptoms of Schizophrenia - CORRECT ANSWER-subtraction
subtle symptom, ex: apathy, anxiety, anhedonia (loss of pleasure).
social withdrawal
failure to communicate
flattened affect, avolition, alogia, anergia, attention deficits, communication difficulties,
difficulty with abstractions, poverty of speech)
ØToo little dopamine in the mesocortical tract
BRAINSCAPE1
, BRAINSCAPE1
3 types of schizophrenia - CORRECT ANSWER-age and onset: always during late
adolescence or early adulthood .
role of stress: onset and relapse are almost always related to stress: Onset and relapse
are almost always related to stress.
Efficacy of dopamine antagonists: Drugs that block dopamine receptors are therapeutic.
Schizophrenia : objective signs - CORRECT ANSWER-alteration in personal
relationship(withdrawal)
alteration in activity and behavior(echopraxia).
Etiology schizo - CORRECT ANSWER-dopamine hypothesis.
brain atrophy.
genetic theories.
perinatal risk factor.
developmental theories:
Freud:
Chlorpromazine (Thorazine) - CORRECT ANSWER-considered the first antipsychotic
drug.
major tranquilizers, ataractics
Traditional - CORRECT ANSWER-first-generation antipsychotics (FGAs)
Atypical - CORRECT ANSWER-second-generation antipsychotics (SGAs)
Atypical - CORRECT ANSWER-third-generation antipsychotics (TGAs)
Clozapine (Clozaril) - CORRECT ANSWER--Antipsychotic medication
- Want to watch for tachycardia and seizures
- May cause severe agranulocytosis (weekly blood draws)
Olanzapine (zyprexa) - CORRECT ANSWER-Antipsychotic meds.
monitor bp, Orthostatic Hypotension, weight loss or gain. Tachycardia , seizure.
Quetiapine (Seroquel) - CORRECT ANSWER-Antipsychotic, mood stabilizers
*Indication*: schizophrenia, depressive disorder, mania
*Action*: dopamine and serotonin antagonist
*Nursing Considerations*:
- may cause neurolyptic malignant syndrome, seizures, dizziness, palpitations, weight
gain, anorexia
- QT interval prolongation
- don't use with CNS depressants
- assess weight frequently
- monitor liver function test and CBC
- may increase cholesterol
Ziprasidone (geodon) - CORRECT ANSWER-reduce symptom of mania.
BRAINSCAPE1
