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SchizophreniaPsychiatric Nursing: Contemporary Practice

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What medications are administered to treat neuroleptic malignant syndrome?
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Bromocriptine (dopamine agonist), and muscle relaxants like dantrolene or benzodiazepine. Acetaminophen and cooling blankets are used to treat the fever.
What are the signs and symptoms of an anticholinergic crisis?
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Elevated temperature, parched mouth, burning thirst, hot, dry skin, widely dilated eyes, increased heart rate, hypo or HTN. Hot as a hare, blind as a bat, mad as a hatter, dry as a bone.
What medications is administered to treat anticholinergic crisis?
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Physostigmine, 1-2 mg given slowly over 5 minutes via IV (too quickly can cause seizures, bradycardia or heart block).
When is electroconvulsive therapy prescribed for patients with schizophrenia?
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Only when the patient is catatonic or has a depression not treatable by other means.
________ delusions are impossible, illogical and not derived from oridinary life and include delusions of control, thought broadcasting, thought insertion or thought withdrawal.
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Bizarre
_________ delusions generally have themes of jealousy, persecution or are derived from ordinary life experiences like believing your ex-boyfriend/girlfriend is trying to poison you.
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Nonbizarre
What should be identified when a person experiences delusions?
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The underlying feeling associated with the delusion
What is a typical symptom of disorganized thinking?
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Abrupt shifts in the focus of conversation
What is the difference between word salad, flight of ideas and loose associations?
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Word salad-change in topic after a few words. Flight of Ideas-changes in topic after one or two phrases. Loose associations-changes in topic after one or two sentences.
How is memory impacted by schizophrenia?
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Registration or the recall of newly learned information may be significantly diminished.
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What nurse-patient interactions are best when a patient is experiencing psychosis?
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Short, time limited interactions
How do behavioral interventions help a patient with schizophrenia?
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They improve motivation and help them organize a routine for daily and self-care activities.
How do patients with schizophrenia learn best?
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In an errorless learning environment as opposed to a trial and error learning environment.
How can a nurse help a patient manage hallucinations?
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Reduce environmental stimuli, schedule brief time outs
What are the priorities for treating schizophrenia in a community setting?
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Preventing relapse, maintaining function, engaging them in psycheducation and improving quality of life.
________ is the term for poverty of thought or speech. For example, a person may sit with a visitor but only mumble or respond vaguely to questions.
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Alogia
_________ schizophrenia is characterized by withdrawal from society, inappropriate behaviors like poor hygiene and constantly muttering to oneself, loose associations, bizarre mannerisms or incoherent speech.
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Disorganized Type
What is a schizoaffective disorder?
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One in which the patient meets the criteria for both a schizophrenic diagnosis and depression, mania or bipolar disorder.
What is a schizophreniform disorder?
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A disorder that is characterized by schizophrenic symptoms that last from 1-6 months that may or may not impact occupational or social function.
___________ is the term for when a person misconstrues trivial events and attaches personal significance to them (like believing people who you see talking across the room are talking about you).
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Ideas of reference
__________ is a type of personal boundary difficulty experienced by a person with schizophrenia. It is characterized by a nonspecific feeling that a person has lost his/her identity, their self is different or unreal.
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Depersonalization
  
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