What are cognitive symptoms of psychotic disorders - -disordered thinking
-inability to make decisions
-poor problem solving ability
-difficult
... [Show More] 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 - ideas of reference
Feels singled out for harm by others (being hunted down by FBI) - Persecution
Believes that she is all powerful and important like a god - grandeur
believes that his body is changing in an unusual way, scubas growing a third arm - somatic delusions
May feel that her spouse is sexually involved with another individual - Jealousy
Believes that a force outside his body is controlling him - being controlled
believes that her thoughts are heard by others - thought broacasting
believes that others thoughts are being inserted into his mind - thought insertion
Believe that her thoughts have been removed form her mind by an outside agency - thought withdrawal
is obsessed with religious beliefs - 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 - flight of ideas
Made up words that have meaning only to the client such as i tranged and flitted. - neologisms
What are the standardized screen tools for psychotic disorders - -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 - Paxil
-monitor for SI
-Notify for deepened depression
-Do not stop abruptly
What are the anxiolytics/ bento's used for psychotic disorders? - -Ativan
-Klonopin
-sedative effects
-need to get blood tests for ANC
-use caution in older adults
What are the personality disorders in cluster A - (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 - schizotypal
Dealing with anxiety by reaching out to others.
Ex: a nurse who lost a family member in a fire is a volunteer firefighter - 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 - 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 - 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. - Repression
What are healthy defense mechanisms? - alturism and sublimation
what are intermediate defenses - repression
reaction formation
displacement
rationalization
undoing
What are immature defenses - projection
dissociation
splitting
denial
Shifting feelings related to an object, person, or situation to another less threatening object, person, or situation
Ex: A person who is angry about losing his job destroys his child's favorite toy - displacement
Overcompensating or demonstrating the opposite behavior of what is felt.
Ex: a person who dislikes her sisters daughter offers to babysit so that her sister can go out of town - reaction formation
Performing an act to make up for prior behavior.
Ex; An adolescent completes his chores without being prompted to after having an argument with his parents. - undoing
creating reasonable and acceptable explanations for unacceptable behavior
Ex: A young adult explains he had to drive home from a party after drinking alcohol because he had to feed his dog. - rationalization
temporarily blocking memories and perceptions from consciousness
Ex: an adolescent witnesses a shooting and is unable to recall any details of the vent - dissociation
demonstrating an inability to reconcile negative and positive attributes of self or others
Ex:a client tells a nurse that she is the only one who cares about her, yet the following day the same client refuses to talk to the nurse - splitting
Blaming others for unacceptable thoughts and feelings
Ex: a young adult planes his substance use disorder on his parents refusal to buy him a new car - projection
pretending the truth is no reality to manage the anxiety of acknowledging what is real. [Show Less]