Schizophrenia
Mental Health "Psychiatric Care"
Pathophysiology
Memory trick
S - Schizophrenia
Abnormal scattered pattern of thinking for about 6 months or more.
It often starts to affect relationships as well as school & work flow as
clients cannot concentrate.
S - Scattered pattern of thinking
S - Suicide Risk HIGH
Causes & Risk Factors
Children are more likely to have schizophrenia when parents have the
condition. It is thought to be caused by a decrease in dopamine within
the brain.
Genetics
Signs & Symptoms
Positive Symptoms = Psychotic
?
Hallucinations
Delusions
Thought Disturbance
?
?
Negative Symptoms = Negative State
Cognitive Symptoms = Capacity of Memory
Positive Symptoms
Hallucinations
Delusions
Delusions of Reference: NCLEX TIP
Tactile Hallucination:
P
P
Positive Symptom
Psychotic Symptoms
“This song has a secret message just for me”
sensation of being touched
Delusions of Control:
Auditory Hallucination:
“I do not go online, that's how the FBI controls you”
hearing voices & sounds not there
Delusions of Grandeur:
”I have a very important meeting with the Queen today”
Best action: Provide earphones
Persecutory (paranoid) delusions:
& music NCLEX TIP
“The hospital food is trying to poison me”
HESI
HESI
Hearing voices that tell them to stay
home:
Positive symptoms of schizophrenia
Schizophrenia: positive symptom?
Delusions
Memory trick
This song has a secret message just for me
P - Positive Symptoms
P - Psychotic Symptoms
Disorganized Speech & Thought
1. Loose associations “flight of ideas”: rapid
shift of thought with no logical connection
NCLEX TIP
“The universe is like a raisin, but the the moon
is a home & I rode my bike”
“Glass breaks if you throw stones .. My cousin
shoots guns. I live in glass houses Saunders
2. Neologisms: making up imaginary words
3. Clang associations: listing rhyming words
together that make no sense
5. Concrete thinking: taking a statement literally.
“Grass is greener on the other side” or “don't put all
“Let’s go to the bay, hit the hay, what do you say,
we can go today”
4. Word Salad: mixing words together that
have no meaning except to the client
“Here is the chair, moon, orange, drank too much”
“I have to get away. The vomers are coming to
7. Echolalia: repetition of words they hear from
someone else NCLEX TIP
your eggs in one basket”
Nurse says, “We will take your vitals”
Thinking there is actual grass & eggs.
Client repeats this phrase over & over
6. Tangentiality: speaking of unrelated topics
that do not correlate to the main discussion.
8. Perseveration: repeating the same words /
phrases when answering different questions
Nurse asks, “how was your sleep?”
Nurse says, “How do you feel today?”
Client says “When I was five, my cat was killed,
Client says, “Absolutely splendid”
I love dogs”
Nurse says, “Do you know today's date?”
execute me.” HESI
Client says, “Absolutely splendid”
@#%
LCENA
MO
NO
?
Grass is greener
on the other side
Don't put all your eggs
in one basket
We will take your vitals
Vitals
We will take your vitals
Vitals