O r do you ever use alcohol or drugs to relax feel

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was high or had been using alcohol or drugs? oR -Do you ever use alcohol or drugs to RELAX, feel better about yourself, or fit in? oA -Do you ever use alcohol/drugs while you are by yourself, ALONE? oF -Do you ever FORGETthings you did while using alcohol or drugs? oF -Do your family or FRIENDSever tell you that you should cut down on your drinking or drug use? oT -Have you gotten into TROUBLEwhile you were using alcohol or drugs? SchizophreniaProminent symptoms have to do with disordered thinkingSchizoaffective:combination of schizophrenia delusional thinking and bipolar disorder symptomsThorazine:discovered in the 1960s; first-generation antipsychotic; primarily targeted thepositive symptomsoDelusions and hallucinations were resolved and many patients were deinstitutionalized TransinstitutionalizationoPatients who are discharged from hospitals end up in boarding homes and prisonsoPatients are given freedom without proper treatment and they commit crimes that put them in prisonsEtiologyoPrenatalhistory of pregnancy and birth complications are linked with schizophrenia; folate deficiency, hypoxia, herpes 2, psychological trauma during pregnancy, paternal age >35 at conception and being born in the winter or early springoPsychologicalStress (major life events, ex going to college), childhood sexual abuse, exposure to adversity, migration and growing up in a foreign culture, exposure to psychological trauma or social defeatoEnvironmentalcertain toxinsPhaseso1. Prodromal PhaseCan often be seen in high schoolImportant to educate families and community awareness groupsCan be overlooked—sleep disturbances, isolation/withdrawaloCan be mistaken for depressionSome minor symptoms of psychosis can be seeno2. Acute/Active PhaseOnset of exacerbation of disruptive symptoms (hallucinations, delusions, apathy, withdrawal) with loss of functional abilities; increased care or hospitalization may be requiredFour main symptom groups (expanded on after this section)17
Exam 1 NUR 333Positivepresence of something that is not normally present– hallucinations, delusions, paranoia, abnormal movements, gross errors in thinkingNegativeabsence of something that should be present– hygiene,motivation, ability to feel pleasureCognitivesubtle changes in memory, attention, or thinking (impaired executive functioning—ability to set priorities or make decisions)Affectivesymptoms involving emotions and their expressiono3. Maintenance (residual)Paranoid schizophrenia has the best prognosisPositive Symptoms—something in excess—targeted by the first-generation antipsychoticsoPresence of something that is not normally present– hallucinations, delusions, paranoia, abnormal movements, gross errors in thinkingoDelusions—false, fixed beliefs—never challenge these beliefs as a nurse until medication is working (etc.)Ideas of reference—giving personal significance to unrelated or trivial events; perceiving events as relating to you when they are not

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Term
Spring
Professor
MaryLeveillee
Tags
Schizophrenia, Major depressive disorder, Ex

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