Disorders 15
Schizophrenia Spectrum and Other Psychotic
CORE CONCEPTS Cognition: Psychosis Professional Behavior: Nursing process in the care of patients with schizophrenia Safety Clinical Judgment
CHAPTER OUTLINE
Objectives Introduction Nature of the Disorder Predisposing Factors Other Schizophrenia Spectrum and Psychotic Disorders Application of the Nursing Process Treatment Modalities
Summary and Key Points Review Questions Clinical Judgment Questions
Implications for Evidence-Based Practice Test Your Clinical Reasoning and Clinical Judgment Skills Communication Exercises Movie Connections
KEY TERMS anhedonia anosognosia catatonia circumstantiality clang association
illusion loose associations negative symptoms neologism neuroleptic malignant syndrome paranoid delusions perseveration positive symptoms
psychosis schizophrenia serious mental illness (SMI) social skills training tangentiality waxy flexibility word salad
delusions echolalia echopraxia hallucinations
OBJECTIVES After reading this chapter, the student will be able to: 1. Discuss the conceptualization of schizo- phrenia and other psychotic disorders. 2. Identify predisposing factors in the devel- opment of these disorders. 3. Describe various types of schizophrenia and other psychotic disorders.
6. Identify topics for patient and family teach- ing relevant to schizophrenia and other psychotic disorders. 7. Describe appropriate nursing interven- tions for behaviors associated with these disorders. 8. Describe relevant criteria for evaluating nursing care of patients with schizophrenia and other psychotic disorders. 9. Discuss various modalities relevant to treatment of schizophrenia and other psy- chotic disorders.
4. Identify symptomatology associated with these disorders and use this information in patient assessment. 5. Formulate nursing diagnoses and out- comes of care for patients with schizo- phrenia and other psychotic disorders.
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