Chapter 22: Schizophrenia

Question 1

Schizophrenia

Answer 1

mood disorder

• chronic mental health disorder
• thought to be the result of abnormalities in neurodevelopmental processes that occur early as well as later in life
• occurs in late adolescence or early adulthood; can be possible as young as 5 or 6 to exhibit signs

Question 2

Signs + Symptoms

Answer 2

• hallucinations (hearing voices, seeing things, or experiencing strange sensations)
• delusions (false beliefs, e.g., beliefs that the radio is sending special messages)
• disorganized speech and behavior
• decreased or “flattening” of affect (visible expression of mood), speech, and motivation

Question 3

Diagnosis

Answer 3

based on mental health interview; includes a comprehensive developmental and family history

Question 4

Nursing Care

Answer 4

• Early treatment: pharmacological agents (e.g. atypical antipsychotics)
• adolescent and family psychoeducation, psychotherapy aimed at increasing level of functioning
• Acute treatment: (e.g. hallucinations, delusions, fearfulness, and acting out) consists of maintaining the safety of the child and others
• ongoing support to the family

Question 5

Education/Discharge

Answer 5

• adolescent and family should always in stay in treatment for best outcome
• remind the importance of taking medications and side effects
• reinforce ongoing psychotherapy and support