Disorder/Dx:

Schizophrenia
Risks
Biological Factors: genetic, neurobiological, brain structure abnormalities Psychological and Environmental factors: prenatal stressors, psychological stressors, and environmental stressors

Nursing Process
Assessment

Medications
Conventional antipsychotics treat positive symptoms only (i.e.) Chlorpromazine (Thorazine), Thioridazine (Mellaril), Loxapine (Loxitane), Thiothixene (Navene) Atypical antipsychotics treat positive and negative symptoms (i.e.) Aripiprazole (Abilify), Clozapine (Clozaril), Olanzapine (Zyprexa), Paliperidone (Invega), Quetiapine (Seroquel)

S/S:

positive, negative, cognitive, and affective symptoms --- signs include the four As, affect, associative looseness, autism, ambivalence
A B C T

S/S for Mgt

Positive symptoms: presence of something that is not normally present (hallucinations, delusions, bizarre behavior, paranoia Negative symptoms: absence of something that should be present but is not (lack of motivation, anhedonia, and poor thought processes) Cognitive symptoms: abnormalities in how a person thinks Affective symptoms: symptoms involving emotions and their expression

Nsg Dx Distorted Thought Self Control Pt Goals/Expected Outcomes

Maintains affect consistent with mood, interacts appropriately, reports decrease in hallucinations or delusions, asks for validation of reality

Nursing Interventions: ID Risks Screening Manage S/S Rx Administer and Monitor Meds Report S/E

Evaluation Goals/Expected Outcomes Reached?