Psychosocial Final Exam
What is the best strategy for therapeutic use of self for someone with auditory
hallucinations?
- Talking in a calm, firm, natural, rhythmic, soothing manner may comfort the
person
-point out ant real sensory stimulus that the person seems to misinterpret
-can acknowledge how the hallucination makes the client feel without agreeing
that it is real.
-refrain from arguing about whether or not the hallucination is real.
What are the 3 phases of schizophrenia?
Prodromal phase- level of function deteriorates (decline in hygiene and
grooming/ overall participation in daily life)
Active phase- psychotic symptoms become present
residual stage- consists of remission of the psychotic symptoms that are most
disturbing to others
What are negative symptoms and what are postive symptoms?
Positive - Behavior that in not typically present in other individuals.
Hallucinations, Delusions, Disorganized thinking
Negative- Absence of typical functions.
Define the different negative symptoms that someone can have.
Flat affect- diminished emotional expression
avolition (lack of motiviation)
alogia (diminished speech output), anhedonia (decreased ability to experience
pleasure)
asociality (lack of interest in social activity)
,what are delusions
distortions in thought or false beliefs
what are hallucinations
distortions in perceptions
-auditory and visual hallucinations are most common
-must be when conscious
How would you best select an activity for someone with paranoid personality
disorder with delusions?
activities must be ones the person can control, appropriate for the persons
intellectual level, and sufficiently complex to engage and maintain his or her
interest. -Provide opportunities for problem solving and decision making.
-engage in self-awareness activities. -practice assertive communication
Be prepared to match personality disorder to a description of that personality
disorder.
When someone is delusional, how to do approach the delusions?
-Avoid approaching them from behind. -Avoid discussing the persons
delusions. -try to redirect the persons attention to something in reality. -listen
with interest but keep focus on what your are doing
Personality disorder- Cluster A- Paranoid personality disorder
-assume others are out to harm them,take advantage or humiliate them in
some way
-put alot of effort into protecting themselves and keeping their distance
, -know to attack others whom they feel threatened by
-hold grudges, jealous
-distorted thinking is evident
Essential Feature: distrust & suspiciousness
-Do not confide in others. or develop close relationships
Personality disorder- Cluster A- Schizioid Personality disorder
-Tend to be socially isolated; don’t seem to seek out or enjoy close
relationships
-Almost always choose solitary activities and seem to take little pleasure in life
-Emotionally, they seem aloof, detached and cold
-May be oblivious to social nuisances and cues leading them to appear
socially inept and superficial
-Restricted emotional range and failure to reciprocate gestures or facial
expressions (smiles; nods) lead them to appear rather dull, bland or
inattentive
Essential Feature: social detachment and a restricted range of emotional
expression
Personality disorder-Cluster A- schizotypal
Essential Feature: Social and interpersonal deficits marked by acute
discomfort, reduced close relationships, cognitive or perceptual distortions and
eccentricities of behaviors
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