Definition: may result in
some combination of
hallucinations, delusions,
and extremely disordered
thinking and behavior
that impairs daily
functioning, and can be
disabling.
Assessment: 1. Delusions 2.Hallucinations 3.
Disorganized thinking (speech) 4. Extremely
disorganized or abnormal motor behavior 5.
Negative symptoms-this refers to reduced
or lack of ability to function normally. 6.
Withdrawal from friends and family 7. A
drop in performance at school 8. Trouble
sleeping 9. Irritability or depressed mood
Lack of motivation
Diagnostics: 1. Physical exam 2. Tests and
screenings 3. Psychiatric evaluation 4.Diagnostic
and Statistical Manual of Mental Disorders
(DSM-5), published by the American Psychiatric
Association.
Nursing Diagnosis:
1.Impaired verbal
communication 2.Impaired
social interaction 3.
Disturbed thought process
Nursing Interventions: 1. Keep voice in a low
manner and speak slowly as much as
possible,Keep environment calm, quiet and as
free of stimuli as possible. 2. Avoid touching the
client. Structure times each day to include
planned times for brief interactions and
activities with the client on one-on-one basis 3.
Initially do not argue with the client’s beliefs or
try to convince the client that the delusions are
false and unreal. Do not touch the client; use
gestures carefully
Risk Factors: 1. family
history of schizophrenia
2.Increased immune
system activation 3.Older
age of the father 4.Some
pregnancy and birth
complications, such as
malnutrition or exposure
to toxins or viruses that
may impact brain
development 5.Taking
mind-altering
(psychoactive or
psychotropic) drugs during
teen years and young
adulthood Factors: