NURS 4010 ACTUAL EXAM TEST 2 UPDATED QUESTIONS AND ACCURATE ANSWERS VERIFIED 100 % GRADED A+ psychosis a severe mental condition in which there is disorganization of the personality, deterioration in social functioning, and loss of contact with, or distortion of, reality -"a break from reality" etiology of psychosis -no single cause -genetic predisposition -biochemical dysfunction -psychosocial stress genetic predisposition -genetics -twins studies: one twin is more likely -adoption studies: adopted siblings biochemical factors -the dopamine hypothesis: schizophrenia has an excess of dopamine- causes psychotic symptoms -if you decrease dopamine too much with meds, you have Parkinsonian symptoms -various other biochemicals: glutamate, GABA, serotonin physiological factors-viral infection: linked -anatomical abnormalities: PET scans -histological changes -physical conditions environmental influences -sociocultural factors- poverty more likely -stressful life events- stressful events can trigger if have predisposition, stress increases t chance of relapse transactional model of stress/adaptation precipitating event -genetic influences (family history, biochemical, birth defect) -past experiences (exposure to viral infection) cognitive appraisal -a perceived threat to self-concept -the patient may be unable to cope effectively quality of response adaptive to maladaptive prognosis with schizophrenia -1/3 achieve significant improvement -1/3 achieve some improvement with intermittent relapses and residual disability (occupational level dec; social