A client has been taking an antipsychotic medication for several years. It is of vital importance for the nurse to observe the client for tardive dyskinesia. Signs and symptoms of tardive dyskinesia include:
Absence of physical and mental movement
Loss of ability to perform voluntary movements
Repetitious, involuntary muscle movements in the face and extremities
Rigidity in the muscles that control an individual's gait, posture, and eye movements
The Correct Answer is C
Choice A rationale: absence of physical and mental movement refers to catatonia that can occur in severe depression or schizophrenia.
Choice B rationale: akinesia refers to the absence of voluntary movement and can be seen in individuals with Parkinson’s disease or as a side effect of some antipsychotic medications.
Choice C rationale: these are signs and symptoms of tardive dyskinesia which is a serious side effect of antipsychotic therapy resulting from the damage of nerve cells controlling movement and is irreversible especially when detected late.
Choice D rationale: this refers to dystonia which is a condition characterized by abnormal muscle tone resulting in painful muscle spasms and abnormal postures. This is a side effect of some antipsychotic medications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale: providing false reassurances invalidates the client’s feelings and concerns thus making them feel that the nurse is not trustworthy or empathetic. This may hinder the development of a therapeutic relationship.
Choice B rationale: the use of open-ended questions is appropriate since it allows the client to freely express their thoughts and feelings without being limited by the yes or no answers.
Choice C rationale: active listening involves paying attention to the client’s verbal and non-verbal cues and clarifying any possible misunderstandings.
Choice D rationale: silence is crucial since it enables the client to reflect on their thoughts and to process their emotions. Furthermore, it is a form of respect for the client’s feelings.
Correct Answer is D
Explanation
Choice A rationale: Abstract thinking involves the ability to think conceptually and comprehend concrete concepts such as proverbs.
Choice B rationale: Memory assesses the client’s ability to recall previously experienced or learned information and is not directly assessed by the client's ability to follow a written command.
Choice C rationale: General knowledge refers to the ability of a client to answer questions on common topics and facts and is not assessed by the client's response to a written command.
Choice D rationale: The ability to follow a written command, such as "Please raise your left hand," assesses the client's ability to read and understand written instructions.
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