A client is being seen in the mental health clinic. The client has been on a conventional, first-generation antipsychotic for 8 months and is now exhibiting tongue protrusion, lip smacking, and rapid eye blinking. A nurse would document this chronic syndrome as:
Akathisia
Neuroleptic malignant syndrome
Dystonia
Tardive dyskinesia
The Correct Answer is D
A. Akathisia: Akathisia is a side effect of antipsychotic medications characterized by restlessness, agitation, and a strong urge to move. It is not typically associated with tongue protrusion, lip smacking, or rapid eye blinking.
B. Neuroleptic malignant syndrome: Neuroleptic malignant syndrome is a rare but serious reaction to antipsychotic medications, characterized by fever, muscle rigidity, altered mental status, and autonomic dysfunction. It is not associated with the specific symptoms described in the scenario.
C. Dystonia: Dystonia is a movement disorder characterized by sustained or repetitive muscle contractions, leading to abnormal postures or repetitive movements. It can occur as a side effect of antipsychotic medications but typically presents differently from the symptoms described in the scenario.
D. Tardive dyskinesia: Tardive dyskinesia is a chronic syndrome characterized by involuntary, repetitive movements of the face, tongue, and other body parts. It is associated with long-term use of conventional, first-generation antipsychotic medications. Symptoms can include tongue protrusion, lip smacking, rapid eye blinking, and other abnormal movements.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. To deinstitutionalize state hospitals: The goal of the 1963 Community Mental Health Construction Act, also known as the Community Mental Health Centers Act, was to shift the focus of mental health care from large, centralized state hospitals to community-based care settings. This act aimed to deinstitutionalize state hospitals by providing funding for the establishment and expansion of community mental health centers, where individuals with mental illness could receive treatment and support services in a less restrictive environment.
B. To provide funds to build hospitals with psychiatric units: While the act did involve funding, its primary goal was not to build hospitals with psychiatric units. Instead, it sought to promote community-based care and reduce reliance on large psychiatric hospitals.
C. To ensure clients' rights for the mentally ill: While protecting clients' rights and advocating for humane treatment were important aspects of mental health reform, the specific goal of the 1963 Community Mental Health Construction Act was more focused on restructuring mental health care delivery through community-based services.
D. To treat people with mental illness in a humane fashion: While this goal aligns with broader principles of mental health reform and human rights, the specific objective of the 1963 Community Mental Health Construction Act was to transition away from institutionalized care towards community-based mental health services.
Correct Answer is C
Explanation
A. Homeless people with mental illness having more contact with family members is less likely because mental illness can strain relationships and lead to social isolation, reducing contact with family members.
B. Homeless people with mental illness facing fewer barriers to employment is less likely because mental health issues can impact an individual's ability to maintain employment due to symptoms such as cognitive difficulties, mood fluctuations, and interpersonal challenges.
C. Homeless people with mental illness spending more time in jail is more likely because untreated mental illness can contribute to behaviors that may lead to legal issues, increasing their likelihood of spending time in jail or encountering law enforcement.
D. Homeless people with mental illness spending less time in shelters is less likely because individuals with mental health challenges often seek shelter services due to their vulnerability and lack of stable housing, leading them to spend more time in shelters compared to homeless individuals without mental illness.
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