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 D
Explanation
A. Psychiatric disorders generally affect a client's ability to communicate verbally: This statement highlights the impact of psychiatric disorders on verbal communication, which may be impaired due to symptoms such as disorganized thinking, speech disturbances, or reduced speech output. However, it does not specifically address the importance of nonverbal communication awareness for nurses.
B. Clients are guarded with both verbal and nonverbal communication: This choice suggests that clients with mental illness may be guarded or reluctant to express themselves both verbally and nonverbally. While this can be true in some cases, it doesn't fully capture the primary reason why nurses are encouraged to be aware of nonverbal communication.
C. Psychiatric disorders are more likely to affect thoughts than physical behaviors: This statement focuses on the cognitive aspects of psychiatric disorders, emphasizing their impact on thoughts rather than physical behaviors. It does not directly address the importance of nonverbal communication in nursing care.
D. Nonverbal communication provides additional client information that is acted out unconsciously: This choice highlights a key reason why nurses are encouraged to be aware of nonverbal communication. Nonverbal cues, such as body language, facial expressions, and gestures, can convey important information about a client's emotional state, intentions, and needs, often unconsciously. This information is valuable for nurses in understanding and responding effectively to clients' needs and concerns.
Correct Answer is A
Explanation
A. Inpatient hospital treatment.
Inpatient hospital treatment is the most appropriate level of care for a client experiencing an acute psychotic episode, especially if the symptoms are severe and require intensive monitoring and management. Inpatient care provides a structured and safe environment where immediate medical and psychiatric interventions can be implemented to stabilize the client's condition. During an acute psychotic episode, the client may be at risk of harm to themselves or others, necessitating a higher level of care that can ensure safety and provide round-the-clock support and supervision.
B. Partial hospitalization:
Partial hospitalization programs (PHPs) are typically used for clients who require intensive treatment but do not need 24-hour hospitalization. These programs offer structured therapy and support during the day, allowing the client to return home in the evenings. However, for a client experiencing a severe and acute psychotic episode, PHP may not provide the level of supervision and immediate intervention needed to address the crisis.
C. Residential treatment:
Residential treatment programs are suitable for clients who need a structured and supportive environment for ongoing management of their mental health condition. These programs offer therapy, medication management, and life skills training in a residential setting. While residential treatment can be beneficial for long-term stabilization and rehabilitation, it may not offer the immediate and intensive care required during an acute psychotic episode.
D. Clubhouse:
Clubhouses are community-based programs that focus on social and vocational support for individuals with mental health conditions. They provide opportunities for socialization, skill-building, and employment assistance. However, a clubhouse setting is not designed to provide the level of clinical care and supervision needed during an acute psychotic episode, making it less appropriate for this situation.
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