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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. This response is inaccurate and potentially dismissive of the client's concerns. SSRIs generally take a few weeks to start showing noticeable effects, so stating that it will take months and advising the client to simply improve their attitude is not therapeutic or accurate.

B. This response relies on beliefs rather than evidence-based information about the medication's effectiveness. While a positive attitude can be beneficial, it's important to provide realistic expectations about the medication's timeline.

C. This response is the most accurate and therapeutic. It informs the client about the typical timeline for SSRIs to start working (two to three weeks for gradual improvement) and emphasizes the importance of continued medication adherence.

D. This response is highly inaccurate and could mislead the client. SSRIs do not start working within twenty minutes of the first dose; they require time to build up in the system and exert their therapeutic effects over a period of weeks.

A. Psychiatric disorders generally affect a client's ability to communicate verbally B. Clients are guarded with both verbal and nonverbal communication C. Psychiatric disorders are more likely to affect thoughts than physical behaviors D. Nonverbal communication provides additional client information that is acted out unconsciously

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.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client asks the nurse how long it will take before the selective serotonin reuptake inhibitor (SSRI) antidepressant medication will be effective. Which reply is most accurate and therapeutic?

Correct Answer is C

Explanation

A nurse is caring for a client on a mental health unit. Nurses are encouraged to constantly be aware of the nonverbal communication of a client with mental illness primarily for which reason?

Correct Answer is D

Explanation

A client being discharged appears angry with the nurse when the nurse attempts to review discharge instructions with the client. The nurse can assist the client in this stage of the nurse-client relationship with which therapeutic response?

A nurse uses Maslow's hierarchy of needs to plan care for a client with psychosis. Which problem will receive priority?

A nurse and client are engaged in a discussion. The client says, "I feel really close to you. You are the only true friend I have." Which response by the nurse would be most therapeutic?

The client says, "My marriage is just great. My spouse and I usually agree on everything." The nurse observes the clients foot moving continuously as the client twirls a shirt button. What type of communication is the client presenting?

During a session with a client, the client asks the nurse what the client should do about the client's "cheating" spouse. The nurse replies. "You should divorce. You deserve better than that." The nurse used which nontherapeutic communication technique?

A student nurse is talking with a client. Which technique will best communicate to a client that the student is interested in listening?

A nurse is taking care of a client in a mental health facility. Which is the most important skill the nurse must bring to the therapeutic nurse-client relationship?

The nurse is mindful of maintaining relationships with clients that are therapeutic. Which characteristics would be most important for the nurse to foster? Select all that apply.