A nurse is assessing a client who has schizophrenia which has been treated with fluphenazine for several years.

Which of the following findings should the nurse document as manifestations of tardive dyskinesia (TD)?.

A nurse in a mental health facility is caring for a client.

Medical History: Antisocial personality disorder.

Substance use disorder.

Nurses' Notes:. 1400: Client admitted to facility by court order for evaluation following arrest for disorderly conduct and resisting arrest.

Client states, "That judge is so stupid.

I don't belong here!" Client has rigid posture, is pacing around the room attempting to intimidate staff and other clients on the unit.

Extra staff members gather.

1500: Client escorted to room.

Client becomes flirtatious with assistant personnel (AP). Client introduced to roommate, whom they ignore.

Continues to flirt with AP. 1800: Client refuses to go to dining room for dinner.

States, "I'm not sitting down with a bunch of nuts.

Bring my food to me!". For each potential nursing action, click to specify if the potential action is anticipated or contraindicated for the client.

A nurse is reviewing abnormal laboratory values for four clients who have schizophrenia and take clozapine.

For which of the following clients should the nurse withhold the medication and notify the provider immediately to have clozapine therapy discontinued?

A nurse is caring for a client who has been diagnosed with schizophrenia.

The client has been wearing the same clothes for the past week and appears unkempt and unbathed.

Which of the following statements should the nurse make to the client?

A nurse reviews the laboratory report for a client who is receiving lithium three times daily PO. The client's current blood lithium level is 1.8 mEq/L. The nurse identifies that this lab value indicates which of the following?.

A nurse is caring for a young adult client who has somatic symptom disorder and is being evaluated for chest pain.

The client's laboratory results are all within the expected reference ranges, the ECG is unremarkable, and the client has no identified cardiac risk factors.

Which of the following actions should the nurse take?

A nurse is educating a client who is prescribed clozapine.

Which of the following findings should the nurse identify as consistent with agranulocytosis and instruct the client to monitor?

A nurse is reviewing laboratory results for a client and notes a serum lithium level of 1.6 mEq/L. Which of the following manifestations should the nurse expect the client to report?.

A nurse is caring for a client who was recently diagnosed with somatic symptom disorder.

The client says to the nurse, "I don't understand, they can't find anything medically wrong with me. I guess I will never feel better.”. Which of the following responses is the most therapeutic?

A nurse is reviewing the medical record of a client who performs self-injury.

Which of the following information should the nurse identify as placing the client at risk for self-harm behaviors?

A nurse in a mental health clinic is conducting a staff education session on schizophrenia.

Which of the following manifestations should the nurse identify as negative symptoms? (Select all that apply.).