A nurse is assessing a client who is receiving treatment with multiple antipsychotic medications and who suddenly became ill.

Findings include blood pressure changes, hyperpyrexia, and diaphoresis.

The nurse should recognize that which of the following adverse effects may be occurring?

Pseudoparkinsonism.

Neuroleptic malignant syndrome.

Acute dystonia.

Tardive dyskinesia.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Pseudoparkinsonism is a side effect of antipsychotic medications that mimics the symptoms of Parkinson’s disease, such as tremors and rigidity. It does not typically cause hyperpyrexia or diaphoresis.

Choice B rationale:

Neuroleptic malignant syndrome is a rare but serious side effect of antipsychotic medications. It can cause severe fever (hyperpyrexia), unstable blood pressure, and heavy sweating (diaphoresis)4.

Choice C rationale:

Acute dystonia is a condition of sudden, involuntary muscle contractions. It does not typically cause hyperpyrexia or diaphoresis.

Choice D rationale:

Tardive dyskinesia is a side effect of long-term use of antipsychotic medications, causing involuntary movements, especially around the mouth. It does not typically cause hyperpyrexia or diaphoresis.

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Correct Answer is C

Explanation

Choice A rationale:

While it’s interesting to consider why people isolate themselves, this statement does not provide a clear explanation for the behavior.

Choice B rationale:

Being an introvert or extrovert doesn’t necessarily correlate with the onset of schizophrenia symptoms.

Choice C rationale:

Before symptoms of schizophrenia begin, people often isolate themselves. This is known as the prodromal phase of schizophrenia.

Choice D rationale:

Avoiding friends to hear voices more clearly is not a typical behavior associated with the onset of schizophrenia.

A. Ask the client direct questions about the hallucination. B. Instruct the client to argue with the voices that are a part of the hallucination. C. Act to the client as if the hallucination is real. D. Tell the client that the hallucination is not a part of reality.

Correct Answer is D

Explanation

Choice A rationale:
Asking direct questions about the hallucination may validate the hallucination as real in the client’s mind.
Choice B rationale:
Instructing the client to argue with the voices could potentially increase the client’s distress.
Choice C rationale:
Acting as if the hallucination is real may reinforce the client’s belief in the hallucination.
Choice D rationale:
Telling the client that the hallucination is not a part of reality can help ground the client in reality.

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A nurse is assessing a client who is receiving treatment with multiple antipsychotic medications and who suddenly became ill. Findings include blood pressure changes, hyperpyrexia, and diaphoresis. The nurse should recognize that which of the following adverse effects may be occurring?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discussing schizophrenia spectrum disorders with a client. The client states, "My friend says that before I started hearing voices, I stopped hanging out with them. Why is that?" Which of the following responses should the nurse make?

Correct Answer is C

Explanation

A nurse is caring for a client who has schizophrenia and is experiencing a hallucination. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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A nurse is caring for a client who has schizophrenia and is experiencing auditory hallucinations. Which of the following responses should the nurse make first?

A nurse is caring for a client who has been hospitalized for treatment of bipolar disorder and will be discharged with a prescription for lithium. The nurse's discharge teaching should include information cautioning against which of the following factors that may cause lithium toxicity?

A nurse is reviewing medications for a newly admitted client who has bipolar disorder and is experiencing mania. Which of the following client prescriptions should the nurse realize is expected to reduce the client's mania?.

A nurse is assessing a client who is receiving treatment with multiple antipsychotic medications and who suddenly became ill.

Findings include blood pressure changes, hyperpyrexia, and diaphoresis.

The nurse should recognize that which of the following adverse effects may be occurring?