A nurse is caring for a client who has anorexia nervosa. Which of the following findings should the nurse expect?

A. "Were you avoiding your friend so that you could hear the voices more clearly?" This response may imply blame or judgment and could be perceived as dismissive of the client’s experience. It does not provide a supportive or informative response to the client’s concern.
B. "That is very interesting. We are not sure why people start to isolate themselves." While it acknowledges the client's statement, this response does not provide any useful information or context about the relationship between isolation and the onset of schizophrenia symptoms.
C. "Do you think of yourself as more of an introvert? That makes a difference with how you socialize." This response shifts the focus to personality traits rather than addressing the symptoms of schizophrenia and their impact on social behavior. It may minimize the significance of the client’s experience with isolation.
D. "Before symptoms of schizophrenia begin, people often isolate themselves. This is an early warning." This response provides valuable information about the relationship between isolation and the onset of schizophrenia symptoms. It normalizes the client’s experience and helps them understand that social withdrawal can be a sign of emerging symptoms, fostering a better understanding of their condition.

A. Extrapyramidal symptoms. Extrapyramidal symptoms (EPS) include acute dystonia, akathisia, and parkinsonism, which are movement-related side effects caused by dopamine blockade. While EPS can involve muscle rigidity and tremors, tardive dyskinesia specifically refers to chronic, involuntary, repetitive movements such as facial twitching and tongue protrusion.
B. Impaired ability to regulate body temperature. Some antipsychotics can interfere with thermoregulation, leading to heat intolerance or hypothermia. However, this is not related to jerking or twitching movements seen in tardive dyskinesia.
C. Neuroleptic malignant syndrome. Neuroleptic malignant syndrome (NMS) is a life-threatening reaction to antipsychotics characterized by fever, muscle rigidity, autonomic instability, and altered mental status. Unlike tardive dyskinesia, NMS does not cause chronic, involuntary facial movements but rather widespread muscle stiffness and severe autonomic dysfunction.
D. Tardive dyskinesia. Tardive dyskinesia (TD) is a late-onset, irreversible movement disorder caused by long-term use of first-generation antipsychotics. It is characterized by involuntary, repetitive movements, especially in the face, tongue, and extremities (e.g., lip smacking, tongue rolling, grimacing, jerking movements). These symptoms distinguish TD from acute extrapyramidal symptoms.