A nurse is caring for a client who has schizophrenia and has been taking a first-generation medication for several years. The client is exhibiting jerking movements and twitching of the face and tongue. Which of the following is the client experiencing?

Impaired ability to regulate body temperature

Extrapyramidal symptoms

Neuroleptic malignant syndrome

Tardive dyskinesia

Answer and Explanation

The Correct Answer is D

D. Tardive dyskinesia (TD) is a side effect of long-term use of first-generation antipsychotic medications, such as those commonly used to treat schizophrenia. It is characterized by involuntary, repetitive movements of the face, tongue, lips, and other parts of the body.

A. Impaired ability to regulate body temperature is more commonly associated with conditions such as heatstroke or certain neurological disorders affecting the hypothalamus, and it typically presents with symptoms such as fever or hypothermia.

B. Extrapyramidal symptoms encompass a range of movement disorders caused by dysfunction of the extrapyramidal system, which includes the basal ganglia.

C. Neuroleptic malignant syndrome (NMS) is a rare but potentially life-threatening side effect of antipsychotic medications, characterized by fever, altered mental status, muscle rigidity, and autonomic dysfunction.

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Correct Answer is B

Explanation

B. An individual with anorexia nervosa often experiences fear or anxiety surrounding certain foods, particularly those perceived as high in calories or fat. This fear may lead to restrictive eating patterns and avoidance of certain food groups.

A. The primary motivation for restricting food intake is typically driven by factors such as fear of weight gain or body dissatisfaction, rather than simply disliking the taste of food.

C. They often meticulously monitor food intake and may keep detailed records of calorie consumption. Therefore, the statement about not tracking calories is less consistent with typical behaviors seen in anorexia nervosa.

D. People with anorexia nervosa often restrict their calorie intake well below recommended levels for maintaining health, and 2,000 calories per day would be considered a relatively high amount of food for someone with this disorder.

A. 4 weeks B. 6 months C. 3 months D. 1 week

Correct Answer is C

Explanation

C. Somatic symptom disorder involves experiencing one or more somatic symptoms that are distressing or result in significant disruption of daily life, and the individual experiences excessive thoughts, feelings, or behaviors related to the symptoms. To meet the diagnostic criteria, these symptoms must persist for at least 3 months.

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A nurse is caring for a client who has schizophrenia and has been taking a first-generation medication for several years. The client is exhibiting jerking movements and twitching of the face and tongue. Which of the following is the client experiencing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a client who has anorexia nervosa. Which of the following statements should the nurse expect from this client?

Correct Answer is B

Explanation

A nurse is caring for a client who has a new diagnosis of somatic symptoms disorder. The nurse should identify that the client must have been experiencing manifestations of the disorder for how long before diagnosis?

Correct Answer is C

Explanation

A nurse on an inpatient mental health unit is caring for a client who is experiencing panic level anxiety. Which of the following findings should the nurse expect?

A nurse is caring for an adolescent who has an anxiety disorder. Which of the following statements by the adolescent indicates a protective factor in the form of a positive childhood experience?

A nurse is observing a group therapy session. Which of the following client statements should the nurse identify as an indication of bulimia nervosa?

A nurse is caring for a client who is taking fluphenazine and is experiencing tardive dyskinesia. Which of the following medications should the nurse anticipate the provider to prescribe for this client?

A nurse is discussing borderline personality disorder and the risk for self-harm with a newly licensed nurse. Which of the following situations should the nurse identify as the highest risk for self-harm?

A nurse is caring for a client who has substance use disorder and is experiencing acute toxicity to sedatives, but has no history of schizophrenia spectrum disorders. Which of the following manifestations should the nurse expect the client to experience?

A nurse is providing dietary teaching to a client who has been diagnosed with Alzheimer's disease about including foods to decrease the progression of the disease. Which of the following foods should the nurse recommend?