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 A

Explanation

A Offering information about support groups for parents can provide the client with access to peer support, education, and resources to help them navigate the challenges of parenting while dealing with their mental health condition. This approach supports the client's autonomy and emphasizes a strengths-based perspective, promoting resilience and well-being for both the client and their children.

B. This option may not be appropriate without further assessment of the client's ability to care for their children.

C. This option should be considered only if there are significant concerns about the safety and welfare of the children, such as neglect or abuse, which cannot be addressed through other means.

D. Encouraging the children to visit the psychiatric unit may not be appropriate, as it may be overwhelming or distressing for them.

A. Set up multiple clinics in a wide geographic area. B. Support laws to protect client's without housing. C. Reinforce teaching with vulnerable clients about strategies to prevent illness and promote health. D. Advise elected officials on the issues that vulnerable populations face.

Correct Answer is C

Explanation

C. Reinforcing teaching with vulnerable clients about strategies to prevent illness and promote health is the most immediate and direct action the nurse can take. Education empowers

individuals to make informed decisions about their health and well-being, potentially preventing illness and reducing the need for healthcare services.

A. This action focuses on improving access to care but may not directly address the immediate health needs of vulnerable clients.

B. Protecting the rights and well-being of clients without housing is important, but it may take time to implement legislative changes and see the effects.

D. While advocating for policy change and advising elected officials on the needs of vulnerable populations is important for systemic change, it may not directly address the immediate health needs of vulnerable clients

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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

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Correct Answer is A

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Correct Answer is C

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