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
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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Related Questions
Correct Answer is A
Explanation
A. describes secretive behavior, which is indicative of bulimia nervosa.
B. It suggests laxative misuse, which can be a compensatory behavior associated with bulimia nervosa. However, it does not directly address the binge-purge cycle or the emotional aspect of the behavior.
C. This describes behavior more characteristic of anorexia nervosa rather than bulimia nervosa. Anorexia nervosa involves restrictive eating behaviors and a distorted body image, whereas bulimia nervosa typically involves binge eating episodes followed by compensatory behaviors.
D. This feeling of euphoria or emotional relief during binge-purge episodes is not commonly reported by individuals with bulimia nervosa.It is mostly a complusion that bring remorse afterwards.
Correct Answer is A
Explanation
A. This response provides accurate information about the early warning signs of schizophrenia spectrum disorders. Social withdrawal and isolation are commonly observed before the onset of
psychotic symptoms, such as hearing voices. By acknowledging this pattern, the nurse validates the client's experience and offers insight into potential warning signs.
B. This fails to address the client's concern or provide meaningful information about the potential significance of their behavior.
C. While exploring the client's personality traits and how they relate to socialization is valid, this response does not directly address the client's concern about isolating themselves before experiencing symptoms of schizophrenia.
D. This response makes an assumption about the client's motivations for avoiding their friend and implies a connection between social isolation and hearing voices that may not be accurate.
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