A nurse is caring for a client who was admitted with acute psychosis and is being treated with haloperidol. The nurse should suspect that the client may be experiencing tardive dyskinesia when the client exhibits which of the following? Select all that apply.

Urinary retention and constipation.

Fine hand tremors and pill rolling.

Tongue thrusting and lip smacking.

Facial grimacing and eye blinking.

Involuntary pelvic rocking and hip thrusting movements.

Answer and Explanation

Correct Answer : C,D,E

Choice A reason: Urinary retention and constipation are not typically associated with tardive dyskinesia, which is characterized by involuntary movements.

Choice B reason: Fine hand tremors and pill rolling are more commonly associated with Parkinson's disease rather than tardive dyskinesia.

Choice C reason: Tongue thrusting and lip smacking are classic signs of tardive dyskinesia, often resulting from long-term use of antipsychotic medications.

Choice D reason: Facial grimacing and eye blinking are also indicative of tardive dyskinesia, reflecting involuntary facial movements.

Choice E reason: Involuntary pelvic rocking and hip thrusting movements can be manifestations of tardive dyskinesia, representing involuntary movements of the body.

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Correct Answer is D

Explanation

Choice A reason: This statement suggests a misunderstanding of somatic symptom disorder. Avoiding stress entirely is not realistic or beneficial for overall health.

Choice B reason: This statement is incorrect because while stress can exacerbate pain, medication may still be helpful in managing symptoms of somatic symptom disorder.

Choice C reason: This statement does not recognize the chronic nature of somatic symptom disorder, where symptoms may not completely go away and management is ongoing.

Choice D reason: This statement shows an understanding that psychological factors can influence physical symptoms, which is key in managing somatic symptom disorder.

A. Schizotypal B. Avoidant C. Narcissistic D. Antisocial E. Paranoid

Correct Answer is ["A","D","E"]

Explanation

Choice A reason: A matter-of-fact approach is effective for clients with schizotypal personality disorder as it helps in dealing with their eccentric behaviors and distorted thinking without reinforcing their odd beliefs.

Choice B reason: Clients with avoidant personality disorder may benefit more from a supportive and encouraging approach due to their sensitivity to rejection and feelings of inadequacy.

Choice C reason: For narcissistic personality disorder, a matter-of-fact approach might not be as effective because these clients often require admiration and may not respond well to a straightforward style.

Choice D reason: An antisocial personality disorder client may respond better to a matter-of-fact approach as it sets clear boundaries and expectations without emotional engagement, which they may exploit.

Choice E reason: Paranoid personality disorder clients may find a matter-of-fact approach beneficial as it provides clear and direct communication, which can help reduce their suspicions.

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A nurse is caring for a client who was admitted with acute psychosis and is being treated with haloperidol. The nurse should suspect that the client may be experiencing tardive dyskinesia when the client exhibits which of the following? Select all that apply.

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Naxlex Comprehensive Predictor Exams

The nurse is educating the client about their diagnosis of somatic symptom disorder. Which statement by the client will indicate to the nurse that the education has been effective?

Correct Answer is D

Explanation

The nurse is planning an approach that will be most effective in developing a therapeutic relationship with a client. Which disorder(s) will the nurse best employ a matter-of-fact approach with the client? (Select all that apply.)

Correct Answer is ["A","D","E"]

Explanation

The nurse is performing a history and physical assessment for a client in the clinic with moderate dementia. The client asks the nurse why all of these questions are being asked. Which techniques will the nurse most likely avoid using to foster more therapeutic responses? Select all that apply.

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The nurse is planning the care of a client with bipolar disorder and addiction to heroin who is in a rehabilitation facility. Which outcomes will the nurse assign in the immediate phase after withdrawal symptoms are over? (Select all that apply.)

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