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 B

Explanation

The correct answer is: "Tell me what is concerning you."

Choice A reason:

Asking "Did your husband say something to upset you?" may seem accusatory and could lead the spouse to feel defensive. It does not open a dialogue for the spouse to express their concerns freely and can be perceived as leading the conversation in a negative direction.

Choice B reason:

"Tell me what is concerning you." is an open-ended statement that invites the spouse to share their feelings and concerns. It demonstrates empathy and active listening, which are key components of therapeutic communication. This response encourages the spouse to elaborate on their feelings and fosters a supportive environment.

Choice C reason:

Saying "Your husband is making really good progress!" is reassuring, but it does not address the spouse's current emotional state or concerns. It may come across as dismissive of the spouse's feelings and does not encourage further discussion about their worries.

Choice D reason:

Asking "Did something bad happen to your husband?" can increase anxiety and assumes a negative event has occurred. It is not a therapeutic response because it does not provide comfort or support to the spouse in a stressful situation.

A. "I have to avoid stress all my life to avoid getting sick again." B. "Taking medication won't help my pain since it's caused by stress." C. "As soon as my symptoms go away, I'll be my old self again." D. "How I handle stress and emotions can affect my physical health."

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.

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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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse observes a client's spouse sitting alone in the waiting room crying. When approached, the spouse says, "I am really concerned about my husband." Which of the following is a therapeutic nursing response?

Correct Answer is B

Explanation

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

A nurse is caring for a client who has bipolar disorder. Which of the following actions by the client should the nurse interpret as displaying manic behavior? Select all that apply.

A college student has been diagnosed with Generalized Anxiety Disorder (GAD). Which of the following symptoms should a campus nurse expect this client to exhibit? Select all that apply.

A nurse is caring for a client who is extremely suspicious of the nursing staff and other clients. Which of the following nursing approaches is appropriate when establishing a therapeutic relationship with this client?

A client diagnosed with bulimia nervosa has been attending a mental health clinic for several months. Which factor should the nurse identify as an appropriate indicator of a positive client behavioral change?

The nurse is providing education for a client to improve mental and emotional health and influence the client's response to illness. Which statement made by the client indicates that the education is effective? (Select all that apply.)

A nurse at a college campus mental health counseling center is caring for a student who just failed an examination. The student spends the session berating the teacher and the course. The nurse should recognize this behavior as which of the following defense mechanisms?