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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Making significant life changes immediately after rehab can be overwhelming and might not be advisable as the client adjusts to sobriety.
Choice B reason: Focusing on long-term outcomes can be motivating, but it is also important to have short-term goals to maintain sobriety.
Choice C reason: Abstaining from alcohol is a fundamental part of maintaining sobriety and indicates an understanding of the importance of avoiding triggers.
Choice D reason: Returning to life as it was before rehab can be risky without making changes to support sobriety, such as avoiding triggers and continuing therapy.
Correct Answer is D
Explanation
Choice A reason: Acrophobia is the fear of heights, not water, and is considered a natural environment type of phobia.
Choice B reason: Aquaphobia is indeed the fear of water, but it is classified as a natural environment type of phobia, not situational.
Choice C reason: Acrophobia is incorrectly associated here; it is the fear of heights and not related to water.
Choice D reason: Aquaphobia is the correct term for an excessive fear of water, and it is identified as a natural environment type of phobia?.
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