A nurse is collecting data from a client who has schizophrenia and has been taking chlorpromazine for 8 years. The nurse notes choreiform or jerking uncontrolled movements, lip smacking, and spastic facial distortions. Which of the following conditions should the nurse document in her finding?

Tardive dyskinesia

Lock Jaw (unable to close mouth)

Pseudoparkinsonism

Akathisia

Answer and Explanation

The Correct Answer is A

A.   Tardive dyskinesia is a movement disorder often caused by long-term use of antipsychotic medications like chlorpromazine. Symptoms include involuntary movements such as jerking or lip smacking.
B.   Lock Jaw is not a characteristic of tardive dyskinesia; it refers to trismus, often seen with other conditions.
C.   Pseudoparkinsonism is characterized by tremors, rigidity, and bradykinesia, typically occurring early in antipsychotic treatment.
D.   Akathisia involves restlessness and an inability to stay still, not the involuntary movements associated with tardive dyskinesia.

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Correct Answer is C

Explanation

A. Encouraging physical activity, like a daily walk, is a positive way to support the client’s mental health
and can help with symptoms of depression.
B. Setting timers for medications and meals is a helpful strategy to ensure the client adheres to the prescribed treatment plan.
C. Letting the client have complete freedom without offering support or asking questions is a risky approach. The nurse should encourage family involvement and monitoring, as clients recovering from a suicide attempt need continued emotional support and guidance.
D. Engaging with the client about their feelings and daily goals can help maintain communication and provide emotional support.

A. The client will identify positive qualities about herself. B. The client will contact a staff member when she feels she might hurt herself. C. The client will identify ways to achieve a reachable goal for the future. D. The client will identify her position in the grief process.

Correct Answer is B

Explanation

A. Identifying positive qualities about oneself is important but is not the immediate priority in someone at risk for self-harm.
B. Contacting a staff member when the client feels she might hurt herself is the priority, as it directly addresses the risk of harm and safety.
C. Identifying a reachable goal for the future is important but secondary to addressing immediate safety concerns.
D. Identifying her position in the grief process can be helpful but does not address the most immediate concern, which is her safety

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A nurse is collecting data from a client who has schizophrenia and has been taking chlorpromazine for 8 years. The nurse notes choreiform or jerking uncontrolled movements, lip smacking, and spastic facial distortions. Which of the following conditions should the nurse document in her finding?

Nursing Test Bank

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Explanation

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