A nurse is collecting data from a client who is taking chlorpromazine. Which of the following findings should the nurse identify as extrapyramidal symptoms (EPS)? (Select all that apply.)

Impaired gait

Fidgeting behavior

Muscle contractions of the neck

Fluctuating vital signs

Sexual dysfunction

Answer and Explanation

Correct Answer : A,C

A.   Impaired gait is a classic extrapyramidal symptom, which includes issues like dystonia or bradykinesia.
B.   Fidgeting behavior is more related to anxiety or restlessness rather than EPS.
C.   Muscle contractions of the neck, known as torticollis, are common signs of EPS caused by antipsychotic medications such as chlorpromazine.
D.   Fluctuating vital signs are not directly linked to EPS but may indicate another underlying issue.
E.   Sexual dysfunction is a side effect of chlorpromazine but not classified as an EPS.

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Correct Answer is D

Explanation

A. Telling the client to "work hard" to stay on schedule does not address the underlying difficulty with medication adherence.
B. Saying not to worry about past issues may minimize the client’s concerns and challenges.
C. Asking "why" the client finds it difficult to take medications might not encourage open communication and could make the client feel judged.
D. Collaborating with the client to create a schedule that is convenient and achievable increases the likelihood of adherence and fosters a sense of control and partnership.

A. Antisocial personality disorder B. Schizotypal personality disorder C. Histrionic personality disorder D. Narcissistic personality disorder

Correct Answer is A

Explanation

A. Antisocial personality disorder is characterized by disregard for rules and the rights of others. Clients with this disorder often challenge authority and refuse to follow rules.
B. Schizotypal personality disorder involves eccentric behavior and thinking, but it is not associated with defiance of rules.
C. Histrionic personality disorder is characterized by attention-seeking behavior, not by defiance of rules.
D. Narcissistic personality disorder involves a sense of entitlement and superiority, but it does not necessarily involve direct defiance of rules.

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A nurse is collecting data from a client who is taking chlorpromazine. Which of the following findings should the nurse identify as extrapyramidal symptoms (EPS)? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing discharge teaching with a client who has several new prescriptions for psychotropic medications. The client tells the nurse that she has always had trouble following a medication regimen. Which of the following responses should the nurse make?

Correct Answer is D

Explanation

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Explanation

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