A nurse is taking care of a client who is taking an antipsychotic medication. Assessment findings reveal a stooped posture, shuffling gait with small steps, and tremor.
Based on the nursing assessment, the client is most likely experiencing
The Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"B"}
Choice A: Pseudoparkinsonism
Pseudoparkinsonism is a side effect of antipsychotic medications that can manifest with symptoms similar to Parkinson's disease, such as a stooped posture, shuffling gait, and tremors. It is caused by the blockade of dopamine receptors in the basal ganglia of the brain, leading to a disruption in motor control.
Choice B: Blocking the dopamine receptors
Antipsychotic medications, particularly typical antipsychotics (also known as first-generation antipsychotics), work by blocking dopamine receptors in the brain. This action can lead to various side effects, including pseudoparkinsonism, as seen in the client's presentation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Situational: Situational crisis refers to a specific event or circumstance that disrupts an individual's normal functioning and coping abilities. In this case, the sudden death of the client's wife is a situational crisis because it is a specific event that has led to the client feeling overwhelmed and paralyzed in coping with work and family responsibilities.
B. Adventitious: Adventitious crisis involves unexpected, traumatic events that are outside the normal range of human experience, such as natural disasters, violent crimes, or terrorist attacks. While the sudden death of a loved one could be considered a traumatic event, it is more accurately described as a situational crisis in this context.
C. Maturational: Maturational crisis relates to developmental stages and life transitions, such as adolescence, marriage, parenthood, or retirement. It involves the challenges and adjustments that come with these life changes. The client's situation, with the sudden death of his wife, is not related to a typical life transition or developmental stage.
D. Developmental: Developmental crisis also involves challenges related to life stages and transitions but is broader than maturational crisis. It can encompass issues like identity formation, career choices, and relationships across the lifespan. The client's crisis, stemming from the sudden death of his wife, is more immediate and specific than a developmental crisis.
Correct Answer is D
Explanation
A. Cerebellum: The cerebellum is primarily involved in motor coordination, balance, and muscle tone regulation. Dysfunction in the cerebellum is more likely to result in motor coordination problems rather than impulsive behaviors of rage and anger.
B. Basal Ganglia: The basal ganglia are a group of nuclei in the brain involved in motor control, learning, emotion, and cognition. Dysfunction in the basal ganglia can lead to movement disorders such as Parkinson's disease but is also associated with impulsive behaviors, including rage and anger.
C. Spinal Cord: The spinal cord primarily functions in transmitting sensory and motor signals between the brain and the rest of the body. Dysfunction in the spinal cord typically results in sensory or motor deficits rather than impulsive behaviors like rage and anger.
D. Hypothalamus: The hypothalamus plays a crucial role in regulating emotions, autonomic functions, hormone production, and homeostasis. Dysfunction in the hypothalamus can lead to disruptions in emotional regulation, including impulsive behaviors such as rage and anger.
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