The nurse is caring for a patient who is being treated with antipsychotic medications. As part of the plan of care, the nurse monitors the patient for dyskinesia. What would the nurse assess with dyskinesia?
Involuntary movements of the mouth and tongue
Abnormal breathing
Migraine headache, hypertension
Severe flushing, headache, and tremors
The Correct Answer is A
A. Involuntary movements of the mouth and tongue: Dyskinesia, particularly tardive dyskinesia, involves involuntary movements, often of the mouth, tongue, and sometimes other parts of the body.
B. Abnormal breathing: This is not a typical manifestation of dyskinesia.
C. Migraine headache, hypertension: These symptoms are not associated with dyskinesia.
D. Severe flushing, headache, and tremors: These symptoms do not describe dyskinesia, although tremors can be seen in other movement disorders.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Meeting patient goals. While meeting patient goals is important, it is the result of care and does not directly build trust or address psychosocial needs on its own.
B. Developing a care plan. Developing a care plan is essential for organizing patient care, but it is a behind-the-scenes activity that the patient may not directly perceive as building trust or addressing psychosocial needs.
C. Implementing nurse orders. Implementing nurse orders is part of routine care delivery but does not specifically build trust or address psychosocial needs.
D. Patient education. Patient education helps build trust by empowering patients with knowledge about their condition and care plan. It encourages patients to have confidence in the care they are receiving and addresses their psychosocial needs by reducing anxiety and uncertainty.
Correct Answer is D
Explanation
A. Speak rapidly can make it harder for someone with hearing difficulties to understand.
B. Raise the tone of the voice can make it harder for older adults to hear, as higher frequencies are typically more difficult for them to hear.
C. Speak very loudly can sometimes distort sound and is not always helpful.
D. Lower the tone of the voice makes it easier for older adults to hear, as they often have difficulty hearing higher frequencies.
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