The nurse is educating a client and family regarding the eﬀects of antipsychotic medications. Which extrapyramidal symptoms that may be caused by antipsychotic drugs will the nurse include in the education plan? Select all that apply.

Akathisia

Neuroleptic malignant syndrome

Dystonia

Tardive dyskinesia

Pseudo-parkinsonism

Answer and Explanation

Correct Answer : A,C,D,E

Choice A reason: Akathisia is characterized by restlessness and a constant urge to move. It is a common side eﬀect of antipsychotic medications.

Choice B reason: Neuroleptic malignant syndrome is a rare but serious reaction to antipsychotic drugs and is not classified as an extrapyramidal symptom.

Choice C reason: Dystonia involves involuntary muscle contractions and spasms, often aﬀecting the head and neck, and is a known extrapyramidal symptom.

Choice D reason: Tardive dyskinesia is marked by repetitive, involuntary movements, typically of the face and extremities, and is an extrapyramidal symptom that can occur after long-term use of antipsychotics.

Choice E reason: Pseudo-parkinsonism mimics symptoms of Parkinson's disease, such as tremors and slowed movement, and is an extrapyramidal side eﬀect of antipsychotic medications.

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Correct Answer is D

Explanation

Choice A reason: This choice is incorrect. Non-compliance with blood testing does not typically indicate a need for ECT.
Choice B reason: This choice is incorrect. A recent onset of a manic episode is usually managed with medication adjustments, not ECT.
Choice C reason: This choice is incorrect. Cyclothymic disorder is a milder form of bipolar disorder and is not typically treated with ECT.
Choice D reason: This is the correct choice. ECT is often considered for clients with severe depression that is resistant to medication.

A. Asking questions easily answered with one-word responses is important with mental health clients. B. Invite the client's family to atend all group therapies with the client. C. Listen atentively to a client and summarize the comments. D. Avoid asking direct questions regarding suicidal behaviors or thoughts.

Correct Answer is C

Explanation

Choice A reason: This choice is incorrect. Asking questions that can be answered with one-word responses does not facilitate a deep therapeutic relationship.
Choice B reason: While involving the family can be beneficial, it is not a direct strategy for the nurse-client relationship.
Choice C reason: This is the correct choice. Active listening and summarizing are key components of building a therapeutic relationship, as they demonstrate understanding and validation of the client's feelings and thoughts.
Choice D reason: It is important to ask about suicidal behaviors or thoughts when there are indications of such risks; avoiding these questions can be detrimental to client care.

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The nurse is educating a client and family regarding the eﬀects of antipsychotic medications. Which extrapyramidal symptoms that may be caused by antipsychotic drugs will the nurse include in the education plan? Select all that apply.

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The nurse is educating a client and family regarding the eﬀects of antipsychotic medications. Which extrapyramidal symptoms that may be caused by antipsychotic drugs will the nurse include in the education plan? Select all that apply.