The nurse is teaching a health promotion class to middle-aged adults. Which routine health promotion activity(ies) should the nurse encourage? Select all that apply.

Rationale:
A. Tell the client to discuss the medication side effects with the healthcare provider (HCP): Encouraging the client to communicate side effects with the HCP ensures safe management of the antidepressant regimen. The provider can evaluate whether dose adjustment, switching medications, or additional interventions are appropriate, promoting adherence and safety.

B. Tell the client that the medication's side effects will most likely dissipate over time: While some side effects may improve, this statement does not address the client’s concern about discontinuation or provide a plan for safe action. It may minimize the client’s experience.

C. Inform the client that gradual tapering must be used to discontinue the medication: Tapering is correct for safe discontinuation, but the nurse should first involve the HCP in planning changes. Advising tapering independently could lead to unsupervised medication changes.

D. Remind the client that feeling better is the therapeutic effect of the medication: Although accurate, this statement does not address the client’s concern about side effects or provide guidance for safe continuation or discontinuation. It may seem dismissive.

Rationale:
A. Lip smacking and frequent eye blinking: These are signs of tardive dyskinesia, a potential long-term side effect of antipsychotic medications. While concerning and requiring monitoring, they are not immediately life-threatening and can be reported and evaluated during routine care.

B. Rocks back and forth in the chair: Rocking behavior is a common self-soothing or repetitive movement in clients with schizophrenia. It is not acutely dangerous and does not require emergency intervention. Monitoring is appropriate.

C. Muscle spasms of the back and neck: Acute muscle spasms, particularly of the neck (torticollis) or back, may indicate an extrapyramidal reaction (acute dystonia) from antipsychotic therapy. This condition can be painful, distressing, and interfere with airway and mobility, requiring immediate medical and nursing intervention to prevent complications.

D. Shuffling gait and stooped posture: These are signs of parkinsonism associated with long-term antipsychotic use. While affecting mobility and quality of life, they do not require immediate intervention. Management involves adjustment of medications over time.