A nurse is caring for a client who has psychosis and is prescribed chlorpromazine. The client reports feelings of restlessness. The nurse should identify that the client should be monitored for which of the following adverse effects?

Shuffling walk

Suicidal ideation

Abnormal movements of the tongue and face

Oculogyric crisis

Answer and Explanation

The Correct Answer is D

A. Shuffling walk. A shuffling walk is typically associated with parkinsonism or other movement disorders, which may occur with antipsychotic medications, but the specific symptom of restlessness more directly relates to other conditions.
B. Suicidal ideation. While monitoring for suicidal ideation is important in any client with psychosis, it is not specifically associated with the restlessness that the client reports in relation to chlorpromazine use.
C. Abnormal movements of the tongue and face. Abnormal movements of the tongue and face are more characteristic of tardive dyskinesia, which develops over a longer period of treatment. The acute restlessness the client is experiencing is more closely aligned with akathisia, a side effect of antipsychotic medications.
D. Oculogyric crisis. This condition involves involuntary upward eye movement and can occur as an acute dystonic reaction to antipsychotic medications like chlorpromazine. Given the client's report of restlessness, the nurse should monitor for this adverse effect, as it is more likely to manifest in the context of acute medication side effects.

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Correct Answer is B

Explanation

A. People diagnosed with schizophrenia are more violent than others. Research indicates that individuals with schizophrenia are not inherently more violent than the general population. They are more likely to be victims of violence rather than perpetrators, especially if they have co-occurring substance use disorders.
B. Biologically male clients are typically diagnosed earlier than biologically female clients. Schizophrenia tends to manifest earlier in males, typically in the late teens to early 20s, whereas females are more often diagnosed in their late 20s to early 30s. This difference is believed to be influenced by hormonal and neurobiological factors.
C. Biologically female clients are likely to be diagnosed earlier than biologically male clients. This statement is incorrect because females generally receive a schizophrenia diagnosis later than males, often in their late 20s or beyond, rather than in adolescence or early adulthood.
D. Diagnosis commonly occurs in individuals under the age of 12. Schizophrenia is extremely rare in children under 12. The typical onset occurs in late adolescence or early adulthood, making early childhood diagnosis highly uncommon.

A. "Smoking during pregnancy can place the child at an increased risk for developing anger and aggression." B. "Clients who live in areas of high pollution are at an increased risk for developing anger and a d aggression." C. "Families who have financial hardships are at an increased risk for developing anger and aggression." D. "Clients who live in areas of high crime are at an increased risk for developing anger and aggression." E. "Clients who live in suburban areas are at an increased risk for developing anger and aggression." F. "Families who live in low-income housing are at an increased risk for developing anger and aggression."

Correct Answer is ["A","B","C","D","F"]

Explanation

A. "Smoking during pregnancy can place the child at an increased risk for developing anger and aggression." This statement reflects an understanding of how prenatal exposure to harmful substances can affect a child's development and increase the risk of aggressive behaviors later in life.
B. "Clients who live in areas of high pollution are at an increased risk for developing anger and aggression." Research indicates that environmental factors, including pollution, can have negative effects on mental health and behavior, potentially leading to increased aggression.
C. "Families who have financial hardships are at an increased risk for developing anger and aggression." Financial stress can contribute to increased tension and conflict within families, which can lead to higher levels of aggression.
D. "Clients who live in areas of high crime are at an increased risk for developing anger and aggression." Living in high-crime areas can create a sense of fear and instability, potentially leading to aggressive behaviors as a coping mechanism or a learned response to the environment.
E. "Clients who live in suburban areas are at an increased risk for developing anger and aggression." This statement does not accurately reflect evidence-based risk factors for aggression, as suburban areas are not generally associated with higher levels of aggression compared to urban or high-crime areas.
F. "Families who live in low-income housing are at an increased risk for developing anger and aggression." Economic stressors associated with low-income housing can lead to increased conflict and aggression within families, making this statement valid.

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A nurse is caring for a client who has psychosis and is prescribed chlorpromazine. The client reports feelings of restlessness. The nurse should identify that the client should be monitored for which of the following adverse effects?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has been newly diagnosed with schizophrenia. Which of the following findings is true regarding this disorder?

Correct Answer is B

Explanation

Correct Answer is ["A","B","C","D","F"]

Explanation

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