A nurse is caring for a client who has schizophrenia and has been taking a first-generation medication for several years. The client is exhibiting jerking movements and twitching of the face and tongue. Which of the following is the client experiencing?
Impaired ability to regulate body temperature
Extrapyramidal symptoms
Neuroleptic malignant syndrome
Tardive dyskinesia
The Correct Answer is D
D. Tardive dyskinesia (TD) is a side effect of long-term use of first-generation antipsychotic medications, such as those commonly used to treat schizophrenia. It is characterized by involuntary, repetitive movements of the face, tongue, lips, and other parts of the body.
A. Impaired ability to regulate body temperature is more commonly associated with conditions such as heatstroke or certain neurological disorders affecting the hypothalamus, and it typically presents with symptoms such as fever or hypothermia.
B. Extrapyramidal symptoms encompass a range of movement disorders caused by dysfunction of the extrapyramidal system, which includes the basal ganglia.
C. Neuroleptic malignant syndrome (NMS) is a rare but potentially life-threatening side effect of antipsychotic medications, characterized by fever, altered mental status, muscle rigidity, and autonomic dysfunction.
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Related Questions
Correct Answer is D
Explanation
D. FNSD involves neurological symptoms that cannot be explained by a medical or neurological condition but are believed to be related to psychological factors. In this case, the client's symptoms of numbness are likely somatic manifestations of underlying psychological distress or conflict.
A. Factitious disorder involves intentionally producing or feigning physical or psychological symptoms for the purpose of assuming the sick role.
B. Dissociative amnesia involves memory loss that is not attributable to neurological conditions or substance use and is often associated with stressful or traumatic events.
C. Depersonalization/derealization disorder involves experiences of detachment from oneself or one's surroundings.
Correct Answer is D
Explanation
D. Factitious disorder, also known as Munchausen syndrome, is a mental health condition characterized by a pattern of behavior in which an individual deliberately fabricates, exaggerates, or induces physical or psychological symptoms in themselves to assume the role of a patient.
A. This disorder involves preoccupation with having or acquiring a serious illness despite minimal or no somatic symptoms.
B. This disorder involves the presence of neurological symptoms that are incompatible with known neurological conditions and cannot be explained by another medical or mental disorder. C Dissociative amnesia involves the inability to recall important personal information, often related to traumatic or stressful events.
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