A nurse is caring for a client who was admitted with acute psychosis and is being treated with haloperidol. The nurse should suspect that the client may be experiencing tardive dyskinesia when the client exhibits which of the following? Select all that apply.

Urinary retention and constipation.

Fine hand tremors and pill rolling.

Tongue thrusting and lip smacking.

Facial grimacing and eye blinking.

Involuntary pelvic rocking and hip thrusting movements.

Answer and Explanation

Correct Answer : C,D,E

Choice A reason: Urinary retention and constipation are not typically associated with tardive dyskinesia, which is characterized by involuntary movements.

Choice B reason: Fine hand tremors and pill rolling are more commonly associated with Parkinson's disease rather than tardive dyskinesia.

Choice C reason: Tongue thrusting and lip smacking are classic signs of tardive dyskinesia, often resulting from long-term use of antipsychotic medications.

Choice D reason: Facial grimacing and eye blinking are also indicative of tardive dyskinesia, reflecting involuntary facial movements.

Choice E reason: Involuntary pelvic rocking and hip thrusting movements can be manifestations of tardive dyskinesia, representing involuntary movements of the body.

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Correct Answer is A

Explanation

Choice A reason: Wernicke-Korsakoff syndrome is a brain and memory disorder that requires immediate treatment. It occurs due to a severe deficiency of thiamine (vitamin B1), which is essential for the brain to convert food into energy.

Choice B reason: There is no evidence suggesting that Wernicke-Korsakoff syndrome is a psychological condition related to stress.

Choice C reason: Wernicke-Korsakoff syndrome is not a genetic disorder; it is caused by a deficiency of vitamin B1, often associated with alcohol abuse or malnutrition.

Choice D reason: It is not an infectious disease; Wernicke-Korsakoff syndrome results from nutritional deficiencies, specifically a lack of thiamine (vitamin B1).

A. The client focuses conversations on nutritious food. B. The client gains 2 pounds in 1 week. C. The client demonstrates healthy coping mechanisms that decrease anxiety. D. The client verbalizes an understanding of the etiology of the disorder.

Correct Answer is C

Explanation

Choice A reason: Focusing conversations on nutritious food can be positive, but it does not directly indicate a change in behavior related to bulimia nervosa.

Choice B reason: Gaining weight may be a positive sign, but it is not sufficient on its own to indicate a behavioral change, as weight can fluctuate for various reasons.

Choice C reason: Demonstrating healthy coping mechanisms that decrease anxiety is a strong indicator of positive behavioral change in a client with bulimia nervosa, as it suggests the client is developing strategies to manage the disorder.

Choice D reason: While verbalizing an understanding of the disorder's etiology is beneficial, it does not necessarily reflect a change in behavior.

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A nurse is caring for a client who was admitted with acute psychosis and is being treated with haloperidol. The nurse should suspect that the client may be experiencing tardive dyskinesia when the client exhibits which of the following? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is Wernicke-Korsakoff syndrome?

Correct Answer is A

Explanation

A client diagnosed with bulimia nervosa has been attending a mental health clinic for several months. Which factor should the nurse identify as an appropriate indicator of a positive client behavioral change?

Correct Answer is C

Explanation

The nurse is talking with a client who grew up in a home where both parents were alcoholics. Which behaviors does the nurse identify when assessing this client that correlate with this home life? Select all that apply.

A female client comes to the clinic regularly for various somatic issues that have been ruled out for any organic cause. She states that she works as one of the only women on a cybersecurity technical team. Which statement made by the client indicates that she may have suppressed anger?

The nurse is working to develop a therapeutic nurse-client relationship with a client diagnosed with paranoid personality disorder. Which techniques will the nurse use to foster trust? Select all that apply.

The nurse is performing an assessment for a young adolescent and observes a lack of hair on the eyebrows and the hairline. Which statement made by the parent demonstrates an understanding of the type of hair loss the child is experiencing?

When engaging with clients, which techniques should the nurse avoid using to foster more therapeutic responses? Select all that apply.

The nurse maintains a therapeutic relationship with several clients on the behavioral health unit. Which characteristics will be most important for the nurse to foster to maintain these relationships? Select all that apply.

The nurse is talking with a client diagnosed with histrionic personality disorder. Which statement made by the client does the nurse identify as correlating with this diagnosis?

The nurse is attempting to develop empathy for a client but is not completely feeling empathetic. Which factor might be hindering the nurse from developing empathy for this client?