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 ["B","D","E"]

Explanation

Choice A reason: Considering a transfer might avoid the immediate issue but does not address the nurse's countertransference or promote professional growth.

Choice B reason: Requesting another nurse to take over may be appropriate to ensure the client receives unbiased care while the original nurse addresses their countertransference.

Choice C reason: Discussing personal issues with the client is not appropriate as it can blur professional boundaries and may not be therapeutic for the client.

Choice D reason: The nurse should examine their feelings and responses to prevent personal experiences from affecting professional judgment and interactions with clients.

Choice E reason: Talking about feelings and emotions with a trusted colleague can provide support and help the nurse process their feelings in a safe environment.

A. Increase foods high in fiber. B. Use sunscreen when outdoors. C. Use laxatives as needed. D. Develop an exercise program. E. Take double the dose at the next scheduled time for missed doses. F. Drink plenty of fruit juice.

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

Explanation

Choice A reason: Increasing dietary fiber can help manage constipation, which is a common side effect of antipsychotic medications. The normal range for dietary fiber intake in adults is 25 to 30 grams per day from food, not supplements.

Choice B reason: Antipsychotic medications can increase photosensitivity, making the skin more susceptible to sunburn. Using sunscreen can help protect the skin when outdoors.

Choice C reason: While laxatives can be used to manage constipation, they should be used sparingly and only as needed to avoid dependence and potential electrolyte imbalances.

Choice D reason: Regular physical activity can help counteract weight gain, another potential side effect of antipsychotic medications. It's recommended to engage in at least 150 minutes of moderate-intensity exercise per week.

Choice E reason: Doubling the dose at the next scheduled time for missed doses is not recommended as it can lead to an overdose and exacerbate side effects.

Choice F reason: Drinking plenty of fluids, including fruit juice, can help prevent dehydration. However, it's important to monitor sugar intake from fruit juices due to the risk of weight gain.

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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.

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["B","D","E"]

Explanation

The nurse is educating a client and family about strategies to minimize the side effects of antipsychotic drugs. Which will be included in the plan? Select all that apply.

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

Explanation

A nurse is assessing a client who has posttraumatic stress disorder (PTSD) following a sexual assault. Which of the following is an expected finding?

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.

A nurse is educating the family of an adolescent client with anorexia nervosa about the issues surrounding this eating disorder. Which statement made by the parent indicates that the education is effective?

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.

The nurse should frequently assess a client with a depressive disorder for lethality risk related to suicidal ideation. Which questions should the nurse include? (Select all that apply.)

A patient presents with gastrointestinal (GI) symptoms. Which issue do these symptoms correlate with?

A nurse is working with clients diagnosed with personality disorders. Which techniques would be most important for the nurse to use to effectively deal with the frustration in providing care to this group of clients? Select all that apply.

The nurse is talking with the spouse of a client admitted for substance use disorder and overdose. Which statement(s) made by the spouse indicates that they are exhibiting enabling behaviors? Select all that apply.