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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Acrophobia is the fear of heights, not water, and is considered a natural environment type of phobia.
Choice B reason: Aquaphobia is indeed the fear of water, but it is classified as a natural environment type of phobia, not situational.
Choice C reason: Acrophobia is incorrectly associated here; it is the fear of heights and not related to water.
Choice D reason: Aquaphobia is the correct term for an excessive fear of water, and it is identified as a natural environment type of phobia?.
Correct Answer is ["D","E","F"]
Explanation
Choice A reason: Exploring is a therapeutic technique that involves delving into a client's experiences and feelings, which can be beneficial in understanding their perspective.
Choice B reason: Silence can be a therapeutic technique that gives clients space to think and express themselves.
Choice C reason: Voicing doubt can undermine the client's confidence and is not considered a therapeutic response.
Choice D reason: Challenging may confront the client in a non-therapeutic way, potentially leading to defensiveness.
Choice E reason: Disapproving can make clients feel judged and is not conducive to a therapeutic relationship.
Choice F reason: Agreeing may not always be therapeutic as it can prevent clients from exploring all aspects of their issues.
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