A nurse is collecting data from a client who has schizophrenia and has been taking chlorpromazine for 8 years. The nurse notes choreiform or jerking uncontrolled movements, lip smacking, and spastic facial distortions. Which of the following conditions should the nurse document in her finding?

Tardive dyskinesia

Lock Jaw (unable to close mouth)

Pseudoparkinsonism

Akathisia

Answer and Explanation

The Correct Answer is A

A.   Tardive dyskinesia is a movement disorder often caused by long-term use of antipsychotic medications like chlorpromazine. Symptoms include involuntary movements such as jerking or lip smacking.
B.   Lock Jaw is not a characteristic of tardive dyskinesia; it refers to trismus, often seen with other conditions.
C.   Pseudoparkinsonism is characterized by tremors, rigidity, and bradykinesia, typically occurring early in antipsychotic treatment.
D.   Akathisia involves restlessness and an inability to stay still, not the involuntary movements associated with tardive dyskinesia.

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Correct Answer is D

Explanation

A. Assigning a private room may increase isolation, which is not conducive to a therapeutic environment.
B. Tucking bedcovers over the client’s hands and arms could be a restrictive action, not appropriate for
suicide prevention.
C. Removing utensils is not necessary unless the client has direct access to harmful objects.
D. Inspecting personal belongings ensures that the client does not have items that could be used for self-harm, which is a key suicide precaution.

A. "He spends much of his time with his school friends." B. "He is very religious and attends services twice a week." C. "He has slept 9 hours each night for the past 2 years." D. "His basketball coach committed suicide last month."

Correct Answer is D

Explanation

A. Spending time with friends is generally a healthy social behavior.
B. Being religious and attending services does not indicate suicidal risk.
C. Sleeping 9 hours per night is within a normal range for an adolescent.
D. The statement about the basketball coach committing suicide may indicate the adolescent is at risk for suicide, as exposure to suicide can increase the likelihood of suicidal behavior.

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A nurse is collecting data from a client who has schizophrenia and has been taking chlorpromazine for 8 years. The nurse notes choreiform or jerking uncontrolled movements, lip smacking, and spastic facial distortions. Which of the following conditions should the nurse document in her finding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with planning of care for a client following a suicide attempt. Which of the following interventions is an appropriate suicide precaution?

Correct Answer is D

Explanation

A nurse in a community clinic is speaking to a parent who expresses concern for her adolescent son. Which of the following statements by the mother should indicate to the nurse that the adolescent is at risk for suicide?

Correct Answer is D

Explanation

A nurse on a mental health unit is caring for a client who refuses to follow instructions and states that the unit rules do not apply to them. The nurse should identify that these findings are manifestations of which of the following personality disorders?

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