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 A

Explanation

A. Disorganized speech is a symptom of acute mania, where the client may speak rapidly and jump from one topic to another.
B. Auditory hallucinations (hearing voices) are not typical of acute mania; they are more commonly associated with psychosis or schizophrenia.
C. Dressing in all black is not indicative of acute mania and could be a sign of depression.
D. Weight gain is not a symptom of acute mania. Instead, it may be related to other factors such as medications or depression.

A. Antisocial personality disorder B. Schizotypal personality disorder C. Histrionic personality disorder D. Narcissistic personality disorder

Correct Answer is A

Explanation

A. Antisocial personality disorder is characterized by disregard for rules and the rights of others. Clients with this disorder often challenge authority and refuse to follow rules.
B. Schizotypal personality disorder involves eccentric behavior and thinking, but it is not associated with defiance of rules.
C. Histrionic personality disorder is characterized by attention-seeking behavior, not by defiance of rules.
D. Narcissistic personality disorder involves a sense of entitlement and superiority, but it does not necessarily involve direct defiance of rules.

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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?

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Correct Answer is A

Explanation

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Correct Answer is A

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