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
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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Related Questions
Correct Answer is D
Explanation
A. Telling the client to "work hard" to stay on schedule does not address the underlying difficulty with medication adherence.
B. Saying not to worry about past issues may minimize the client’s concerns and challenges.
C. Asking "why" the client finds it difficult to take medications might not encourage open communication and could make the client feel judged.
D. Collaborating with the client to create a schedule that is convenient and achievable increases the likelihood of adherence and fosters a sense of control and partnership.
Correct Answer is D
Explanation
A. People with histrionic personality disorder do not have difficulty identifying with the feelings of others; instead, they seek attention through dramatic or exaggerated behavior.
B. A person with histrionic personality disorder does not typically view themselves as inferior. They tend to overvalue their attractiveness and seek admiration.
C. Manipulating others for personal gain is more characteristic of narcissistic personality disorder, not histrionic personality disorder.
D. Clients with histrionic personality disorder often use physical appearance and behavior to draw attention to themselves. This is a key characteristic of the disorder.
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