A nurse is collecting data from a client who is taking chlorpromazine. Which of the following findings should the nurse identify as extrapyramidal symptoms (EPS)? (Select all that apply.)

Impaired gait

Fidgeting behavior

Muscle contractions of the neck

Fluctuating vital signs

Sexual dysfunction

Answer and Explanation

Correct Answer : A,C

A.   Impaired gait is a classic extrapyramidal symptom, which includes issues like dystonia or bradykinesia.
B.   Fidgeting behavior is more related to anxiety or restlessness rather than EPS.
C.   Muscle contractions of the neck, known as torticollis, are common signs of EPS caused by antipsychotic medications such as chlorpromazine.
D.   Fluctuating vital signs are not directly linked to EPS but may indicate another underlying issue.
E.   Sexual dysfunction is a side effect of chlorpromazine but not classified as an EPS.

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Correct Answer is D

Explanation

A. Requiring frequent reassurance is not typical of paranoid personality disorder. This is more common in dependent or avoidant personality disorders.
B. Lack of feelings of remorse is more characteristic of antisocial personality disorder.
C. An inflated sense of self is more characteristic of narcissistic personality disorder.
D. Suspiciousness of others is a hallmark of paranoid personality disorder. Clients with this disorder often exhibit distrust and suspicion of others, believing that others are plotting against them.

A. Major depressive disorder B. Bipolar type II C. Bipolar mixed D. Bipolar type I

Correct Answer is B

Explanation

A. Major depressive disorder does not include hypomanic episodes, which are a key feature of bipolar II disorder.
B. Bipolar type II is characterized by recurrent depressive episodes and hypomanic episodes, as described.
C. Bipolar mixed refers to simultaneous symptoms of both mania and depression, which is not indicated here.
D. Bipolar type I involves manic episodes, which are not mentioned in this scenario.

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A nurse is collecting data from a client who is taking chlorpromazine. Which of the following findings should the nurse identify as extrapyramidal symptoms (EPS)? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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