A nurse is reviewing the medical histories of four clients. Which of the following clients may develop extrapyramidal symptoms from medication therapy?
An adult client who has type 2 diabetes mellitus and is taking insulin.
A client who is in the third trimester of pregnancy and taking iron supplements.
A client who has schizophrenia and is taking antipsychotic medication.
An older adult client who has pancreatitis and is taking enzymes.
The Correct Answer is C
Choice A reason: Insulin use is not associated with extrapyramidal symptoms.
Choice B reason: Iron supplements do not cause extrapyramidal side effects.
Choice C reason: Antipsychotic medications, especially first-generation antipsychotics, commonly cause extrapyramidal symptoms such as dystonia, akathisia, parkinsonism, and tardive dyskinesia.
Choice D reason: Pancreatic enzyme therapy is unrelated to extrapyramidal side effects.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This reflects an internal crisis of denial, where the client struggles to accept the diagnosis and cope with the emotional impact, leading to rejection of treatment.
Choice B reason: A situational crisis is triggered by external life events like loss of a job or sudden illness in a family member, not by denial of a personal diagnosis.
Choice C reason: A maturational crisis occurs during developmental transitions like adolescence or retirement, which is unrelated to this scenario.
Choice D reason: An adventitious crisis is caused by unexpected disasters such as natural catastrophes or acts of violence, not a medical diagnosis.
Correct Answer is A
Explanation
Choice A reason:A neologism is a made-up word or phrase that has meaning only to the person using it, often seen in schizophrenia. The client’s repeated use of "flakala," a non-existent word, indicates the creation of a term unique to their thought process, fitting the definition of a neologism.
Choice B reason:Word salad refers to a jumbled, incoherent string of words or phrases that lack meaningful connection, making communication difficult to understand. The client’s statement is repetitive and focused on a single invented word, not a disorganized mix of unrelated words, so this does not apply.
Choice C reason:Echolalia involves repeating words or phrases spoken by others, often seen in conditions like autism or schizophrenia. The client is not mimicking someone else’s speech but is using a self-created word, so echolalia is not the correct description.
Choice D reason:Clang association is when words are chosen based on their sound, such as rhyming or alliteration, rather than meaning. The client’s use of "flakala" does not involve sound-based word choices but rather the invention of a new word, making this choice incorrect.
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