A nurse on a mental health unit observes a diagnosed schizophrenic patient on antipsychotics having an impaired gait and uncontrollable tremors. The nurse should recognize that which of the following adverse effects may be occurring?
Tardive dyskinesia.
Acute dystonia.
Pseudoparkinsonism.
Neuroleptic malignant syndrome.
The Correct Answer is C
The correct answer is choice C. Pseudoparkinsonism.
Choice A rationale:
Tardive dyskinesia is a long-term side effect of antipsychotic medications characterized by repetitive, involuntary movements, often around the mouth, such as lip-smacking, tongue protrusion, and chewing movements. It does not typically present with impaired gait and tremors.
Choice B rationale:
Acute dystonia involves sudden, severe muscle contractions, often affecting the neck, face, and back. Symptoms include twisting movements and abnormal postures, but it does not usually cause impaired gait and tremors.
Choice C rationale:
Pseudoparkinsonism is an adverse effect of antipsychotic medications that mimics the symptoms of Parkinson’s disease, including bradykinesia (slowness of movement), rigidity, tremors, and postural instability. The impaired gait and uncontrollable tremors observed by the nurse are characteristic signs of pseudoparkinsonism.
Choice D rationale:
Neuroleptic malignant syndrome is a rare but life-threatening reaction to antipsychotic medications. It presents with symptoms such as high fever, muscle rigidity, altered mental status, and autonomic dysfunction (e.g., unstable blood pressure, sweating). It does not typically present with impaired gait and tremors.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is choice: B. Sibling position.
Choice A rationale:
Marital skew is not a concept associated with Bowen's family systems theory. It does not correspond to any recognized pattern in this theoretical approach.
Choice B rationale:
Sibling position is an important concept in Bowen's family systems theory. It refers to the birth order of siblings within a family and how this birth order can influence the roles and dynamics within the family unit.
Choice C rationale:
Pseudomutuality is not a concept of Bowen's family systems theory. This term does not align with the terminology or principles of this theoretical approach.
Choice D rationale:
Double-bind communication is a concept introduced by Gregory Bateson and is associated with the communication patterns within dysfunctional families. While it is related to family interactions, it is not specifically attributed to Bowen's theoretical approach.
Correct Answer is D
Explanation
The correct answer is choice D: "I haven't gotten my period yet, and all my friends have theirs."
Choice D rationale:
This comment should be the nurse's priority to address because it raises concerns about the adolescent's sexual development and reproductive health. A delay in the onset of menstruation might indicate underlying medical issues, and addressing this topic can provide reassurance and information about normal variations in puberty. It also demonstrates the nurse's commitment to addressing the adolescent's physical well-being.
Choice A rationale:
While concerns about physical appearance are valid, in the context of an annual health-screening visit, addressing potential medical issues takes precedence. While the nurse can provide guidance on skincare and self-esteem, these topics can be discussed after addressing the primary health concern.
Choice B rationale:
Social interactions are important for adolescents, but the comment about not being liked by peers does not present an immediate health concern. This issue may be better addressed in a broader discussion about the adolescent's emotions and social well-being.
Choice C rationale:
Feeling treated like a baby by parents is a common sentiment during adolescence. While it is valuable to acknowledge and discuss these feelings, they are not the priority in this context, where the nurse should focus on physical health and development.
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