A patient diagnosed with schizophrenia has received fluphenazine decanoate twice a month for 3 years. The clinic nurse's notes that the patient grimaces and is constantly smacking his lips. The patient's neck and shoulders twist in a slow, snakelike motion. Which problem would the nurse suspect?
Tourette's syndrome
Agranulocytosis
Anticholinergic effects
Tardive dyskinesia
The Correct Answer is D
A. This disorder is characterized by sudden, rapid, recurrent motor movements and vocal tics, not slow, writhing movements caused by long-term antipsychotic use.
B. This is a dangerous reduction in white blood cells, typically presenting with fever, sore throat, or infections, not abnormal involuntary movements.
C. Anticholinergic side effects include dry mouth, blurred vision, constipation, urinary retention, not the repetitive, involuntary movements seen here.
D. This condition is a late-onset side effect of long-term use of antipsychotics, especially first-generation drugs like fluphenazine. It presents as grimacing, lip smacking, and slow, writhing movements of the neck and shoulders, consistent with the patient’s symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. This response minimizes her grief and implies pathology; crying after a recent traumatic loss is normal.
B. This response acknowledges the client’s pain, validates her feelings, and encourages continued expression, making it therapeutic.
C. This abruptly changes the subject and ignores her grief, which is the client’s primary concern.
D. This pathologizes normal grief and focuses on her diagnosis instead of providing empathy and support.
Correct Answer is B
Explanation
A. Making positive statements about body image is important for psychological recovery but is secondary to restoring physical health.
B. Achieving a healthy weight is the priority goal, as physical stabilization is essential to prevent life-threatening complications of malnutrition.
C. Feeling in control of behavior is a therapeutic goal, but it is not the immediate priority compared to addressing life-threatening weight loss.
D. Identifying family dynamics is important for long-term support and autonomy but is secondary to immediate physical health needs.
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