The nurse is caring for a patient who is being treated with antipsychotic medications. As part of the plan of care, the nurse monitors the patient for dyskinesia. What would the nurse assess with dyskinesia?

Involuntary movements of the mouth and tongue

Abnormal breathing

Migraine headache, hypertension

Severe flushing, headache, and tremors

Answer and Explanation

The Correct Answer is A

A. Involuntary movements of the mouth and tongue: Dyskinesia, particularly tardive dyskinesia, involves involuntary movements, often of the mouth, tongue, and sometimes other parts of the body.
B. Abnormal breathing: This is not a typical manifestation of dyskinesia.
C. Migraine headache, hypertension: These symptoms are not associated with dyskinesia.
D. Severe flushing, headache, and tremors: These symptoms do not describe dyskinesia, although tremors can be seen in other movement disorders.

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Correct Answer is B

Explanation

A. Very disruptive to a person in society: This description is judgmental and not specific to documenting behavior objectively.

B. Differing from socially acceptable behavior: Documenting behavior as differing from socially acceptable norms provides an objective, non-judgmental account of the patient’s behavior.

C. Causing the person to be involved in problems: This focuses on the outcomes of the behavior rather than describing the behavior itself.

D. Resulting from an inability to exercise control: This may imply a lack of control but does not objectively describe the behavior for documentation purposes.

A. Tasteless food B. Overuse of salt C. Loss of taste buds D. Lack of variety

Correct Answer is C

Explanation

A. Tasteless food: While tasteless food could be a factor, it’s less likely to be the primary cause, especially if the issue is widespread and persistent.

B. Overuse of salt: Overuse of salt might affect taste but is not a common cause of loss of taste or appetite in older adults.

C. Loss of taste buds: Aging can lead to a decrease in the number of taste buds and a reduced ability to taste food, leading to a loss of appetite.

D. Lack of variety: Lack of variety might affect appetite but is not typically the cause of a complete loss of taste.

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The nurse is caring for a patient who is being treated with antipsychotic medications. As part of the plan of care, the nurse monitors the patient for dyskinesia. What would the nurse assess with dyskinesia?

Nursing Test Bank

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Correct Answer is B

Explanation

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Correct Answer is C

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