What client population is at risk of developing tardive dyskinesia?

Clients who have received long-term neuroleptic treatment.

Clients who have discontinued their neuroleptic treatment.

Clients who have experienced neuroleptic malignant syndrome (NMS).

Clients who have received monoamine oxidase inhibitors (MAOIS).

Answer and Explanation

The Correct Answer is A

A) Correct. Tardive dyskinesia is a side effect of long-term neuroleptic (antipsychotic) treatment. It is characterized by involuntary, repetitive movements, particularly of the face and tongue. This condition is more commonly seen in clients who have been on neuroleptics for extended periods.

B) Incorrect. Discontinuing neuroleptic treatment may lead to withdrawal symptoms or symptom recurrence, but it does not directly increase the risk of developing tardive dyskinesia.

C) Incorrect. Neuroleptic malignant syndrome (NMS) is a different side effect associated with neuroleptic medications, characterized by hyperthermia, autonomic dysregulation, altered mental status, and generalized muscle rigidity.

D) Incorrect. Monoamine oxidase inhibitors (MAOIs) are a different class of medications and are not associated with the development of tardive dyskinesia.

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Correct Answer is ["A","D","F"]

Explanation

A) Correct. Given the nature of the accident, there is a high risk for traumatic brain injury. This should be a priority for screening and assessment.

B) Incorrect. While chronic pain may be a concern, it is not directly related to the recent accident and is not a priority for screening at this time.

C) Incorrect. Sexual dysfunction is not directly related to the recent accident and is not a priority for screening at this time.

D) Correct. The client's request for early discharge and the recent traumatic event raise concerns about potential depression. Screening for depression is important.

E) Incorrect. Effective coping strategies are important, but they are not a priority for screening in this scenario.

F) Correct. Given the recent accident and the client's expressed desire for early discharge, there may be an increased risk for suicide. This should be a priority for screening and assessment.

A. Determine what precipitates these hallucinations. B. Distract the client when hallucinating. C. Determine the content of the hallucinations. D. Let the client know you do not hear the voices.

Correct Answer is C

Explanation

A. While understanding precipitating factors is important, it is not the immediate priority when the client is actively experiencing hallucinations.
B. Distracting the client may not address the underlying cause of the hallucinations, which should be the priority.
C. Determining the content of the hallucinations can provide important information for assessment and intervention.
D. Dismissing the client's experience can be alienating and unhelpful.

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What client population is at risk of developing tardive dyskinesia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client was admitted to the intensive care unit after a single car accident in which he struck a cement wall. He is now responsive and wants to be discharged within the next couple of days. Which of the following are priorities for screening? (Select all that apply)

Correct Answer is ["A","D","F"]

Explanation

What intervention is a priority when the client is experiencing auditory hallucinations?

Correct Answer is C

Explanation

A client diagnosed with schizophrenia is experiencing delusions of persecution. How would the client express feeling persecuted?

The nurse is admitting a client with a dual diagnosis of major depressive disorder and alcohol abuse. What is the primary intervention?

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What are the possible physiological changes in the brain of a client diagnosed with Alzheimer's disease? (Select all that apply)