A client with schizophrenia is admitted to the psychiatric unit ...

[waynest]

A client with schizophrenia is admitted to the psychiatric unit in an acutely disturbed, violent state.
  He is given several doses of haloperidol (Haldol) and becomes calm and approachable.
 
  During
  rounds, the nurse notices the client has his head rotated to one side in a stiffly fixed position. His
  lower jaw is thrust forward and he is drooling. He appears severely anxious. The client has
  a. a dystonic reaction.
  b. tardive dyskinesia.
  c. waxy flexibility.
  d. akathisia.

Question 2

A nursing diagnosis relevant for both the client with depression and the client with acute mania is
 
  a. deficient diversional activity.
  b. defensive coping.
  c. sleep pattern disturbance.
  d. excess fluid volume.

[uniquea123]

Answer to Question 1

A
Acute dystonic reactions involve painful contractions of the tongue, face, neck, and back.
Opisthotonos and oculogyric crisis may be observed. Dystonic reactions are considered emergencies
requiring immediate intervention. Option B: Tardive dyskinesia involves involuntary spasmodic
muscular contractions that involve the tongue, fingers, toes, neck, trunk, or pelvis. It appears after
prolonged treatment. Option C: Waxy flexibility is a symptom seen in catatonic schizophrenia.
Option D: Akathisia is evidenced by internal and external restlessness, pacing, and fidgeting.

Answer to Question 2

C
Physical needs of clients with mood disorders include sleep pattern disturbances. Assessment data
should be routinely gathered about this possible problem. Option A is more relevant for clients with
depression. Option B is more relevant for clients with mania. Option D is less relevant for clients
with mood disorders than is fluid volume deficit.