Answer to Question 1
A
Anticholinergic toxicity is due to excessive anticholinergic activity, typically from the use of multiple anticholinergic medications and/or sensitivity to anticholinergic medications. Symptoms include but are not limited to hyperpyrexia, elevated and unstable vital signs, a worsening of psychotic symptoms, hallucinations, delirium, hot and dry skin, erythema, and dilated pupils. Emergency cooling measures are indicated for hyperpyrexia. A simple relapse would not include the physical changes noted here. Neuroleptic malignant syndrome would include hyperpyrexia and marked motor stiffness (the patient would not be moving about her room) but would not include pupillary dilation. Agranulocytosis would present with symptoms suggesting infection, not the symptoms noted here.
Answer to Question 2
3
The goal of setting limits is to encourage responsibility.