While completing the history portion of an admission assessment ...

[Deast7027]

While completing the history portion of an admission assessment of a client with schizophrenia, the nurse notices that the client is continually moving in the chair and frequently stands, then sits back down.
 
  The nurse knows that this client most likely is experiencing the side effect of: a. Drug-induced parkinsonism
  b. Dystonia
  c. Akathisia
  d. Akinesia

Question 2

A patient was admitted after being brought to the hospital by police after a fight with a roommate. The patient told the nurse, My roommate cast a spell by looking at me intently, so I fought to protect myself.
 
  The patient admits stopping prescribed antipsychotic medication a week ago when the prescription needed refill. Which outcome should the nurse working in a managed behavioral health inpatient unit select for this patient?
  a. The patient will express feelings of self-control within 48 hours.
  b. A trusting relationship with the nurse will be developed within 5 days.
  c. A high level of ease with other patients will be reported within 1 week.
  d. The patient will agree to placement in a new residence within 3 weeks.

[Jordin Calloway]

Answer to Question 1

C
Akathisia is an extrapyramidal side effect (EPSE) of antipsychotic drugs that causes an individual to be unable to sit still. The other options are also EPSEs but are not evident in the scenario.

Answer to Question 2

A
Outcomes should be clearly measurable. Managed care requires the shortest possible hospital stay. Stabilization of symptoms can occur rapidly when medication is restarted. If the patient expresses feelings of self-control, this is an indicator that he/she does not feel under a spell. Discharge can occur shortly after stabilization. The other outcomes are inappropriate because they presume a long hospitalization.