Author Question: One of your assigned clients has been taking one of the phenothiazine antipsychotic medications for ... (Read 74 times)

dejastew · **on:** Jul 19, 2018

One of your assigned clients has been taking one of the phenothiazine antipsychotic medications for some time and is now showing involuntary tongue movements, grimacing, sucking, and lip-smacking movements.

Which of the following would you MOST expect the provider to order to deal with these symptoms? a. benztropine (Cogentin)
b. diphenhydramine (Benadryl)
c. observation for symptoms to diminish
d. decrease the Thorazine dose

Question 2

In which phase of drinking behavior of an alcoholic would you notice impaired reality testing and emotional disorganization?

a. prealcoholic
b. early alcoholic
c. true alcoholic
d. chronic alcoholic

olderstudent · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

D
The most likely course of action that a provider would take to deal with these symptoms would be to decrease the client's Thorazine dose. The client may be experiencing a possible side effect of the antipsychotic, known as tardive dyskinesia. Tardive dyskinesia is a neurological disorder often characterized by involuntary movements of the tongue and lips, including grimacing, sucking, and lip smacking.

Answer to Question 2

D
Impaired reality testing and emotional disorganization occur in the chronic alcoholic phase. Over time, the individual's continuous use of alcohol leads to extensive emotional disorganization. The individual may exhibit impairment of reality testing involving regression or loss of a sense of ethics. Physically the individual exhibits disorders of the central nervous system (bilateral, progressive neuritis of lower extremities; temporary nerve palsies) and liver and vascular diseases.