A client newly diagnosed with schizophrenia has been receiving a ...

[Redwolflake15]

A client newly diagnosed with schizophrenia has been receiving a neuroleptic medication since yesterday. This client comes to the nurse with her head down and turned to one side. This client's tongue is fixed and protruding, and she is very upset.
 
  The nurse knows that this client's dystonia is: a. rarely dangerous and can be ignored until the client is choking
  b. a side effect of medication that will likely respond to other drugs
  c. not a side effect of neuroleptics
  d. likely to bring a risk of airway obstruction

Question 2

Working with adolescents with mental health issues is more often likely to be challenging for nurses because of:
 
  a. their noncompliance with treatments
  b. similarities between normal development and pathology
  c. the interference of their family
  d. medication abuse

[zhanghao]

Answer to Question 1

B
The most readily treated side effect of antipsychotic medications is dystonia. Clients may present with the head drawn forcefully to one side, with spasms of the mouth muscles, or with fixed tongue protrusion. Dystonic reactions typically occur within a few hours or days of starting an antipsychotic medications. It is generally treated with diphenhydramine (Benadryl) or other anticholinergic medications.

Answer to Question 2

B
Working with adolescents with mental health issues is more often likely to be challenging for nurses because of similarities between normal development and pathology. Adolescence is a period of turmoil for the individual. They are making physical, emotional, and social transitions that are a normal part of growth and development; they may appear to have a pathological origin to the untrained eye.