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Author Question: A patient received maintenance doses of fluphenazine decanoate (Prolixin Decanoate) 25 mg IM every 2 ... (Read 177 times)

jerry coleman

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on: Jul 19, 2018
A patient received maintenance doses of fluphenazine decanoate (Prolixin Decanoate) 25 mg IM every 2 weeks for 2 years. The clinic nurse notes the patient is grimacing and seems to be constantly smacking her lips.
 
  On the next clinic visit, the patient's neck and shoulders twist in a slow, snakelike motion. The nurse should suspect the presence of ________ and should __________. a. agranulocytosischec k the patient's complete blood count for changes
  b. tardive dyskinesiaadministe r the Abnormal Involuntary Movement Scale
  c. Tourette's syndromeconsult the patient's physician about a neuro evaluation
  d. anticholinergic effectsconsult the physician about possible medication changes

Question 2

Studies of families, twins, and relatives with personality disorders have demonstrated that the developing personality is influenced by:
 
  a. Genetics
  b. Order of birth
  c. Financial factors
  d. Number of siblings


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sierrahalpin

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Reply #1 on: Jul 19, 2018
Answer to Question 1

B
Tardive dyskinesia is a neurological condition induced by antipsychotic medications and involves involuntary rhythmic movements of the face, trunk, and limbs, including tongue thrusting, licking, blowing, rocking, and pill-rolling of the fingers. These symptoms usually persist even when the drug is discontinued. The scenario is not consistent with the other disorders mentioned: Agranulocytosis does not involve abnormal movements, the movements in Tourette's syndrome are intermittent (tics) rather than persistent and rhythmic, and anticholinergic effects include dry mouth, blurred vision, constipation, and dry eyes and mucous membranes (which could explain the lip smacking but not the other motor changes).

Answer to Question 2

A
Studies of families, twins, and relatives of individuals with personality disorders have demonstrated that behavior and personality have a strong genetic influence.


jerry coleman

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Reply #2 on: Jul 19, 2018
Correct answers!


sierrahalpin

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Reply #3 on: Jul 19, 2018
Great! Please up vote :D


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