A 60-year-old client diagnosed with schizophrenia spectrum ...

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A 60-year-old client diagnosed with schizophrenia spectrum disorder presents in an ED with uncontrollable tongue movements, stiff neck, and difficulty swallowing.
 
  Which medical diagnosis and treatment should a nurse anticipate when planning care for this client? 1. Neuroleptic malignant syndrome treated by discontinuing antipsychotic medications
  2. Agranulocytosis treated by administration of clozapine (Clozaril)
  3. Extrapyramidal symptoms treated by administration of benztropine (Cogentin)
  4. Tardive dyskinesia treated by discontinuing antipsychotic medications

Question 2

Your client shares with you that, as soon as he is discharged from the facility, he plans to strangle his ex-wife. Upon further questioning you believe that he is serious about his inten-tions. The most appropriate action for you to take is to
 
  1. talk him out of it.
  2. remind him that murder is a crime.
  3. notify his ex-wife and the police.
  4. contact the client's physician and your supervisor.

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Answer to Question 1

4
Rationale: The nurse should expect that an ED physician would diagnose the client with tardive dyskinesia and discontinue antipsychotic medication. Tardive dyskinesia is a condition of abnormal involuntary movements of the mouth, tongue, trunk, and extremities that can be a side effect of typical antipsychotic medications.

Answer to Question 2

4
In situations where serious harm or death may occur, mental health professionals have a duty to protect potential victims from possible harm.

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