Author Question: The spouse of a client on an antipsychotic medication asks the nurse why they routinely assess the ... (Read 77 times)

asd123 · **on:** Jul 19, 2018

The spouse of a client on an antipsychotic medication asks the nurse why they routinely assess the client for movements, especially around the mouth and extremities. What nursing response is correct?

1. Abnormal involuntary movements can be an irreversible side effect of antipsychotic medications.
2. Antipsychotic medications can lead to this type of dystonia.
3. Abnormal involuntary movements can be easily treated and less annoying to the client.
4. Movements around the mouth herald the approaching medication tolerance that the client is developing.

Question 2

The school nurse recommends that the parents of a student seek help because the student is constantly in trouble and recently has set several small fires on school grounds. The nurse is concerned because the child is manifesting signs of:

1. Conduct disorder.
2. Depression.
3. Oppositional defiant disorder.
4. Attention deficit hyperactivity disorder.

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

Answer to Question 1

1
Rationale: The nurse is assessing for tardive dyskinesia, an arrhythmic, involuntary movement that can be irreversible if not detected early. Antipsychotic medications do not lead to tolerance. Abnormal involuntary movements are not easily treated. Dystonia is a side effect characterized by muscle spasms.

Answer to Question 2

1
Rationale: Children with a conduct disorder are more likely to fight, steal, vandalize, or have school problems. These are not signs of depression; however, the child with a conduct disorder may also be depressed. The most distinctive features of attention deficit hyperactivity disorder (ADHD) are the child's inattention to the surrounding environment and hyperactivity and/or impulsiveness. The child with an oppositional defiant disorder may show low self-esteem, minimal frustration tolerance, swearing, mood lability, and precocious use of tobacco, alcohol, or illegal drugs.