A patient diagnosed with schizophrenia has taken fluphenazine ...

[nautica902]

A patient diagnosed with schizophrenia has taken fluphenazine (Prolixin) 5 mg po bid for 3 weeks. The nurse now observes a shuffling propulsive gait, a mask-like face, and drooling. Which term applies to these symptoms?
 
  a. Neuroleptic malignant syndrome
  b. Hepatocellular effects
  c. Pseudoparkinsonism
  d. Akathisia

Question 2

Withdrawn patients diagnosed with schizophrenia:
 
  a. are usually violent toward caregivers.
  b. universally fear sexual involvement with therapists.
  c. exhibit a high degree of hostility as evidenced by rejecting behavior.
  d. avoid relationships because they become anxious with emotional closeness.

[polinasid]

Answer to Question 1

ANS: C
Pseudoparkinsonism induced by antipsychotic medication mimics the symptoms of Parkinson's disease. It frequently appears within the first month of treatment and is more common with first-generation antipsychotic drugs. Hepatocellular effects would produce abnormal liver test results. Neuroleptic malignant syndrome is characterized by autonomic instability. Akathisia produces motor restlessness.

Answer to Question 2

ANS: D
When an individual is suspicious and distrustful and perceives the world and the people in it as potentially dangerous, withdrawal into an inner world can be a defense against uncomfortable levels of anxiety. When someone attempts to establish a relationship with such a patient, the patient's anxiety rises until trust is established. There is no evidence that withdrawn patients with schizophrenia universally fear sexual involvement with therapists. In most cases, it is untrue that withdrawn patients with schizophrenia are commonly violent or exhibit a high degree of hostility by demonstrating rejecting behavior.

[nautica902]

Excellent

[ricroger]

Gracias!