Antipsychotics
A client taking haloperidol develops repetitive lip smacking, tongue protrusion, and facial grimacing. Which condition should the nurse suspect?
tardive dyskinesia
Give two examples of positive symptoms of schizphrenia.
Hallucinations, delusions, disorganized speech, disorganized behavior, catatonic behavior, agitation, distorted communications
A client 12 hours after last drink has tremors, sweating, and anxiety. What is this?
alcohol withdrawal
A client repeatedly seeks tests despite normal results and fears serious illness. Diagnosis?
illness anxiety disorder
A client clenches fists and raises voice. Which anger phase is this?
escalation
A client on antipsychotics suddenly develops neck muscle spasms and difficulty swallowing. What is the nurse’s priority?
call for emergency assistance
Give two examples of negative symptoms of schizophrenia.
alogia, avolition, anhedonia, blunted affect, emotional withdrawal, poor rapport, passive behaviors, apathy, social withdrawal, difficulty thinking abstractly, not spontaneous, stereotypical thinking, impaired attention
A client 72 hours after alcohol cessation has confusion, fever, and hallucinations. What is the priority?
seizure precautions
A mother falsifies her child’s illness history to obtain treatment. This is called:
factitious disorder by proxy or Munchausen's syndrome
A woman just left an abusive spouse. What is the initial focus?
safety planning
A client states, “I feel like I have to keep moving,” and constantly paces after starting an antipsychotic. What is this?
akathisia
A client states, “The voices say I should hurt myself.” What is the nurse’s priority?
ask what the voices are saying
What must a client avoid when taking disulfiram?
alcohol
After trauma, a client cannot move legs but no neurologic cause is found. This is:
conversion disorder
A client has repeated impulsive aggressive outbursts without remorse. Diagnosis?
intermittent explosive disorder
A client taking an antipsychotic develops fever, severe rigidity, confusion, and diaphoresis. What is the nurse’s first action?
call for emergency treatment
A client says, “The FBI implanted a chip in my brain.” This is an example of:
delusion
What is one symptom of heroin intoxication?
constricted pupils, depression, drowsiness, euphoria, nausea, respiratory depression
A man travels away and cannot recall his identity or past. This is:
dissociative fugue
What are priorities when treating a victim of assault?
don't leave them alone, safety, obtain consent
Which symptom requires immediate reporting in a client taking clozapine?
signs of infection
A random, jumbled set of words that have no connection or relationship to one another is called:
word salad
What is one physical symptoms of PCP use?
increased blood pressure, increased temperature, muscle rigidity, ataxia, repeated jerking, agitated movements, nystagmus, weight loss
Patient states "I'm having back pain, nausea, and weakness but my last 3 doctors said my imaging and labs were normal". Diagnosis?
somatic symptoms disorder
Level 3 interventions for anger are appropriate in which stage of the assault cycle?
crisis