A client with schizophrenia is admitted to the psychiatric unit in an acutely disturbed, violent state
He is given several doses of haloperidol (Haldol) and becomes calm and approachable.
During
rounds, the nurse notices the client has his head rotated to one side in a stiffly fixed position. His
lower jaw is thrust forward and he is drooling. He appears severely anxious. The client has
a. a dystonic reaction.
b. tardive dyskinesia.
c. waxy flexibility.
d. akathisia.
A
Acute dystonic reactions involve painful contractions of the tongue, face, neck, and back.
Opisthotonos and oculogyric crisis may be observed. Dystonic reactions are considered emergencies
requiring immediate intervention. Option B: Tardive dyskinesia involves involuntary spasmodic
muscular contractions that involve the tongue, fingers, toes, neck, trunk, or pelvis. It appears after
prolonged treatment. Option C: Waxy flexibility is a symptom seen in catatonic schizophrenia.
Option D: Akathisia is evidenced by internal and external restlessness, pacing, and fidgeting.
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