A client with a long history of schizophrenia has managed well on trifluoperazine (Stelazine)
She calls her case manager to report that she keeps feeling like she wants to stick out her tongue and stare up at the ceiling. The nurse interprets the client's comments to mean she has which of the following?
A) Signs of tardive dyskinesia (TD) associated with neuroleptic medication
B) Psychomotor agitation associated with schizophrenia
C) The typical bizarre behavior associated with schizophrenia
D) An anticholinergic side effect associated with neuroleptic medications
Ans: A
Feedback:
TD is a type of extrapyramidal side effect characterized by abnormal, involuntary, irregular, choreoathetoid (writhing) movements, which may include lip smacking, neck twisting, facial grimacing, and tongue and chewing movements. TD can occur after several months to years of therapy with traditional antipsychotics.
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