Which medication would the nurse expect to administer when observing that a patient being treated for schizophrenia is fidgety, demonstrates motor restlessness, and jiggles both legs when asked to sit down?
a. Olanzapine (Zyprexa)
b. Molindone (Moban)
c. Biperiden (Akineton)
d. Thioridazine (Mellaril)
C
By blocking dopamine, antipsychotic medications produce extrapyramidal side effects. Akathisia is internal or external restless fidgeting or pacing. Patients with akathisia demonstrate motoric restlessness and complain of feeling their muscles quiver. When this condition has advanced, the patient will say that he or she is not able to sit still or lie down quietly. The nurse will want to observe whether the patient's legs are shaking. If the patient's feet are not shaking, the nurse will observe that his or her arms will start to shake. The therapeutic treatment is the administration of anticholinergic agents, such as benztropine (Cogentin), trihexyphenidyl (Artane), or procyclidine (Kemadrin). Diphenhydramine (Benadryl), an antihistamine, also may be administered. The other three medication selections are antipsychotic agents: Zyprexa, an atypical antipsychotic; Moban, an antipsychotic (dihydroindolone); and Mellaril (phenothiazine), a typical antipsychotic.
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When admitting a client to the unit, the nurse would do which of the following to help the client feel a greater level of control over the situation in order to reduce anxiety?
1. Call him Charles, so he feels that he is among friends. 2. Ask him whether he would like his shaving kit in the bathroom or by his bed. 3. Tell him that he has to take off all his clothes and put on a hospital gown. 4. Show him to his room, and then leave him alone for a while to adjust.
The parents of a 9-year-old boy have been told by the child's teacher that he exhibits symptoms of attention-deficit/hyperactivity disorder (ADHD)
Which specific behaviors may the child exhibit for this diagnosis to be made? (Select all that apply.) a. Frequently interrupts or intrudes on others b. Is easily distracted by outside stimuli c. Has feelings of restlessness or frequently fidgets with hands and/or feet d. Exhibits an excellent short-term memory e. Often leaves tasks incomplete
A nurse at the mental health clinic is leaving his job and relocating to another part of the country in 6 months. What is the best way for him to deal with his clients?
a. Begin to prepare clients for his departure by assisting to transition them to another nurse. b. Increase dosage of medications for each client in anticipation of the effect his leaving will have on their progress. c. Do not inform clients until after the nurse leaves to avoid additional anxiety. d. Wait until the nurse's last day to inform clients to allow them to say good-bye, but avoid additional anxiety.
A process of intentional intervention to create something new is called ____
a. Altered direction b. Organizational flux c. Planned change d. Status revision