A nurse assesses a patient receiving perphenazine (Trilafon), a traditional antipsychotic medication
The nurse notices that the patient is squirming and pacing. When composing his nurse's notes, the nurse would describe his assessment findings by which terminology?
a. Dystonia
b. Central nervous system effects
c. Parkinsonism
d. Akathisia
ANS: D
Akathisia is characterized by pacing and squirming brought on by an uncontrollable need to be in motion.
Dystonia is manifested by severe spasms of the muscles of the face, neck, tongue, or back.
"Central nervous system effects" is a very vague description, because many types of effects can occur; therefore, this would not be appropriate in the nurse's notes.
Parkinsonism is characterized by bradykinesia, a masklike face, drooling, tremor, and rigidity.
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