A client taking medication for his mental illness develops a profound sense of restlessness and an
uncontrollable need to be in motion. The nurse can correctly hypothesize that these symptoms are
related to the drug's
a. dopamine-blocking effects.
b. anticholinergic effects.
c. endocrine-stimulating effects.
d. ability to stimulate spinal nerves.
ANS: A
Medication that blocks dopamine is often seen to produce disturbances of movement such as
akathisia because dopamine affects neurons involved in both thought processes and movement
regulation. Option B: Anticholinergic effects include dry mouth, blurred vision, urinary retention,
and constipation. Options C and D: Akathisia is not caused by endocrine stimulation or spinal nerve
stimulation.
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