Extrapyramidal side effects are characterized by a triad of symptoms, including which of the following?
A) Sadness, flattened affect, and anxious behavior
B) Dystonia, akathisia, and pseudoparkinsonism
C) Dystonia, flat affect, and cogwheeling
D) Shuffling gait, cogwheeling, and drooling
Ans: B
Extrapyramidal side effects do not influence a client's affect. They include pseudoparkinsonism in addition to dystonia and akathisia.
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The nurse displays the essence of critical thinking by doing what?
1. Having all the answers 2. Accepting what is read as true 3. Asking questions 4. Sharpening intuition
Police bring a 63-year-old woman to the emergency room, reporting that her behavior is disorganized and disruptive, that her speech makes little sense, and that she does not seem able to take care of herself
The woman has had elective surgeries at the hospital previously and was seen in the ER last week after a fall; records show no history of similar symptoms or mental illness. The ER physician speaks with the patient but does not examine her medically, diagnoses her with schizophrenia, and orders admission to the inpatient psychiatric unit. Which response by the nurse would be most appropriate? a. Ask another physician with more of an interest in psychiatry to also take a look at this patient, explaining that you just want to be as thorough as possible. b. Suggest that a psychiatric consult be requested before admitting the patient to a psychiatric unit, to validate the diagnosis and speed the initiation of medication. c. Remind the physician that schizophrenia usually develops earlier in life, that such presentations may be caused by medical problems, and suggest a medical work-up. d. Note that the patient's blood pressure and respirations were elevated when she arrived, and suggest that they be evaluated before admitting the patient to the psychiatric unit.
Common mistakes that happen related to writing mechanics have to do with word pairs that sound the same but have different meanings and different spellings. Which of the following sen-tences contains a word that has been used inappropriately?
a. Counselors often share great advice with students. b. The nurse will advise the patient regarding wound care. c. The pharmacist will advise the nurse of side effects of the new medication. d. The nurse noted the flat effect of the patient upon entering the room.
Nurses should evaluate health programs based on what data?
a. Effect on quality of life b. Cost-benefit ratio of service c. Adherence statistics d. Ease of following through