A patient receiving thioridazine (Mellaril) for the last 3 weeks is noted to have a mask-like ex-pression and to walk with a shuffling gait. What is an accurate interpretation of this patient's be-havior?

a. Dystonia
b. Parkinsonism
c. Akathisia
d. Tardive dyskinesia


ANS: B
Parkinsonism is an extrapyramidal side effect of antipsychotic therapy with drugs such as thiori-dazine. The patient presentation closely resembles that of a patient with actual Parkinson's dis-ease. Bradykinesia, mask-like facies, drooling, tremor, cogwheel rigidity, and shuffling gait may be noted.

Nursing

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