A client diagnosed with chronic schizophrenia presents in an emergency department (ED) with uncontrollable tongue movements, stiff neck, and difficulty swallowing. The nurse would expect the physician to recognize which condition and implement which treatment?

Correct Answer: D

Rationale: Step 1: The client's symptoms of uncontrollable tongue movements, stiff neck, and difficulty swallowing are indicative of a movement disorder commonly associated with long-term antipsychotic use, known as tardive dyskinesia. Step 2: Tardive dyskinesia is characterized by involuntary repetitive movements, often affecting the face and tongue, and can be irreversible if not addressed promptly. Step 3: The standard treatment for tardive dyskinesia involves discontinuing the offending antipsychotic medication, as these symptoms are typically a side effect of prolonged exposure to dopamine-blocking medications. Step 4: Therefore, the correct answer is D: Tardive dyskinesia and treat by discontinuing antipsychotic medications. This approach aims to halt the progression of symptoms and potentially reverse some of the effects of the condition. Summary: A: Neuroleptic malignant syndrome presents with fever, altered mental status, muscle rigidity, and autonomic instability. Treatment involves discontin

Correct Answer: D

Rationale: The correct answer is D: Masked grief. Masked grief refers to expressing grief through behaviors that may not seem related, such as engaging in reckless or promiscuous behaviors. In this case, the woman's promiscuity is masking her underlying grief over her fiancé's death. This type of grief can be challenging to identify because the connection between the behavior and the grief is not obvious. A: Anticipatory grief occurs before a loss, such as when someone is terminally ill. B: Chronic grief is when the individual experiences ongoing, long-term grief. C: Exaggerated grief involves an intense, prolonged reaction to a loss, which is not evident in this scenario.

Correct Answer: B

Rationale: The correct answer is B: Call the HCP to discuss the order. This is the best course of action because it allows the nurse to clarify the order directly with the healthcare provider. By communicating with the HCP, the nurse can ensure patient safety by confirming the correct dosage and potentially prevent medication errors. Informing the nursing supervisor (Choice A) may be necessary but should not be the first step. Giving the drug as ordered (Choice C) poses a risk if the dose is indeed too high. Giving the standard dose (Choice D) without clarification may not align with the HCP's intention. Communication with the HCP is essential for patient safety and adherence to proper protocols.

Correct Answer: A

Rationale: The correct answer is A: Cardiac. When a client presents with chest pain, the nurse should address the cardiac area first because it is essential to rule out potentially life-threatening conditions like a heart attack. The heart is a vital organ, and any issues related to it require immediate attention. Respiratory issues could also cause chest pain, but cardiac concerns must be prioritized due to their severity. Gastrointestinal and musculoskeletal causes of chest pain are typically less urgent and can be considered after cardiac concerns have been addressed.

Correct Answer: B

Rationale: The correct answer is B: health literacy. Health literacy refers to the ability of an individual to understand and use health information to make informed decisions about their health. Basic literacy (A) is general reading and writing skills. Medical literacy (C) is specifically understanding medical information. Consumer literacy (D) is about understanding consumer rights and responsibilities. Health literacy is unique as it focuses on health-related information specifically.