Which of the following teaching provided by the PMHNP is correct when teaching a patient about EPS?

Correct Answer: B

Rationale: Step 1: EPS stands for Extrapyramidal Symptoms, which are side effects commonly associated with antipsychotic medications. Step 2: Tardive dyskinesia is a type of EPS characterized by abnormal, repetitive facial and tongue movements. Step 3: Teaching about tardive dyskinesia is important because it is a serious, potentially irreversible side effect. Step 4: Teaching patients to recognize signs of tardive dyskinesia helps in early detection and management. Step 5: Choices A, C, and D describe other types of EPS symptoms, not tardive dyskinesia, making them incorrect. Step 6: Therefore, the correct teaching about EPS related to tardive dyskinesia aligns with choice B.

Correct Answer: B

Rationale: The correct answer is B: Administering anti-anxiety medication as prescribed. This option is the most appropriate because severe anxiety may require pharmacological intervention to quickly alleviate symptoms and provide relief. Anti-anxiety medication can help regulate neurotransmitters and reduce overwhelming anxiety. Choice A is incorrect as immediate confrontation of fears may exacerbate anxiety symptoms. Choice C is incorrect as simply telling a patient to calm down may not effectively address severe anxiety. Choice D is incorrect as distraction through conversation and humor may not be sufficient for severe anxiety and may not address the underlying issue. In summary, pharmacological intervention is the most effective and immediate approach for managing severe anxiety.

Correct Answer: B

Rationale: The correct answer is B because engaging the patient in a discussion about the benefits of the medications and addressing their concerns is the most appropriate action. This approach promotes patient-centered care, helps to understand the reasons for non-compliance, and allows for collaborative problem-solving. It fosters trust and communication between the patient and healthcare provider, leading to a higher likelihood of adherence to the prescribed treatment plan. Choice A is incorrect because judging the patient may lead to defensive reactions and hinder open communication. Choice C is incorrect as ignoring the issue can result in worsening health outcomes. Choice D is incorrect as providing reassurance without addressing the underlying reasons for non-compliance may not effectively resolve the issue.

Correct Answer: A

Rationale: The correct answer is A: Excessive worry about a variety of topics. This is a common symptom of generalized anxiety disorder as individuals experience persistent and excessive worry about various aspects of their lives. This worry is difficult to control and can interfere with daily functioning. Choice B is incorrect because hyperactivity and impulsivity are more characteristic of conditions like ADHD rather than generalized anxiety disorder. Choice C is incorrect as euphoria and grandiosity are symptoms of conditions like bipolar disorder, not generalized anxiety disorder. Choice D is incorrect as hallucinations are not typically associated with generalized anxiety disorder but may be seen in conditions like schizophrenia.

Correct Answer: B

Rationale: The correct answer is B: Using simple, clear language. This is an appropriate communication technique for a patient with dementia because it helps to minimize confusion and enhance understanding. Patients with dementia may have difficulty processing complex information, so using simple language can help them grasp the message. Speaking loudly and slowly (choice A) can be perceived as patronizing and may cause distress. Using complex medical terminology (choice C) can lead to further confusion. Telling the patient they will recover soon (choice D) is inappropriate as it provides false hope and can cause disappointment.