NURS 431 - EXAM #2 QUESTIONS AND
ANSWERS
Tardive dyskinesia - Answer-- late-appearing abnormal involuntary movements, can be
viewed as opposite of parkinsonism, constant movement
- typical movements of mouth, tongue, & jaw and include lip smacking, sucking,
puckering, tongue protrusion, bonbon sign (tongue rolls around mouth & protrudes into
cheek), athetoid (worm-like) movements in tongue, and chewing
- movements of trunk & limbs: rocking from hips, athetoid movements of fingers & toes,
guitar strumming movements,
Nursing Interventions for Anticholinergic SE - Answer-- dry mouth: provide sips of water,
hard candies, and sugar-free chewing gum
- blurred vision: avoid dangerous tasks; teach pt that this SE will diminish in a few
weeks
- decreased lacrimation: use artificial tears if necessary
- mydriasis: may aggravate glaucoma; teach to report eye pain
- photophobia: wear sunglasses
- constipation: high-fiber diet, increased fluid intake, laxatives as prescribed
- urinary hesitancy: privacy, run water in sink, warm water over perineum
- urinary retention: regular voiding (at least q2-3h) and whenever urge is present, cath
for residual, record I&O, evaluate for BPH
- tachycardia: eval for preexisting CV disease, sudden death has occurred w/
thioridazine (Mellaril)
Anticholinergics are given for ____ & _____ secondary to antipsychotic meds? -
Answer-parkinsonism & dystonia
Schizophreniform disorder - Answer-disorder might be considered the provisional
version of schizophrenia, though indeed some never go on to experience another
psychotic episode or develop schizophrenia. Except for the time and the lack of a
prodromal period they would be virtually indistinguishable on clinical examination
Treat Akathisia with? - Answer-decrease antipsychotic dosage if possible
beta-blocker (propranolol)
Tardive dyskinesia tx - Answer-prevention w/ lowest possible dose of antipsychotics
possibly give more antipsychotics to mask symptoms
Schizoaffective disorder SAD - Answer-might be said to represent a combination of the
thought disorders and the mood disorders, so both aspects require treatment (atypical
antipsychotics can do that because they have mood stabilizing properties, but you knew
that). People with SAD may be designated with a depressed or manic type. There is a
high risk of suicide (especially if depressed) and the risk increases with previous history
ANSWERS
Tardive dyskinesia - Answer-- late-appearing abnormal involuntary movements, can be
viewed as opposite of parkinsonism, constant movement
- typical movements of mouth, tongue, & jaw and include lip smacking, sucking,
puckering, tongue protrusion, bonbon sign (tongue rolls around mouth & protrudes into
cheek), athetoid (worm-like) movements in tongue, and chewing
- movements of trunk & limbs: rocking from hips, athetoid movements of fingers & toes,
guitar strumming movements,
Nursing Interventions for Anticholinergic SE - Answer-- dry mouth: provide sips of water,
hard candies, and sugar-free chewing gum
- blurred vision: avoid dangerous tasks; teach pt that this SE will diminish in a few
weeks
- decreased lacrimation: use artificial tears if necessary
- mydriasis: may aggravate glaucoma; teach to report eye pain
- photophobia: wear sunglasses
- constipation: high-fiber diet, increased fluid intake, laxatives as prescribed
- urinary hesitancy: privacy, run water in sink, warm water over perineum
- urinary retention: regular voiding (at least q2-3h) and whenever urge is present, cath
for residual, record I&O, evaluate for BPH
- tachycardia: eval for preexisting CV disease, sudden death has occurred w/
thioridazine (Mellaril)
Anticholinergics are given for ____ & _____ secondary to antipsychotic meds? -
Answer-parkinsonism & dystonia
Schizophreniform disorder - Answer-disorder might be considered the provisional
version of schizophrenia, though indeed some never go on to experience another
psychotic episode or develop schizophrenia. Except for the time and the lack of a
prodromal period they would be virtually indistinguishable on clinical examination
Treat Akathisia with? - Answer-decrease antipsychotic dosage if possible
beta-blocker (propranolol)
Tardive dyskinesia tx - Answer-prevention w/ lowest possible dose of antipsychotics
possibly give more antipsychotics to mask symptoms
Schizoaffective disorder SAD - Answer-might be said to represent a combination of the
thought disorders and the mood disorders, so both aspects require treatment (atypical
antipsychotics can do that because they have mood stabilizing properties, but you knew
that). People with SAD may be designated with a depressed or manic type. There is a
high risk of suicide (especially if depressed) and the risk increases with previous history
