A patient started a higher dose of an antipsychotic two days ago and now paces constantly, shifts weight, and says, “I cannot sit still.” Which finding should the nurse suspect?
Correct answer: B. Akathisia
- A. Acute dystonia
- B. Akathisia
- C. Tardive dyskinesia
- D. Neuroleptic malignant syndrome
Explanation
Akathisia causes intense inner restlessness and an inability to remain still, often soon after starting or increasing an antipsychotic. Dystonia causes sustained muscle contractions, while neuroleptic malignant syndrome includes fever and severe rigidity.
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About Psychiatric Emergencies
Psychiatric emergencies include suicidal behavior, homicide risk, severe agitation, panic, acute psychosis, delirium, overdose, and withdrawal states. Students examine rapid risk assessment, crisis intervention, de-escalation, environmental safety, emergency medication, observation levels, and the immediate priorities that differ from routine psychiatric nursing care.
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