Practice Quiz

CCRN Critical Care Nursing

Category - Adult

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A patient at a mental health clinic is taking Haldol (haloperidol) for treatment of schizophrenia. She calls the clinic to report abnormal movements of her face and tongue. The nurse concludes that the patient is experiencing which of the following symptoms:
  1. Co-morbid depression.
  2. Psychotic hallucinations.
  3. Negative symptoms of schizophrenia.
  4. Tardive dyskinesia.
Explanation
Answer: D - Abnormal facial movements and tongue protrusion in a patient taking haloperidol is most likely due to Tardive Dyskinesia, an adverse reaction to the antipsychotic. Depression may occur along with schizophrenia and would be characterized by such symptoms as loss of affect, appetite and/or sleep changes, and anhedonia. These depressive changes and lack of volition are part of the negative symptoms of schizophrenia. Psychotic hallucinations may be visual or auditory but do not include abnormal movements.
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