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Scenario
A 42 year old, obese male who recently tried to run away from an assisted living facility is admitted with a diagnosis of chronic paranoid schizophrenia. He reports begins flowed with a midget with sharp pointed teeth who is trying to kill him. The midget is from another planet and travels in a spaceship. During your nursing intake assessment, he frequently looks very his right shoulder and mumbles to himself. Staff at the assisted living facility reported he became agitated and physically aggressive when they attempted to bring him back. They called the police and the patient was brought to the local hospital to be evaluated and was admitted involuntarily to the psychiatric unit. At this time, he is cooperative but frightened and paranoid. His affect is flat with poor eye contact. His current vital signs are within normal limits. Before the patient is started on typical antipsychotics. You inform the patient about the common side effects of the typical antipsychotics.
1. What medications are commonly used to treat the symptoms of schizophrenia? Organize your answers according to typical and atypical antipsychotics.
2. What are extrapyramidal symptoms?
3. Identify at least three types of extrapyramidal symptoms.
4. What would be the most important initial nursing intervention in treating R.B.'s extrapyramidal symptoms?
5. What is tardive dyskinesia?
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