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Torticollis would be considered a condition represented by the extrapyramidal symptom:

Julie is a 27 year old who recently started her “dream job”. She is working at least 10 hours a day because she wants to make a good impression and frequently skips lunch opting instead for coffee to keep her going through the afternoon. She moved to a new apartment and spends her weekends decorating it. One Saturday afternoon, while choosing some paint to use for her bedroom, Julie suddenly felt dizzy; she then started feeling hot, shaky, sweating, short of breath, had numbness and tingling in her arms and developed severe chest pain. She became frightened and thought she was dying. The sales clerk at the store called 911. The paramedics transported Julie to the ER. Once in the ER, what would be 3 tests that you feel would be most important for Julie to have? Select three.

The therapeutic lab range for Lithium is: 

The teacher in Billy’s class runs a very relaxed, loose classroom. This is a good teacher for Billy to have.

JL, a 42 year old male, is seen in the emergency room after a minor motor vehicle accident with subsequent fight with the driver of the other car. JL has multiple red and purple bruises and open and oozing lesions on his face, neck, and arms. He scratches repeatedly at his facial lesions. He has poor dentition. His left hand is swollen and bruised; he moves this hand slightly and voices no complaint of pain. A strong odor of alcohol and urine is noted. Pupils are pin-point. He is aggressive, maintains a threatening stance, and exhibits pressured but slurred speech. His actions stop just short of violent. His movements are not well coordinated. Height is 77 inches and 287 pounds. Electrocardiogram is clear. Toxicology screen is positive for opioids, meth, and alcohol. Labs are remarkable for lithium 0.4, potassium 2.5, and white blood count of 10.9. He refuses to provide medical or psychiatric history. An immediate and appropriate nursing intervention regarding this patient would be to:

A few months later, Mrs. Jackson is escorted home from the store by a police officer because she could not remember her address. When they arrive at her home, the police officer asked for a driver’s license, She handed the police officer a pair of sunglasses. What sign of dementia is evident?

Could someone who is receiving Haldol develop serotonin syndrome as a potential side effect?

As Mrs. Jackson’s disease state progresses, she is admitted to a memory care unit. During morning care, a nursing assistant asks a patient diagnosed with dementia, “How was your night?” The patient replies, “It was lovely. I went out to dinner and a movie with my friend.” Which term applies to the patient’s response?

JL refused to speak with the female nurse and threatened to hurt her; he did, however, talk to the male tech who was able to redirect his attention. JL’s behavior de-escalated when he spoke with the male tech. JL indicated he does not like women because his wife left him 10 days ago. That is when he started drinking heavily. Select an appropriate nursing action that would further de-escalate JL’s behavior:

JL told the male tech that he does not “hear or see things “and admitted to attempting suicide several times. He said he developed a “wry neck” (torticollis) when he was taking meds to help stabilize his mood. He does not remember the name of this medication but said that it began with the letter “A” but was not “Ativan.” Identify the medication JL is talking about that begins with the letter “A” and is an antipsychotic that augments the treatment for mood disorders.