Deck 4: Vulnerable Populations

Question 1

An experienced nurse is describing the characteristics of a therapeutic one-to-one relationship to a nursing student. Which of the following is the most accurate description?

A) The relationship between the nurse and client is reciprocal.
B) The essential feature of the relationship is a therapeutic alliance.
C) The nursing process is the cornerstone of the relationship.
D) The nurse must meet the client's needs throughout the relationship.

Answer 1

B

Question 2

A client states that she is unhappy and miserable in her marriage and has been for several years. Which of the following responses indicates the nurse is tuning in to the process of the client's interaction rather than the content?

A) "Has your husband ever cheated on you?"
B) "How long have you been married?"
C) "It sounds like you have been miserable for quite some time."
D) "Do you have any children from this marriage?"

Answer 2

C

Question 3

The nurse suspects a client is unwilling to demonstrate self-sufficiency or independence in the therapeutic relationship when the client says, "You are the only person I can talk to or trust. Let's go out to dinner tonight so we can spend more time together." Which one of the following nurse responses is most appropriate in this situation?

A) "You've become too dependent on me, so I will have to terminate our relationship."
B) "Maybe some other time, but right now I'm involved in a significant relationship and don't feel right about meeting you for dinner."
C) "I sense you've become too dependent on this relationship; let's examine your feelings toward me."
D) "I sense we are beginning to make real progress; I think that's a great idea."

Answer 3

C

Question 4

A client who grew up with alcoholic parents is reluctant to discuss thoughts, feelings, and self-defeating behaviors with the nurse. Which of the following responses by the nurse would be most helpful?

A) "I understand that opening up to others is difficult for you, but you need to change your view about discussing family issues with me."
B) "I understand that you are not used to discussing your feelings; however, we can't continue unless you open up to me."
C) "We don't have to talk about your feelings if you don't want to. Let's discuss the behaviors you would like to change."
D) "Some clients who were raised in alcoholic families are reluctant to discuss their feelings. How has this impacted you?"

Question 5

A client states that he is unhappy in his marriage and has felt miserable for several years. Which of the following client responses would indicate that the nurse's response to the "theme" of marital distress was most effective?

A) "I never thought about her cheating on me before; do you think that's possible?"
B) "I guess we've stayed together all these years because of the children."
C) "I feel so depressed all the time. I don't know what to do or who to turn to."
D) "I guess you're right; I should start thinking about a divorce."

Question 6

A client who is being discharged offers the nurse a ceramic bowl made during hospitalization as a symbol of the open "vessel" the client has become for accepting new ideas. What is the best response by the nurse?

A) "You worked very hard on becoming receptive to new ideas this past month; I would be honored to accept this symbol of your progress."
B) "This is a beautiful gesture, I will place it in the day room for everyone to enjoy."
C) "Let me pay you for this. I don't feel I should just accept it after all the hard work you put into it."
D) "I wish I could accept this, but you know I'm not allowed to."

Question 7

The nurse is establishing a therapeutic alliance with a new client. Which of the following behaviors would enhance the development of a therapeutic one-to-one relationship?

A) Eagerly encouraging the client to communicate on a superficial level
B) Spontaneously assisting the client to identify thoughts and feelings
C) Instinctively sharing personal experiences with the client
D) Specifically defining emotional and social goals for the client

Question 8

Establishing and maintaining the therapeutic nurse-client relationship differs according to the client's cultural background. The nurse is guided by the knowledge that:

A) Alternative values should always be discussed with the client.
B) A client's religious beliefs may interfere with constructive change.
C) Exploring religious beliefs with the client is not recommended.
D) Clients who believe family problems should not be discussed with strangers should not be coaxed into doing so.

Question 9

Which of the following objectives is indicative of the working phase?

A) Roles and responsibilities of the client are explicitly defined.
B) Client accomplishments are honestly evaluated.
C) Client behaviors and response patterns are openly analyzed.
D) Plans for follow-up are clearly arranged.

Question 10

A client appears unwilling to explore a specific topic during the working phase of the therapeutic relationship, demonstrating a strong sense of self-sufficiency. Which of the following nursing strategies would be most helpful?

A) Accept the client's refusal to talk about the topic by changing the subject.
B) Insist the client discuss the topic by examining the origin of the behavior.
C) Clarify the client's refusal to explore the topic by labeling it as resistance.
D) Allow the client to decide the appropriate time to explore the topic.

Question 11

Which of the following professionals would be most helpful in providing interdisciplinary supervision regarding specific culture-bound syndromes that interfere with the therapeutic nurse-client relationship?

A) Psychiatrist
B) Religious consultant
C) Psychologist
D) Ethnic consultant

Question 12

During the orientation phase of the nurse-client relationship, the client presents the nurse with a framed picture that was painted during recreational therapy. What is the best response by the nurse?

A) "That's a lovely picture; let's put it in the day room for everyone to enjoy."
B) "Let's examine your motives for trying to 'bribe' me with this picture."
C) "I'm sorry but I'm not allowed to accept any gifts from clients."
D) "How thoughtful; I'll take this home with me so I will be reminded of you every time I see it."

Question 13

The nurse is explaining the nurse-client relationship to a client in their first formal counseling session. Which of the following characteristics should the nurse describe as part of this one-to-one relationship?
Select all that apply.

A) Harmonious
B) Mutually defined
C) Sympathetic
D) Goal directed
E) Shared dignity

Question 14

Which of the following statements by the nurse may prevent successful separation between client and nurse at the end of a therapeutic one-to-one relationship?

A) "I suggest you contact me if you experience any new crisis that you feel unprepared to deal with on your own."
B) "I'm going to miss our sessions together, but I think you're ready to handle difficult situations on your own."
C) "I think two or three more sessions are necessary for you to develop more confidence in using this new coping skill effectively."
D) "I'm skeptical of your ability to assert yourself when new conflicts occur in future relationships, so be careful."

Question 15

A client familiar to the nurse is grief-stricken and in tears after learning that his wife has decided to file for divorce and sue for full custody of their children. Which of the following actions by the nurse are appropriate?
Select all that apply.

A) Patting the client on the shoulder and offering reassurance
B) Wiping away the client's tears without permission
C) Holding the client's hand with his permission
D) Hugging the client closely without permission
E) Asking the client if it is okay to give him a hug

Question 16

Which of the following nursing diagnoses would not originate from a client's regressive behavior during the termination phase?

A) Self-care Deficit
B) Knowledge Deficit
C) Powerlessness

Question 17

A client has demonstrated unwillingness to change self-defeating behaviors. Which of the following phenomena are forms of client resistance?
Select all that apply.

A) Overdisclosure
B) Positive transference
C) Negative transference
D) Acting-out
E) Countertransference

Question 18

During the initial interview with a client, the nurse notices that the client changes the topic when the subject of the client's marital relationship is approached. The nurse is guided by the knowledge that:

A) Information that is avoided or omitted is often more crucial than what is shared.
B) Formulation of nursing diagnoses should be avoided until all essential data is obtained.
C) Discussion of sensitive issues should only occur in the working phase.
D) Avoidance of a topic is a sign of resistance that will disappear when initial anxiety is decreased.

Question 19

Which of the following client behaviors signals the start of the termination phase?

A) The client requests clarification of the roles and responsibilities in relationship work.
B) The client uses effective problem-solving strategies on a daily basis.
C) The client verbalizes willingness to change ineffective coping patterns and self-defeating behaviors.
D) The client expresses awareness of potential causes of dysfunctional behavioral patterns.

Question 20

Which of the following behaviors indicate that a client is ready to terminate the therapeutic nurse-client relationship?
Select all that apply.

A) Initial client treatment goals have been accomplished.
B) Dissatisfaction with interpersonal relationships is expressed.
C) Client well-being and satisfaction is dependent upon the nurse.
D) Symptoms no longer interfere with the client's comfort.
E) The client refuses to change due to unresolved resistances.

Question 21

The nurse notices that a client is unable to control anger when criticized during a group meeting, even though the client had been able to do this effectively for several weeks. Which of the following interventions would be most appropriate in the nurse's next one-to-one therapeutic session with the client?

A) Offer the client a PRN dose of ziprasidone (Geodon).
B) Encourage the client to express responses to criticism freely.
C) Insist the client take a "time-out" until anger is back under control.
D) Encourage a detailed exploration of how the client reacts to criticism.

Question 22

The most important difference between social and professional relationships is that a professional relationship:

A) Can be either spontaneous or planned.
B) Is the only relationship where roles are defined.
C) Requires more planning, consistency, and time.
D) Does not address the personal needs of the nurse.

Question 23

Which of the following strategies would assist the client to make constructive changes in dysfunctional response patterns during the working phase?

A) Remind the client that constructive changes are expected before discharge occurs.
B) Determine a time and place for working on constructive changes.
C) Teach the client specific problem-solving strategies.
D) Reassure the client that confidentiality will be maintained.

Question 24

Which of the following signs indicates that an ineffective working relationship has evolved between the client and the nurse?

A) The nurse's sense of the client's severe dysfunction that cannot result in client growth
B) The nurse's sense of making contact with the client
C) The nurse's and client's sense of commitment to addressing the client's problems
D) The client's sense of relaxation and confidence with the nurse

Question 25

Which of the following questions would the nurse commonly ask in the orientation phase of the nurse-client relationship?

A) "Which of your behaviors cause you the most problems in relationships with others?
B) "What is the most satisfying accomplishment you feel you have made in your relationships with others?"
C) "How would you describe your relationships with members of your family?"
D) "What would you like to accomplish in the time we spend together?"

Question 26

Which of the following behavioral cues may indicate a nurse's countertransference reaction?

A) Ordinary concern for the client
B) Annoyance and hostility toward a client
C) Feeling comfortable after meeting with the client
D) Thinking about the interaction after meeting with a client

Question 27

A client is proud of a recent breakthrough in his ability to control his anger when another client had criticized his behavior. The nurse shakes the client's hand and praises him on his accomplishment. How should this nurse's behavior be interpreted?

A) The use of touch is inappropriate with any client no matter the reason.
B) The use of touch may be perceived as a sexual overture in this situation.
C) This gesture is appropriately timed and suitable in this situation.
D) This gesture is inappropriate because it could seem condescending to the client.

Question 28

Which of the following activities commonly occurs in the orientation phase of a therapeutic nurse-client relationship?

A) Identify dysfunctional client thoughts and emotional patterns.
B) Explore in-depth how the client relates to others.
C) Emphasize growth and positive aspects of the relationship.
D) Discuss with the client how to work together toward a common goal.

Question 29

The nurse is working with the client to identify self-defeating thoughts, feelings, and behaviors. Which behavior by the client indicates resistance?

A) Becoming silent when asked to identify unhealthy behaviors
B) Changing the subject when asked to explore a specific topic
C) Changing behavior outside of the one-to-one therapeutic relationship
D) Sharing feelings, fantasies and motives with the nurse

Question 30

The nurse knows that because people with mental illness continue to be ostracized by mainstream society, families must cope with the burden of:

A) Stigma.
B) Shame.
C) Isolation.
D) Dementia.

Question 31

The nurse knows the Johari Window is a theoretical tool used to represent:

A) The id and the superego in relation to self-awareness.
B) Self-disclosure in relation to others.
C) A multidimensional model of self.
D) Depression in family members.

Question 32

A client with a diagnosis of bipolar disorder lives with his family and discontinues taking medication when he begins feeling his symptoms are under control. Family members express their concern to the client's therapist whenever they realize the client is "off his meds." The therapist understands that within the client's family, each person's behavior is contingent on and:

A) Is affected by the functionality of the group.
B) Affects the behavior of others.
C) Reflects the characteristics of the client's family.
D) Is reflective of the client's mental illness.

Question 33

Which of the following is a grassroots, self-help support organization of families, friends, and clients with severe mental illness?

A) National Alliance on Mental Illness (NAMI)
B) National Institute of Mental Health (NIMH)
C) American Mental Health Association (AMHA)
D) A mental health clinic

Question 34

The nurse knows that any group moves through three interpersonal phases in a particular order, which includes:

A) Reasoning, self-confidence, and religion.
B) Control, love, and affection.
C) Reasoning, inclusion, and self-confidence.
D) Inclusion, control, and affection.

Question 35

When collecting family interactional data, the nurse knows to ask:

A) "How do the actions of your family worsen your symptoms of schizophrenia?"
B) "Since you have been in the hospital, who is taking care of your children?"
C) "What do you buy when you shop at the local market?"
D) "How often do you shop for nutritional items for your family?"

Question 36

Clients with mental disorders benefit from therapeutic groups because they provide:

A) A monitoring system that helps clients control impulses.
B) Feedback from a number of sources.
C) A way for them to feel "normal."
D) The best stimuli for clients.

Question 37

For the last three generations, the men of the family have worked in logging. The younger son wants to go to college and become a marine biologist. His parents tell him that "logging is what our family does" and refuse to discuss the issue. The son chooses to pursue employment in logging rather than upset his parents' desires for their son. This family is experiencing:

A) Schism.
B) Enmeshment.
C) Pseudohostility.
D) Pseudomutuality.

Question 38

The client is being discharged from an inpatient facility. The nurse explains that part of the outpatient treatment will be to take part in group therapy because it provides a structure for:

A) Supporting clients on a regular basis.
B) Supporting clients and families.
C) Using health care benefits in new and exciting ways.
D) Trying out old and new ways of acting and reacting.

Question 39

During a group session, a client becomes very angry at a comment by another member of the group. The therapist asks why the client became so angry. The group is using:

A) Interpersonal conflict issues to resolve personal issues.
B) The self-reflective loop.
C) Events for emotional awareness.
D) Fear.

Question 40

The nurse mentions to a colleague that yesterday's therapy group was developing cohesion and understands that this is important for:

A) Flexibility.
B) Boundaries.
C) Goal attainment.
D) Communication.

Question 41

The nurse knows that when clients are unable or unwilling to perform assigned family roles, the family experiences:

A) Recognition and communication.
B) Personal and political advocacy.
C) Acceptance.
D) Stress and disequilibrium.

Question 42

In order to help improve the functioning of mental health clients and their families, nurses must:

A) Teach the client communication skills.
B) Decrease the client's stress by compromising the integrity of family interactions.
C) Help each member negotiate what they need within the family.
D) Normalize the family's experience.

Question 43

In order to obtain detailed information that gives insight into how a client's family may function, the nurse knows to ask:

A) "Do you take your medicine at the same time every day?"
B) "What are your favorite foods?"
C) "What are your goals after discharge?"
D) "How often do you attend church?"

Question 44

Parents of adult clients with mental health disorders struggle to find a balance between emotional support and fostering independence. The nurse helps by:

A) Teaching the client to embrace the future.
B) Teaching the client and family about past mistakes.
C) Providing interaction with family members.
D) Providing psychoeducation group therapy.

Question 45

The nursing student knows that clients' need for inclusion allows the group members to:

A) Interact with one another satisfactorily.
B) Remain emotionally available.
C) Use the client's need to obtain group privacy.
D) Become great communicators.

Question 46

The nursing student knows that group interaction requires the therapist to focus attention on each member's feelings toward other group members, the therapists, and the group to illuminate relationship implications of interpersonal transactions. This process is known as:

A) Interactional group therapy.
B) The here-and-now.
C) Process illumination.
D) Objective family burden.

Question 47

The student nurse asks if advance practice training is needed to lead psychoeducation groups and assist families. The instructor tells the nurse that all nurses can lead the groups as long as they:

A) Support a loss of autonomy.
B) ?Promote rigidity and chaos.
C) Understand family and group dynamics.
D) Isolate family members from one another.

Question 48

The nurse notices that one of the group members seems frustrated. He is very friendly with everyone in the group but seems upset when some group members do not reciprocate with an equal amount of friendliness. The nurse understands that the group member is demonstrating his interpersonal needs for:

A) Grief
B) Affection
C) Love
D) Reasoning

Question 49

A group leader states that he respects the competence and responsibility of members of the group but gets annoyed when one of the group members "takes over" a group meeting. The group leader is demonstrating the interpersonal need for:

A) Self-respect.
B) Religion.
C) Social reasoning.
D) Control.

Question 50

The nurse facilitating a group session is concerned that the members are hesitant about sharing feelings and experiences. The nurse knows that there is a low level of trust among the group members, which will also determine the level of:

A) Risk-taking.
B) Family history.
C) Uniqueness.
D) Cohesion.

Question 51

A nursing student learns that group therapy reveals distortions in interpersonal relationships in an effort to:

A) Process and examine emotions.
B) Examine and resolve issues.
C) Learn how to stifle emotions.
D) Effectively handle emotions.

Question 52

The therapist for an interactive therapy group has noticed some behaviors among the members that need to be made overt. The therapist would be concerned about:

A) Expressing affection and sorrow.
B) Seeking social support and increasing conflict.
C) Suggesting alternatives and denigrating each other.
D) Power struggles and attention-seeking.

Question 53

The nursing student taking care of a client in the mental health clinic learns through assessment that the client's wife insisted he admit himself into the clinic even though his wife is the one with a documented history of mental illness. The client states, "I just want her to be happy." The nursing student suspects that the client's relationship with his wife may be:

A) Enmeshed.
B) Hostile.
C) Skewed.
D) Disengaged.

Question 54

A client diagnosed with bipolar disorder is starting the first family therapy session. The nurse knows the client's children, aged 2 and 4, will:

A) Benefit from the therapy session.
B) Help the client acclimate to the mental health clinic.
C) Not be included in the therapy session.
D) Help the client understand the importance of getting well.

Question 55

A nurse skillful in the writing process knows that this talent may benefit the client because a well-written behavioral contract:

A) Provides everything needed for a cure.
B) Can promote successful outcomes.
C) Teaches the client about past mistakes to lead to a successful outcome.
D) Teaches the client to embrace the future helps overcome past misdeeds.

Question 56

The nurse student taking care of a client with schizophrenia has difficulty keeping up with the client's music therapy and individual therapy times. The nurse knows, however, that the case manager is helpful in maintaining the routines and schedules of:

A) Cognitive behavioral interventions.
B) All clients on the unit.
C) Clients in music therapy.
D) Self-study.

Question 57

The nurse knows that obtaining a smoking cessation contract from a client will:

A) Help clients adapt through change.
B) Formulate well-thought-out plans.
C) Increase positive reinforcement through adaptation.
D) Facilitate change through contracts.

Question 58

A client being discharged from the mental health clinic is fearful about not being able to keep up with therapy and treatments after leaving the clinic. The nurse knows that to ensure client success after discharge, the client's behavioral contract should:

A) Support the client's family and friends.
B) Build and maintain treatments to help the community.
C) Ensure client success.
D) Address issues the client will face in community living.

Question 59

The nurse knows that when the mental health client has learned how to successfully adapt in new or different circumstances, the client has developed a sense of:

A) Pride.
B) Self-efficacy.
C) Self.
D) Self-esteem.

Question 60

A client admitted with borderline personality disorder complains during group therapy that she, "always falls for the bad guy." She has been in and out of rehabilitation and abuse crisis centers. The nursing student knows this client would benefit from:

A) Family conflict therapy.
B) Self-reflective therapy.
C) Intrapsychic cognitive therapy.
D) Dialectical behavioral therapy.

Question 61

The nurse knows that being a competent provider of cognitive behavioral interventions involves understanding and being aware of cultural considerations. Characteristics that nurses must be aware of during assessment include:

A) Illness prevention, disability, and gender.
B) Gender, sexual orientation, and age.
C) Family matters, self-awareness, and age.
D) Group expression, self-awareness, and religion.

Question 62

The nursing student knows that the therapist's goal in behavior therapy is to:

A) Decrease classical conditioning.
B) Increase self-confidence.
C) Deny religiosity in mental health clients.
D) Increase social reasoning.

Question 63

A client diagnosed with schizoaffective disorder has threatened suicide. While developing the care plan, the nurse puts in the nurse's notes, "The client, though disheveled, is articulate and has a clear plan for suicide, but has made no current attempts." The nursing note helps the nurse develop the behavioral contract by:

A) Orienting the client to the nursing process.
B) Considering interactions during the assessment process.
C) Observing essential information.
D) Cooperating with the family.

Question 64

Involving families with the client's treatment is an important aspect of family nursing. It is important to involve them as much as appropriate for the formulation and implementation of:

A) Family identity.
B) Positive client behavior.
C) Hope, support, and happiness.
D) Behavioral contracts.

Question 65

The nurse therapist skilled in rational emotive therapy (RET) helps clients identify:

A) Health-damaging beliefs and practices.
B) Cognitive causes for rational beliefs.
C) Rational thoughts and healthy emotions.
D) Irrational thoughts and develop more rational life philosophies.

Question 66

A nursing student receiving D's on quizzes decides to begin studying with a group of students known to make A's. The nursing instructor knows that the student is exhibiting what type of behavior?

A) Assuming
B) Modeling
C) Attributing
D) Self-efficacy

Question 67

During the assessment, the family nurse therapist inquires about weaknesses regarding learning the client may have. The client becomes defensive and states, "You sure are nosy!" Smiling, the nurse states, "I don't mean to seem nosy, but I must ask these questions to develop a plan that will work for you." The nurse's therapeutic response is an attempt to ascertain:

A) Anecdotes from family and friends.
B) Specific factors that have interfered with the success of a goal.
C) The psychiatrist's progress notes.
D) How the client interacts with family members.

Question 68

Clients with mental disorders who form inferences from rational beliefs are:

A) Better supported by family members.
B) Able to control impulses.
C) Significantly more functional than clients who hold irrational beliefs.
D) On their way to feeling "normal."

Question 69

The nurse knows that attributions are perceived causes that:

A) Promote rigidity and chaos.
B) May or may not be objectively accurate.
C) Isolate family members from one another.
D) Support a loss of autonomy.

Question 70

A nursing student attempting to use a behavioral modification contract found in the textbook is having trouble getting the client to follow through with everything in the contract. The nursing instructor knows to tell the student that behavioral contracts must be:

A) Reflective of the characteristics within the client's family.
B) Reflective of the client's mental illness.
C) Affected by the functionality of the client.
D) Tailored for the individual.

Question 71

Nurses are instrumental in helping clients during cognitive therapy. The nurse helps clients:

A) Identify unrealistic and negative thoughts.
B) Correct the id and the superego in relation to self-awareness.
C) Examine connections of the mind, body, and spirit.
D) Determine the best course of treatment.

Question 72

The nursing instructor notes a nursing student is very imaginative. When teaching students about designing and adjusting behavioral contracts, the nursing instructor knows that this particular student will have an advantage in developing contracts because:

A) Creativity is an essential component.
B) Effective communication skill is the key negotiating tool.
C) Reprioritization of goals is the most important issue.
D) Monitoring nonverbal communication is a secondary goal.

Question 73

During a group session, the nursing student notes one of the clients imitating another client's manner of speaking and communicating. The client being imitated has actively participated in all groups and is going home tomorrow. The nursing student suspects the client doing the imitating is:

A) Expecting an award.
B) Modeling behavior.
C) Jealous of the other client.
D) Being a comedian.

Question 74

A client diagnosed with bipolar disorder is hyperverbal during the initial assessment. In an effort to help the client understand what is required in treatment, the nurse has a calm demeanor, decreases stimuli, and talks to the client one-on-one. The nurse is responding to the client's:

A) Mania.
B) Cognitive style.
C) Positive behavior style.
D) Negative behavior.

Question 75

The nurse knows that nursing diagnoses for cognitive behavioral assessment include:

A) Knowledge Deficit and Effective Coping.
B) Hopelessness and Functional Family Processes.
C) Pseudohostility and Ineffective Coping.
D) Interrupted Family Processes and Hopelessness.

Question 76

When speaking with a client who has a mental illness, the nurse uses medical terminology and is condescending. This type of behavior negates the basic rules of negotiating a behavioral contract and:

A) Causes the client to feel uncomfortable with the contract.
B) Encourages the client to ask questions.
C) Appropriately introduces the client to important terminology.
D) Helps the client understand behavioral contracts on his/her terms.

Question 77

The client reports difficulty remembering at home whether the client took the medication or just thought about taking the medication. Which of the following strategies would be most helpful for the nurse to suggest?

A) Repeating the need to take the medications routinely
B) Putting the pill container near the breakfast table
C) Wearing a rubber band to remember
D) Obtaining and using a pill box

Question 78

The nurse knows that the client did not adhere to a medication plan in the past due to severe side effects. What information would be most important to include in the client's teaching?

A) The need to monitor all body changes on a continuous basis
B) A detailed explanation of all potential side effects
C) Reassurance that side effects will not occur
D) Hopefulness about managing side effects

Question 79

Which of the following client behaviors would indicate a need for further intervention in the anxious patient on a benzodiazepine?

A) The client requesting a higher dose of drug to achieve the intended effect.
B) The client relying more on coping skills and taking less medication.
C) The client asking to be taken off the medication gradually.
D) The client inquiring about behavior methods for anxiety control.

Question 80

The nurse observes a client on an antipsychotic medication and notes a pill-rolling movement of the fingers and a tremor of the extremities. The nurse documents this as what type of side effect?

A) Tardive dyskinesia
B) Anticholinergic effect
C) Dystonia
D) Drug-induced parkinsonism