Question

exam : psychotropic medications in ltc

1. which is a disorder of involuntary muscle movements caused by long - term use of primarily typical antipsychotic drugs?

○ restless leg syndrome
○ tourette syndrome
○ tardive dyskinesia
○ parkinson’s disease

1. an individual with dementia displays expressions or indications of distress. as part of the evaluation when considering the use of an antipsychotic medication, what should the team do?

○ wait to include the individual and/or their representative in discussions until a decision is made
○ refer the individual to a psychiatrist for a full mental health workup
○ assess for causes or triggers for the symptoms and address these if possible
○ ensure a diagnosis of a serious mental illness is received from the provider

Explanation:

Question 6

• Restless leg syndrome: Related to uncomfortable sensations in legs, not caused by antipsychotics.
• Tourette syndrome: A neurodevelopmental disorder with tics, not due to antipsychotic use.
• Tardive dyskinesia: Defined as involuntary muscle movements from long - term typical antipsychotic use.
• Parkinson’s disease: A neurodegenerative disorder, not caused by antipsychotics.

• Option 1: Including the individual/representative in discussions is important, and waiting is incorrect.
• Option 2: Referring to a psychiatrist is not the first step; assessing causes is more appropriate.
• Option 3: When a dementia patient is distressed, assessing for causes/triggers of symptoms and addressing them (if possible) is the correct initial evaluation step before considering antipsychotics.
• Option 4: Ensuring a serious mental illness diagnosis is not the key step here; addressing the distress causes is more relevant.

Answer:

C. Tardive dyskinesia

Question 7