Difficulty: Medium
Average Score: 75%
Full-length
During the admitting mental health assessment, a client demonstrates involuntary muscular activity. He has a marked facial tic around the mouth that is distracting to the nurse during the interview. The nurse recognizes the behavior and documents it as:
Correct answer
A
Rationale
The client is demonstrating dyskinesia, which is involuntary muscular activity, such as tic, spasm, or myoclonus. Akathisia is regular rhythmic movements usually of the lower limbs, such as constant motor restlessness. Echopraxia is mimicking the movements of another person. Echolalia is mimicking the speech of another person.