Mental Health Technician Certification (AMCA) Practice Test

What is a serious side effect of antipsychotic medications that includes muscle rigidity, high fever, and confusion?

1. Serotonin syndrome

2. Neuroleptic malignant syndrome (NMS)

3. Tardive dyskinesia

4. Psychogenic movement disorder

The correct answer is: Neuroleptic malignant syndrome (NMS)

Neuroleptic malignant syndrome (NMS) is a life-threatening condition associated with the use of antipsychotic medications. It manifests with symptoms such as severe muscle rigidity, high fever, autonomic instability (which can include changes in blood pressure and heart rate), altered mental status, and confusion. These symptoms suggest a hypermetabolic state caused by dopamine receptor antagonism, particularly regarding the effects that antipsychotics have on the central nervous system. The development of NMS is typically linked with the initiation of antipsychotic therapy, dose increases, or the use of high-potency antipsychotics. It is crucial for mental health technicians and healthcare professionals to recognize the signs and symptoms promptly, as early intervention is necessary to prevent severe complications and ensure patient safety. Other options, while related to medication side effects, do not share the same characteristics as NMS. For example, serotonin syndrome primarily involves excessive serotonin levels and presents with symptoms like agitation, confusion, rapid heart rate, and muscle twitching. Tardive dyskinesia is a condition characterized by involuntary movements, usually occurring after long-term use of antipsychotics, but does not present with the acute systemic effects seen in NMS. Psychogenic movement