Final answer:
Tardive dyskinesia may be a side effect of the patient's long-term use of antipsychotic medication, causing involuntary movements of the facial muscles and tongue.
Step-by-step explanation:
The involuntary movements of the facial muscles and tongue that the patient is experiencing may be a side effect of long-term use of antipsychotic medication, known as tardive dyskinesia. Tardive dyskinesia is a condition characterized by repetitive and uncontrollable movements, such as grimacing, lip smacking, and tongue protrusion. It is commonly associated with the use of antipsychotic drugs that block dopamine receptors in the brain. These medications can disrupt the normal functioning of the extrapyramidal system, particularly the basal nuclei, which are regions of the nervous system involved in motor control.