A nurse in a mental health facility is reinforcing teaching to a newly licensed nurse about how to perform an Abnormal Involuntary Movement Scale (AIMS) test on a client. The charge nurse should identify that the AIMS test is used for which of the following conditions?
Lithium toxicity
Alcohol withdrawal
Tardive dyskinesia
Opiate withdrawal
The Correct Answer is C
A. Lithium toxicity. The AIMS test does not assess lithium toxicity. Lithium toxicity is monitored through serum lithium levels and clinical symptoms such as tremors, nausea, confusion, and ataxia. Severe toxicity can lead to seizures, coma, and organ failure, requiring immediate intervention.
B. Alcohol withdrawal. The AIMS test does not assess alcohol withdrawal. Withdrawal symptoms include tremors, hallucinations, seizures, and autonomic instability. The Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) is commonly used to assess symptom severity and guide treatment.
C. Tardive dyskinesia. The AIMS test is used to assess tardive dyskinesia, a movement disorder caused by long-term antipsychotic use. It evaluates involuntary movements of the face, tongue, and extremities, helping clinicians monitor progression and adjust medications to minimize symptoms.
D. Opiate withdrawal. The AIMS test does not assess opiate withdrawal. Symptoms include sweating, agitation, diarrhea, and muscle aches. The Clinical Opiate Withdrawal Scale (COWS) is typically used to assess withdrawal severity and guide opioid detoxification or replacement therapy.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Engaging in extracurricular activities. Participating in extracurricular activities is generally associated with social support and positive mental health. Individuals involved in structured activities often have a sense of purpose and connection, which can be protective against suicide rather than a risk factor.
B. Loss of a job. Job loss is a significant risk factor for suicide due to its impact on financial stability, self-esteem, and emotional well-being. Unemployment can lead to feelings of hopelessness, social isolation, and increased stress, all of which contribute to a higher suicide risk.
C. Financial stability. Financial stability generally reduces stress and provides security, lowering the likelihood of suicidal ideation. While financial difficulties can be a risk factor, having stable finances is not associated with increased suicide risk.
D. Exercising caution in behavior. Practicing caution in behavior reflects awareness of potential dangers and a tendency to avoid reckless or impulsive actions. Individuals who take precautions in their daily lives are less likely to engage in high-risk behaviors that could lead to suicide.
Correct Answer is D
Explanation
A. A relapse plan explains how you can be hospitalized if needed. A relapse plan focuses on early symptom recognition and intervention rather than hospitalization. While hospitalization may be necessary in severe cases, the primary goal is to prevent relapse through proactive measures.
B. A relapse plan addresses your living, housing, and working needs. While stable housing and employment are important for recovery, a relapse plan is specifically designed to identify early warning signs and strategies to prevent symptom exacerbation rather than addressing broader social needs.
C. A relapse plan describes how you use coping strategies for living in the community. While coping strategies are included, a relapse plan is more comprehensive, incorporating early symptom detection, medication adherence, and support systems to prevent deterioration.
D. A relapse plan helps your recovery by recognizing symptoms of schizophrenia and provides steps to follow if symptoms are getting worse. Recognizing early symptoms of schizophrenia and implementing preplanned interventions can reduce the likelihood of a full relapse, allowing for timely adjustments in treatment and support.
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