A nurse is caring for a client who has a new prescription for risperidone. Which of the following rating scales should the nurse complete prior to administering the first dose of risperidone?
The Hamilton Depression Scale
The Body Attitude Test
The Abnormal Involuntary Movement Scale
The Recovery Attitude and Treatment Evaluator
The Correct Answer is C
Choice A reason: The Hamilton Depression Scale is used to assess severity of depression, not antipsychotic side effects.
Choice B reason: The Body Attitude Test is used in eating disorder assessments, unrelated to risperidone therapy.
Choice C reason: The Abnormal Involuntary Movement Scale (AIMS) evaluates for movement disorders like tardive dyskinesia, which are possible side effects of antipsychotics. Baseline assessment is essential before starting treatment.
Choice D reason: The Recovery Attitude and Treatment Evaluator measures patient attitudes about recovery and treatment, not medication side effects.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Allowing the client to describe the event in their own words is essential for initial assessment, evidence collection, and emotional support.
Choice B reason: A bed bath would destroy physical evidence needed for forensic examination.
Choice C reason: Discussing self-defense techniques at this time is inappropriate, as the focus should be on immediate safety, support, and care.
Choice D reason: Photographs may be taken, but the nurse should not present them as required for police reporting, as this can increase trauma and coercion.
Correct Answer is A
Explanation
Choice A reason: Administering 300 mg three times daily equals 900 mg total (300 mg × 3 = 900 mg).
Choice B reason: 300 mg represents only one dose, not the total for 24 hours.
Choice C reason: 1200 mg would be 300 mg four times daily, which is more than prescribed.
Choice D reason: 600 mg equals 300 mg twice daily, not the correct order.
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