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: This response uses therapeutic communication by reflecting the client’s feelings, which encourages further expression and demonstrates empathy without judgment. It acknowledges the client’s concern while maintaining professional boundaries.
Choice B reason: This response, although supportive, does not focus on the client’s expressed feelings. It dismisses the concern by shifting to the nurse’s perspective rather than validating the client’s emotions.
Choice C reason: This is a dismissive and minimizing response. Suggesting deep breathing without addressing the underlying delusion fails to use therapeutic communication techniques in mental health care.
Choice D reason: This response is confrontational and places the client in a defensive position. It may escalate agitation and is not consistent with therapeutic communication principles.
Correct Answer is C
Explanation
Choice A reason:A 3 mg additional dose would exceed the prescribed limit. The prescription allows for 1 mg every 8 hours as needed, up to a maximum of 3 mg in a 24-hour period (one dose every 8 hours). Since the patient has already received 2 mg (two 1 mg doses), an additional 3 mg would result in a total of 5 mg, which is unsafe and exceeds the prescribed daily limit.
Choice B reason:A 2 mg additional dose would also exceed the prescribed limit. With 2 mg already taken, an additional 2 mg would total 4 mg in a day, surpassing the maximum of 3 mg allowed by the prescription (1 mg every 8 hours, up to three doses).
Choice C reason:The patient has already received 2 mg (two 1 mg doses) today. The prescription allows for 1 mg every 8 hours as needed, which permits a maximum of 3 mg in 24 hours. With two doses already administered, only one additional 1 mg dose is safe, but none of the options list 1 mg. Therefore, 0 mg is the correct answer, as no additional dose beyond the remaining 1 mg is permissible among the given choices.
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