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.
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Related Questions
Correct Answer is C
Explanation
Choice A reason:Clozapine is an antipsychotic used primarily for schizophrenia, not for preventing seizures. While it may lower the seizure threshold as a side effect, it is not prescribed for seizure control, making this statement incorrect.
Choice B reason:Clozapine is typically administered orally, not by intramuscular injection every 2 weeks. Long-acting injectable antipsychotics exist, but clozapine is not one of them, so this statement does not reflect correct understanding.
Choice C reason:Clozapine can cause orthostatic hypotension, leading to dizziness or fainting upon standing. Rising slowly from a lying position helps prevent this, indicating the client understands an important precaution for safe use of the medication.
Choice D reason:Ringing in the ears (tinnitus) is not a common side effect of clozapine. More common side effects include sedation, weight gain, and agranulocytosis, so this statement does not show correct understanding.
Correct Answer is D
Explanation
Choice A reason: Being preoccupied with repetitive activities such as folding clothes can sometimes occur in individuals with obsessive-compulsive disorder or autism spectrum disorders, but it is not a defining feature of schizophrenia.
Choice B reason: Elation and unusual talkativeness are hallmark features of mania in bipolar disorder, not schizophrenia.
Choice C reason: Recurrent thoughts of past trauma are more characteristic of post-traumatic stress disorder (PTSD), not schizophrenia.
Choice D reason: Creating words that have no meaning, also called neologisms, is a common positive symptom of schizophrenia and reflects disorganized thought processes.
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