A nurse is caring for a client who has schizophrenia and is taking an antipsychotic medication. Which of the following screening tools should the nurse use to identify tardive dyskinesia?
Patient Health questionnaire 9
Mental Status Examination
Brief Psychiatric Rating Scale
Abnormal Involuntary Movement Scale
The Correct Answer is D
A. Incorrect. The Patient Health questionnaire is used to assess depression severity.
B. Incorrect. The Mental Status Examination assesses cognitive function and psychiatric symptoms.
C. Incorrect. The Brief Psychiatric Rating Scale assesses psychiatric symptoms but not specifically tardive dyskinesia.
D. Correct. The Abnormal Involuntary Movement Scale (AIMS. is specifically designed to screen for and assess the severity of tardive dyskinesia, which is a movement disorder associated with antipsychotic medications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
The nurse should include the following information in the community health program for caregivers of clients with Alzheimer's disease:
Use written signs to assist the client with locating the bathroom: People with Alzheimer's disease often experience cognitive decline, including difficulties with memory and orientation.
Using written signs can help them navigate their environment and find essential areas like the bathroom. Clear signage with simple and easily recognizable symbols or words can be beneficial in reducing confusion and promoting independence.
Limit the number of choices for the client: Decision-making can become overwhelming for individuals with Alzheimer's disease. Providing too many options can lead to confusion, frustration, and decision paralysis. Caregivers should simplify choices and present them one at a time to reduce cognitive burden. For example, instead of asking what the person wants to eat from a variety of options, present a limited selection of two or three choices to make the decision-making process easier.
Provide a stimulating environment for the client: Engagement in meaningful activities and a stimulating environment can help maintain cognitive function and improve the quality of life for individuals with Alzheimer's disease. Caregivers should create a safe and enriching environment that includes activities tailored to the person's abilities and interests. This can involve puzzles, music, art, reminiscing, and other activities that promote mental and social engagement.
Do not use confrontation to manage the client's behavior: Confrontation can escalate agitation, anxiety, and confusion in individuals with Alzheimer's disease. It is important for caregivers to use non-confrontational approaches when managing challenging behaviors. Strategies such as redirection, validation, empathy, and gentle persuasion are more effective in de-escalating difficult situations and promoting a calm and supportive environment.
Correct Answer is B
Explanation
A. Weight loss is a potential side effect of methylphenidate, but it is not a direct indicator of medication effectiveness.
B. Correct. Improved ability to complete tasks like homework can be a positive indication of the medication's effectiveness in managing ADHD symptoms.
C. Increased caloric intake might not be directly related to the medication's effectiveness.
D. "A better grasp of reality" is a vague statement and not a specific indicator of ADHD medication effectiveness.
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