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 B
Explanation
A. Incorrect. Recurring urinary tract infections are related to health and hygiene and are not typically considered external stressors.
B. Correct. A recent move to a new city is an external stressor because it is an environmental change that can lead to feelings of stress and adjustment.
C. Incorrect. Lack of nutritional knowledge is an internal stressor related to the client's knowledge and awareness, not an external factor.
D. Incorrect. Feeling depressed is an internal emotional state and is not an external stressor.
Correct Answer is C
Explanation
A. Incorrect. Decreased platelets are not typically associated with infection but can be indicative of bleeding disorders.
B. Incorrect. Increased iron levels are not directly related to infection but can be associated with conditions like hemochromatosis.
C. Correct. An increased erythrocyte sedimentation rate (ESR. is it a common indicator of inflammation and infection? It reflects the rate at which red blood cells settle in a tube over a specific period.
D. Incorrect. Decreased hemoglobin levels are not specific to infection but can be seen in various conditions, including anemia.
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