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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Correct. Observing the client during and after meals is a priority because clients with bulimia nervosa often engage in episodes of binge eating followed by purging behaviors. Monitoring the client's behavior during meals and immediately after can help assess for potential purging behaviors.
B. Incorrect. While involving the client in meal planning might be helpful, it is not the first action to address potential purging behaviors.
C. Incorrect. Instructing the client about effective coping strategies is important, but observing for potential purging behaviors is the initial action to address the client's immediate safety.
D. Incorrect. Referring the client to a support group is beneficial, but it is not the first action to address the client's immediate risk of purging behaviors.

A. A client who is scheduled for surgery in 2 hr B. A client whose blood pressure is 160/90 mm Hg and reports a headache C. A client who is postoperative and reports intermittent nausea D. A client who is postoperative and has a Jackson Pratt drain

Correct Answer is B

Explanation

A. Incorrect. While a client scheduled for surgery is important, addressing the client with elevated blood pressure and a headache takes priority.
B. Correct. The client with elevated blood pressure and a headache requires immediate assessment, as these symptoms could indicate a hypertensive crisis or other serious complications.
C. Incorrect. While addressing postoperative nausea is important, the client with elevated blood pressure and headache requires more immediate attention.
D. Incorrect. A client with a Jackson Pratt drain may need care and assessment, but a client with elevated blood pressure and a headache has a more urgent need for evaluation.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has bulimia nervosa. Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

A nurse on a medical surgical unit is caring for a group of clients. Which of the following clients should the nurse see first?

Correct Answer is B

Explanation

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