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 B

Explanation

A. Incorrect. The bedside table should be within easy reach of the bed to prevent the client from attempting to reach for items and potentially falling.
B. Correct. Moving the client's bed to the main floor of the house reduces the need for using stairs, which can be a fall risk for clients at risk for falls.
C. Incorrect. Keeping the lighting dim increases the risk of falls. Adequate lighting is important to prevent falls.
D. Incorrect. Area rugs on slick floor surfaces can be hazardous and increase the risk of falls.
They should be removed or secured properly.

A. Request that the provider confirm the readback of the prescription. B. Instruct another nurse to record the prescription in the medical record. C. Withhold the medication until the provider signs the prescription. D. Ask the provider to spell out the name of the medication. E. Record the date and time of the telephone prescription.

Correct Answer is ["A","D","E"]

Explanation

A. Correct. Confirming the readback ensures accurate communication and understanding of the prescription.
B. It's the responsibility of the nurse receiving the prescription to document it in the medical record.
C. Withholding medication until the provider signs the prescription may delay needed treatment.
D. Correct. Asking the provider to spell out the medication name prevents errors due to miscommunication.
E. Correct. Recording the date and time of the telephone prescription is essential for documentation and accountability.

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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

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Correct Answer is B

Explanation

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Correct Answer is ["A","D","E"]

Explanation

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