A charge nurse in a mental health facility is teaching a newly licensed nurse how to perform an Abnormal Involuntary Movement Scale (AIMS) assessment on a client.
The charge nurse should identify that the AIMS assessment is used for which of the following conditions?.
Opiate withdrawal
Tardive dyskinesia.
Alcohol withdrawal.
Lithium toxicity.
The Correct Answer is B
Choice A rationale:
Opiate withdrawal is a condition that occurs when a person stops using opiates after prolonged use. It is characterized by symptoms such as restlessness, muscle and bone pain, insomnia, diarrhea, vomiting, and cold flashes. The AIMS assessment is not typically used for this condition.
Choice B rationale:
Tardive dyskinesia is a movement disorder characterized by irregular, involuntary movements most commonly in areas of the face, around the eyes, and of the mouth, including the jaw, tongue, and lips. The AIMS assessment is a clinical outcome checklist completed by a healthcare provider to assess the presence and severity of abnormal movements of the face, limbs, and body in patients with tardive dyskinesia.
Choice C rationale:
Alcohol withdrawal is a condition that can occur when a person who has been drinking too much alcohol every day suddenly stops drinking alcohol. Symptoms can include tremors, anxiety, nausea and vomiting, headaches, increased heart rate, and seizures. The AIMS assessment is not typically used for this condition.
Choice D rationale:
Lithium toxicity, also known as lithium overdose, can occur if you take too much lithium, a mood-stabilizing medication. Symptoms can include hand tremor, increased thirst, increased urination, diarrhea, vomiting, weight gain, and impaired memory. The AIMS assessment is not typically used for this condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E"]
Explanation
Choice A rationale:
Blood pressure is a vital sign and does not indicate negative symptoms of schizophrenia.
Choice B rationale:
Lack of motivation is a negative symptom of schizophrenia, characterized by a decrease in the ability to initiate purposeful activities.
Choice C rationale:
Change in behavior can be seen in many conditions and is not specific to negative symptoms of schizophrenia.
Choice D rationale:
Lack of energy, or anhedonia, is a negative symptom of schizophrenia, reflecting the diminished ability to experience pleasure.
Choice E rationale:
Being withdrawn or isolative is a negative symptom of schizophrenia, indicating a lack of interest in social interactions.
Correct Answer is C
Explanation
Choice A rationale:
While it’s important to address the parent’s concerns, this response does not provide the parent with information about why their child might be exhibiting these behaviors.
Choice B rationale:
This response does not address the parent’s question about why their child is exhibiting these behaviors.
Choice C rationale:
This is the best choice because it provides the parent with information about why their child might be exhibiting these behaviors.
Choice D rationale:
This response minimizes the parent’s concerns and does not provide them with information about why their child might be exhibiting these behaviors.
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