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 A
Explanation
Choice A rationale:
ECT does cause brief seizures, which is a correct understanding of the procedure.
Choice B rationale:
One ECT treatment is usually not enough to effectively treat depression.
Choice C rationale:
A pre-ECT workup is typically required before the procedure.
Choice D rationale:
Patients are usually required to fast before ECT due to the use of general anesthesia.
Correct Answer is C
Explanation
Choice A rationale:
Avoiding foods that contain tyramine is important when taking monoamine oxidase inhibitors, not antipsychotics like clozapine.
Choice B rationale:
Limiting fluid intake is not typically necessary when taking antipsychotics.
Choice C rationale:
Medication adherence after the resolution of acute psychosis is crucial when taking antipsychotics to prevent relapse.
Choice D rationale:
Routine red blood cell count laboratory work is not typically necessary when taking antipsychotics like clozapine.
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