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 C
Explanation
Choice A rationale:
Physical harm is not a necessary condition for developing a trauma-related disorder. Emotional and psychological trauma can also lead to these disorders.
Choice B rationale:
Genetics can predispose individuals to trauma-related disorders, but it is not the sole cause. Environmental factors, such as experiencing or witnessing a traumatic event, play a significant role.
Choice C rationale:
Experiencing or witnessing a traumatic event can indeed result in developing a trauma-related disorder. This is because the event can cause significant emotional distress and impact the individual’s ability to cope.
Choice D rationale:
While chemical imbalances in the brain can be associated with trauma-related disorders, they are typically a result of the disorder rather than the cause.
Correct Answer is A
Explanation
Choice A rationale:
Adaptive vs. maladaptive refers to how well an individual’s behavior or response helps them cope with stressors. It’s the most relevant concept for understanding and delivering nursing care in this context.
Choice B rationale:
Justified vs. unjustified is not a relevant concept in this context as it pertains to moral or ethical judgments, not stress responses.
Choice C rationale:
Good vs. bad is also not relevant in this context as it’s a subjective judgment, not a measure of stress response.
Choice D rationale:
Right vs. wrong is not relevant in this context as it pertains to moral or ethical judgments, not stress responses.
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