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?
Alcohol withdrawal
Tardive dyskinesia
Lithium toxicity
Opiate withdrawal
The Correct Answer is B
A. Alcohol withdrawal is assessed using tools such as the Clinical Institute Withdrawal Assessment (CIWA), not the AIMS.
B. The Abnormal Involuntary Movement Scale (AIMS) is a standardized tool used to detect and monitor tardive dyskinesia, which is a late-onset movement disorder associated with long-term use of antipsychotic medications. It evaluates involuntary movements of the face, mouth, extremities, and trunk.
C. Lithium toxicity is monitored through serum lithium levels and clinical signs (e.g., tremors, confusion), not the AIMS.
D. Opiate withdrawal is assessed with specific withdrawal scales such as the Clinical Opiate Withdrawal Scale (COWS), not the AIMS.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Poor concentration is associated with mild to moderate anxiety, not panic-level anxiety.
B. Shakiness is a manifestation of mild to moderate anxiety or physiological stress, rather than the extreme symptoms seen in panic-level anxiety.
C. Voice tremors are typical of moderate anxiety or nervousness, not the severe, overwhelming symptoms of panic.
D. Depersonalization (a feeling of being detached from oneself) is a hallmark of panic-level anxiety, where the client may feel unreal, disconnected, or as if they are outside their body, reflecting the extreme intensity of the anxiety and impaired reality perception
Correct Answer is A
Explanation
A. Schizotypal personality disorder is characterized by odd or magical thinking, unusual beliefs, and perceptual distortions. A client claiming, “I can read your minds!” demonstrates magical thinking, which is a hallmark of this disorder.
B. Paranoid personality disorder involves pervasive distrust and suspiciousness of others, but it does not typically include overt magical thinking or claims of mind-reading.
C. Avoidant personality disorder is characterized by social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation, not magical or psychotic-like beliefs.
D. Antisocial personality disorder involves disregard for the rights of others, deceit, and impulsivity, but does not include magical thinking or perceptual distortions.
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