A nurse in a mental health facility is reinforcing teaching to a newly licensed nurse about how to perform an Abnormal Involuntary Movement Scale (AIMS) test on a client. The charge nurse should identify that the AIMS test is used for which of the following conditions?

Lithium toxicity

Alcohol withdrawal

Tardive dyskinesia

Opiate withdrawal

Answer and Explanation

The Correct Answer is C

A. Lithium toxicity. The AIMS test does not assess lithium toxicity. Lithium toxicity is monitored through serum lithium levels and clinical symptoms such as tremors, nausea, confusion, and ataxia. Severe toxicity can lead to seizures, coma, and organ failure, requiring immediate intervention.
B. Alcohol withdrawal. The AIMS test does not assess alcohol withdrawal. Withdrawal symptoms include tremors, hallucinations, seizures, and autonomic instability. The Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) is commonly used to assess symptom severity and guide treatment.
C. Tardive dyskinesia. The AIMS test is used to assess tardive dyskinesia, a movement disorder caused by long-term antipsychotic use. It evaluates involuntary movements of the face, tongue, and extremities, helping clinicians monitor progression and adjust medications to minimize symptoms.
D. Opiate withdrawal. The AIMS test does not assess opiate withdrawal. Symptoms include sweating, agitation, diarrhea, and muscle aches. The Clinical Opiate Withdrawal Scale (COWS) is typically used to assess withdrawal severity and guide opioid detoxification or replacement therapy.

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Correct Answer is D

Explanation

A. Paranoid personality disorder. Paranoid personality disorder is characterized by distrust and suspicion of others without delusions or hallucinations. Individuals may misinterpret benign interactions as threatening but do not typically display magical thinking or bizarre beliefs.
B. Antisocial personality disorder. Antisocial personality disorder involves a disregard for social norms, manipulation, and lack of empathy. Individuals with this disorder do not usually exhibit delusions or claims of supernatural abilities.
C. Avoidant personality disorder. Avoidant personality disorder is marked by social inhibition, feelings of inadequacy, and hypersensitivity to criticism. These individuals avoid social situations but do not exhibit magical thinking or unusual beliefs.
D. Schizotypal personality disorder. Schizotypal personality disorder involves eccentric behavior, unusual thinking, and cognitive distortions such as magical thinking and paranoia. The belief that one can read minds is a characteristic feature of this disorder.

A. "The procedure will take about 2 hours." B. "Most people only require one treatment to eliminate their depression." C. "You may experience a mild headache following the procedure." D. "You will be asleep during the procedure."

Correct Answer is C

Explanation

A. "The procedure will take about 2 hours.": A typical transcranial magnetic stimulation (TMS) session lasts about 30 to 40 minutes. The treatment is conducted on an outpatient basis, allowing clients to resume daily activities immediately afterward.
B. "Most people only require one treatment to eliminate their depression.": TMS is typically administered in multiple sessions over several weeks. A full course usually consists of daily treatments for four to six weeks to achieve significant symptom improvement.
C. "You may experience a mild headache following the procedure.": Mild headaches and scalp discomfort are common side effects of TMS due to repeated magnetic pulses stimulating the brain. These effects are generally temporary and can be managed with over-the-counter analgesics.
D. "You will be asleep during the procedure.": TMS does not require sedation or anesthesia. Clients remain awake and alert during the procedure, as the treatment is noninvasive and does not cause significant discomfort requiring sedation.

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A nurse in a mental health facility is reinforcing teaching to a newly licensed nurse about how to perform an Abnormal Involuntary Movement Scale (AIMS) test on a client. The charge nurse should identify that the AIMS test is used for which of the following conditions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who screams, "I can read your minds!" The nurse should identify this finding as a manifestation of which of the following personality disorders?

Correct Answer is D

Explanation

A nurse is reinforcing teaching to a client who is to undergo transcranial magnetic stimulation (TMS) for depression. Which of the following information should the nurse provide?

Correct Answer is C

Explanation

A nurse on an inpatient mental health unit is assisting with the care of a client who is experiencing panic level anxiety. Which of the following findings should the nurse expect?

A nurse manager is reviewing a recent client report related to a staff nurse. Which of the following behaviors by a nurse at work might be red flags for a substance use disorder?

A nurse is caring for a client who has depression. Which of the following noninvasive treatments should the nurse recommend to the client?

A nurse is caring for a client who has a substance use disorder. Which of the following statements by the nurse is an example of patient-centered care?

A nurse is discussing the three clusters of personality disorders. Which of the following personality disorders is part of cluster C?

A nurse is caring for a client who has avoidant personality disorder. Which of the following types of therapy should the nurse anticipate for the client?

A nurse is caring for a client who has been newly diagnosed with schizophrenia. Which of the following findings is true regarding this disorder?