The PMHNP is conducting an Abnormal Involuntary Movement Scale (AIMS) test on her 67-year-old client, who was recently initiated on ziprasidone (Geodon). What does the AIMS test assess?
Parkinson's disease
Huntington's disease
Chorea
Tardive dyskinesia
The Correct Answer is D
Choice A reason: Parkinson’s disease is a neurodegenerative disorder characterized by tremors, rigidity, and bradykinesia. While it involves abnormal movements, the AIMS test is not designed to assess Parkinsonian symptoms specifically.
Choice B reason: Huntington’s disease is a genetic disorder that causes progressive motor dysfunction, cognitive decline, and psychiatric symptoms. Although it includes involuntary movements, the AIMS test is not used for its diagnosis or monitoring.
Choice C reason: Chorea refers to rapid, involuntary movements often seen in Huntington’s disease and other conditions. While chorea may be observed during an AIMS test, the scale is not designed to diagnose chorea itself.
Choice D reason: Tardive dyskinesia is a late-onset movement disorder caused by long-term use of antipsychotic medications, including ziprasidone. The AIMS test is specifically designed to detect and monitor symptoms of tardive dyskinesia, such as facial grimacing, tongue movements, and limb jerking.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Bupropion is a norepinephrine-dopamine reuptake inhibitor and does not significantly increase serotonin levels. While it can cause seizures in overdose, it is not typically associated with serotonin syndrome.
Choice B reason: Phenelzine is a monoamine oxidase inhibitor (MAOI) that prevents the breakdown of serotonin. When combined with venlafaxine, a serotonin-norepinephrine reuptake inhibitor (SNRI), it can lead to dangerously elevated serotonin levels and trigger serotonin syndrome. The symptoms described—tachycardia, diaphoresis, and myoclonic jerks—are classic signs.
Choice C reason: Lorazepam is a benzodiazepine and acts on GABA receptors. It does not affect serotonin levels and is not implicated in serotonin syndrome.
Choice D reason: Hydroxyzine is an antihistamine with anxiolytic properties. It does not influence serotonin metabolism and is not associated with serotonin syndrome.
Correct Answer is D
Explanation
Choice A reason: While the son exhibits problematic behavior, family systems theory emphasizes that symptoms in one member often reflect dysfunction in the entire system. Focusing solely on him overlooks systemic dynamics.
Choice B reason: The daughter also displays concerning behavior, but isolating her as the identified patient ignores the broader family context.
Choice C reason: Labeling both children as identified patients is closer to systemic thinking but still implies that the problem lies only with them, rather than with the family unit.
Choice D reason: Family systems theory posits that the identified patient is the person whose symptoms reflect the dysfunction of the entire family system. In this case, both children’s behaviors suggest systemic issues, making the whole family the identified patient.
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