Which assessment tool is used to monitor clients for Tardive Dyskinesia?
AIMS Scale
Hamilton Scale
Braden Scale
Morse Scale
The Correct Answer is A
Choice A rationale: The AIMS Scale refers to the Abnormal Involuntary Movement Scale and is used in the assessment of patients for the presence of involuntary movements across body regions. The score ranges from zero which denotes the absence of dyskinesia and four which stands for severe, maximal amplitude and persistence of the abnormal movements during the examination period. It is also used to monitor clients with tardive dyskinesia.
Choice B rationale: the Hamilton scale is a multiple-item questionnaire used in the assessment of clients for depression and provides a guide for patient recovery evaluation.
Choice C rationale: the Braden Scale is used in the assessment of clients for the risk of pressure ulcers.
Choice D rationale: the Morse Scale is a Fall Risk Assessment tool used in assessing the probability of a client sustaining a fall.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale: this is incorrect since it implies that the needs of the staff member are to be given the primary focus rather than the client’s needs.
Choice B rationale: this is inaccurate since it suggests that the staff member is evaluating or criticizing the client's attitude. This can make the client become defensive and resistant during their management process.
Choice C rationale: the client is the primary focus in a therapeutic relationship hence in therapeutic communication, the staff member should be empathetic and non-judgmental to the client. They should build a rapport with the client by exercising effective communication skills such as using open-ended questions, active listening, and providing feedback to facilitate the client's expression of feelings and needs.
Choice D rationale: this statement is incorrect as it suggests that the staff member is trying to foster a personal and casual relationship with the client which can compromise their professional role in patient management.
Correct Answer is B
Explanation
Choice A rationale: the nurse is not the primary focus of a therapeutic relationship and does not focus on their personal or professional needs. However, they should always maintain appropriate boundaries and avoid becoming too emotionally involved or attached to the client.
Choice B rationale: the client is the primary focus of a therapeutic relationship hence the care provided should meet the client’s needs, well-being, and expectations.
Choice C rationale: a therapeutic relationship is not focused on establishing a friendship but on developing a working alliance between the nurse and the client.
Choice D rationale: The plan of care is an important tool for guiding the therapeutic relationship, but it is not the focus of the relationship.
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