Ati Nur 114 Mental Health Proctored Exam
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?
Explanation & Rationale
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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