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    Mental Health Kentucky University Proctored Exam 1

    The PMHNP is evaluating a 67-year-old client who recently started the medication risperidone (Risperdal). As part of the evaluation, she asks the patient to open her mouth and then stick her tongue out. What assessment is the PMHNP conducting?

    Explanation & Rationale

    Choice A reason: SLUMS (Saint Louis University Mental Status Exam) assesses cognitive function and dementia, not movement disorders. Choice B reason: CAGE is a screening tool for alcohol use disorders and does not involve physical examination. Choice C reason: AIMS (Abnormal Involuntary Movement Scale) is used to detect tardive dyskinesia and other extrapyramidal symptoms in patients taking antipsychotics. Tongue protrusion is part of the motor assessment. Choice D reason: COWS (Clinical Opiate Withdrawal Scale) evaluates opioid withdrawal symptoms and does not include movement assessments related to antipsychotic use.

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