RN CARE HOPE MENTAL HEALTH HESI
RN CARE HOPE MENTAL HEALTH HESI ( 49 Questions)
When assessing a client who takes psychotropic medications, the nurse notes that the client has uncontrollable hand movements and is excessively protruding the tongue. Which assessment in the client’s record should the nurse review?
The healthcare provider's history and physical may provide information about the client's overall health but may not specifically address the observed symptoms.
Recent urine drug testing (UDT) results may reveal drug use but may not be directly related to the observed involuntary movements.
The baseline nursing admission assessment may provide general information but may not specifically address medication side effects.
The Abnormal Involuntary Movement Scale (AIMS) is specifically designed to assess and document involuntary movements associated with psychotropic medications, making it the most relevant assessment tool in this situation.
A. The healthcare provider's history and physical may provide information about the client's overall health but may not specifically address the observed symptoms.
B. Recent urine drug testing (UDT) results may reveal drug use but may not be directly related to the observed involuntary movements.
C. The baseline nursing admission assessment may provide general information but may not specifically address medication side effects.
D. The Abnormal Involuntary Movement Scale (AIMS) is specifically designed to assess and document involuntary movements associated with psychotropic medications, making it the most relevant assessment tool in this situation.