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PMHNP SCALES SOLVED 100% CORRECT
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PMHNP SCALES SOLVED 100% CORRECT
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PMHNP SCALES SOLVED 100% CORRECTAIMS - ANS-abnormal involuntary movement scale; 12 item tool used to monitor signs
of tardive dyskinesia
For 8yo and up
Rating 0-4, >2 to diagnose TD and reduce dose
ASRS-1 - ANS-Adult ADHD Self-Report Scale, 16 and older
Two-part Screening
Part A: 6 questions, 4 symptoms suggest ADHD
Part B: 12 questions to clarify and quantify
AUDIT - ANS-unit guide on top for self administering
0-7 low risk, 8-15 increased risk, 16-19 higher risk, >20 possible dependency
AUDIT-C - ANS-Shorter version of AUDIT for acute and critical care units
max score 12, for ages 13 & up
>3 +for females, >4+for males, >8 hazardous drinking
BAI(Beck) - ANS-Beck Anxiety Inventory, >17years
0-7 minimal, 8-15 mild, 16-25 moderate, 26-63 severe
BARS - ANS-Barns Akathisia Rating Scale; assess objective and subjective symptoms
of akathisia with antipsychotics or SSRI's. Ages 8yo and older.
2=mild, 3=moderate, 4=marked, 5=severe
BDI(Beck) - ANS-Beck Depression Inventory: Ages >13
<10 normal
>31 severe
BPRS - ANS-Ages >18
assess psychosis
not diagnostic or specific
CAGE-AID - ANS-Adults and adolescents screening
C= cut down, A=annoy, G=guilt, E=eye opener
"yes" to one = possible SUD
"AID"= altered to include drugs
CCSD - ANS-Cornell Score for Depression in Dementia
12 probable, >18 definite
CIWA-Ar - ANS-Clinical Institute Withdrawal Assessment of Alcohol Scale
<10 does not warrant intervention / PRN<8
>15 Scheduled and PRN
>35 ICU and q1hour assessments x 8 hours, possible benzodiazepines drip
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