A 23-year-old female client is being evaluated for symptoms of depression. The PMHNP conducting her psychiatric evaluation will administer which of the following tools to determine the client's level of depression at baseline, during, and at the end of treatment?
Beck Depression Inventory (BDI)
Hamilton Depression Rating Scale (HAM-D)
Beck Hopelessness Scale
Patient Health Questionnaire-9 (PHQ-9)
The Correct Answer is D
Choice A reason: The Beck Depression Inventory is a self-report questionnaire that measures the severity of depressive symptoms. It is useful for initial screening and research but is less commonly used in routine clinical practice for repeated assessment during treatment monitoring due to its length and scoring requirements.
Choice B reason: The Hamilton Depression Rating Scale is clinician-administered and measures depression severity. While it is thorough and reliable, it is primarily used in research settings and psychiatric facilities rather than in routine clinical follow-up due to its complexity.
Choice C reason: The Beck Hopelessness Scale specifically measures pessimism and hopelessness rather than general depressive symptom severity. It is not suitable as a standalone tool for tracking overall depression treatment progress.
Choice D reason: The Patient Health Questionnaire-9 is a brief, validated, self-administered tool used to assess depressive symptom severity over time. It is ideal for baseline assessment, monitoring response to treatment, and measuring outcomes at treatment completion, making it the most practical and widely used tool in clinical practice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Standards of practice are generally uniform within a professional organization and are not primarily state-dependent; they reflect expectations for quality of care.
Choice B reason: Standards of practice are authoritative guidelines that define the expected quality and type of care that professionals should provide, ensuring safe and competent practice.
Choice C reason: Scope of practice defines what actions a clinician is legally authorized to perform, not the standard of quality of care.
Choice D reason: While scope of practice informs permissible actions, it does not serve as a benchmark for judging the quality or nature of care provided.
Correct Answer is C
Explanation
Choice A reason: Temporary tic disorder typically resolves within a few weeks or months; this child has had symptoms for six months, which is beyond the typical duration for transient tics.
Choice B reason: Tourette's disorder requires both multiple motor tics and at least one vocal tic for more than one year. The patient’s history suggests only vocal tics with some motor tics, not meeting full criteria.
Choice C reason: Persistent (chronic) vocal tic disorder is characterized by vocal tics present for more than one year without multiple motor tics, consistent with this child’s presentation.
Choice D reason: Provisional tic disorder lasts less than one year, which does not match the six-month history in the context of ongoing symptoms that may persist longer.
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