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: Emphasis on integrated healthcare services generally facilitates growth by promoting teamwork and expanding the role of NPs.
Choice B reason: Legal and regulatory restrictions requiring supervision or collaboration with physicians limit the autonomy of nurse practitioners and constrain the expansion of their independent practice.
Choice C reason: Acceptance of the advanced practice nursing role encourages growth and is not a limiting factor.
Choice D reason: Consumer demand for services supports growth by increasing the need for NPs rather than constraining it.
Correct Answer is B
Explanation
Choice A reason: Attention deficit hyperactivity disorder (ADHD) is characterized by persistent patterns of inattention, hyperactivity, and impulsivity that are present across multiple settings and have existed since childhood. This patient’s symptoms are acute and situational, triggered by a recent stressor (grandfather’s illness), which makes ADHD less likely as the primary diagnosis.
Choice B reason: Adjustment disorder with mixed anxiety and mood is a stress-response syndrome that arises within three months of an identifiable stressor. The patient’s concentration problems, sadness, decreased energy, restlessness, and sleep difficulties are all temporally linked to the stressor of caring for a sick grandparent. This diagnosis fits the acute onset of emotional and behavioral changes in response to a significant life event.
Choice C reason: Separation anxiety disorder involves excessive fear or anxiety concerning separation from attachment figures. While the patient has concern for his grandfather, his anxiety is not rooted in separation from a primary attachment figure but rather in worry about the grandfather’s illness and responsibilities at home.
Choice D reason: Generalized anxiety disorder is characterized by excessive, uncontrollable worry about multiple areas of life for at least six months. The patient’s anxiety is specific to a recent stressor rather than pervasive across multiple domains, making GAD less likely.
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