A 24-year-old man presents to the PMHNP with complaints of worsening mental health symptoms after an extended period of isolation during COVID-19 quarantine. He now reports inability to go grocery shopping, use public transportation, or leave home on most days, due to fear of being unable to obtain help if he experiences an "anxiety attack." Which of the following most accurately describes his condition?
Social anxiety disorder
Generalized anxiety disorder
Agoraphobia
Panic disorder
The Correct Answer is C
Choice A reason: Social anxiety disorder primarily involves fear of social situations in which one might be judged, rather than fear of being unable to obtain help in public settings.
Choice B reason: Generalized anxiety disorder is characterized by excessive worry about various life events, not situational avoidance due to fear of panic or being trapped.
Choice C reason: Agoraphobia involves fear and avoidance of situations where escape might be difficult or help unavailable in the event of panic-like symptoms. The patient’s avoidance of public spaces aligns directly with this disorder.
Choice D reason: Panic disorder involves recurrent panic attacks, which may occur without situational triggers. While panic is relevant, the defining feature here is avoidance behavior consistent with agoraphobia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: This question assesses for sleep disorders or narcolepsy, not trauma history.
Choice B reason: This question evaluates dissociation or depersonalization, which may occur secondary to trauma but is not a direct trauma screening question.
Choice C reason: Asking about the worst event in a person’s life directly elicits a trauma history and can uncover exposure to physical, emotional, or sexual abuse, accidents, or other life-threatening experiences. This question is essential for identifying PTSD risk.
Choice D reason: This question screens for phobias or situational anxiety rather than traumatic experiences.
Correct Answer is C
Explanation
Choice A reason: Minimal hoarding is indicated by very low scores on the Hoarding Rating Scale, typically below 10, reflecting minor or no significant hoarding behaviors.
Choice B reason: Moderate hoarding usually reflects scores slightly above minimal levels, indicating some functional impairment but not meeting criteria for clinical diagnosis.
Choice C reason: A score of 15 indicates probable hoarding, suggesting clinically significant behaviors that may interfere with daily functioning and warrant further assessment.
Choice D reason: Severe hoarding reflects higher scores, typically above 20, associated with significant impairment and safety concerns, which is not the case here.
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