A 29-year-old man presents to the PMHNP with a chief complaint of "anxiety related to chronic disorganization." He reports that ever since he was a child, he has had issues with disorganization, inattentiveness, forgetfulness, lack of attention to details. He says these symptoms cause him great anxiety. He says his teachers wanted him to be evaluated for attention deficit-hyperactivity disorder as a child, but his parents refused because he did not have behavioral problems. Which of the following is the most appropriate assessment tool for this client?
Patient Health Questionnaire 9 (PHQ-9)
State-Trait Anxiety Inventory
Adult ADHD Self-Report Scale Symptom Checklist
Yale Brown Obsessive Compulsive Scale
The Correct Answer is C
Choice A reason: The PHQ-9 is a screening tool for depression. It assesses mood, anhedonia, sleep, appetite, and suicidal ideation but does not evaluate symptoms of inattention or disorganization.
Choice B reason: The State-Trait Anxiety Inventory measures anxiety levels but does not assess attentional deficits or executive functioning. It would not help differentiate ADHD from anxiety.
Choice C reason: The Adult ADHD Self-Report Scale (ASRS) Symptom Checklist is specifically designed to assess symptoms of adult ADHD, including inattention, disorganization, forgetfulness, and impulsivity. It is the most appropriate tool for evaluating the client’s lifelong symptoms.
Choice D reason: The Yale Brown Obsessive Compulsive Scale is used to assess the severity of obsessive-compulsive symptoms. It does not evaluate attentional or executive functioning deficits.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: The forming phase is the initial stage of group development where members are polite, cautious, and focused on orientation. Communication is limited and guarded.
Choice B reason: The storming phase involves conflict and competition as members assert their opinions and challenge group norms. Communication may be intense but not yet open or spontaneous.
Choice C reason: The norming phase is marked by increased cohesion and collaboration. Communication improves, but spontaneity and openness are still developing.
Choice D reason: The performing phase is the most advanced stage of group development. Members communicate openly and spontaneously, trust is established, and the group functions effectively toward shared goals.
Correct Answer is C
Explanation
Choice A reason: Structural family therapy focuses on reorganizing family systems and boundaries to reduce dysfunction. While it may lead to growth, its primary goal is symptom reduction through structural change in family dynamics.
Choice B reason: Strategic therapy is problem-focused and directive, aiming to resolve specific issues through planned interventions. It emphasizes symptom relief and behavioral change rather than holistic personal growth.
Choice C reason: Experiential therapy emphasizes emotional expression, authenticity, and personal growth. It seeks to enhance self-awareness, creativity, and emotional depth, making overall growth its central goal. This approach values the therapeutic experience itself as a transformative process.
Choice D reason: Solution-focused therapy is brief and goal-oriented, emphasizing solutions rather than problems. It targets symptom relief and functional improvement, often bypassing deeper emotional exploration or long-term personal development.
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