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 B
Explanation
Choice A reason: Belladonna is considered psychoactive due to its anticholinergic properties. It can cause hallucinations, confusion, and delirium, especially in high doses. It affects the central nervous system and is not classified as nonpsychoactive.
Choice B reason: Black cohosh is primarily used for menopausal symptoms and hormonal regulation. It does not exert direct effects on the central nervous system and is not associated with mood or cognitive alterations, making it nonpsychoactive.
Choice C reason: Ginseng has stimulant-like effects and can influence mood, energy levels, and cognitive function. It interacts with neurotransmitter systems and is considered psychoactive.
Choice D reason: Melatonin is a hormone that regulates sleep-wake cycles. Although it is naturally occurring, its supplementation affects circadian rhythms and has sedative properties, classifying it as psychoactive.
Correct Answer is A
Explanation
Choice A reason: Trauma-informed care emphasizes recognizing the widespread impact of trauma and integrating this understanding into all aspects of care. Clinicians are trained to identify signs of trauma and avoid practices that may retraumatize clients. This approach fosters safety, trust, and empowerment.
Choice B reason: While trauma can influence mental health, delaying diagnosis until trauma is ruled out is not a standard practice. Trauma-informed care encourages comprehensive assessment but does not prohibit diagnosis.
Choice C reason: Although ACE scores are valuable tools, assessing trauma at every visit is not a universal requirement. Trauma-informed care is more about creating a safe environment and being responsive to trauma history when relevant.
Choice D reason: Assuming everyone has experienced trauma may lead to overgeneralization and bias. Trauma-informed care promotes sensitivity and awareness, not assumptions. It focuses on individualized care and avoids pathologizing clients based on presumed trauma.
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