A 47-year-old woman presents to the PMHNP with a chief complaint of anxiety. She is the primary caretaker for her 79-year-old mother, who has Alzheimer's disease. Which of the following tools will the nurse practitioner use to assess the client's level of anxiety?
Beck Anxiety Inventory
Hospital Anxiety and Depression Scale-Anxiety (HADS-A)
State-Trait Anxiety Inventory (STAI)
Hamilton Anxiety Rating Scale
The Correct Answer is D
Choice A reason: The Beck Anxiety Inventory is a self-report measure mainly used for screening anxiety in the general population, not specifically in clinical assessment settings requiring clinician-administered evaluation.
Choice B reason: The HADS-A is used for screening anxiety and depression in medically ill patients but does not provide detailed gradation of anxiety severity.
Choice C reason: The State-Trait Anxiety Inventory measures both temporary state anxiety and chronic trait anxiety but is primarily used for research and not preferred for clinical diagnostic assessment.
Choice D reason: The Hamilton Anxiety Rating Scale is the most widely used clinician-rated tool to assess the severity of anxiety symptoms in psychiatric settings. It evaluates both somatic and psychological symptoms of anxiety, allowing for accurate assessment of symptom intensity and treatment response in clinical practice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Providing even limited information would breach confidentiality and could undermine trust between the patient and the PMHNP.
Choice B reason: This is the correct answer. At age 18, the patient is legally an adult and entitled to privacy regarding her medical treatment. The PMHNP must obtain her consent before sharing any information with her father, regardless of living arrangements or insurance coverage.
Choice C reason: Answering all questions violates HIPAA regulations and patient confidentiality laws, even though she is covered under the father’s insurance.
Choice D reason: Suggesting an appointment does not address the core confidentiality issue; the PMHNP must still refrain from sharing information without consent.
Correct Answer is C
Explanation
Choice A reason: The OCI is a self-report questionnaire and useful for screening, but it is not considered the gold standard for severity assessment.
Choice B reason: The FOCI is a brief assessment tool, helpful in research or clinical settings, but lacks the comprehensive evaluation of Y-BOCS.
Choice C reason: The Yale-Brown Obsessive Compulsive Scale (Y-BOCS) is the gold standard clinician-administered measure for assessing OCD symptom severity and monitoring treatment response.
Choice D reason: The NIMH Global OCD scale is less commonly used and lacks the specificity and validation of Y-BOCS for clinical severity assessment.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
