A 58-year-old woman is brought to the PMHNP at the insistence of her adult daughter, who believes her mother has a hoarding problem. The client is adamant she does not have a problem with hoarding. Of the following assessment tools, which one will the PMHNP choose?
Activities of Daily Living in Hoarding (ADL-H)
Home Environment Index (HEI)
Clutter Image Rating (CIR)
Hoarding Rating Scale
The Correct Answer is D
Choice A reason: ADL-H evaluates functional impairment related to general daily activities but is not specific for hoarding severity or insight.
Choice B reason: HEI provides information on the home environment but is not designed to quantify the severity of hoarding or symptoms.
Choice C reason: CIR uses visual images to estimate clutter severity but does not capture behavioral or cognitive aspects of hoarding disorder.
Choice D reason: The Hoarding Rating Scale is a validated, standardized tool that assesses the severity, functional impact, and insight of hoarding behavior, making it the most appropriate choice for evaluating suspected hoarding disorder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Generalized anxiety disorder involves persistent and excessive worry about a variety of everyday issues rather than specific social situations. This patient’s anxiety is context-specific (social interactions), which does not meet the criteria for generalized anxiety disorder.
Choice B reason: Agoraphobia involves fear or avoidance of places or situations where escape might be difficult, often involving crowds or public spaces. Her avoidance is social in nature, not related to leaving home or public spaces, so this diagnosis does not fit.
Choice C reason: This is the correct answer. Social anxiety disorder (social phobia) is characterized by intense fear or anxiety in social situations due to potential scrutiny or embarrassment. The patient’s avoidance of social events, fear of saying or doing something embarrassing, and relief when she attends indicate classic features of social anxiety disorder.
Choice D reason: Panic disorder is defined by recurrent unexpected panic attacks and persistent concern about having additional attacks. The patient does not report sudden, recurrent panic episodes but rather anticipatory anxiety about social evaluation, making panic disorder an inappropriate diagnosis.
Correct Answer is C
Explanation
Choice A reason: ECG changes are commonly seen in patients with anorexia nervosa due to malnutrition and electrolyte imbalances, so "no significant changes" is incorrect.
Choice B reason: Ventricular tachycardia is a life-threatening arrhythmia usually secondary to severe electrolyte disturbances, not a typical finding in early anorexia nervosa.
Choice C reason: This is correct. Sinus bradycardia is a common cardiac manifestation in anorexia nervosa, reflecting physiologic adaptation to malnutrition, reduced metabolic demands, and increased vagal tone. It is a supportive finding for the diagnosis.
Choice D reason: Torsades de pointes is associated with prolonged QT intervals and severe hypokalemia or other electrolyte disturbances. While it may occur in extreme cases, it is not a typical finding in initial anorexia nervosa evaluation.
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.
