A PMHNP would like to monitor a client's progress in anxiety symptom reduction over time using a clinician-administered anxiety rating scale. Which of the following is the most commonly used clinician-administered anxiety rating scale?
Beck Anxiety Inventory
GAD-7 Scale
Hamilton Anxiety Scale
Liebowitz Social Anxiety Scale
The Correct Answer is C
Choice A reason: The Beck Anxiety Inventory is self-reported, not clinician-administered.
Choice B reason: The GAD-7 is also a self-report tool, commonly used in primary care, but not clinician-administered.
Choice C reason: This is correct. The Hamilton Anxiety Scale (HAM-A) is the most widely used clinician-administered scale for assessing severity of anxiety symptoms and monitoring treatment response over time.
Choice D reason: The Liebowitz Social Anxiety Scale assesses social anxiety specifically and can be clinician-administered, but it is not the most general scale for overall anxiety severity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Atrial fibrillation typically presents with a rapid and irregular heartbeat. A pulse rate of 157 beats per minute is tachycardic and may indicate AF, especially in the context of palpitations, dyspnea, and syncope.
Choice B reason: Low blood pressure may be associated with multiple cardiac conditions but is not specific for AF.
Choice C reason: Bradycardia is generally not associated with typical atrial fibrillation unless there is a conduction defect or medication effect.
Choice D reason: Elevated blood pressure alone is not diagnostic of atrial fibrillation. It may be a chronic condition or a comorbidity.
Correct Answer is B
Explanation
Choice A reason: This question is aimed at detecting delusions or ideas of reference, which are associated with psychotic disorders rather than obsessive-compulsive disorder. It is not intended to assess obsessions or compulsions.
Choice B reason: This question directly targets the hallmark features of obsessive-compulsive disorder, namely recurrent, intrusive, and unwanted thoughts (obsessions) or urges, which may lead to repetitive behaviors (compulsions). Asking about unwanted images, thoughts, or urges is the most appropriate way to elicit information on obsessions and compulsions.
Choice C reason: This question assesses specific phobias or situational anxiety, as it focuses on anxiety triggered by particular objects, places, or social contexts. It does not capture the intrusive, repetitive thoughts characteristic of obsessions.
Choice D reason: This question evaluates health anxiety or hypochondriasis. While these conditions involve worry, they are not related to the intrusive thoughts and compulsive behaviors seen in obsessive-compulsive disorder.
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.
