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 B
Explanation
Choice A reason: PTSD requires symptoms to persist for at least 1 month post-trauma. Since this event occurred only two weeks ago, a PTSD diagnosis is premature.
Choice B reason: Acute stress disorder occurs within 3 days to 4 weeks following a traumatic event and includes symptoms such as flashbacks, intrusive thoughts, anxiety, and panic. This timing and symptomatology match this patient’s presentation.
Choice C reason: Adjustment disorder involves emotional or behavioral symptoms in response to a stressor but is generally less severe and does not typically include panic attacks or flashbacks.
Choice D reason: Dissociative identity disorder is a chronic condition characterized by the presence of two or more distinct identity states and memory gaps, unrelated to a single traumatic event, making it inappropriate here.
Correct Answer is C
Explanation
Choice A reason: Hypertension is not typically associated with fungal infections or vaginal candidiasis and does not increase susceptibility to this condition.
Choice B reason: Multiple sclerosis itself is not a direct risk factor for vaginal yeast infections, although immune modulation from treatments could potentially increase risk.
Choice C reason: Diabetes mellitus is correct. Elevated blood glucose levels can promote fungal growth and increase the risk of recurrent vulvovaginal candidiasis.
Choice D reason: Chronic fatigue syndrome is not a recognized risk factor for vaginal yeast infections. While it may affect overall immunity indirectly, it does not directly predispose to this infection.
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