The mother of a 7-year-old boy presents to the PMHNP for a psychiatric evaluation. She reports that her son exhibits “inattention, aggression, and is getting in trouble at school.” Which of the following parent report tools will help the PMHNP assess for attention deficit-hyperactivity disorder (ADHD), oppositional defiant disorder (ODD), and conduct disorder?
Children’s Behavior Checklist
Child Behavior Rating Scale
Conners-Wells’ Adolescent Self-Report Scale for Teenagers
Conners 3-Parent Assessment Report
The Correct Answer is D
Choice A reason: The Children’s Behavior Checklist (CBCL) assesses a broad range of emotional and behavioral problems but is less specific for diagnosing ADHD, ODD, or conduct disorder.
Choice B reason: The Child Behavior Rating Scale primarily evaluates classroom behaviors and may not capture home behaviors or provide diagnostic clarity across multiple disorders.
Choice C reason: The Conners-Wells’ Adolescent Self-Report Scale is designed for adolescents and relies on self-report, making it less appropriate for a 7-year-old child.
Choice D reason: This is correct. The Conners 3-Parent Assessment Report is a validated parent-report tool designed to evaluate ADHD, ODD, and conduct disorder in children and is appropriate for use in a 7-year-old.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: This response is overly simplistic and uses the word "cheating," which may sound accusatory and does not accurately explain the clinical rationale. The ADOS aims to assess a child's independent social, communicative, and behavioral functioning, not to catch parents assisting. Using such terminology may increase parental anxiety and reduce cooperation.
Choice B reason: This is the correct response because it clearly explains that the assessment's purpose is to observe the child’s behavior without parental influence. Parental presence can inadvertently alter a child's responses or behavior, potentially masking deficits in social communication or repetitive behaviors that are critical for the diagnosis of autism spectrum disorder. The phrasing reassures parents while providing a clear professional rationale.
Choice C reason: While the test may indeed be challenging, emphasizing the child’s potential inability to complete tasks is not the appropriate rationale for asking parents to leave. This approach may unnecessarily alarm parents and distract from the primary reason for their absence, which is to ensure accurate and unbiased assessment of the child.
Choice D reason: This answer incorrectly assumes that children’s distress is solely due to parental presence. While some children may behave differently with parents around, the main rationale for asking parents to leave is to obtain an independent assessment of the child's skills and behaviors, not simply to prevent emotional upset.
Correct Answer is C
Explanation
Choice A reason: Mild intellectual disability typically involves delays in academic skills and some dependence on adults but allows for relatively independent functioning in daily life. This patient’s significant impairments in self-care and social skills exceed mild severity.
Choice B reason: Moderate intellectual disability usually involves noticeable delays in academic and social skills with some assistance required for self-care. The extent of this patient’s dependency on others and lack of friendships exceeds moderate severity.
Choice C reason: This is correct. Severe intellectual disability is characterized by marked impairments in intellectual functioning and adaptive behavior, requiring extensive support for daily living, including basic self-care, and often involves very limited social interactions. The patient’s profile fits these criteria.
Choice D reason: Although an IQ score is informative, severity ratings also consider adaptive functioning. The detailed description of the patient’s social and self-care deficits allows determination of severity without a formal IQ score.
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