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 A
Explanation
Choice A reason: This is the correct answer. A score of 10 falls within the mild symptom range on the Yale-Brown Obsessive Compulsive Scale (0–7: subclinical, 8–15: mild, 16–23: moderate, 24–31: severe). It indicates that while the patient experiences obsessions and compulsions, they cause only mild interference in daily functioning.
Choice B reason: Moderate symptoms correspond to scores between 16 and 23. The patient’s score of 10 is below this threshold, so moderate symptoms are not indicated.
Choice C reason: Moderate to severe symptoms reflect scores generally from 24 to 31, which is much higher than this patient’s score.
Choice D reason: Severe symptoms are indicated by scores above 31, reflecting extreme impairment. A score of 10 does not meet these criteria.
Correct Answer is A
Explanation
Choice A reason: This question specifically targets somatic concerns, which relate to preoccupation with physical health and bodily sensations. Patients with somatic symptom disorders or health anxiety often over-focus on perceived physical problems and frequently seek reassurance about their health. Asking if someone worries about their physical health more than others directly evaluates this symptom domain.
Choice B reason: This question assesses intrusive thoughts, images, or urges, which are hallmark features of obsessive-compulsive disorder, not somatic concerns. It evaluates cognitive phenomena rather than bodily preoccupation.
Choice C reason: This question evaluates situational anxiety, such as that seen in phobias or social anxiety disorder, not somatic symptom preoccupation. It focuses on emotional responses to specific triggers rather than physical symptoms.
Choice D reason: This question assesses symptoms of narcolepsy or excessive daytime sleepiness, which are neurological/sleep-related rather than somatic concerns linked to anxiety or health preoccupation.
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