ANCC PMHNP screening tools(ANCC PMHNP Addendum to 2nd Ed) questions with complete solutions

AIMS correct answer: Abnormal Involuntary Movement Scale for 8 and older 12 item tool to assess symptoms of tardive dyskinesia for patients taking antipsychotics Rating 0-4, 2 to diagnose TD and reduce dose BARS correct answer: Barnes Akathisia Rating Scale for 8 and older 4 item tool to assess objective and subjective symptoms of akathisia with antipsychotics and/or SSRIs CRS-R correct answer: Connors Rating Scales - Revised for 3-17 ADHD Parent (80 items) and Teacher Scales (59 items) Low T-score of 61= mildly atypical; 70 = markedly atypical Subscales for Oppositional Behaviors, Cognitive Problems, Hyperactivity, ADHD Index, Anxious-Shy, Perfectionism, Social Problems, DSM-IV Subscales and Connors' Global Index Vanderbilt ADHD Parent and Teacher correct answer: 55 parent, 43 teacher items for 6-12 Initial assessment rates symptoms and impairment in academic and behavioral performance ASRS-1 correct answer: Adult ADHD Self-Report Scale, 16 and older Two-part Screening Part A: 6 questions, 4 symptoms suggest ADHD Part B: 12 questions to clarify and quantify AUDIT-C correct answer: Alcohol Use Disorders Identification Test - Consumption, 13 Documents use and frequency in prior year 0-4, F 3 = positive, M 4 = positive, 8 = hazardous drinking CAGE-AID correct answer: IDs problem drinking or druging, 13 and older (C=cut down, A=annoy, G=guilty, E=Eye-opener, AID=altered to include drugs CRAFFT correct answer: 6-item screen for alcohol or drugs in adolescents, 14-18 (C=car, R=relax, A=alone, F=forget, F= family or friends, T= trouble) BAI correct answer: Beck Anxiety Inventory, 17 and older Assesses 21 symptoms of anxiety, 0-36 scores HAM-A correct answer: Hamilton Anxiety Scale, most commonly used 14 domains, 14=mild, 18-24= moderate, 25-30=severe LSAS-CA correct answer: Liebowitz Social Anxiety Scale-Child/Adolescent Version, 7 and older 24 items, social and performance 55-65=moderate social phobia, 65-80=ma