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NR 547 Final Study Guide – PMHNP with Complete Solutions

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NR 547 Final Study Guide – PMHNP with Complete SolutionsNR 547 Final Study Guide – PMHNP with Complete SolutionsNR 547 Final Study Guide – PMHNP with Complete SolutionsNR 547 Final Study Guide – PMHNP with Complete Solutions When do you consider Unipolar versus Bipolar depression - ANSWER-...

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  • October 11, 2024
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NR 547 Final Study Guide –

PMHNP with Complete Solutions


When do you consider Unipolar versus Bipolar depression - ANSWER-Unipolar

major depression (major depressive disorder) is characterized by a history of

one or more major depressive episodes (table 3) and no history of mania

(table 1) or hypomania




Geriatric Depression Scale (GDS) - ANSWER-Scoring Instructions. Score 1

point for each bolded answer. A score of 5 or more suggests depression.




Self-reporting tool that may be used to diagnose and treat depression




Geriatric Depression Scale - ANSWER-The Geriatric Depression Scale (GDS) is

a self-report measure of depression in older adults. Users respond in a

"Yes/No" format. The GDS was originally developed as a 30-item instrument.

Since this version proved both time-consuming and difficult for some

patients to complete, a 15-item version was developed. The shortened form

(GDS-S) is comprised of 15 items chosen from the Geriatric Depression

,Scale-Long Form (GDS-L). These 15 items were chosen because of their high

correlation with depressive symptoms in previous validation studies




Geriatric Depression Scale (GDS): Indication for Intervention - ANSWER-The

presence of depression warrants prompt intervention and treatment. The

GDS may be used to monitor depression over time in all clinical settings.




Any positive score above 5 on the GDS Short Form should prompt an in-

depth psychological assessment and evaluation for suicidality.




Patient Health Questionnaire [PHQ-9] - ANSWER-A brief 9-item self-report

questionnaire used as a screening tool to assess severity of depression;

widely used by health care providers, in validity is well established,

particularly for identifying severe depression.




Geriatric Depression Scale: Targeted Population - ANSWER-he GDS may be

used with healthy, medically ill and mild to moderately cognitively impaired

older adults. It has been extensively used in community, acute care, and

long-term care settings.

, Geriatric Depression Scale (GDS): Score - ANSWER-Pharmacologic,

psychotherapeutic, or combination treatment indicated of the 15 items, 10

indicated the presence of depression when answered positively, while the

rest (question numbers 1, 5, 7, 11, 13) indicated depression when answered

negatively.




Scores of 0-4 are considered normal, depending on age, education, and

complaints; (No Treatment)




5-8 indicate mild depression; (Pharmacologic or psychotherapeutic treatment

may be indicated

Base treatment on duration of symptoms and functional impairment




9-11 indicate moderate depression; (Pharmacologic, psychotherapeutic, or

combination treatment indicated)




12-15 indicate severe depression.(Pharmacologic, psychotherapeutic, or

combination treatment indicated

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