NR 547 Final Study Guide – PMHNP Questions & Answers 100% Correct(GRADED A+)
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Course
NR 547
Institution
NR 547
When do you consider Unipolar versus Bipolar depression - ANSWERUnipolar 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) - ANSWERScoring Ins...
NR 547 Final Study Guide – PMHNP
Questions & Answers 100%
Correct(GRADED A+)
When do you consider Unipolar versus Bipolar depression - ANSWERUnipolar 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) - ANSWERScoring 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 - ANSWERThe 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: Targeted Population - ANSWERhe 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 - ANSWERPharmacologic, 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
, Geriatric Depression Scale (GDS): Indication for Intervention - ANSWERThe 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.
scores current depression severity and to follow up treatment response.
Depression: Anxious distress Modifier - ANSWERDepression with unusual restlessness or worry
about possible events or loss of control
Depression: Mixed features - ANSWERSimultaneous depression and mania, which includes elevated
self-esteem, talking too much and increased energy
Depression: Melancholic features - ANSWERSevere depression with lack of response to something
that used to bring pleasure and associated with early morning awakening, worsened mood in the
morning, major changes in appetite, and feelings of guilt, agitation or sluggishness
Depression: Atypical features - ANSWERDepression that includes the ability to temporarily be
cheered by happy events, increased appetite, excessive need for sleep, sensitivity to rejection, and a
heavy feeling in the arms or legs
Depression: Psychotic Features - ANSWERDepression accompanied by delusions or hallucinations,
which may involve personal inadequacy or other negative themes
Depression: Catatonic Features - ANSWERDepression that includes motor activity that involves either
uncontrollable and purposeless movement or fixed and inflexible posture
Bipolar I and II disorders - ANSWERThese mood disorders include mood swings that range from highs
(mania) to lows (depression). It's sometimes difficult to distinguish between bipolar disorder and
depression.
Cyclothymic Disorder (Cyclothymia) - ANSWERInvolves highs and lows that are milder than those of
bipolar disorder.
mood disorders - ANSWERPsychological disorders characterized by emotional extremes that occur
across a spectrum from depression to mania.
Disruptive Mood Dysregulation Disorder (DMDD) - ANSWERThis mood disorder in children includes
chronic and severe irritability and anger with frequent extreme temper outbursts. This disorder
typically develops into depressive disorder or anxiety disorder during the teen years or adulthood.
Persistent Depressive Disorder (Dysthymia) - ANSWERLess severe but more chronic form of
depression. While it's usually not disabling, persistent depressive disorder can prevent you from
functioning normally in your daily routine and from living life to its fullest.
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