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NR 547 Final Study Guide – PMHNP /69 Questions And Answers (A+)
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NR 547 Final Study Guide – PMHNP /69 QuestionsAnd Answers (A+)
Quiz :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
Quiz :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
Quiz :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
Quiz :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.
Quiz :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
Quiz :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.
Quiz :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.
Quiz :The Beck Depression Inventory (BDI) - √Answer :Widely used to screen
for depression and to measure behavioral manifestations and severity of
depression.
The BDI can be used for ages 13 to 80. The inventory contains 21 self-report
items which individuals complete using multiple choice response formats.
The BDI takes approximately 10 minutes to complete. Validity and reliability of
the BDI has been tested across populations, worldwide.
Quiz :Center for Epidemiologic Studies Depression Scale (CES-D) -
√Answer :Designed for use in the general population and is now used as a
screener for depression in primary care settings.
It includes 20 self-report items, scored on a 4-point scale, which measure major
dimensions of depression experienced in the past week.
The CES-D can be used for children as young as 6 and through older adulthood.
It has been tested across gender and cultural populations and maintains
consistent validity and reliability. The scale takes about 20 minutes to
administer, including scoring.
Quiz :EQ-5D - √Answer :The EQ-5D is a standardized, non-disease specific
instrument for describing and evaluating health-related quality of life. The
instrument measures quality of life in five dimensions: mobility, self-care, usual
activities, pain/discomfort and anxiety/depression.
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