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Final Exam: NR547/ NR 547 (Latest 2023/ 2024) Differential Diagnosis in Psychiatric-Mental Health Across the Lifespan Practicum Exam Review| Guide with Verified Answers- ChamberlainR229,19
Final Exam: NR547/ NR 547 (Latest 2023/ 2024) Differential Diagnosis in Psychiatric-Mental Health Across the Lifespan Practicum Exam Review| Guide with Verified Answers- Chamberlain
Final Exam: NR547/ NR 547 (Latest 2023/ 2024) Differential Diagnosis in Psychiatric-Mental Health Across the Lifespan Practicum Exam Review| Guide with Verified Answers- Chamberlain
Q: Independent risk factor for dementia
Answer:
Depression therefore it is important to evaluate cognitive f...
Final Exam: NR547 / NR 547 ( Latest 2023/
2024) Differential Diagnosis in Psychiatric -
Mental Health Across the Lifespan
Practicum Exam Review| Guide with
Verified Answers - Chamberlain
Q: Independent risk factor for dementia
Answer:
Depression therefore it is important to evaluate cognitive function when depression is suspected.
Older clients may have associated memory loss, slowed processing, or impaired executive
functioning.
Q: Assessing Depression in Patients with Dementia
Answer:
Self-reporting scales, such as the GDS, may be inappropriate.
Cornell Scale for Depression in Dementia can be used to screen not diagnose.
Q: The goal of treatment for older adults experiencing depression
Answer:
Symptom remission
Q: First Choice of Treating Depression in Older Adults
Answer:
SSRI & SNRI's
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Escitalopram, citalopram, and sertraline have fewer drug -drug interactions than other
medications and are appropriate choices for initial therapy in older adults taking multiple
medications.
Q: Clinical pearls for adjusting and discontinuing pharmacotherapy for depression in older
adults
Answer:
Dose changes:
start low, go slow
4-8 weeks for symptom relief
reassess
if partial improvement, consider adding second drug
if no improvement, consider changing to a new drug class
maintain pharmacotherapy for at least 1 year after remission to prevent relapse
discontinue therapy gradually to reduce withdrawal syndrome (dizziness, anxiety, headache)
Answer:
Engagement
Social support
Exercise
Relaxation
Q: Mini -Cog Test
Answer:
Assess Dementia:
Step 1: Three Word Registration.
Step 2: Clock Drawing.
Step 3: Three Word Recall.
If abnormal, screen further w/MMSE
2 / 4
Q: Children's Depression Inventory
Answer:
can be used in both educational and clinical settings to evaluate depressive symptoms in children
and adolescents
(7-17 years old)
CDI 2 can aid in the early identification of depressive symptoms, the diagnosis of depression and
related disorders, as well as, the monitoring of treatment effectiveness
Q: Edinburgh Postnatal Depression Scale (EPDS)
Answer:
Screening test used to identify depression during pregnancy or in the postpartum period
Q: ASQ screening
Answer:
The Ask Suicide -Screening Questions (ASQ) tool is a brief validated tool for use among both
youth and adults.
Q: DSM5 -TR Diagnostic Criteria for Depression
Answer:
MDD, five or more of the symptoms below need to be present for at least 2 weeks continuously.
(5/9)
feeling low most of the day for most days
decreased interest in activities
substantial weight loss, significant change in appetite
fidgeting, random movement (i.e. pacing)
decreased energy
sense of guilt or worthlessness
lack of focus or ability to make decisions
3 / 4
repeated thoughts of death and suicide
Depressed mood and/or Loss of interest/pleasure must be present.
Q: MDD statistics
Answer:
An estimated 4 percent of the United States' adult population has experienced at least one major
depressive episode.
The condition is more prevalent in women than in men.
It is three times more likely for people between the ages of 18 -25 to experience depression as
compared to adults 60 and over.
MDD frequently occurs with other medical or psychological conditions like substance abuse,
anxiety, hypothyroidism and diabetes.
People who have experienced cancer, a heart attack, post -traumatic stress disorder or Parkinson's
Disease are likely to be diagnosed with MDD.
Q: MDD (major depressive disorder)
Answer:
5 symptoms during the same two week period that are a change from previous functioning;
depressed mood and/or loss of interest/pleasure must be present;
exclude symptoms clearly attributable to another medical condition
Q: Adjustment disorder with depressed mood
Answer:
Adjustment Disorder with Depressed Mood, also called Situational Depression, may sometimes
feel nearly as bleak as MDD, but a major difference is that it does not arise out of the blue.
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