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NR 547 Final Study Guide - PMHNP Questions And Correct Answers
Question 1: When do you consider Unipolar versus
Bipolar depression
CORRECT 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
Question 2: Geriatric Depression Scale (GDS)
CORRECT ANSWER: Scoring Instructions. Score 1
point for each bolded answer. A score of 5 or more suggests depression.
Question 3: Geriatric Depression Scale
CORRECT 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
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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
Question 4: Geriatric Depression Scale: Targeted Population
CORRECT ANSWER: The 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.
Question 5: Geriatric Depression Scale (GDS): Score
CORRECT ANSWER: 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; 5-8 indicate mild depression;
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9-11 indicate moderate depression; 12-15 indicate severe depression.
Question 6: Geriatric Depression Scale (GDS): Indication for Intervention
CORRECT 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.
Question 7: Patient Health Questionnaire [PHQ-9]
CORRECT 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.
Question 8: The Beck Depression Inventory (BDI)
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CORRECT 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.
Question 9: Center for Epidemiologic Studies Depression
Scale (CES-D)
CORRECT 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