5/17/26, 9:05 NR 547 CEA Exam – Chamber
PM
NR547 Final Exam Questions & Detailed Answers 2025–
2026 | Chamberlain University PMHNP Review | HAM-
D, PHQ-9, MDQ, MDD, Bipolar & Psych Assessment
Complete Study Guide.
What does a score of 0-7 on the Hamilton Depression Rating Scale (HAM-D)
indicate?
Normal (no depression)
What does a score of 8-16 on the Hamilton Depression Rating Scale (HAM-D)
indicate?
Mild depression
What does a score of 17-23 on the Hamilton Depression Rating Scale (HAM-D)
indicate?
Moderate depression
What does a score of 24 or higher on the Hamilton Depression Rating Scale
(HAM-D) indicate?
Severe depression
How are items on the Hamilton Depression Rating Scale (HAM-D) scored?
Each item is scored 0-2 or 0-4, depending on severity.
What type of tool is the Hamilton Depression Rating Scale (HAM-D)?
A clinician administered tool used to assess the severity of depression
symptoms.
What aspects of depression does the Hamilton Depression Rating Scale (HAM-D)
evaluate?
Psychological and physical aspects of depression.
1/
155
,5/17/26, 9:05 NR 547 CEA Exam – Chamber
PM
HAM-D 17 Components
Mood
Guilt
Feelings SI
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,5/17/26, 9:05 NR 547 CEA Exam – Chamber
PM
Insomnia
Work and Activities
Psychomotor Agitation or retardation
Anxiety (psychological and somatic
symptoms) Somatic symptoms
Hypochondriasis
Loss of weight
Insight
Limitation of HAM-D rating scale
More focused on somatic symptoms which can over estimate depression in
medically ill patients
Alternative to HAM-D Scale
Montgomery-Ashberg Depression Rating Scale (MADRS) which is better for
tracking and treatment response
Geriatric Depression Scale (GDS)
Consists of yes/no questions that assess emotional, cognitive, and behavioral
symptoms of depresion in older adults. It avoids somatic symptoms that may
overlap with medical conditions
Key Areas assessed in GDS
Mood and Enjoyment
Energy Levels
Social Withdrawal
Feelings of
Hopelessness Memory
Concerns Anxiety and
Worry Suicidal
Thoughts
Scoring GDS
1 point of each depressed response
Yes to negative statements and no to positive statements
Scoring Interpretation of GDS-30
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155
, 5/17/26, 9:05 NR 547 CEA Exam – Chamber
PM
0-30
0-9 Normal (no
depression) 10-19 Mild
Depression
20-30 Moderate to Severe Depression
Scoring Interpretation GDS-15
0-15
Shorter version
0-4: Normal (No
depression) 5-8: Mild
Depression
9-11: Moderate Depression
12-15: Severe Depression
Patient Health Questionnaire-9 (PHQ-9)
self report tool for screening, diagnosing, and monitoring depression. Based
on the DSM-5 criteria for MDD and evaluates symptom severity over the past
two weeks
Components of the PHQ-9
Nine Symptom Domains
1. Anhedonia
2. Depressed Mood
3. Sleep Problems
4. Fatigue
5. Appetite Changes
6. Low Self Worth
7. Concentration Issues
8. Psychomotor Changes
9. Suicidal Thoughts
PHQ-9 Scoring Interpretation
Each question is scored:
0=Not at all
4/
155
PM
NR547 Final Exam Questions & Detailed Answers 2025–
2026 | Chamberlain University PMHNP Review | HAM-
D, PHQ-9, MDQ, MDD, Bipolar & Psych Assessment
Complete Study Guide.
What does a score of 0-7 on the Hamilton Depression Rating Scale (HAM-D)
indicate?
Normal (no depression)
What does a score of 8-16 on the Hamilton Depression Rating Scale (HAM-D)
indicate?
Mild depression
What does a score of 17-23 on the Hamilton Depression Rating Scale (HAM-D)
indicate?
Moderate depression
What does a score of 24 or higher on the Hamilton Depression Rating Scale
(HAM-D) indicate?
Severe depression
How are items on the Hamilton Depression Rating Scale (HAM-D) scored?
Each item is scored 0-2 or 0-4, depending on severity.
What type of tool is the Hamilton Depression Rating Scale (HAM-D)?
A clinician administered tool used to assess the severity of depression
symptoms.
What aspects of depression does the Hamilton Depression Rating Scale (HAM-D)
evaluate?
Psychological and physical aspects of depression.
1/
155
,5/17/26, 9:05 NR 547 CEA Exam – Chamber
PM
HAM-D 17 Components
Mood
Guilt
Feelings SI
2/
155
,5/17/26, 9:05 NR 547 CEA Exam – Chamber
PM
Insomnia
Work and Activities
Psychomotor Agitation or retardation
Anxiety (psychological and somatic
symptoms) Somatic symptoms
Hypochondriasis
Loss of weight
Insight
Limitation of HAM-D rating scale
More focused on somatic symptoms which can over estimate depression in
medically ill patients
Alternative to HAM-D Scale
Montgomery-Ashberg Depression Rating Scale (MADRS) which is better for
tracking and treatment response
Geriatric Depression Scale (GDS)
Consists of yes/no questions that assess emotional, cognitive, and behavioral
symptoms of depresion in older adults. It avoids somatic symptoms that may
overlap with medical conditions
Key Areas assessed in GDS
Mood and Enjoyment
Energy Levels
Social Withdrawal
Feelings of
Hopelessness Memory
Concerns Anxiety and
Worry Suicidal
Thoughts
Scoring GDS
1 point of each depressed response
Yes to negative statements and no to positive statements
Scoring Interpretation of GDS-30
3/
155
, 5/17/26, 9:05 NR 547 CEA Exam – Chamber
PM
0-30
0-9 Normal (no
depression) 10-19 Mild
Depression
20-30 Moderate to Severe Depression
Scoring Interpretation GDS-15
0-15
Shorter version
0-4: Normal (No
depression) 5-8: Mild
Depression
9-11: Moderate Depression
12-15: Severe Depression
Patient Health Questionnaire-9 (PHQ-9)
self report tool for screening, diagnosing, and monitoring depression. Based
on the DSM-5 criteria for MDD and evaluates symptom severity over the past
two weeks
Components of the PHQ-9
Nine Symptom Domains
1. Anhedonia
2. Depressed Mood
3. Sleep Problems
4. Fatigue
5. Appetite Changes
6. Low Self Worth
7. Concentration Issues
8. Psychomotor Changes
9. Suicidal Thoughts
PHQ-9 Scoring Interpretation
Each question is scored:
0=Not at all
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