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NR 547 DIFFERENTIAL DIAGNOSIS IN PSYCHIATRIC- MENTAL HEALTH ACROSS THE LIFESPAN PRACTICUM FINAL EXAM

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NR 547 DIFFERENTIAL DIAGNOSIS IN PSYCHIATRIC- MENTAL HEALTH ACROSS THE LIFESPAN PRACTICUM FINAL EXAM

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June 23, 2025
Number of pages
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Written in
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NR 547 DIFFERENTIAL DIAGNOSIS IN PSYCHIATRIC-
MENTAL HEALTH ACROSS THE LIFESPAN PRACTICUM
FINAL EXAM



What does a score of 0-7 on the Hamilton Depression Rating Scale
(HAM-D) indicate? - ✔✔✔ Correct Answer > Normal (no depression)



What does a score of 8-16 on the Hamilton Depression Rating Scale
(HAM-D) indicate? - ✔✔✔ Correct Answer > Mild depression



What does a score of 17-23 on the Hamilton Depression Rating Scale
(HAM-D) indicate? - ✔✔✔ Correct Answer > Moderate depression



What does a score of 24 or higher on the Hamilton Depression Rating
Scale (HAM-D) indicate? - ✔✔✔ Correct Answer > Severe depression

,2|Page


How are items on the Hamilton Depression Rating Scale (HAM-D)
scored? - ✔✔✔ Correct Answer > Each item is scored 0-2 or 0-4, depending on
severity.



What type of tool is the Hamilton Depression Rating Scale (HAM-D)? -
✔✔✔ Correct Answer > 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? - ✔✔✔ Correct Answer > Psychological and physical
aspects of depression.



HAM-D 17 Components - ✔✔✔ Correct Answer > Mood

Guilt Feelings

SI

Insomnia

Work and Activities

Psychomotor Agitation or retardation

Anxiety (psychological and somatic symptoms)

,3|Page


Somatic symptoms

Hypochondriasis

Loss of weight

Insight



Limitation of HAM-D rating scale - ✔✔✔ Correct Answer > More focused on
somatic symptoms which can over estimate depression in medically ill
patients



Alternative to HAM-D Scale - ✔✔✔ Correct Answer > Montgomery-Ashberg
Depression Rating Scale (MADRS) which is better for tracking and
treatment response



Geriatric Depression Scale (GDS) - ✔✔✔ Correct Answer > 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 - ✔✔✔ Correct Answer > Mood and Enjoyment

, 4|Page


Energy Levels

Social Withdrawal

Feelings of Hopelessness

Memory Concerns

Anxiety and Worry

Suicidal Thoughts



Scoring GDS - ✔✔✔ Correct Answer > 1 point of each depressed

response Yes to negative statements and no to positive

statements



Scoring Interpretation of GDS-30 - ✔✔✔ Correct Answer > 0-30



0-9 Normal (no depression)

10-19 Mild Depression

20-30 Moderate to Severe Depression



Scoring Interpretation GDS-15 - ✔✔✔ Correct Answer > 0-15

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