NR 547 Final Study Guide - PMHNP Exam fully
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Terms in this set (69)
Unipolar major depression (major depressive
When do you consider
disorder) is characterized by a history of one or more
Unipolar versus Bipolar
major depressive episodes (table 3) and no history of
depression
mania (table 1) or hypomania
Scoring Instructions. Score 1 point for each bolded
answer. A score of 5 or more suggests depression.
Geriatric Depression Scale
(GDS)
Self-reporting tool that may be used to diagnose and
treat depression
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
Geriatric Depression Scale 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
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he GDS may be used with healthy, medically ill and
Geriatric Depression
mild to moderately cognitively impaired older adults.
Scale: Targeted
It has been extensively used in community, acute care,
Population
and long-term care settings.
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
Geriatric Depression Scale
psychotherapeutic treatment may be indicated
(GDS): Score
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
The presence of depression warrants prompt
intervention and treatment. The GDS may be used to
Geriatric Depression Scale monitor depression over time in all clinical settings.
(GDS): Indication for
Intervention Any positive score above 5 on the GDS Short Form
should prompt an in-depth psychological assessment
and evaluation for suicidality.
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