NR 547 FINAL EXAM QUESTIONS AND ANSWERS
GRADED A+ LATEST UPDATE.
What does a score of 0-7 on the Hamilton Depression Rating Scale (HAM-D)
indicate? ANS >> Normal (no depression)
What does a score of 8-16 on the Hamilton Depression Rating Scale (HAM-D)
indicate? ANS >> Mild depression
What does a score of 17-23 on the Hamilton Depression Rating Scale (HAM-D)
indicate? ANS >> Moderate depression
What does a score of 24 or higher on the Hamilton Depression Rating Scale (HAM-
D) indicate? ANS >> Severe depression
How are items on the Hamilton Depression Rating Scale (HAM-D) scored? ANS >>
Each item is scored 0-2 or 0-4, depending on severity.
,NR 547 FINAL EXAM
What type of tool is the Hamilton Depression Rating Scale (HAM-D)? ANS >> 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? ANS >> Psychological and physical aspects of depression.
HAM-D 17 Components ANS >> Mood
Guilt Feelings
SI
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 ANS >> More focused on somatic symptoms
which can over estimate depression in medically ill patients
Alternative to HAM-D Scale ANS >> Montgomery-Ashbery Depression Rating Scale
(MADRS) which is better for tracking and treatment response
,NR 547 FINAL EXAM
Geriatric Depression Scale (GDS) ANS >> Consists of yes/no questions that assess
emotional, cognitive, and behavioural symptoms of depression in older adults. It
avoids somatic symptoms that may overlap with medical conditions
Key Areas assessed in GDS ANS >> Mood and Enjoyment
Energy Levels
Social Withdrawal
Feelings of Hopelessness
Memory Concerns
Anxiety and Worry
Suicidal Thoughts
Scoring GDS ANS >> 1 point of each depressed response
Yes, to negative statements and no to positive statements
Scoring Interpretation of GDS-30 ANS >> 0-30
0-9 Normal (no depression)
10-19 Mild Depression
20-30 Moderate to Severe Depression
Scoring Interpretation GDS-15 ANS >> 0-15
Shorter version
0-4: Normal (No depression)
, NR 547 FINAL EXAM
5-8: Mild Depression
9-11: Moderate Depression
12-15: Severe Depression
Patient Health Questionnaire-9 (PHQ-9) ANS >> 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 ANS >> 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 ANS >> Each question is scored:
0=Not at all
1= Several Days
2= More than half the days
3= Nearly Every Day