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MARYVILLE NURS 663 UPDATED EXAMS TEST PAPER QUESTIONS AND ANSWERS SURE A.pdf

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MARYVILLE NURS 663 UPDATED EXAMS TEST
PAPER QUESTIONS AND ANSWERS SURE A+
✔✔how is the PHQ-9 scored - ✔✔1-4 minimal depression
5-9 mild depression
10-14 moderate depression
15-19 moderately severe
20 + severe

✔✔PHQ-9 - ✔✔assessment that evaluates the degree of depression

✔✔What is the DSM criteria for Major Depressive Disorder? - ✔✔**no history of mania,
hypo, or mixed symptoms

symptoms >2 weeks

must have: sadness, anhedonia (loss pleasure/interest)

4 of following: - appetite/sleep changes, psychomotor retardation, lack of energy,
guilt/worthlessness, issues w/ concentration, thoughts suicide/death

✔✔What are the "frequency" modifiers for MDD? - ✔✔episodic: symptoms dissipate
over time

, recurrent: likely to reappear in future

subclinical: sadness + 3 symptoms > 10 days (full criteria not met)

✔✔how is the severity of depression rated? - ✔✔- Mild: no suicidal thoughts/death
wishes
- Moderate: some thoughts of death/self-harm
- Severe: plan/attempted

✔✔what other modifiers might be present with diagnosis of MDD? - ✔✔- With psychotic
features: hallucinations, paranoia

- In partial remission: some symptoms still present, but full criteria not met; period
without any significant
symptoms lasting less than 2 months

- In full remission: no signs/symptoms >2 months

- Unspecified: symptoms vague, hard to tell

✔✔DSM 5 for bipolar I disorder - ✔✔depression + mania

✔✔DSM 5 for bipolar 2 disorder - ✔✔depression + hypomania

✔✔what is the #1 predictor of suicide? - ✔✔Hopelessness and loneliness

✔✔what are risk factors for suicide? - ✔✔- Gender: men are more likely to complete
suicide
- Age: men 45 years +; women 55 years +
o Suicide is the 3rd leading cause of death in 15-24-year-olds
- Race: Caucasian, Native American, Alaskan native, and immigrants
- Divorce
- Widows
- High-ranking jobs and unemployment
- Physicians
- MDD most common mental illness associated, schizophrenia, and alcohol use
disorder
- Past suicide attempt (might be the best indicator)

✔✔what is the criteria for involuntary commitment? - ✔✔Danger to self (suicide)
Danger to others (homicide)
Gravely disabled d/t mental illness (unable to provide food, clothing, shelter)
- Courts must have probable case hearing within 96 hours of admission

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