NR 547- Final Exam with Questions and Correct Answers Latest Updated 2026 GRADED A+.

NR 547- Final Exam with Questions and
Correct Answers Latest Updated 2026
GRADED A+

What does a score of 0-7 on the Hamilton Depression Rating Scale (HAM-D)
indicate? - CORRECT ANSWERS-Normal (no depression)

What does a score of 8-16 on the Hamilton Depression Rating Scale (HAM-D)
indicate? - CORRECT ANSWERS-Mild depression

What does a score of 17-23 on the Hamilton Depression Rating Scale (HAM-D)
indicate? - CORRECT ANSWERS-Moderate depression

What does a score of 24 or higher on the Hamilton Depression Rating Scale (HAM-
D) indicate? - CORRECT ANSWERS-Severe depression

How are items on the Hamilton Depression Rating Scale (HAM-D) scored? -
CORRECT ANSWERS-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
ANSWERS-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 ANSWERS-Psychological and physical aspects of depression.

HAM-D 17 Components - CORRECT ANSWERS-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 - CORRECT ANSWERS-More focused on somatic
symptoms which can over estimate depression in medically ill patients

,Alternative to HAM-D Scale - CORRECT ANSWERS-Montgomery-Ashberg
Depression Rating Scale (MADRS) which is better for tracking and treatment
response

Geriatric Depression Scale (GDS) - CORRECT ANSWERS-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 ANSWERS-Mood and Enjoyment
Energy Levels
Social Withdrawal
Feelings of Hopelessness
Memory Concerns
Anxiety and Worry
Suicidal Thoughts

Scoring GDS - CORRECT ANSWERS-1 point of each depressed response
Yes to negative statements and no to positive statements

Scoring Interpretation of GDS-30 - CORRECT ANSWERS-0-30

0-9 Normal (no depression)
10-19 Mild Depression
20-30 Moderate to Severe Depression

Scoring Interpretation GDS-15 - CORRECT ANSWERS-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) - CORRECT ANSWERS-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 - CORRECT ANSWERS-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 - CORRECT ANSWERS-Each question is scored:
0=Not at all
1= Several Days
2= More than half the days
3= Nearly Every Day

Total Score: 0-27

PHQ-9 Depression Severity Levels - CORRECT ANSWERS-0-4: Minimal or No
depression
5-9: Mild Depression
10-14: Moderate Depression
15-19: Moderately Severe Depression
20-27: Severe Depression

Clinica Use of the PHQ-9 - CORRECT ANSWERS-Score >= 10: Possible clinical
depression, further evaluation needed

Score >=15: Likely MDD, consider therapy and/or medication

Score >=20: Severe Depression, requires urgent intervention

Mood Disorder Questionnaire - CORRECT ANSWERS-screening tool used for Bipolar
Disorder, and helps differentiate bipolar disorder from unipolar depression and other
mood disorders

Consists of three parts, assessing lifetime history of manic or hypomanic symptoms

Part one of MDQ - CORRECT ANSWERS-Symptom Checklist
13 yes/no questions

Increased Energy and Activity
Euphoric or irritable mood
Decreased need for sleep
Unusual talkativeness or pressured speech
Racing Thoughts
Easily Distracted
Increase in goal-directed activities
Involvement in Risky behaviors
Unusual Confidence or grandiosity
More outgoing/social than usual
episodes lasting several days or longer
other people noticing these changes

, symptoms occurring together in the same time period

Part 2 MDQ - CORRECT ANSWERS-Symptom Clustering
1 yes/no question

"Have several of the above symptoms ever happened during the same period of
time?"

Part 3 MDQ - CORRECT ANSWERS-Functional Impairment
1 questions, 3 point scale: No, Minor, or Serious problem

"How much did these problems cause difficulty in work, social, or family life?"

MDQ Scoring Interpretation - CORRECT ANSWERS-7 or more "yes" responses in
Part 1
"Yes" in Part 2
Moderate or serious impairment in part 3 is a positive screen. This is possible bipolar
disorder, needs a clinical assessment

Negative Screen:
Fewer than 7 "yes" responses in Part 1 OR "No" in part 2 OR "No/Minor problems" in
Part 3= unlikely bipolar disorder

Limitations to MDQ - CORRECT ANSWERS-More sensitive to Bipolar I Disorder than
Bipolar II or Cyclothymia

May produce false positives in BPD

Anhedonia - CORRECT ANSWERS-a diminished ability to experience pleasure

TSH - CORRECT ANSWERS-0.4-4
For patients on thyroid medications 0.5 -3 is often targeted

Elevated TSH - CORRECT ANSWERS-Hypothyroidism

Low TSH - CORRECT ANSWERS-hyperthyroidism

hemoglobin - CORRECT ANSWERS-Men
13.8-17.2
Women
12.1-15.1
Pregnant women
11-14
Children
11-16