NR 547 Final Exam Questions And Answers

NR 547 Final Exam Questions And Answers A 68-year-old male presents to your clinic with his daughter, who expresses concern about his recent lack of interest in hobbies, decreased energy, and complaints of feeling "down." He denies any history of manic or hypomanic episodes. Which of the following depression screening tools would be most appropriate for initial assessment in this patient? A) HAM-D B) Mood Disorder Questionnaire (MDQ) C) Geriatric Depression Scale (GDS) D) PHQ-9 A) HAM-D (Hamilton Depression Rating Scale): While the HAM-D is a valid and widely used depression scale, it is a clinician-rated tool. This means a trained clinician administers it and rates the patient's symptoms. While it could be used, the question asks for the "most appropriate for initial assessment," and for an older adult, a self-report specific to their age group is often preferred for initial screening, especially when family is presenting the concern. B) Mood Disorder Questionnaire (MDQ): The MDQ is specifically designed as a screening tool for bipolar disorder. The patient denies any history of manic or hypomanic episodes, and while it's good to keep bipolar disorder in mind, the primary concern here is depression in an older adult. It would not be the most appropriate initial screening tool for depression. C) Geriatric Depression Scale (GDS): This is the most appropri A 35-year-old female is diagnosed with Major Depressive Disorder (MDD) with atypical features. Which of the following symptoms is characteristic of MDD with atypical features? A) Profound despondency and anhedonia B) Significant weight loss and early morning awakening C) Mood reactivity and hypersomnia D) Psychomotor retardation and excessive guilt A) Profound despondency and anhedonia: These symptoms are characteristic of Major Depressive Disorder with melancholic features. Melancholia typically involves a profound loss of pleasure in all or almost all activities and severe despondency, often with non-reactive mood. B) Significant weight loss and early morning awakening: These are also classic symptoms associated with Major Depressive Disorder with melancholic features. People with melancholic depression often experience severe insomnia (early morning awakening) and significant appetite/weight loss. C) Mood reactivity and hypersomnia: This is correct for MDD with atypical features.