NR 547 PMHNP Study Guide: NR 547 Final Study Guide –
PMHNP:70 Questions & Answers
1. A patient presents with a history of one major depressive episode and no
history of mania or hypomania. What is the most likely diagnosis?
• A. Bipolar I Disorder
• B. Bipolar II Disorder
• C. Unipolar Major Depression
• D. Cyclothymic Disorder
• Correct Answer: C
• Rationale: Unipolar major depression is defined by a history of one or more
major depressive episodes with no history of mania or hypomania.
2. Which score on the Geriatric Depression Scale (GDS) suggests that depression
is present?
• A. 2 or more
• B. 5 or more
• C. 8 or more
• D. 12 or more
• Correct Answer: B
• Rationale: On the GDS, a score of 5 or more suggests depression and should
prompt further evaluation.
3. The GDS Short Form (GDS-S) consists of how many items?
• A. 5
• B. 15
, • C. 20
• D. 30
• Correct Answer: B
• Rationale: The GDS-S is a 15-item version developed from the original 30-
item scale for easier completion.
4. For which population is the Geriatric Depression Scale (GDS) most
appropriate?
• A. Adolescents in crisis
• B. Children with DMDD
• C. Healthy, medically ill, or mildly cognitively impaired older adults
• D. Patients with severe end-stage Alzheimer’s
• Correct Answer: C
• Rationale: The GDS is used with healthy, medically ill, and mild-to-moderate
cognitively impaired older adults in various settings.
5. How should a PMHNP interpret a PHQ-9 score of 7?
• A. Normal
• B. Mild depression
• C. Moderate depression
• D. Severe depression
• Correct Answer: B
• Rationale: PHQ-9 scores between 5 and 9 indicate mild depression.
6. Which screening tool is specifically designed to measure behavioral
manifestations and severity of depression for individuals aged 13 to 80?
• A. GDS
, • B. EPDS
• C. Beck Depression Inventory (BDI)
• D. Mini-Cog
• Correct Answer: C
• Rationale: The BDI is a 21-item tool used for ages 13 to 80 to measure
depressive manifestations and severity.
7. Which tool is best suited for screening for depression in the general
population and in primary care settings?
• A. HAM-D
• B. Center for Epidemiologic Studies Depression Scale (CES-D)
• C. Mini-Cog
• D. BDI
• Correct Answer: B
• Rationale: The CES-D was designed for the general population and is widely
used in primary care settings.
8. The EQ-5D instrument measures quality of life across how many dimensions?
• A. Three
• B. Five
• C. Seven
• D. Nine
• Correct Answer: B
• Rationale: The EQ-5D measures five dimensions: mobility, self-care, usual
activities, pain/discomfort, and anxiety/depression.
9. A patient reports depression with unusual restlessness and worry about loss
of control. Which modifier applies?
PMHNP:70 Questions & Answers
1. A patient presents with a history of one major depressive episode and no
history of mania or hypomania. What is the most likely diagnosis?
• A. Bipolar I Disorder
• B. Bipolar II Disorder
• C. Unipolar Major Depression
• D. Cyclothymic Disorder
• Correct Answer: C
• Rationale: Unipolar major depression is defined by a history of one or more
major depressive episodes with no history of mania or hypomania.
2. Which score on the Geriatric Depression Scale (GDS) suggests that depression
is present?
• A. 2 or more
• B. 5 or more
• C. 8 or more
• D. 12 or more
• Correct Answer: B
• Rationale: On the GDS, a score of 5 or more suggests depression and should
prompt further evaluation.
3. The GDS Short Form (GDS-S) consists of how many items?
• A. 5
• B. 15
, • C. 20
• D. 30
• Correct Answer: B
• Rationale: The GDS-S is a 15-item version developed from the original 30-
item scale for easier completion.
4. For which population is the Geriatric Depression Scale (GDS) most
appropriate?
• A. Adolescents in crisis
• B. Children with DMDD
• C. Healthy, medically ill, or mildly cognitively impaired older adults
• D. Patients with severe end-stage Alzheimer’s
• Correct Answer: C
• Rationale: The GDS is used with healthy, medically ill, and mild-to-moderate
cognitively impaired older adults in various settings.
5. How should a PMHNP interpret a PHQ-9 score of 7?
• A. Normal
• B. Mild depression
• C. Moderate depression
• D. Severe depression
• Correct Answer: B
• Rationale: PHQ-9 scores between 5 and 9 indicate mild depression.
6. Which screening tool is specifically designed to measure behavioral
manifestations and severity of depression for individuals aged 13 to 80?
• A. GDS
, • B. EPDS
• C. Beck Depression Inventory (BDI)
• D. Mini-Cog
• Correct Answer: C
• Rationale: The BDI is a 21-item tool used for ages 13 to 80 to measure
depressive manifestations and severity.
7. Which tool is best suited for screening for depression in the general
population and in primary care settings?
• A. HAM-D
• B. Center for Epidemiologic Studies Depression Scale (CES-D)
• C. Mini-Cog
• D. BDI
• Correct Answer: B
• Rationale: The CES-D was designed for the general population and is widely
used in primary care settings.
8. The EQ-5D instrument measures quality of life across how many dimensions?
• A. Three
• B. Five
• C. Seven
• D. Nine
• Correct Answer: B
• Rationale: The EQ-5D measures five dimensions: mobility, self-care, usual
activities, pain/discomfort, and anxiety/depression.
9. A patient reports depression with unusual restlessness and worry about loss
of control. Which modifier applies?
