NR547 / NR 547 Final Exam (Latest 2024 / 2025): Differential Diagnosis in Psychiatric-Mental Health across the Lifespan Practicum | Guide with Verified Answers - Chamberlain

Final Exam: NR547 / NR 547 (Latest 2024 / 2025) Differential Diagnosis in Psychiatric-Mental Health across the Lifespan Practicum Exam Review | Guide with Verified Answers - Chamberlain Q: Independent risk factor for dementia Answer: Depression therefore it is important to evaluate cognitive function when depression is suspected. Older clients may have associated memory loss, slowed processing, or impaired executive functioning. Q: Assessing Depression in Patients with Dementia Answer: Self-reporting scales, such as the GDS, may be inappropriate. Cornell Scale for Depression in Dementia can be used to screen not diagnose. Q: The goal of treatment for older adults experiencing depression Answer: Symptom remission Q: First Choice of Treating Depression in Older Adults Answer: SSRI & SNRI's Escitalopram, citalopram, and sertraline have fewer drug-drug interactions than other medications and are appropriate choices for initial therapy in older adults taking multiple medications. Q: Clinical pearls for adjusting and discontinuing pharmacotherapy for depression in older adults Answer: Dose changes: start low, go slow 4-8 weeks for symptom relief reassess if partial improvement, consider adding second drug if no improvement, consider changing to a new drug class maintain pharmacotherapy for at least 1 year after remission to prevent relapse discontinue therapy gradually to reduce withdrawal syndrome (dizziness, anxiety, headache) Q: Nonpharmacologic Interventions: Depression Older Adult Answer: Engagement Social support Exercise Relaxation Q: Mini-Cog Test Answer: Assess Dementia: Step 1: Three Word Registration. Step 2: Clock Drawing. Step 3: Three Word Recall. If abnormal, screen further w/MMSE Q: Children's Depression Inventory Answer: can be used in both educational and clinical settings to evaluate depressive symptoms in children and adolescents (7-17 years old) CDI 2 can aid in the early identification of depressive symptoms, the diagnosis of depression and related disorders, as well as, the monitoring of treatment effectiveness Q: Edinburgh Postnatal Depression Scale (EPDS) Answer: Screening test used to identify depression during pregnancy or in the postpartum period Q: ASQ screening Answer: The Ask Suicide-Screening Questions (ASQ) tool is a brief validated tool for use among both youth and adults. Q: DSM5-TR Diagnostic Criteria for Depression Answer: MDD, five or more of the symptoms below need to be present for at least 2 weeks continuously. (5/9) feeling low most of the day for most days decreased interest in activities substantial weight loss, significant change in appetite fidgeting, random movement (i.e. pacing) decreased energy sense of guilt or worthlessness lack of focus or ability to make decisions repeated thoughts of death and suicide Depressed mood and/or Loss of interest/pleasure must be present. Q: MDD statistics Answer: An estimated 4 percent of the United States' adult population has experienced at least one major depressive episode. The condition is more prevalent in women than in men. It is three times more likely for people between the ages of 18-25 to experience depression as compared to adults 60 and over. MDD frequently occurs with other medical or psychological conditions like substance abuse, anxiety, hypothyroidism and diabetes. People who have experienced cancer, a heart attack, post-traumatic stress disorder or Parkinson's Disease are likely to be diagnosed with MDD. Q: MDD (major depressive disorder) Answer: 5 symptoms during the same two week period that are a change from previous functioning; depressed mood and/or loss of interest/pleasure must be present; exclude symptoms clearly attributable to another medical condition Q: Adjustment disorder with depressed mood Answer: Adjustment Disorder with Depressed Mood, also called Situational Depression, may sometimes feel nearly as bleak as MDD, but a major difference is that it does not arise out of the blue.