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NR 547 Final Study Guide - PMHNP exam with complete solution

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When do you consider Unipolar versus Bipolar depression Unipolar major depression (major depressive disorder) is characterized by a history of one or more major depressive episodes (table 3) and no history of mania (table 1) or hypomania Geriatric Depression Scale (GDS) Scoring Instructions. Score 1 point for each bolded answer. A score of 5 or more suggests depression. Self-reporting tool that may be used to diagnose and treat depression Geriatric Depression Scale The Geriatric Depression Scale (GDS) is a self-report measure of depression in older adults. Users respond in a "Yes/No" format. The GDS was originally developed as a 30-item instrument. Since this version proved both time-consuming and difficult for some patients to complete, a 15-item version was developed. The shortened form (GDS-S) is comprised of 15 items chosen from the Geriatric Depression Scale-Long Form (GDS-L). These 15 items were chosen because of their high correlation with depressive symptoms in previous validation studies Geriatric Depression Scale: Targeted Population he GDS may be used with healthy, medically ill and mild to moderately cognitively impaired older adults. It has been extensively used in community, acute care, and long-term care settings. Geriatric Depression Scale (GDS): Score Pharmacologic, psychotherapeutic, or combination treatment indicated of the 15 items, 10 indicated the presence of depression when answered positively, while the rest (question numbers 1, 5, 7, 11, 13) indicated depression when answered negatively. Scores of 0-4 are considered normal, depending on age, education, and complaints; (No Treatment) 5-8 indicate mild depression; (Pharmacologic or psychotherapeutic treatment may be indicated Base treatment on duration of symptoms and functional impairment 9-11 indicate moderate depression; (Pharmacologic, psychotherapeutic, or combination treatment indicated) 12-15 indicate severe depression.(Pharmacologic, psychotherapeutic, or combination treatment indicated Geriatric Depression Scale (GDS): Indication for Intervention The presence of depression warrants prompt intervention and treatment. The G

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NR 547 Final Study Guide - PMHNP exam
with complt olution




When do you consider Unipolar versus Bipolar depression - ANSWER-Unipolar
major depression (major depressive disorder) is characterized by a history of one
or more major depressive episodes (table 3) and no history of mania (table 1) or
hypomania

Geriatric Depression Scale (GDS) - ANSWER-Scoring Instructions. Score 1 point
for each bolded answer. A score of 5 or more suggests depression.

Self-reporting tool that may be used to diagnose and treat depression

Geriatric Depression Scale - ANSWER-The Geriatric Depression Scale (GDS) is a
self-report measure of depression in older adults. Users respond in a "Yes/No"
format. The GDS was originally developed as a 30-item instrument. Since this
version proved both time-consuming and difficult for some patients to complete,
a 15-item version was developed. The shortened form (GDS-S) is comprised of 15
items chosen from the Geriatric Depression Scale-Long Form (GDS-L). These 15
items were chosen because of their high correlation with depressive symptoms in
previous validation studies

Geriatric Depression Scale: Targeted Population - ANSWER-he GDS may be used
with healthy, medically ill and mild to moderately cognitively impaired older
adults. It has been extensively used in community, acute care, and long-term care
settings.

Geriatric Depression Scale (GDS): Score - ANSWER-Pharmacologic,
psychotherapeutic, or combination treatment indicated of the 15 items, 10
indicated the presence of depression when answered positively, while the rest
(question numbers 1, 5, 7, 11, 13) indicated depression when answered
negatively.

, Scores of 0-4 are considered normal, depending on age, education, and
complaints; (No Treatment)

5-8 indicate mild depression; (Pharmacologic or psychotherapeutic treatment
may be indicated
Base treatment on duration of symptoms and functional impairment

9-11 indicate moderate depression; (Pharmacologic, psychotherapeutic, or
combination treatment indicated)

12-15 indicate severe depression.(Pharmacologic, psychotherapeutic, or
combination treatment indicated

Geriatric Depression Scale (GDS): Indication for Intervention - ANSWER-The
presence of depression warrants prompt intervention and treatment. The GDS
may be used to monitor depression over time in all clinical settings.

Any positive score above 5 on the GDS Short Form should prompt an in-depth
psychological assessment and evaluation for suicidality.

Patient Health Questionnaire [PHQ-9] - ANSWER-A brief 9-item self-report
questionnaire used as a screening tool to assess severity of depression; widely
used by health care providers, in validity is well established, particularly for
identifying severe depression.

The Beck Depression Inventory (BDI) - ANSWER-Widely used to screen for
depression and to measure behavioral manifestations and severity of depression.

The BDI can be used for ages 13 to 80. The inventory contains 21 self-report
items which individuals complete using multiple choice response formats.

The BDI takes approximately 10 minutes to complete. Validity and reliability of the
BDI has been tested across populations, worldwide.

Center for Epidemiologic Studies Depression Scale (CES-D) - ANSWER-Designed
for use in the general population and is now used as a screener for depression in
primary care settings.

It includes 20 self-report items, scored on a 4-point scale, which measure major
dimensions of depression experienced in the past week.

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