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NR 547 FINAL STUDY GUIDE - PMHNP 2025-2026
ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
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When do you consider Unipolar versus Bipolar depression
Ans: 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
Quiz: Geriatric Depression Scale (GDS)
Ans: 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
Quiz: Geriatric Depression Scale
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Ans: 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
Quiz: Geriatric Depression Scale: Targeted Population
Ans: 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.
Quiz: Geriatric Depression Scale (GDS): Score
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Ans: 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
Quiz: Geriatric Depression Scale (GDS): Indication for Intervention
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Ans: 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.
Quiz: Patient Health Questionnaire [PHQ-9]
Ans: 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.
Quiz: The Beck Depression Inventory (BDI)
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