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NR 547/ NR547 FINAL EXAM: (NEW 2025/ 2026 UPDATE) ADVANCED PATHOPHYSIOLOGY GUIDE | QUESTIONS & ANSWERS | GRADE A | 100% CORRECT (VERIFIED SOLUTIONS) – CHAMBERLAIN

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Fully updated NR 547 Final exam study pack for Chamberlain Nursing – Includes real midterm questions, clinical rationales, and 100% verified answers. Designed to help you master pathophysiology fast.

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NR 547/ NR547 FINAL EXAM: (NEW 2025/ 2026 UPDATE)
ADVANCED PATHOPHYSIOLOGY GUIDE | QUESTIONS &
ANSWERS | GRADE A | 100% CORRECT (VERIFIED SOLUTIONS) –
CHAMBERLAIN

,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 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] - 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) - 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) - 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.



The CES-D can be used for children as young as 6 and through older adulthood. It has been
tested across gender and cultural populations and maintains consistent validity and reliability.
The scale takes about 20 minutes to administer, including scoring.

EQ-5D - The EQ-5D is a standardized, non-disease specific instrument for describing and
evaluating health-related quality of life. The instrument measures quality of life in five
dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression.

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