NR 547 Comprehensive Exam with
Complete Solutions
What does a score of 0-7 on the Hamilton Depression Rating Scale (HAM-D) indicate? -
✔✔Normal (no depression)
What does a score of 8-16 on the Hamilton Depression Rating Scale (HAM-D) indicate? -
✔✔Mild depression
What does a score of 17-23 on the Hamilton Depression Rating Scale (HAM-D) indicate? -
✔✔Moderate depression
What does a score of 24 or higher on the Hamilton Depression Rating Scale (HAM-D) indicate? -
✔✔Severe depression
How are items on the Hamilton Depression Rating Scale (HAM-D) scored? - ✔✔Each item is
scored 0-2 or 0-4, depending on severity.
What type of tool is the Hamilton Depression Rating Scale (HAM-D)? - ✔✔A clinician
administered tool used to assess the severity of depression symptoms.
What aspects of depression does the Hamilton Depression Rating Scale (HAM-D) evaluate? -
✔✔Psychological and physical aspects of depression.
HAM-D 17 Components - ✔✔Mood
Guilt Feelings
SI
Insomnia
,Work and Activities
Psychomotor Agitation or retardation
Anxiety (psychological and somatic symptoms)
Somatic symptoms
Hypochondriasis
Loss of weight
Insight
Limitation of HAM-D rating scale - ✔✔More focused on somatic symptoms which can over
estimate depression in medically ill patients
Alternative to HAM-D Scale - ✔✔Montgomery-Ashberg Depression Rating Scale (MADRS) which
is better for tracking and treatment response
Geriatric Depression Scale (GDS) - ✔✔Consists of yes/no questions that assess emotional,
cognitive, and behavioral symptoms of depresion in older adults. It avoids somatic symptoms
that may overlap with medical conditions
Key Areas assessed in GDS - ✔✔Mood and Enjoyment
Energy Levels
Social Withdrawal
Feelings of Hopelessness
Memory Concerns
Anxiety and Worry
Suicidal Thoughts
Scoring GDS - ✔✔1 point of each depressed response
Yes to negative statements and no to positive statements
,Scoring Interpretation of GDS-30 - ✔✔0-30
0-9 Normal (no depression)
10-19 Mild Depression
20-30 Moderate to Severe Depression
Scoring Interpretation GDS-15 - ✔✔0-15
Shorter version
0-4: Normal (No depression)
5-8: Mild Depression
9-11: Moderate Depression
12-15: Severe Depression
Patient Health Questionnaire-9 (PHQ-9) - ✔✔self report tool for screening, diagnosing, and
monitoring depression. Based on the DSM-5 criteria for MDD and evaluates symptom severity
over the past two weeks
Components of the PHQ-9 - ✔✔Nine Symptom Domains
1. Anhedonia
2. Depressed Mood
3. Sleep Problems
4. Fatigue
5. Appetite Changes
6. Low Self Worth
7. Concentration Issues
, 8. Psychomotor Changes
9. Suicidal Thoughts
PHQ-9 Scoring Interpretation - ✔✔Each question is scored:
0=Not at all
1= Several Days
2= More than half the days
3= Nearly Every Day
Total Score: 0-27
PHQ-9 Depression Severity Levels - ✔✔0-4: Minimal or No depression
5-9: Mild Depression
10-14: Moderate Depression
15-19: Moderately Severe Depression
20-27: Severe Depression
Clinica Use of the PHQ-9 - ✔✔Score >= 10: Possible clinical depression, further evaluation
needed
Score >=15: Likely MDD, consider therapy and/or medication
Score >=20: Severe Depression, requires urgent intervention
Mood Disorder Questionnaire - ✔✔screening tool used for Bipolar Disorder, and helps
differentiate bipolar disorder from unipolar depression and other mood disorders
Consists of three parts, assessing lifetime history of manic or hypomanic symptoms
Complete Solutions
What does a score of 0-7 on the Hamilton Depression Rating Scale (HAM-D) indicate? -
✔✔Normal (no depression)
What does a score of 8-16 on the Hamilton Depression Rating Scale (HAM-D) indicate? -
✔✔Mild depression
What does a score of 17-23 on the Hamilton Depression Rating Scale (HAM-D) indicate? -
✔✔Moderate depression
What does a score of 24 or higher on the Hamilton Depression Rating Scale (HAM-D) indicate? -
✔✔Severe depression
How are items on the Hamilton Depression Rating Scale (HAM-D) scored? - ✔✔Each item is
scored 0-2 or 0-4, depending on severity.
What type of tool is the Hamilton Depression Rating Scale (HAM-D)? - ✔✔A clinician
administered tool used to assess the severity of depression symptoms.
What aspects of depression does the Hamilton Depression Rating Scale (HAM-D) evaluate? -
✔✔Psychological and physical aspects of depression.
HAM-D 17 Components - ✔✔Mood
Guilt Feelings
SI
Insomnia
,Work and Activities
Psychomotor Agitation or retardation
Anxiety (psychological and somatic symptoms)
Somatic symptoms
Hypochondriasis
Loss of weight
Insight
Limitation of HAM-D rating scale - ✔✔More focused on somatic symptoms which can over
estimate depression in medically ill patients
Alternative to HAM-D Scale - ✔✔Montgomery-Ashberg Depression Rating Scale (MADRS) which
is better for tracking and treatment response
Geriatric Depression Scale (GDS) - ✔✔Consists of yes/no questions that assess emotional,
cognitive, and behavioral symptoms of depresion in older adults. It avoids somatic symptoms
that may overlap with medical conditions
Key Areas assessed in GDS - ✔✔Mood and Enjoyment
Energy Levels
Social Withdrawal
Feelings of Hopelessness
Memory Concerns
Anxiety and Worry
Suicidal Thoughts
Scoring GDS - ✔✔1 point of each depressed response
Yes to negative statements and no to positive statements
,Scoring Interpretation of GDS-30 - ✔✔0-30
0-9 Normal (no depression)
10-19 Mild Depression
20-30 Moderate to Severe Depression
Scoring Interpretation GDS-15 - ✔✔0-15
Shorter version
0-4: Normal (No depression)
5-8: Mild Depression
9-11: Moderate Depression
12-15: Severe Depression
Patient Health Questionnaire-9 (PHQ-9) - ✔✔self report tool for screening, diagnosing, and
monitoring depression. Based on the DSM-5 criteria for MDD and evaluates symptom severity
over the past two weeks
Components of the PHQ-9 - ✔✔Nine Symptom Domains
1. Anhedonia
2. Depressed Mood
3. Sleep Problems
4. Fatigue
5. Appetite Changes
6. Low Self Worth
7. Concentration Issues
, 8. Psychomotor Changes
9. Suicidal Thoughts
PHQ-9 Scoring Interpretation - ✔✔Each question is scored:
0=Not at all
1= Several Days
2= More than half the days
3= Nearly Every Day
Total Score: 0-27
PHQ-9 Depression Severity Levels - ✔✔0-4: Minimal or No depression
5-9: Mild Depression
10-14: Moderate Depression
15-19: Moderately Severe Depression
20-27: Severe Depression
Clinica Use of the PHQ-9 - ✔✔Score >= 10: Possible clinical depression, further evaluation
needed
Score >=15: Likely MDD, consider therapy and/or medication
Score >=20: Severe Depression, requires urgent intervention
Mood Disorder Questionnaire - ✔✔screening tool used for Bipolar Disorder, and helps
differentiate bipolar disorder from unipolar depression and other mood disorders
Consists of three parts, assessing lifetime history of manic or hypomanic symptoms
