NR 547 Final Study Guide – PMHNP
Questions With Complete Solutions
Adjustment disorder with depressed mood Correct 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.
Rather, situational depression occurs after there is a specific
trauma-divorce, accident, death of loved one, a major life
change...
Antidepressant medications used to treat depressive symptoms
Correct Answer SSRI
SNRI
TCS
MAOI's
ASQ screening Correct Answer The Ask Suicide-Screening
Questions (ASQ) tool is a brief validated tool for use among
both youth and adults.
Assessing Depression in Patients with Dementia Correct
Answer Self-reporting scales, such as the GDS, may be
inappropriate.
Cornell Scale for Depression in Dementia can be used to screen
not diagnose.
,Bipolar I and II disorders Correct Answer These mood
disorders include mood swings that range from highs (mania) to
lows (depression). It's sometimes difficult to distinguish
between bipolar disorder and depression.
Cause of Depression Correct Answer Though the exact cause is
unknown, depression is influenced by genetic and environmental
factors.
Stressful life events, such as giving birth or experiencing
emotional trauma, can contribute to the development of
depression.
Center for Epidemiologic Studies Depression Scale (CES-D)
Correct 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.
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.
Children's Depression Inventory Correct 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
Clinical pearls for adjusting and discontinuing pharmacotherapy
for depression in older adults Correct 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)
Cyclothymic Disorder (Cyclothymia) Correct Answer Involves
highs and lows that are milder than those of bipolar disorder.
Depression Education: Older Adult Correct Answer Emphasize
that medications should be taken as prescribed but that they may
not "cure" depression; remission of symptoms is the goal but
changes to therapy may need to occur to achieve remission.
Medications take 4-8 weeks to alleviate symptoms in older
adults.
To best treat depression, concurrent nonpharmacologic
interventions are indicated.
Questions With Complete Solutions
Adjustment disorder with depressed mood Correct 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.
Rather, situational depression occurs after there is a specific
trauma-divorce, accident, death of loved one, a major life
change...
Antidepressant medications used to treat depressive symptoms
Correct Answer SSRI
SNRI
TCS
MAOI's
ASQ screening Correct Answer The Ask Suicide-Screening
Questions (ASQ) tool is a brief validated tool for use among
both youth and adults.
Assessing Depression in Patients with Dementia Correct
Answer Self-reporting scales, such as the GDS, may be
inappropriate.
Cornell Scale for Depression in Dementia can be used to screen
not diagnose.
,Bipolar I and II disorders Correct Answer These mood
disorders include mood swings that range from highs (mania) to
lows (depression). It's sometimes difficult to distinguish
between bipolar disorder and depression.
Cause of Depression Correct Answer Though the exact cause is
unknown, depression is influenced by genetic and environmental
factors.
Stressful life events, such as giving birth or experiencing
emotional trauma, can contribute to the development of
depression.
Center for Epidemiologic Studies Depression Scale (CES-D)
Correct 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.
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.
Children's Depression Inventory Correct 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
Clinical pearls for adjusting and discontinuing pharmacotherapy
for depression in older adults Correct 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)
Cyclothymic Disorder (Cyclothymia) Correct Answer Involves
highs and lows that are milder than those of bipolar disorder.
Depression Education: Older Adult Correct Answer Emphasize
that medications should be taken as prescribed but that they may
not "cure" depression; remission of symptoms is the goal but
changes to therapy may need to occur to achieve remission.
Medications take 4-8 weeks to alleviate symptoms in older
adults.
To best treat depression, concurrent nonpharmacologic
interventions are indicated.
