NR 547 Final Study Guide – PMHNP 2024/2025 COMPLETE QUESTION AND ANSWER 100% ACCURATE FALL-SPRING, Exams of Nursing

NR 547 Final Study Guide – PMHNP 2024/2025
COMPLETE QUESTION AND ANSWER 100%
ACCURATE FALL-SPRING, Exams of Nursing


1. When do you consider Unipolar versus Bipolar depression ANS Unipolar major depression (
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major depressive disorder) is characterized by a history of one or more major depressive episo
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des (table 3) and no history of mania (table 1) or hypomania
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2. Geriatric Depression Scale (GDS) ANS Scoring Instructions. Score 1 point for each bolded an
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swer. A score of 5 or more suggests depression.
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Self-reporting tool that may be used to diagnose and treat depression
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3. Geriatric Depression Scale ANS The Geriatric Depression Scale (GDS) is a self-re-
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p port measure of depression in older adults. Users respond in a "Yes/No" format.The GDS was ori
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ginally developed as a 30-item instrument. Since this version proved both time-
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consuming and difficult for some patients to complete, a 15-
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item version was developed. The shortened form (GDS-
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S) is comprised of 15 items chosen from the Geriatric Depression Scale-Long Form (GDS-
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L). These 15 items were chosen because of their high correlation with depressive symptoms in pr
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evious validation studiesp p




4. Geriatric Depression Scale ANS Targeted Population he GDS may be used with healthy, me
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dically ill and mild to moderately cognitively impaired older adults. It has been extensively used
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p in community, acute care, and long-term care settings.
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5. Geriatric Depression Scale (GDS) ANS Score Pharmacologic, psychotherapeutic, or combin
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ation treatment indicated of the 15 items, 10 indicated the presence of depression when answe
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,red positively, while the rest (question numbers 1, 5, 7, 11, 13) indicated depression when answ
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ered negatively. p




Scores of 0- p p




4 are considered normal, depending on age, education, and complaints; (No Treatment)
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5-8 indicate mild depression; (Pharmacologic or psychotherapeutic treatment may be indicated
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Base treatment on duration of symptoms and functional impairment
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9-11 indicate moderate depression; (Pharmacologic, psychotherapeutic, or combi-
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p nation treatment indicated)
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12-15 indicate severe depression.(Pharmacologic, psychotherapeutic, or combina-
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p tion treatment indicated
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6. Geriatric Depression Scale (GDS)Indication for Intervention ANS The presence of depressio
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n warrants prompt intervention and treatment. The GDS may be used to monitor depression ov
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er time in all clinical settings.
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, Any positive score above 5 on the GDS Short Form should prompt an in-
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depth psychological assessment and evaluation for suicidality.
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7. Patient Health Questionnaire [PHQ-9] ANS A brief 9-item self-
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report questionnaire used as a screening tool to assess severity of depression; widely used by heal
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th care providers, in validity is well established, particularly for identifying severe depression.
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8. The Beck Depression Inventory (BDI) ANS Widely used to screen for depression and to me
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asure behavioral manifestations and severity of depression.
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The BDI can be used for ages 13 to 80. The inventory contains 21 self-
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report items which individuals complete using multiple choice response formats.
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The BDI takes approximately 10 minutes to complete. Validity and reliability of the BDI has been
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ested across populations, worldwide.
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9. Center for Epidemiologic Studies Depression Scale (CES-
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D) ANS Designed for use in the general population and is now used as a screener for depress
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ion in primary care settings.
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It includes 20 self-report items, scored on a 4-
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point scale, which measure major dimensions of depression experienced in the past week.
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The CES- p




D can be used for children as young as 6 and through older adulthood. It has been tested across
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ender and cultural populations and maintains consistent validity and reliability. The scale takes
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bout 20 minutes to administer, including scoring.
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10. EQ-5D ANS The EQ-5D is a standardized, non-disease specific instrument for de-
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p scribing and evaluating health- p p p




related quality of life.The instrument measures quality of life in five dimensions ANS mobility, sel
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f-care, usual activities, pain/discomfort and anxiety/depression.
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