NR 547 Differential Diagnosis in Psychiatric-Mental Health across the Lifespan Practicum - Chamberlain NR 547 Final Exam Study Guide

NR 547 Differential Diagnosis in Psychiatric-Mental Health
across the Lifespan Practicum - Chamberlain


NR 547 Final Exam Study Guide


1. When do you consider Unipolar versus Bipolar depression: Unipolar major
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depression (major depressive disorder) is characterized by a history of one or more
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major depressive episodes (table 3) and no history of mania (table 1) or hypomania
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2. Geriatric Depression Scale (GDS): Scoring Instructions. Score 1 point for each
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bolded answer. 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: The Geriatric Depression Scale (GDS) is a self-re-
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port measure of depression in older adults. Users respond in a "Yes/No" format.The
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GDS was originally developed as a 30-item instrument. Since this version
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proved both time-consuming and difficult for s o1 m
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item version was developed.The shortened form (GDS-S) is comprised of 15
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items chosen from the Geriatric Depression Scale-Long Form (GDS-L). These 15
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items were chosen because of their high correlation with depressive symptoms
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in previous validation studies
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4. Geriatric Depression Scale: Targeted Population: he GDS may be used with
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,healthy, medically ill and mild to moderately cognitively impaired older adults. It
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has been extensively used in community, acute care, and long-term care settings.
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5. Geriatric Depression Scale (GDS): Score: Pharmacologic, psychotherapeutic,
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k, or combination treatment indicated of the 15 items, 10 indicated the presence
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k, of depression when answered positively, while the rest (question numbers 1, 5,
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7, 11, 13) indicated depression when answered negatively.
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Scores of 0-4 are considered normal, depending on age, education, and complaints;
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k, (No Treatment) k,




5-8 indicate mild depression; (Pharmacologic or psychotherapeutic treatment may
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k, 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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k, nation treatment indicated) k, k,




12-15 indicate severe depression.(Pharmacologic, psychotherapeutic, or combina-
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k, tion treatment indicated
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6. Geriatric Depression Scale (GDS): I n2 d/ 1i0cation for Intervention: The presence
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k, of depression warrants prompt intervention and treatment. The GDS may be
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used to monitor depression over time in all clinical settings.
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Any positive score above 5 on the GDS Short Form should prompt an in-depth
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k, psychological assessment and evaluation for suicidality. k, k, k, k, k,




7. Patient Health Questionnaire [PHQ-9]: A brief 9-item self-report questionnaire
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, used as a screening tool to assess severity of depression; widely used by health care
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providers, in validity is well established, particularly for identifying severe

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8. The Beck Depression Inventory (BDI): Widely used to screen for
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k, depression and to measure behavioral manifestations and severity of
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k, depression.


The BDI can be used for ages 13 to 80. The inventory contains 21 self-report items
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k, 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
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k, BDI has been tested across populations, worldwide.
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9. Center for Epidemiologic Studies Depression Scale (CES-D): Designed
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k, for use in the general population and is now used as a screener for
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k, depression in primary care settings. k, k, k, k,




It includes 20 self-report items, scored on a 4-point scale, which measure major
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k, dimensions of depression experienced in the past week. k, k, k, k, k, k, k,




The CES-D can be used for children as young as 6 and through older adulthood. It
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k, has been tested across gender and cultural populations and maintains consistent
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3 k,/ k, 10
validity and reliability. The scale takes about 20 minutes to administer, including
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scoring.



10. EQ-5D: The EQ-5D is a standardized, non-disease specific instrument for
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k, de- scribing and evaluating health-related quality of life.The instrument measures
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k, quality of life in five dimensions: mobility, self-care, usual activities,
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