NUR 230 THE CHILDBEARING CHILD CARING
FAMILY EXAM 1 2026 FINAL REVIEW BUNDLED
SOLUTION PACKAGE
◉ What does a score of 8-16 on the Hamilton Depression Rating Scale
(HAM-D) indicate? Answer: Mild depression
◉ What does a score of 17-23 on the Hamilton Depression Rating Scale
(HAM-D) indicate? Answer: Moderate depression
◉ What does a score of 24 or higher on the Hamilton Depression Rating
Scale (HAM-D) indicate? Answer: Severe depression
◉ How are items on the Hamilton Depression Rating Scale (HAM-D)
scored? Answer: Each item is scored 0-2 or 0-4, depending on severity.
◉ What type of tool is the Hamilton Depression Rating Scale (HAM-
D)? Answer: 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? Answer: Psychological and physical aspects
of depression.
,◉ HAM-D 17 Components Answer: 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 Answer: More focused on somatic
symptoms which can over estimate depression in medically ill patients
◉ Alternative to HAM-D Scale Answer: Montgomery-Ashberg
Depression Rating Scale (MADRS) which is better for tracking and
treatment response
◉ Geriatric Depression Scale (GDS) Answer: 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 Answer: Mood and Enjoyment
Energy Levels
Social Withdrawal
Feelings of Hopelessness
Memory Concerns
Anxiety and Worry
Suicidal Thoughts
◉ Scoring GDS Answer: 1 point of each depressed response
Yes to negative statements and no to positive statements
◉ Scoring Interpretation of GDS-30 Answer: 0-30
0-9 Normal (no depression)
10-19 Mild Depression
20-30 Moderate to Severe Depression
◉ Scoring Interpretation GDS-15 Answer: 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) Answer: 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 Answer: 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 Answer: Each question is scored:
0=Not at all
1= Several Days
FAMILY EXAM 1 2026 FINAL REVIEW BUNDLED
SOLUTION PACKAGE
◉ What does a score of 8-16 on the Hamilton Depression Rating Scale
(HAM-D) indicate? Answer: Mild depression
◉ What does a score of 17-23 on the Hamilton Depression Rating Scale
(HAM-D) indicate? Answer: Moderate depression
◉ What does a score of 24 or higher on the Hamilton Depression Rating
Scale (HAM-D) indicate? Answer: Severe depression
◉ How are items on the Hamilton Depression Rating Scale (HAM-D)
scored? Answer: Each item is scored 0-2 or 0-4, depending on severity.
◉ What type of tool is the Hamilton Depression Rating Scale (HAM-
D)? Answer: 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? Answer: Psychological and physical aspects
of depression.
,◉ HAM-D 17 Components Answer: 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 Answer: More focused on somatic
symptoms which can over estimate depression in medically ill patients
◉ Alternative to HAM-D Scale Answer: Montgomery-Ashberg
Depression Rating Scale (MADRS) which is better for tracking and
treatment response
◉ Geriatric Depression Scale (GDS) Answer: 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 Answer: Mood and Enjoyment
Energy Levels
Social Withdrawal
Feelings of Hopelessness
Memory Concerns
Anxiety and Worry
Suicidal Thoughts
◉ Scoring GDS Answer: 1 point of each depressed response
Yes to negative statements and no to positive statements
◉ Scoring Interpretation of GDS-30 Answer: 0-30
0-9 Normal (no depression)
10-19 Mild Depression
20-30 Moderate to Severe Depression
◉ Scoring Interpretation GDS-15 Answer: 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) Answer: 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 Answer: 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 Answer: Each question is scored:
0=Not at all
1= Several Days
