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SLUM-For individuals who have completed a high school education, the SLUMS score structure
is as follows: 27-30: Indicates regular cognitive function. 21-26: Indicates mild cognitive
impairment. 1-20: Indicates dementia.
HAM-D- Scoring is based on the 17-item scale and scores of 0-7 are considered as being normal,
8-16 suggest mild depression, 17-23 moderate depression and scores over 24 are indicative of
severe depression [3]; the maximum score being 52 on the 17-point scale.
MMSE- The maximum score for the MMSE is 30. A score of 25 or higher is classed as normal. If
the score is below 24, the result is usually considered to be abnormal, indicating possible
cognitive impairment.
Q8. Read the following statements carefully:
Statement I: The Recovery model is a treatment approach that focuses on the diagnosis and
treatment of mental illness.
Statement II: A retrospective chart review is a quality improvement initiative that involves
reviewing medical records of patients in the past.
Statement III: PDSA is a process that involves planning, doing, studying, and acting in a
continuous cycle of improvement.
Which of the above Statement(s) is/are correct:
A. II only.
B. II and III only.
C. I and III only.
,D. All Statements are Correct. - CORRECT ANSWER-B. II and III only. Retrospective chart review,
and PDSA
Recovery Model- A non-linear process of change through which individuals improve their health
and wellness, live a self-directed life, and strive to reach their full potential.
Retrospective chart review- evaluates patient data that is existing at the time the protocol is
submitted to the IRB for initial approval. This type of chart review uses information that has
usually been collected for reasons other than research.
IPDSA or Plan-Do-Study-Act, is an iterative, four-stage problem-solving model used for
improving a process or carrying out change. When using the PDSA cycle, it's important to
include internal and external customers; they can provide feedback about what works and what
doesn't.
Q9. Read the following statements carefully:
Statement I: Confidentiality can be breached if the patient refuses to pay for medical services.
Statement II: Informed consent can be obtained from a patient with dementia if the patient can
understand the benefits and risks of the treatment. Statement III: Patient autonomy is the right
of the patient to make decisions about their own healthcare.
3 Which of the above Statement(s) is/are correct:
A. I and II only.
B. I only.
C. II and III only.
D. All Statements are Correct. - CORRECT ANSWER-C. II and III only.
Q10. Read the following statements carefully:
Statement I: Naltrexone is an opioid receptor antagonist that can be used to treat alcohol abuse.
,Statement II: Intellectualization is a self-defense mechanism that involves avoiding emotions by
focusing on facts and details.
Statement III: Rationalization is a self-defense mechanism that involves justifying unacceptable
behavior by making excuses.
Which of the above Statement(s) is/are correct:
A. I and III only.
B. II only.
C. All Statements are Correct.
D. All Statements are Incorrect. - CORRECT ANSWER-C. All Statements are Correct.
Q11. Read the following statements carefully:
Statement I: Scope of practice in nursing refers to the legal boundaries of the profession.
Statement II: Standard of practice is determined by individual nurses based on their experience
and expertise.
Statement III: Medical confidentiality is the legal obligation of healthcare professionals to
protect patients' personal and medical information.
4 Which of the above Statement(s) is/are correct:
A. III only.
B. II and III only.
C. I and III only.
D. All Statements are Correct. - CORRECT ANSWER-C. I and III only.
"Scope of practice" is defined as the activities that an individual health care practitioner is
permitted to perform within a specific profession. Those activities should be based on
appropriate education, training, and experience. or Scope of practice in nursing refers to the
legal boundaries of the profession.
A nurse practitioner's Scope of Practice represents the full range of practice privileges allowed
by certification and licensure.
, Medical confidentiality is the legal obligation of healthcare professionals to protect patients'
personal and medical information.
Q12. Read the following statements carefully:
Statement I: PHQ-9 scores of 20-27 indicate moderate depression.
Statement II: Beck scale score of 20-29 indicates severe anxiety.
Statement III: HAM-A scale score of 18-24 indicates moderate anxiety.
Which of the above Statement(s) is/are correct:
A. I and III only.
B. III only.
C. II and III only.
D. All Statements are Correct. - CORRECT ANSWER-C. II and III only.
PHQ-9 Scores less than 5 almost always signified the absence of a depressive disorder; scores of
5 to 9 predominantly represented patients with either no depression or subthreshold (i.e.,
other) depression; scores of 10 to 14 represented a spectrum of patients; and scores of 15 or
greater usually indicated major depression.
Beck score- The standard cut-offs are as follows: 0-9: indicates minimal depression 10-18:
indicates mild depression 19-29: indicates moderate depression 30-63: indicates severe
depression. Higher total scores indicate more severe depressive symptoms. Some items on the
BDI have more than one statement marked with the same score.
HAM-A- Each item is scored on a scale of 0 (not present) to 4 (severe), with a total score range
of 0-56, where <17 indi- cates mild severity, 18-24 mild to moderate severity and 25-30
moderate to severe.
Q13. Disulfiram should not be used in combination with alcohol for at least two weeks after
stopping.