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NR-547 Midterm Questions And Verified Answers Chamberlain University, Illinois

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This document contains the NR-547 Midterm Questions And Verified Answers Chamberlain University, Illinois

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NR 547 Final Study Guide -
PMHNP Chamberlain University-
Illinois
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When do you consider Unipolar versus Bipolar depression - Answer: Unipolar major
depression (major depressive disorder) is characterized by a history of one or more major
depressive episodes (table 3) and no history of mania (table 1) or hypomania



Geriatric Depression Scale (GDS) - Answer: Scoring Instructions. Score 1 point for each bolded
answer. A score of 5 or more suggests depression.



Self-reporting tool that may be used to diagnose and treat depression



Geriatric Depression Scale - Answer: The Geriatric Depression Scale (GDS) is a self-report
measure of depression in older adults. Users respond in a "Yes/No" format. The GDS was
originally developed as a 30-item instrument. Since this version proved both time-consuming
and difficult for some patients to complete, a 15-item version was developed. The shortened
form (GDS-S) is comprised of 15 items chosen from the Geriatric Depression Scale-Long Form
(GDS-L). These 15 items were chosen because of their high correlation with depressive
symptoms in previous validation studies



Geriatric Depression Scale: Targeted Population - Answer: he GDS may be used with healthy,
medically ill and mild to moderately cognitively impaired older adults. It has been extensively
used in community, acute care, and long-term care settings.

, Geriatric Depression Scale (GDS): Score - Answer: Pharmacologic, psychotherapeutic, or
combination treatment indicated of the 15 items, 10 indicated the presence of depression
when answered positively, while the rest (question numbers 1, 5, 7, 11, 13) indicated
depression when answered negatively.



Scores of 0-4 are considered normal, depending on age, education, and complaints; (No
Treatment)



5-8 indicate mild depression; (Pharmacologic or psychotherapeutic treatment may be
indicated

Base treatment on duration of symptoms and functional impairment



9-11 indicate moderate depression; (Pharmacologic, psychotherapeutic, or combination
treatment indicated)



12-15 indicate severe depression.(Pharmacologic, psychotherapeutic, or combination
treatment indicated



Geriatric Depression Scale (GDS): Indication for Intervention - Answer: The presence of
depression warrants prompt intervention and treatment. The GDS may be used to monitor
depression over time in all clinical settings.



Any positive score above 5 on the GDS Short Form should prompt an in-depth psychological
assessment and evaluation for suicidality.



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

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