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NR 601 W3_Psychiatric Disorders and Screening.

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NR 601 W3_Psychiatric Disorders and Screening.

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NR 601 W3_Psychiatric Disorders and Screening.


Dr. Redden and classmates,
1. Research screening tools for depression and anxiety. Choose one screening tool for
depression and one screening tool for anxiety that you feel are appropriate to screen KB.
Explain why you chose that particular tool for KB. Score KB based on the information
provided (not all data may be provided). Include what questions could be scored, and your
chosen score. Assume that any question topics not mentioned are not a concern at this time.
I chose Patient Health Questionnaire (PHQ-9) as depression and Generalized Anxiety
Disorder 7 (GAD-7) as anxiety screening tools. I have frequently encountered GAD 7 and
PHQ-9 questionnaire tools since the our first practicum clinical rotation. My preceptor from
the first clinical rotation and my current preceptor are actively using these two assessment
tools. These screening tools were given by the medical assistant when the patient was located
in the exam room. Patient answered the questions while waiting, so there is no issue for time
delaying in a clinical setting if time is concerning. According to my observations, the most
established patients with screening tools introduced in their early visit are more open to
discuss their symptoms and think more comfortably.


The PHQ 9 which is a combination of 9 questions that have been validated as a screening
tool using the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria for
depression (O’Byrne, & Jacob, 2018). The reason I chose PHQ-9 as my depression screening
tool to screen KB because it is widely used in screening patients in primary settings. PHQ-9
tool is short and brief, but it can be disclosed quickly interpreting results with reliability
(O’Byrne, & Jacob, 2018). This process helps both identifying depressive symptoms and the
degree of the symptoms. Its test and scoring can be completed less than 10 minutes. It also
effective and can be used repeatedly to measure improvement or the worsening of
depression. Based on the information provided by the patient, I would score KB a 14, a score
14 indicates that KB is experiencing a moderate symptom of depression. A score 5-9
indicates mild symptoms of depression, a score 10-14 shows moderate depression symptoms,
a score 15-19 indicated moderately severe symptoms, and a score greater than 20 suggests
severe major depression (O’Byrne, & Jacob, 2018).
I scored the KB’s PHQ-9 as follow:
Score: Not at all (0), Several days (1), More than half the days (2), Nearly every day (3)

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, NR 601 W3_Psychiatric Disorders and Screening.


PATIENT HEALTH QUESTIONNAIRE- 9 (PHQ-9)

1. Little interest or pleasure in doing things (3)

2. Feeling down, depressed, or hopeless (2)

3. Trouble falling or staying asleep, or sleeping too much (2)

4. Feeling tired or having little energy (3)

5. Poor appetite or overeating (2)

6. Feeling bad about yourself- or that you are a failure or have let yourself or your family down

7. Troubling concentrating on things, such as reading the newspaper or watching television (2)

8. Moving or speaking so slowly that other people could have noticed? or the opposite-being so fidgety or restless that you have been
moving around a lot more than usual
9. Thoughts that you would be better off dead or of hurting yourself in some way


Score: Not at all (0), Several days (1), More than half the days (2), Nearly everyday (3)




The Generalized Anxiety Disorder (GAD) is the most common type of anxiety disorder that is
classified in Diagnostic and Statistical Manual of Mental Disorders (DSM-5) as chronic,
incapability to control the anxiety persistent (Rutter & Brown, 2017). If it is untreated, it affects


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