NR 547 FINAL STUDY GUIDE – PMHNP
EXAM WITH VERIFIED SOLUTIONS
When bdo byou bconsider bUnipolar bversus bBipolar bdepression b- bcorrect banswer-
Unipolar bmajor bdepression b(major bdepressive bdisorder) bis bcharacterized bby ba
bhistory bof bone bor bmore bmajor bdepressive bepisodes b(table b3) band bno bhistory bof
bmania b(table b1) bor bhypomania
Geriatric bDepression bScale b(GDS) b- bcorrect banswer-Scoring bInstructions. bScore
b1 bpoint bfor beach bbolded banswer. bA bscore bof b5 bor bmore bsuggests bdepression.
Self-reporting btool bthat bmay bbe bused bto bdiagnose band btreat bdepression
Geriatric bDepression bScale b- bcorrect banswer-The bGeriatric bDepression bScale
b(GDS) bis ba bself-report bmeasure bof bdepression bin bolder badults. bUsers brespond
bin ba b"Yes/No" bformat. bThe bGDS bwas boriginally bdeveloped bas ba b30-item
binstrument. bSince bthis bversion bproved bboth btime-consuming band bdifficult bfor
bsome bpatients bto bcomplete, ba b15-item bversion bwas bdeveloped. bThe bshortened
bform b(GDS-S) bis bcomprised bof b15 bitems bchosen bfrom bthe bGeriatric bDepression
bScale-Long bForm b(GDS-L). bThese b15 bitems bwere bchosen bbecause bof btheir
bhigh bcorrelation bwith bdepressive bsymptoms bin bprevious bvalidation bstudies
Geriatric bDepression bScale: bTargeted bPopulation b- bcorrect banswer-he bGDS bmay
bbe bused bwith bhealthy, bmedically bill band bmild bto bmoderately bcognitively
bimpaired bolder badults. bIt bhas bbeen bextensively bused bin bcommunity, bacute bcare,
band blong-term bcare bsettings.
, Geriatric bDepression bScale b(GDS): bScore b- bcorrect banswer-Pharmacologic,
bpsychotherapeutic, bor bcombination btreatment bindicated bof bthe b15 bitems, b10
bindicated bthe bpresence bof bdepression bwhen banswered bpositively, bwhile bthe
brest b(question bnumbers b1, b5, b7, b11, b13) bindicated bdepression bwhen banswered
bnegatively. b
Scores bof b0-4 bare bconsidered bnormal, bdepending bon bage, beducation, band
bcomplaints; b(No bTreatment)
5-8 bindicate bmild bdepression; b(Pharmacologic bor bpsychotherapeutic btreatment
bmay bbe bindicated
Base btreatment bon bduration bof bsymptoms band bfunctional bimpairment
9-11 bindicate bmoderate bdepression; b(Pharmacologic, bpsychotherapeutic, bor
bcombination btreatment bindicated)
12-15 bindicate bsevere bdepression.(Pharmacologic, bpsychotherapeutic, bor
bcombination btreatment bindicated
Geriatric bDepression bScale b(GDS): bIndication bfor bIntervention b- bcorrect banswer-
The bpresence bof bdepression bwarrants bprompt bintervention band btreatment. bThe
bGDS bmay bbe bused bto bmonitor bdepression bover btime bin ball bclinical bsettings. b
Any bpositive bscore babove b5 bon bthe bGDS bShort bForm bshould bprompt ban bin-
depth bpsychological bassessment band bevaluation bfor bsuicidality.
Patient bHealth bQuestionnaire b[PHQ-9] b- bcorrect banswer-A bbrief b9-item bself-
report bquestionnaire bused bas ba bscreening btool bto bassess bseverity bof
bdepression; bwidely bused bby bhealth bcare bproviders, bin bvalidity bis bwell
bestablished, bparticularly bfor bidentifying bsevere bdepression.
The bBeck bDepression bInventory b(BDI) b- bcorrect banswer-Widely bused bto bscreen
bfor bdepression band bto bmeasure bbehavioral bmanifestations band bseverity bof
bdepression. b
The bBDI bcan bbe bused bfor bages b13 bto b80. bThe binventory bcontains b21 bself-
report bitems bwhich bindividuals bcomplete busing bmultiple bchoice bresponse
bformats. b
The bBDI btakes bapproximately b10 bminutes bto bcomplete. bValidity band breliability bof
bthe bBDI bhas bbeen btested bacross bpopulations, bworldwide.
Center bfor bEpidemiologic bStudies bDepression bScale b(CES-D) b- bcorrect banswer-
Designed bfor buse bin bthe bgeneral bpopulation band bis bnow bused bas ba bscreener
bfor bdepression bin bprimary bcare bsettings. b
It bincludes b20 bself-report bitems, bscored bon ba b4-point bscale, bwhich bmeasure
bmajor bdimensions bof bdepression bexperienced bin bthe bpast bweek.
EXAM WITH VERIFIED SOLUTIONS
When bdo byou bconsider bUnipolar bversus bBipolar bdepression b- bcorrect banswer-
Unipolar bmajor bdepression b(major bdepressive bdisorder) bis bcharacterized bby ba
bhistory bof bone bor bmore bmajor bdepressive bepisodes b(table b3) band bno bhistory bof
bmania b(table b1) bor bhypomania
Geriatric bDepression bScale b(GDS) b- bcorrect banswer-Scoring bInstructions. bScore
b1 bpoint bfor beach bbolded banswer. bA bscore bof b5 bor bmore bsuggests bdepression.
Self-reporting btool bthat bmay bbe bused bto bdiagnose band btreat bdepression
Geriatric bDepression bScale b- bcorrect banswer-The bGeriatric bDepression bScale
b(GDS) bis ba bself-report bmeasure bof bdepression bin bolder badults. bUsers brespond
bin ba b"Yes/No" bformat. bThe bGDS bwas boriginally bdeveloped bas ba b30-item
binstrument. bSince bthis bversion bproved bboth btime-consuming band bdifficult bfor
bsome bpatients bto bcomplete, ba b15-item bversion bwas bdeveloped. bThe bshortened
bform b(GDS-S) bis bcomprised bof b15 bitems bchosen bfrom bthe bGeriatric bDepression
bScale-Long bForm b(GDS-L). bThese b15 bitems bwere bchosen bbecause bof btheir
bhigh bcorrelation bwith bdepressive bsymptoms bin bprevious bvalidation bstudies
Geriatric bDepression bScale: bTargeted bPopulation b- bcorrect banswer-he bGDS bmay
bbe bused bwith bhealthy, bmedically bill band bmild bto bmoderately bcognitively
bimpaired bolder badults. bIt bhas bbeen bextensively bused bin bcommunity, bacute bcare,
band blong-term bcare bsettings.
, Geriatric bDepression bScale b(GDS): bScore b- bcorrect banswer-Pharmacologic,
bpsychotherapeutic, bor bcombination btreatment bindicated bof bthe b15 bitems, b10
bindicated bthe bpresence bof bdepression bwhen banswered bpositively, bwhile bthe
brest b(question bnumbers b1, b5, b7, b11, b13) bindicated bdepression bwhen banswered
bnegatively. b
Scores bof b0-4 bare bconsidered bnormal, bdepending bon bage, beducation, band
bcomplaints; b(No bTreatment)
5-8 bindicate bmild bdepression; b(Pharmacologic bor bpsychotherapeutic btreatment
bmay bbe bindicated
Base btreatment bon bduration bof bsymptoms band bfunctional bimpairment
9-11 bindicate bmoderate bdepression; b(Pharmacologic, bpsychotherapeutic, bor
bcombination btreatment bindicated)
12-15 bindicate bsevere bdepression.(Pharmacologic, bpsychotherapeutic, bor
bcombination btreatment bindicated
Geriatric bDepression bScale b(GDS): bIndication bfor bIntervention b- bcorrect banswer-
The bpresence bof bdepression bwarrants bprompt bintervention band btreatment. bThe
bGDS bmay bbe bused bto bmonitor bdepression bover btime bin ball bclinical bsettings. b
Any bpositive bscore babove b5 bon bthe bGDS bShort bForm bshould bprompt ban bin-
depth bpsychological bassessment band bevaluation bfor bsuicidality.
Patient bHealth bQuestionnaire b[PHQ-9] b- bcorrect banswer-A bbrief b9-item bself-
report bquestionnaire bused bas ba bscreening btool bto bassess bseverity bof
bdepression; bwidely bused bby bhealth bcare bproviders, bin bvalidity bis bwell
bestablished, bparticularly bfor bidentifying bsevere bdepression.
The bBeck bDepression bInventory b(BDI) b- bcorrect banswer-Widely bused bto bscreen
bfor bdepression band bto bmeasure bbehavioral bmanifestations band bseverity bof
bdepression. b
The bBDI bcan bbe bused bfor bages b13 bto b80. bThe binventory bcontains b21 bself-
report bitems bwhich bindividuals bcomplete busing bmultiple bchoice bresponse
bformats. b
The bBDI btakes bapproximately b10 bminutes bto bcomplete. bValidity band breliability bof
bthe bBDI bhas bbeen btested bacross bpopulations, bworldwide.
Center bfor bEpidemiologic bStudies bDepression bScale b(CES-D) b- bcorrect banswer-
Designed bfor buse bin bthe bgeneral bpopulation band bis bnow bused bas ba bscreener
bfor bdepression bin bprimary bcare bsettings. b
It bincludes b20 bself-report bitems, bscored bon ba b4-point bscale, bwhich bmeasure
bmajor bdimensions bof bdepression bexperienced bin bthe bpast bweek.
