PM
NR 547 FINAL STUDY GUIDE – PMHNP EXAM QUESTIONS
AND ANSWERS WITH COMPLETE SOLUTIONS
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Terms in this set (69)
Unipolar major depression (major depressive disorder) is characterized by a
When do you consider Unipolar versus
history of one or more major depressive episodes (table 3) and no history of
Bipolar depression
mania (table 1) or hypomania
Scoring Instructions. Score 1 point for each bolded answer. A score of 5 or more
suggests depression.
Geriatric Depression Scale (GDS)
Self-reporting tool that may be used to diagnose and treat depression
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
Geriatric Depression Scale
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
he GDS may be used with healthy, medically ill and mild to moderately
Geriatric Depression Scale: Targeted
cognitively impaired older adults. It has been extensively used in community,
Population
acute care, and long-term care settings.
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, 4/12/25, 8:12 NR 547 Final Study Guide - PMHNP Flashcards |
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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)
Geriatric Depression Scale (GDS): Score 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
The presence of depression warrants prompt intervention and treatment. The
GDS may be used to monitor depression over time in all clinical settings.
Geriatric Depression Scale (GDS):
Indication for Intervention
Any positive score above 5 on the GDS Short Form should prompt an in-depth
psychological assessment and evaluation for suicidality.
A brief 9-item self-report questionnaire used as a screening tool to assess
Patient Health Questionnaire [PHQ-9] severity of depression; widely used by health care providers, in validity is well
established, particularly for identifying severe depression.
Widely used to screen for depression and to measure behavioral manifestations
and severity of depression.
The BDI can be used for ages 13 to 80. The inventory contains 21 self-report items
The Beck Depression Inventory (BDI)
which individuals complete using multiple choice response formats.
The BDI takes approximately 10 minutes to complete. Validity and reliability of the
BDI has been tested across populations, worldwide.
Designed for use in the general population and is now used as a screener for
depression in primary care settings.
It includes 20 self-report items, scored on a 4-point scale, which measure major
Center for Epidemiologic Studies dimensions of depression experienced in the past week.
Depression Scale (CES-D)
The CES-D can be used for children as young as 6 and through older adulthood.
It has been tested across gender and cultural populations and maintains
consistent validity and reliability. The scale takes about 20 minutes to administer,
including scoring.
The EQ-5D is a standardized, non-disease specific instrument for describing and
evaluating health-related quality of life. The instrument measures quality of life in
EQ-5D
five dimensions: mobility, self-care, usual activities, pain/discomfort and
anxiety/depression.
Hamilton Depression Rating Scale (HAM-
D)
Sadness, lethargy, inactivity and feelings of helplessness and
hopelessness Genetic link
Mood Disorders: Depression Behavioral changes: slower motor reactions
Cognitive changes: cognitive distortions
Physical changes: alters immune functioning
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