VERIFIED 16, MARYVILLE 663 NURS EXAM 2 QUESTIONS
AND ANSWERS
Suicide evaulation
1. Is there active plan?
2. Any steps towards activation (accessed gun),
3. given away possessions, completed unfinished tasks,
4. comments to peers/others: no longer being around
5. said "goodbye" or written notes
GAD-7 scale
7 item anxiety screening tool for in clinic use. 0=not at all; 3=nearly everyday; uses DSM
criteria: nervous, anxious, can't control anxiety, worrying too much, trouble relaxing,
restless, annoyed, irritable, something terrible will happen
GAD 7 scoring
Score 0-4: Minimal Anxiety
Score 5-9: Mild Anxiety
Score 10-14: Moderate Anxiety
Score greater than 15: Severe Anxiety
Child Mania Rating Scale
1. 21-item to identify symptoms of mania in children and adolescents aged 9-17
2. assesses the child's mood and behavior symptoms, asking parents or teachers to
rate how often the symptoms have caused a problem for the youth in the past month
Positive and Negative Symptom Scale
1. positive symptoms include delusions and hallucinations, for example, and negative
symptoms include social withdrawal, flat affect or diminished emotion in terms of facial
expression, and confused or odd speech
2. delineates not only the existence of positive and negative symptoms, it allows for an
assessment of the severity of these symptoms
Brief Psychiatric Rating Scale
, 18 symptom constructs such as hostility, suspiciousness, hallucination, and grandiosity.
It is particularly useful in gauging the efficacy of treatment in patients who have
moderate to severe psychoses
Vanderbilt Scales
Screening for ADHD and common comorbidities: oppositional-defiant, conduct, anxiety
and depression
SCARED-Child
good for assessing anxiety in children; parent/teacher option available (rating of the past
mo).
PHQ-9
1. "over the last 2 weeks". assesses interest, mood/hopeless, energy, sleep, apetite
feeling bad, psychomotor, passive/active SI. #10 is how difficult have any checked
probs made if for you to do work, take care of home, get along w/other.
2. rating: 2-4 shaded section checked consider, other depressive; 5 or more check in
shaded area consider MDD.
3. Used initially and to monitor improvements over time and response to tx
interventions.
Common comorbidity r/t bipolar
1. Anxiety (panic disorder, OCD, phobias, and post-traumatic stress disorder are also
common in this group),
2. ADHD,
3. substance abuse,
4. metabolic syndrome: affects 1:5 to 1:3
5. obesity 3/4 people are overweight: high levels of cortisol
6. personality disorders: 1:3 cluster B
7. ASD: 1:3 comorbid w/________
Bipolar risk factors for bipolar
1. more common in high-income than low income countries.
2. Separated, widowed, divorced persons higher risk for bipolar I but not sure why.
3.genetic and physiological: family history is one of the strongest and most consistent
risk factors; Magnitude incr with incr of kinship. Schizophrenia and ____________share
AND ANSWERS
Suicide evaulation
1. Is there active plan?
2. Any steps towards activation (accessed gun),
3. given away possessions, completed unfinished tasks,
4. comments to peers/others: no longer being around
5. said "goodbye" or written notes
GAD-7 scale
7 item anxiety screening tool for in clinic use. 0=not at all; 3=nearly everyday; uses DSM
criteria: nervous, anxious, can't control anxiety, worrying too much, trouble relaxing,
restless, annoyed, irritable, something terrible will happen
GAD 7 scoring
Score 0-4: Minimal Anxiety
Score 5-9: Mild Anxiety
Score 10-14: Moderate Anxiety
Score greater than 15: Severe Anxiety
Child Mania Rating Scale
1. 21-item to identify symptoms of mania in children and adolescents aged 9-17
2. assesses the child's mood and behavior symptoms, asking parents or teachers to
rate how often the symptoms have caused a problem for the youth in the past month
Positive and Negative Symptom Scale
1. positive symptoms include delusions and hallucinations, for example, and negative
symptoms include social withdrawal, flat affect or diminished emotion in terms of facial
expression, and confused or odd speech
2. delineates not only the existence of positive and negative symptoms, it allows for an
assessment of the severity of these symptoms
Brief Psychiatric Rating Scale
, 18 symptom constructs such as hostility, suspiciousness, hallucination, and grandiosity.
It is particularly useful in gauging the efficacy of treatment in patients who have
moderate to severe psychoses
Vanderbilt Scales
Screening for ADHD and common comorbidities: oppositional-defiant, conduct, anxiety
and depression
SCARED-Child
good for assessing anxiety in children; parent/teacher option available (rating of the past
mo).
PHQ-9
1. "over the last 2 weeks". assesses interest, mood/hopeless, energy, sleep, apetite
feeling bad, psychomotor, passive/active SI. #10 is how difficult have any checked
probs made if for you to do work, take care of home, get along w/other.
2. rating: 2-4 shaded section checked consider, other depressive; 5 or more check in
shaded area consider MDD.
3. Used initially and to monitor improvements over time and response to tx
interventions.
Common comorbidity r/t bipolar
1. Anxiety (panic disorder, OCD, phobias, and post-traumatic stress disorder are also
common in this group),
2. ADHD,
3. substance abuse,
4. metabolic syndrome: affects 1:5 to 1:3
5. obesity 3/4 people are overweight: high levels of cortisol
6. personality disorders: 1:3 cluster B
7. ASD: 1:3 comorbid w/________
Bipolar risk factors for bipolar
1. more common in high-income than low income countries.
2. Separated, widowed, divorced persons higher risk for bipolar I but not sure why.
3.genetic and physiological: family history is one of the strongest and most consistent
risk factors; Magnitude incr with incr of kinship. Schizophrenia and ____________share
