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NR 547 FINAL EXAM NEWEST VERSION -2025/2026- 100+
QUESTIONS AND VERIFIED ANSWERS 100% CORRECT
GUARANTEED SUCCESS
What are the components of the geriatric depression scale?
Mood and enjoyment, energy levels, social withdrawal, feelings of hopelessness,
memory concerns, anxiety and worry, suicidal thoughts (1 point of each depressed
response)
What GDS score is normal? 30 point scale and 15 point scale
0--4
What GDS score is mild? 30 point scale and 15 point scale
10--8
What GDS score is moderate? 30 point scale and 15 point scale
20-30 (moderate to severe) / 9-11
What GDS score is severe on the 15 point scale?
12-15
What is the PHQ-9 scale?
Self report tool for screening, diagnosing, and monitoring depression. It
evaluations symptom severity over the past 2 weeks
What are the components of the PHQ-9?
Anhedonia, depressed mood, sleep problems, fatigue, appetite changes, low self-
worth, concentrations issues, psychomotor changes, suicidal thoughts
What PHQ-9 score indicates none
, 2
0-4
What PHQ-9 score indicates mild
5-9
What PHQ-9 score indicates moderate
10-14
What PHQ-9 score indicates moderately severe
15-19
What PHQ-9 score indicates severe
20-27
What is the mood disorder questionnaire?
Screening tool used for bipolar disorder that helps to differentiate bipolar from
unipolar with 13 yes/no questions
What are the components of the mood disorder questionnaire?
Part 1: increased energy and activity, euphoric mood or irritable mood, decreased
need for sleep, unusual talkativeness or pressured speech, racing thoughts, easily
distracted, increase in goal-directed activities, involvement in risky behaviors,
unusual confidence or grandiosity, more outgoing/social than usual, episodes
lasting several days or longer, other people noticing these changes, symptoms
occurring together in the same time period
Part 2: "Have several of the above symptoms ever happened during the same
period of time?"
Part 3: "How much did these problems cause difficulty in work, social, or family
life?"
What is the criteria for the mood disorder questionnaire to be positive?
7 or more "yes" responses in Part 1, "Yes" in Part 2, OR moderate or serious
impairment in Part 3
, 3
What is the criteria for the mood disorder questionnaire to be negative?
Fewer than 7 "yes" response in Part 1 OR "no" in Part 2 OR "no/minor problems"
in Part 3
Normal TSH
0.4-4.0 (elevated TSH = hypo) / (low TSH = hyper)
Normal Hgb
Men: 13.8-17.2 / Women: 12.1-15.1
Normal lithium / toxic
0.6-1.2 / >1.5
Symptoms of lithium toxicity
Confusion, seizures, tremors, coma
When should a lithium level be drawn?
12 hours after last dose
What other labs should be checked when a patient is on lithium?
Kidney function and thyroid levels
Normal depakote (valproic acid) / toxic
50-125 / >150
Symptoms of depakote toxicity?
Liver tox, pancreatitis, CNS depression
When should depakote be checked?
Before next dose
What other labs should be drawn when a patient is on depakote?
Liver enzymes, platelets, ammonia
, 4
What is mild MDD
Few symptoms beyond diagnostic criteria, manageable
What is moderate MDD
More symptoms, significant impairment but manageable
What is severe MDD
Many symptoms, major impairment in functioning
What is MDD with psychosis
Hallucinations or delusions are present
What is MDD with mood congruent psychosis
Delusions/hallucinations consistent with depressive themes (guilt, worthlessness)
What is MDD with mood incongruent psychosis
Psychotic features unrelated to mood (paranoia)
What is MDD with anxious distress
Feeling tense, restless, difficulty concentrating due to worry, fear of losing control
* high risk of suicide and treatment resistance
What is MDD with mixed features
Some manic/hypomanic symptoms present, but not enough for bipolar disorder
(increased energy, elevated mood, talkativeness)
*Possible bipolar spectrum disorder
What is MDD with melancholic features
Severe loss of pleasure (anhedonia), lack of mood reactivity, profound
despair/guilt, early morning awakening, significant weight loss, psychomotor
agitation/retardation
* more bio in origin, better response to SSRIs or ECT
NR 547 FINAL EXAM NEWEST VERSION -2025/2026- 100+
QUESTIONS AND VERIFIED ANSWERS 100% CORRECT
GUARANTEED SUCCESS
What are the components of the geriatric depression scale?
Mood and enjoyment, energy levels, social withdrawal, feelings of hopelessness,
memory concerns, anxiety and worry, suicidal thoughts (1 point of each depressed
response)
What GDS score is normal? 30 point scale and 15 point scale
0--4
What GDS score is mild? 30 point scale and 15 point scale
10--8
What GDS score is moderate? 30 point scale and 15 point scale
20-30 (moderate to severe) / 9-11
What GDS score is severe on the 15 point scale?
12-15
What is the PHQ-9 scale?
Self report tool for screening, diagnosing, and monitoring depression. It
evaluations symptom severity over the past 2 weeks
What are the components of the PHQ-9?
Anhedonia, depressed mood, sleep problems, fatigue, appetite changes, low self-
worth, concentrations issues, psychomotor changes, suicidal thoughts
What PHQ-9 score indicates none
, 2
0-4
What PHQ-9 score indicates mild
5-9
What PHQ-9 score indicates moderate
10-14
What PHQ-9 score indicates moderately severe
15-19
What PHQ-9 score indicates severe
20-27
What is the mood disorder questionnaire?
Screening tool used for bipolar disorder that helps to differentiate bipolar from
unipolar with 13 yes/no questions
What are the components of the mood disorder questionnaire?
Part 1: increased energy and activity, euphoric mood or irritable mood, decreased
need for sleep, unusual talkativeness or pressured speech, racing thoughts, easily
distracted, increase in goal-directed activities, involvement in risky behaviors,
unusual confidence or grandiosity, more outgoing/social than usual, episodes
lasting several days or longer, other people noticing these changes, symptoms
occurring together in the same time period
Part 2: "Have several of the above symptoms ever happened during the same
period of time?"
Part 3: "How much did these problems cause difficulty in work, social, or family
life?"
What is the criteria for the mood disorder questionnaire to be positive?
7 or more "yes" responses in Part 1, "Yes" in Part 2, OR moderate or serious
impairment in Part 3
, 3
What is the criteria for the mood disorder questionnaire to be negative?
Fewer than 7 "yes" response in Part 1 OR "no" in Part 2 OR "no/minor problems"
in Part 3
Normal TSH
0.4-4.0 (elevated TSH = hypo) / (low TSH = hyper)
Normal Hgb
Men: 13.8-17.2 / Women: 12.1-15.1
Normal lithium / toxic
0.6-1.2 / >1.5
Symptoms of lithium toxicity
Confusion, seizures, tremors, coma
When should a lithium level be drawn?
12 hours after last dose
What other labs should be checked when a patient is on lithium?
Kidney function and thyroid levels
Normal depakote (valproic acid) / toxic
50-125 / >150
Symptoms of depakote toxicity?
Liver tox, pancreatitis, CNS depression
When should depakote be checked?
Before next dose
What other labs should be drawn when a patient is on depakote?
Liver enzymes, platelets, ammonia
, 4
What is mild MDD
Few symptoms beyond diagnostic criteria, manageable
What is moderate MDD
More symptoms, significant impairment but manageable
What is severe MDD
Many symptoms, major impairment in functioning
What is MDD with psychosis
Hallucinations or delusions are present
What is MDD with mood congruent psychosis
Delusions/hallucinations consistent with depressive themes (guilt, worthlessness)
What is MDD with mood incongruent psychosis
Psychotic features unrelated to mood (paranoia)
What is MDD with anxious distress
Feeling tense, restless, difficulty concentrating due to worry, fear of losing control
* high risk of suicide and treatment resistance
What is MDD with mixed features
Some manic/hypomanic symptoms present, but not enough for bipolar disorder
(increased energy, elevated mood, talkativeness)
*Possible bipolar spectrum disorder
What is MDD with melancholic features
Severe loss of pleasure (anhedonia), lack of mood reactivity, profound
despair/guilt, early morning awakening, significant weight loss, psychomotor
agitation/retardation
* more bio in origin, better response to SSRIs or ECT
