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NR547 Nursing Research: Advanced Methods & Evidence-Based Practice Guide

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This comprehensive guide for NR547 covers advanced nursing research methodologies, quantitative and qualitative analysis, and the application of evidence-based practice to improve patient outcomes and healthcare systems.

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age 1 of 51




Nursing Research NR547 – Final Exam Review –
Chamberlain University – 2025 – Complete Exam
Material with Questions and Answers
What is the HAM-D? ......ANSWER........Clinician administered
depression rating scale that monitors the severity of depression
symptoms with a focus on psychological and physical aspects of
depression (scored 0-2 or 0-4).

What is the components of the HAM-D? ......ANSWER........Mood,
guilt feelings, SI, insomnia, work and activities, psychomotor
agitation or retardation, anxiety, somatic symptoms,
hypochondriasis, loss of weight, insight

HAM-D score that indicates no depression? ......ANSWER........0-7

HAM-D score that indicates mild depression? ......ANSWER........8-
16

HAM-D score that indicates moderate depression?
......ANSWER........17-23

HAM-D score that indicates severe depression?
......ANSWER........24 or >

What is the geriatric depression scale? ......ANSWER........Consists
of yes/no questions that assess emotional, cognitive, behavioral
symptoms of depression in older adults. Avoid somatic symptoms
that may overlap with medical conditions

,age 2 of 51




What are the components of the geriatric depression scale?
......ANSWER........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
......ANSWER........0--4

What GDS score is mild? 30 point scale and 15 point scale
......ANSWER........10--8

What GDS score is moderate? 30 point scale and 15 point scale
......ANSWER........20-30 (moderate to severe) / 9-11

What GDS score is severe on the 15 point scale?
......ANSWER........12-15

What is the PHQ-9 scale? ......ANSWER........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?
......ANSWER........Anhedonia, depressed mood, sleep problems,
fatigue, appetite changes, low self-worth, concentrations issues,
psychomotor changes, suicidal thoughts

What PHQ-9 score indicates none ......ANSWER........0-4

What PHQ-9 score indicates mild ......ANSWER........5-9

,age 3 of 51




What PHQ-9 score indicates moderate ......ANSWER........10-14

What PHQ-9 score indicates moderately severe
......ANSWER........15-19

What PHQ-9 score indicates severe ......ANSWER........20-27

What is the mood disorder questionnaire?
......ANSWER........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?
......ANSWER........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?"

, age 4 of 51




What is the criteria for the mood disorder questionnaire to be
positive? ......ANSWER........7 or more "yes" responses in Part 1,
"Yes" in Part 2, OR moderate or serious impairment in Part 3

What is the criteria for the mood disorder questionnaire to be
negative? ......ANSWER........Fewer than 7 "yes" response in Part
1 OR "no" in Part 2 OR "no/minor problems" in Part 3

Normal TSH ......ANSWER........0.4-4.0 (elevated TSH = hypo) /
(low TSH = hyper)

Normal Hgb ......ANSWER........Men: 13.8-17.2 / Women: 12.1-
15.1

Normal lithium / toxic ......ANSWER........0.6-1.2 / >1.5

Symptoms of lithium toxicity ......ANSWER........Confusion, seizures,
tremors, coma

When should a lithium level be drawn? ......ANSWER........12
hours after last dose

What other labs should be checked when a patient is on lithium?
......ANSWER........Kidney function and thyroid levels

Normal depakote (valproic acid) / toxic ......ANSWER........50-
125 / >150

Symptoms of depakote toxicity? ......ANSWER........Liver tox,
pancreatitis, CNS depression

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