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NR 547 Final Study Guide – PMHNP Updated 2024

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NR 547 Final Study Guide – PMHNP Updated 2024 When do you consider Unipolar versus Bipolar depression - ANSWER-Unipolar major depression (major depressive disorder) is characterized by a history of one or more major depressive episodes (table 3) and no history of mania (table 1) or hypomania ...

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  • November 11, 2024
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NR 547 Final Study Guide – PMHNP

Updated 2024


When do you consider Unipolar versus Bipolar depression - ANSWER✔✔-Unipolar major depression

(major depressive disorder) is characterized by a history of one or more major depressive episodes (table

3) and no history of mania (table 1) or hypomania


Geriatric Depression Scale (GDS) - ANSWER✔✔-Scoring Instructions. Score 1 point for each bolded

answer. A score of 5 or more suggests depression.




Self-reporting tool that may be used to diagnose and treat depression


Geriatric Depression Scale - ANSWER✔✔-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 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


Geriatric Depression Scale: Targeted Population - ANSWER✔✔-he GDS may be used with healthy,

medically ill and mild to moderately cognitively impaired older adults. It has been extensively used in

community, acute care, and long-term care settings.




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Geriatric Depression Scale (GDS): Score - ANSWER✔✔-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)




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


Geriatric Depression Scale (GDS): Indication for Intervention - ANSWER✔✔-The presence of depression

warrants prompt intervention and treatment. The GDS may be used to monitor depression over time in

all clinical settings.




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Any positive score above 5 on the GDS Short Form should prompt an in-depth psychological assessment

and evaluation for suicidality.


Patient Health Questionnaire [PHQ-9] - ANSWER✔✔-A brief 9-item self-report questionnaire used as a

screening tool to assess severity of depression; widely used by health care providers, in validity is well

established, particularly for identifying severe depression.


The Beck Depression Inventory (BDI) - ANSWER✔✔-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 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.


Center for Epidemiologic Studies Depression Scale (CES-D) - ANSWER✔✔-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 dimensions of

depression experienced in the past week.




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