NR 547 Final Study Guide - PMHNP Updated Version With Questions and Correct Answers 100% Complete Solution Adjustment disorder with depressed mood - Correct AnswerAdjustment Disorder with Depressed Mood, also called Situational Depression, may sometimes feel nearly as bleak as MDD, but a major difference is that it does not arise out of the blue.
Rather, situational depression occurs after there is a specific trauma-divorce, accident, death of loved one, a major life change...
Antidepressant medications used to treat depressive symptoms - Correct AnswerSSRI SNRI TCS MAOI's
ASQ screening - Correct AnswerThe Ask Suicide-Screening Questions (ASQ) tool is a brief validated tool for use among both youth and adults.
Assessing Depression in Patients with Dementia - Correct AnswerSelf-reporting scales, such as the GDS, may be inappropriate.
Cornell Scale for Depression in Dementia can be used to screen not diagnose.
Bipolar I and II disorders - Correct AnswerThese mood disorders include mood swings that range from highs (mania) to lows (depression). It's sometimes difficult to distinguish between bipolar disorder and depression.
Cause of Depression - Correct AnswerThough the exact cause is unknown, depression is influenced by genetic and environmental factors.
Stressful life events, such as giving birth or experiencing emotional trauma, can contribute to the development of depression.
Center for Epidemiologic Studies Depression Scale (CES-D) - Correct AnswerDesigned 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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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.
Children's Depression Inventory - Correct Answercan be used in both educational and clinical settings to evaluate depressive symptoms in children and adolescents (7-17 years old)
CDI 2 can aid in the early identification of depressive symptoms, the diagnosis of depression and related disorders, as well as, the monitoring of treatment effectiveness
Clinical pearls for adjusting and discontinuing pharmacotherapy for depression in older
adults - Correct AnswerDose changes:
start low, go slow 4-8 weeks for symptom relief reassess if partial improvement, consider adding second drug if no improvement, consider changing to a new drug class maintain pharmacotherapy for at least 1 year after remission to prevent relapse discontinue therapy gradually to reduce withdrawal syndrome (dizziness, anxiety, headache)
Cyclothymic Disorder (Cyclothymia) - Correct AnswerInvolves highs and lows that are milder than those of bipolar disorder.
Depression Education: Older Adult - Correct AnswerEmphasize that medications
should be taken as prescribed but that they may not "cure" depression; remission of symptoms is the goal but changes to therapy may need to occur to achieve remission.
Medications take 4-8 weeks to alleviate symptoms in older adults.
To best treat depression, concurrent nonpharmacologic interventions are indicated.
Depression has a documented adverse effect of which medications? - Correct AnswerCorticosteroids Interferon Propranolol Oral contraceptives Levodopa Isotretinoin
Depression in Older Adults - Correct AnswerDepression is the second leading cause of disability in older adults after cardiovascular disease and impacts around 7% of the geriatric population.
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