NR-547 Differential Diagnosis in Psychiatric-Mental Health across the Lifespan Practicum
NR547 Final Exam (Latest Update)
Question:
Independent risk factor for dementia
Answer:
Depression therefore it is important to evaluate cognitive function when depression is suspected. Older clients may have associated memory loss, slowed processing, or impaired executive functioning.
Question:
Assessing Depression in Patients with Dementia
Answer:
Self-reporting scales, such as the GDS, may be inappropriate.
Cornell Scale for Depression in Dementia can be used to screen not diagnose.
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Question:
The goal of treatment for older adults experiencing depression
Answer:
Symptom remission
Question:
First Choice of Treating Depression in Older Adults
Answer:
SSRI & SNRI's
Escitalopram, citalopram, and sertraline have fewer drug-drug interactions than other medications and are appropriate choices for initial therapy in older adults taking multiple medications.
Question:
Clinical pearls for adjusting and discontinuing pharmacotherapy for depression in older adults
Answer:
Dose changes:
start low, go slow 4-8 weeks for symptom relief reassess if partial improvement, consider adding second drug 2 / 4
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)
Question:
Nonpharmacologic Interventions: Depression Older Adult
Answer:
Engagement Social support Exercise Relaxation
Question:
Mini-Cog Test
Answer:
Assess Dementia:
Step 1: Three Word Registration.
Step 2: Clock Drawing.
Step 3: Three Word Recall.
If abnormal, screen further w/MMSE
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Question:
Children's Depression Inventory
Answer:
can 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
Question:
Edinburgh Postnatal Depression Scale (EPDS)
Answer:
Screening test used to identify depression during pregnancy or in the postpartum period
Question:
ASQ screening
Answer:
The Ask Suicide-Screening Questions (ASQ) tool is a brief validated tool for use among both youth and adults.
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