NR-547 Differential Diagnosis in Psychiatric-Mental Health across the Lifespan Practicum
NR547 Final Exam (Latest Update)
Question:
Suicide in the U.S.
Answer:
-Approximately 2/3 of clients with depression contemplate suicide • 10-15% die by suicide -Suicide is the second leading cause of death between the ages of 10-24 years -Almost 2 million adolescents attempt suicide each year -One in four older adults suicide attempts are fatal -One in 200 adolescent suicide attempts are fatal -Conversations about suicidal ideation are critical • Screening tools such as the National Institutes of Health (NIH) Ask Suicide-Screening Questions (ASQ) are helpful resources to support these conversations.
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Question:
Risk factors for suicide:
Answer:
-family history of suicide -history of depression -drug and alcohol use -history of school difficulties -high achiever -anxiety -having been bullied -access to lethal means -exposure to others with previous thoughts or actions of suicide -incarceration -traumatic life events or relationship issues -identifying as LGBTQ+ -Native American descent
Question:
Depression Lifespan Considerations: Older Adults
Answer:
second leading cause of disability after cardiovascular disease -impacts around 7% of the geriatric population -often underreport symptoms of depression 2 / 4
-not a normal part of the aging process
-Risk factors:
• Chronic illness • Disability/ loss of mobility • Change in living situation • Role transitions • Loss of independence • Bereavement • Economic hardships
Question:
Depression Lifespan Considerations: Older Adults, pertinent information for
an interview
Answer:
-socialization, including recent changes or loss -ability to complete activities of daily living (ADLs) -typical physical activity -appetite changes -weight loss or gain -psychotic symptoms -suicidal thoughts or ideations
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Question:
Bipolar Lifespan considerations: older adults
Answer:
Approximately 10% of bipolar cases are diagnosed after the age of 50 -mania is more likely to be expressed as agitation or irritability rather than euphoria -more likely to experience mixed episodes -Late-onset bipolar disorder may be difficult to distinguish from dementia
Question:
Geriatric Depression Scale (GDS)
Answer:
self-reporting tool that may be used to diagnose and treat depression
0-4: No depression
No treatment indicated
5-8: Mild depression
Pharmacologic or psychotherapeutic treatment may be indicated Base treatment on duration of symptoms and functional impairment
9-11: Moderate depression
Pharmacologic, psychotherapeutic, or combination treatment indicated
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