A 22-year-old female patient was diagnosed with major depressive disorder by her primary care provider, who referred her to the PMHNP for treatment and further evaluation. Which of the following tools helps gauge the intensity of depression in patients who have been diagnosed with a depressive syndrome?
Patient Health Questionnaire-9 (PHQ-9)
Beck Depression Inventory (BDI)
Beck Hopelessness Scale
St. Louis University Mental Status Exam (SLUMS)
The Correct Answer is B
Choice A reason: The PHQ-9 is useful for initial screening and monitoring of depressive symptoms but is not designed to provide a detailed assessment of depression severity once a diagnosis has been made.
Choice B reason: The BDI is a validated tool for measuring the intensity and severity of depressive symptoms in patients already diagnosed with depression, making it ideal for monitoring response to treatment.
Choice C reason: The Beck Hopelessness Scale measures hopelessness, which is a component of depression, but it does not assess overall depressive severity.
Choice D reason: SLUMS assesses cognitive functioning and is not a measure of depression severity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: An 8-hour interval is too long for continuous monitoring of patients in acute restraints, as regulations require more frequent evaluation to ensure safety.
Choice B reason: Regulatory standards mandate a face-to-face evaluation by a licensed practitioner every 4 hours for adults in restraints to assess ongoing necessity, monitor for complications, and ensure that the least restrictive interventions are applied.
Choice C reason: A 24-hour interval is far too infrequent and would pose significant safety risks to the patient.
Choice D reason: A 1-hour interval is more intensive than required for adults, though younger children may require more frequent monitoring.
Correct Answer is C
Explanation
Choice A reason: Children as young as 5 can comprehend basic concepts of death and may verbalize concerns. This behavior does not automatically indicate pathology.
Choice B reason: Discussing personal thoughts about death is part of normal development and curiosity; parental consent is not required for normal conversation.
Choice C reason: At this age, children are developing an understanding of mortality and often verbalize it repeatedly. This is within normal developmental limits and does not require intervention.
Choice D reason: The child’s discussion does not indicate obsession or pathology but rather normal developmental exploration of mortality concepts.
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