A 31-year-old woman presents to the PMHNP for an evaluation. Her chief complaint is "depression." The nurse practitioner asks her to complete a Zung Depression Scale, and the client's score is a 51. What does this score represent?
Normal mental state
Mild depression
Moderate depression
Severe depression
The Correct Answer is C
Choice A reason: Scores in the normal range are below the threshold for depression and would typically fall under 50 on the Zung scale.
Choice B reason: Mild depression is generally indicated by lower scores (50–59), but 51 falls into the moderate range in some scoring interpretations.
Choice C reason: A score of 51 is consistent with moderate depression, indicating the presence of clinically significant depressive symptoms that may require intervention.
Choice D reason: Severe depression is usually represented by much higher scores (70+), which is not the case here.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: This sequence does not reflect the structured stages of appreciative inquiry, which emphasize discovery and envisioning possibilities before design and implementation.
Choice B reason: The 4-D model includes Discover (identify strengths), Dream (envision what could be), Design (plan actions to achieve the dream), and Destiny/Deliver (implement and sustain positive change), making this the correct sequence.
Choice C reason: This sequence omits the discovery phase and replaces destiny with define, which is inconsistent with the established model.
Choice D reason: Mixing deliver and destiny without following the proper sequence of discovery, dreaming, designing, and delivering misrepresents the model.
Correct Answer is B
Explanation
Choice A reason: Industry vs. Inferiority occurs in middle childhood and involves developing competence in school and social skills. It does not relate to identity formation.
Choice B reason: Identity vs. Role Confusion occurs in adolescence and involves exploring personal values, beliefs, and goals. Failure to establish a coherent sense of self results in role confusion, which is the basis of an "identity crisis."
Choice C reason: Intimacy vs. Isolation occurs in young adulthood and focuses on forming intimate relationships, not identity formation per se.
Choice D reason: Generativity vs. Stagnation occurs in middle adulthood and relates to contributing to society and future generations, not identity development.
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