Which of the following tools would the PMHNP use to aid in diagnosis of a 69-year-old woman with depressive symptoms?
St. Louis University Mental Status exam (SLUMS)
Mini mental status exam (MMSE)
Geriatric Depression Scale (GDS)
Montreal Cognitive Assessment (MoCA)
The Correct Answer is C
Choice A reason: SLUMS is primarily used to screen for cognitive impairment, not depression.
Choice B reason: MMSE assesses general cognitive function but does not specifically evaluate depressive symptoms.
Choice C reason: GDS is a validated tool specifically designed to screen for depression in older adults, making it the most appropriate choice for this patient.
Choice D reason: MoCA is used for detecting mild cognitive impairment and dementia rather than depressive symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This question addresses self-perception or body image rather than mood disturbances.
Choice B reason: This question pertains to health anxiety or obsessive worry, not mood.
Choice C reason: This question targets anxiety and control over worry, not mood specifically.
Choice D reason: Asking about periods of high energy, reduced need for sleep, and elevated mood screens for mood disorders such as mania or hypomania, making it the most relevant to the mood domain in the psychiatric ROS.
Correct Answer is C
Explanation
Choice A reason: Art therapy can be helpful for children to express emotions and experiences, but it may not be as effective for young children who have experienced trauma, as they may struggle to verbalize or depict their experiences through art alone.
Choice B reason: Talk therapy relies on verbal communication and insight, which may be challenging for a 4-year-old child who may not have the verbal skills or developmental maturity to discuss traumatic events in detail.
Choice C reason: Play therapy is developmentally appropriate for young children, allowing them to express feelings, work through trauma, and communicate experiences indirectly through play. It is considered the first-line therapeutic intervention for suspected abuse in preschool-aged children.
Choice D reason: Group therapy is generally not suitable for very young children with suspected abuse because it may not provide the individualized attention needed and could risk re-traumatization.
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