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)

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A reason: While parental assistance may influence outcomes, framing it as “cheating” is inappropriate and may create unnecessary anxiety.

Choice B reason: ADOS evaluates a child’s social and communication abilities independently. Parents must leave so the examiner can observe the child’s behaviors without external influence, ensuring accurate assessment.

Choice C reason: Difficulty in observing the child is not the primary rationale; the goal is to evaluate independent behavior.

Choice D reason: Parental presence may affect behavior, but the main purpose is not to prevent upset, but to accurately assess skills independently.

A. Durham v. U.S. B. O'Connor v. Donaldson C. Rennie v. Klein D. Dusky v. U.S.

Correct Answer is D

Explanation

Choice A reason: Durham v. U.S. established the “Durham rule” for insanity defense, not competency to stand trial.

Choice B reason: O'Connor v. Donaldson addressed involuntary hospitalization, not competency for trial.

Choice C reason: Rennie v. Klein pertains to rights of psychiatric patients, not trial competency.

Choice D reason: Dusky v. U.S. set the legal standard requiring defendants to have a rational and factual understanding of proceedings and the ability to consult with their attorney, establishing competency to stand trial.

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Which of the following tools would the PMHNP use to aid in diagnosis of a 69-year-old woman with depressive symptoms?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

What legal case established a test of competency to determine if a criminal defendant is competent to stand trial?

Correct Answer is D

Explanation

A psychiatric-mental health nurse practitioner is employed on an acute inpatient psychiatric unit for adolescents. At a family visit for a 16-year-old girl, two women request to come in as the child's "mothers." What should the PMHNP do in this situation?

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