Integrated Chronic Care Management For Depression: Pre-Test

1.

What is true about depression and chronic desiease?
- A.
  
  Depression occurs less frequently than hypertension
- B.
  
  Depression is less likely to be seen in people with chronic diseases
- C.
  
  Patients are routinely screened for depression in all care settings
- D.
  
  B. and C.
- E.
  
  A. only
Correct Answer
E. A. only

Explanation
The correct answer is A. only. This means that the statement "Depression occurs less frequently than hypertension" is true, while the statements "Depression is less likely to be seen in people with chronic diseases" and "Patients are routinely screened for depression in all care settings" are false.

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2.

Depression later in life is a normal part of aging
- A.
  
  True
- B.
  
  False
Correct Answer
B. False

Explanation
Depression later in life is not a normal part of aging. While it is true that older adults may experience certain life changes and challenges that can contribute to feelings of sadness or grief, depression is not a natural or inevitable consequence of aging. Depression is a serious mental health condition that requires proper diagnosis and treatment. It is important for older adults and their loved ones to recognize the signs of depression and seek help from healthcare professionals when needed.

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3.

The most common symptom of depression reported by patients in late life is
- A.
  
  Physical complaints
- B.
  
  Sadness
- C.
  
  Memory loss
- D.
  
  All of the above
- E.
  
  A. only
Correct Answer
E. A. only

Explanation
The most common symptom of depression reported by patients in late life is physical complaints. While sadness and memory loss can also be symptoms of depression, physical complaints such as body aches, fatigue, and changes in appetite are often more prevalent in older adults. These physical symptoms may be the primary way that depression manifests in this population, making them the most commonly reported symptom.

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4.

Indicate the cardinal signs of a major depression
- A.
  
  Inability to concentrate
- B.
  
  Sad mood
- C.
  
  Anxiety
- D.
  
  Little interest in prior pleasurable events
- E.
  
  All of the above
- F.
  
  B. and D.
Correct Answer
F. B. and D.

Explanation
The cardinal signs of major depression include an inability to concentrate, a sad mood, anxiety, and little interest in prior pleasurable events. The correct answer is B. and D. because both options include these cardinal signs.

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5.

Depression symptoms that persist for one week should alert the health care professional to the presence of a moderate depression
- A.
  
  True
- B.
  
  False
Correct Answer
B. False

Explanation
Depression symptoms that persist for one week should not necessarily alert the health care professional to the presence of a moderate depression. The duration of symptoms alone is not enough to determine the severity of depression. The severity of depression is typically assessed based on the number and intensity of symptoms experienced, as well as their impact on daily functioning and quality of life. Therefore, it is important for health care professionals to consider a comprehensive evaluation and assessment before making any conclusions about the severity of depression.

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6.

The pHQ-2 and pHQ-0 are used to
- A.
  
  Monitor response to depression treatment
- B.
  
  Diagnose a depression
- C.
  
  Indicate the need for PT and/or OT and/or MSW
- D.
  
  Assist patients to recognize the presence of a depression
- E.
  
  All of the above
- F.
  
  A., C., and D.
Correct Answer
F. A., C., and D.

Explanation
The PHQ-2 and PHQ-0 are used to monitor the response to depression treatment, indicate the need for PT and/or OT and/or MSW, and assist patients to recognize the presence of depression. This means that the correct answer is A., C., and D.

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7.

The effects of anti-depressants are
- A.
  
  To decrease depression
- B.
  
  Elevate mood
- C.
  
  Addiction with prologed use
Correct Answer
A. To decrease depression

Explanation
The effects of anti-depressants are to decrease depression. Anti-depressants are medications that are specifically designed to treat depression and related mental health conditions. These medications work by balancing certain chemicals in the brain, such as serotonin, which helps to improve mood and reduce symptoms of depression. By decreasing depression, anti-depressants can help individuals feel better and improve their overall quality of life.

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8.

Consideration must be given to the following when prescribing an anti-depressant in the late life patient
- A.
  
  Cost
- B.
  
  Family supports
- C.
  
  Memory
- D.
  
  Dosing
- E.
  
  All of the above
- F.
  
  A. and C.
Correct Answer
E. All of the above

Explanation
When prescribing an anti-depressant in the late life patient, several factors need to be considered. The cost of the medication is important as it should be affordable for the patient. Family support is crucial as it can greatly impact the patient's well-being and adherence to the treatment. Memory is another important consideration as some anti-depressants may affect cognitive function. Dosing is also significant as it should be adjusted based on the patient's age and overall health. Therefore, all of the mentioned factors (cost, family supports, memory, and dosing) need to be taken into account when prescribing an anti-depressant for a late life patient.

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9.

A response to Selective Serotonin Reuptake Inhibitors (SSRI) should be seen
- A.
  
  Within one week
- B.
  
  Within two to four weeks
- C.
  
  Within several months
Correct Answer
B. Within two to four weeks

Explanation
The correct answer is "Within two to four weeks". This is because SSRIs are known to take some time to reach their full effectiveness in the body. It usually takes a couple of weeks for the medication to build up in the system and start balancing the levels of serotonin in the brain. Therefore, patients should expect to see a response to SSRIs within two to four weeks of starting the medication.

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10.

The teaching plan for a patient with depression should include which of the following:
- A.
  
  Medication effects are not immediate
- B.
  
  Depression has a biological component
- C.
  
  Effects of immediate discontinuation of an anti-depressant
- D.
  
  Identification of pleasant events
- E.
  
  All of the above
- F.
  
  A. and B.
Correct Answer
E. All of the above

Explanation
The teaching plan for a patient with depression should include all of the above options. Medication effects are not immediate, so it is important for the patient to understand that it may take some time for the medication to start working. Depression has a biological component, meaning that it is not simply a result of personal weakness or character flaw. The effects of immediate discontinuation of an antidepressant can be severe, so it is crucial for the patient to be aware of this and follow the recommended tapering schedule. Finally, identification of pleasant events can be helpful in managing depression, as it can promote positive emotions and improve overall mood.

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Integrated Chronic care Management For Depression: Pre-test

What is true about depression and chronic desiease?

Depression later in life is a normal part of aging

The most common symptom of depression reported by patients in late life is

Indicate the cardinal signs of a major depression

Depression symptoms that persist for one week should alert the health care professional to the presence of a moderate depression

The pHQ-2 and pHQ-0 are used to

The effects of anti-depressants are

Consideration must be given to the following when prescribing an anti-depressant in the late life patient

A response to Selective Serotonin Reuptake Inhibitors (SSRI) should be seen

The teaching plan for a patient with depression should include which of the following: