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Course 2E Quiz

 

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1)
Looking at 'Principles for Assessment, Coordination of Care and Choosing Treatments' ..... When assessing a person who may have depression, which is NOT recommended?
 
Conduct a comprehensive assessment that does not rely simply on a symptom count.
Conduct a comprehensive assessment that primarily considers the symptom count.
Take into account both the degree of functional impairment and/or disability associated with the possible depression and the duration of the episode.
 
2)
Still under 'Principles for Assessment, Coordination of Care and Choosing Treatments', on page 3 ..... When providing interventions for people with a learning disability or acquired cognitive impairment who have a diagnosis of depression,
 
where possible, provide the same interventions as for other people with depression.
if necessary, adjust the method of delivery or duration of the intervention to take account of the disability or impairment.
both of the above
only the second answer above
 
3)
At the bottom of Page 3, Figure 1 (the box that displays the 4 steps in the NGC's STEPPED CARE MODEL) we see that the intensity of the treatment intervention is matched ONLY to the SEVERITY of the depression, and does NOT address the issue of INADEQUATE RESPONSE to less intensive interventions.
 
True False
 
4)
Looking at Figure 1 of the Stepped-Care Model: 'Low-intensity psychosocial interventions, psychological interventions, medication and referral for further assessment and interventions' is the INTERVENTION FOR WHICH STEP in the model?
 
1st step
2nd step
3rd step
4th stp
 
5)
Still looking at Figure 1, 'Medication, high-intensity psychological interventions, combined treatments, collaborative care and referral for further assessment and interventions' is the INTERVENTION for WHICH STEP in the Stepped-Care Model? _________________
 
2nd
4th
3rd
 
6)
In Figure 1: 'Low-intensity psychosocial interventions and psychological interventions, medication and referral for further assessment' would be appropriate for adults with
 
persistent subthreshold depressive symptoms or mild to moderate depression, with INADEQUATE RESPONSE to initial interventions
severe and complex depression
all of the above
none of the above
 
7)
In footnote (a) to Figure 1 .... _________________ includes depression that shows an inadequate response to multiple treatments, is complicated by psychotic symptoms, and/or is associated with significant psychiatric comorbidity or psychosocial factors.
 
'Inverted Depression'
'Chronic Depression'
'Complex Depression'
 
8)
In the discussion for STEP 1 - Recognition, Assessment and Initial Management of Depression: Consider asking people who may have depression, which question(s)?
 
During the last month, have you often been bothered by feeling down, depressed or hopeless?
During the last month, have you often been bothered by having little interest or pleasure in doing things?
Both of the above
Neither of the above, until at least the second session.
Neither of the above, unless the individual has a depressed affect.
 
9)
Still in Step 1, the Risk Assessment and Monitoring process .... In people with depression, there _________________ increased agitation and anxiety.
 
is the potential for
is rarely
typically is no
 
10)
Moving on to 'STEP 2, RECOGNIZED DEPRESSION ... DEPRESSION WITH ANXIETY', the NGC recommends that when depression is accompanied by symptoms of anxiety, the FIRST PRIORITY should usually be to treat the anxiety.
 
True False
 
11)
When the person has an ANXIETY DISORDER and comorbid depression or depressive symptoms, consider treating _________________ first.
 
the depression
the anxiety
 
12)
At STEP 2, for those with persistent SUBTHRESHOLD depressive symptoms or MILD TO MODERATE depression, the NGC recommends: _________________
 
Individual guided self-help based on the principles of cognitive behavioral therapy (CBT), and/or a structured group physical activity program
A high-intensity psychological intervention, such as CBT
Short-term psychodynamic psychotherapy
 
13)
At Step 2, PHYSICAL ACTIVITY PROGRAMS for people with persistent subthreshold depressive symptoms or mild to moderate depression should:
 
be delivered in groups with support from a competent practitioner
consist typically of three sessions per week of moderate duration (45 minutes to 1 hour) over 10 to 14 weeks.
consist typically of three sessions per week of moderate duration (45 minutes to 1 hour) over 6 to 8 weeks.
Only the first and second answers.
Only the first and third answers.
 
14)
At Step 2, GROUP -BASED CBT for people with persistent subthreshold depressive symptoms or mild to moderate depression should be based on a structured model such as 'Coping with Depression'.
 
True False
 
15)
At Step 2, re DRUG TREATMENT: Do not use antidepressants routinely to treat persistent subthreshold depressive symptoms or mild depression because the risk–benefit ratio is poor.
 
True False
 
16)
At Steps 2 and 3, consider use of antidepressants for people with:
 
a past history of moderate or severe depression
initial presentation of subthreshold depressive symptoms that have been present for a long period (typically at least 2 years)
people with moderate or severe depression, combined with a high intensity psychological intervention (CBT or IPT).
all of the above
only the third answer above
 
17)
Step 3 addresses individuals with Persistent Subthreshold Depressive Symptoms or Mild to Moderate Depression with Inadequate Response to Initial Interventions, and
 
those with Moderate and Severe Depression
those with Severe Depression with suicidal ideation
those with severe self neglect
 
18)
At Step 3, TREATMENT OPTIONS would include an antidepressant medication and a HIGH-INTENSITY PSYCHOLOGICAL INTERVENTION, including such treatments as CBT or Behavioral couples therapy.
 
True False
 
19)
AT STEP 3 (under PSYCHOLOGICAL INTERVENTIONS) regarding 'DELIVERING HIGH-INTENSITY PSYCHOLOGICAL INTERVENTIONS': For all people with depression having individual CBT,
 
The duration of treatment should typically be in the range of 8 to 12 sessions over 3 to 4 months
The duration of treatment should typically be in the range of 16 to 20 sessions over 3 to 4 months
Consider providing two sessions per week for the first 2 to 3 weeks of treatment for people with moderate or severe depression.
The first and third answers above
The second and third answers above
 
20)
At Step 3 (under Delivering High-Intensity Psychological Interventions) .... COUPLES THERAPY for depression should normally be based on:
 
psychodynamic principles
behavioral principles
a mix of psychodynamic and behavioral principles
 
21)
STEP 4 - COMPLEX AND SEVERE DEPRESSION - addresses individuals who are at significant risk of self-harm, have psychotic symptoms, require complex multi-professional care, or where an expert opinion on treatment and management is needed.
 
True False
 
22)
AT STEP 4, the assessment and treatment of a person with depression should include:
 
Their symptom profile, suicide risk and, where appropriate, previous treatment history
Associated psychosocial stressors, personality factors and significant relationship difficulties
Associated comorbidities including alcohol and substance misuse, and personality disorders
Crisis resolution and home treatment teams to manage crises and to monitor risk in a way that allows people to continue their lives without disruption.
All of the above.
 
23)
For a person AT STEP 4, also consider .....
 
inpatient treatment for people with depression who are at significant risk of suicide, self-harm or self neglect.
augmenting the current treatment plan with anti-psychotic medications, for people who have depression with psychotic symptoms
ECT for acute treatment of severe depression that is life-threatening and when a rapid response is required, or when other treatments have failed.
All of the above
only the first and second options above
 

 

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