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Detecting and Treating Depression in Older Adults

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1.  Which of the following symptoms must be present in all cases of major depression?
  1. Depressed mood AND loss of pleasure
  2. Depressed mood
  3. Loss of pleasure
  4. Depressed mood OR loss of pleasure
2.  Which of the following is recommended during history taking?
  1. Ask about a person’s mood
  2. Ask a person if they are depressed
  3. Ask if they have had any thoughts of suicide
  4. Do not ask any mood related questions during history taking
3.  Which is true about aging, depression, and dementia?
  1. Age is unrelated to rates of depression and dementia
  2. Gender is unrelated to rates of depression and dementia.
  3. Women generally have higher rates of depression and dementia as they age
  4. Men generally have higher rates of depression and dementia as they age
4.  Stigma is most severe for which group?
  1. Older adults
  2. Women turning 50.
  3. Older adults with mental health problems
  4. Women of all ages
5.  Depression is a syndrome that has many possible etiologies. Which of the following issues may cause or worsen depression?
  1. Neurotransmitter disturbance.
  2. Vascular risk factors.
  3. Life events and stress
  4. All of the above
6.  A person with the following symptoms would warrant a diagnosis of “major clinical depression”:
  1. Depressed mood/loss of pleasure; 4 SIG E CAPS; diminished social function; all 1 wks
  2. Depressed mood/loss of pleasure; 2 SIG E CAPS; diminished social function; all 4 wks
  3. Depressed mood/loss of pleasure; 4 SIG E CAPS; diminished social function; all 2 wks
  4. Depressed mood/loss of pleasure; 1 SIG E CAPS; diminished social function; all 1 wks
7.  Which statements best describes the clinical properties of the MacNeill-Lichtenberg Decision Tree (MLDT) screening tool?
  1. It accurately identifies depression and cognitive impairment.
  2. It accurately screens for cognitive impairment and rules out depression.
  3. It accurately screens for posttraumatic stress disorder.
  4. It is best used to diagnose Alzheimer’s disease.
8.  Which of the following statements describes behavioral activation?
  1. Pleasant-event activities are identified and encouraged.
  2. Mood is rated on a scale of 1 to 10.
  3. Deep-breathing exercises are integrated into meditation.
  4. Both a and b
9.  Behavioral activation is based on the principles of cognitive behavioral therapy. There is evidence that interventions based on these principles:
  1. are effective for late-life depression.
  2. are most effective when integrated into the daily life of patients.
  3. can be taught and learned.
  4. All of the above.
10.  Recent research shows that:
  1. OT’s knowledge and practice skills related to late-life depression can be increased.
  2. continuing education focused on late-life depression is common
  3. depression medications are helping nearly all older adults now
  4. there will be fewer older adults with depression in future