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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.  The following is included in the SIG E CAPS acronym except:
  1. Gain weight
  2. Sleep
  3. Guilt
  4. Energy
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.  In the 85 and over category, which statement is true about depressive symtoms?
  1. 50% of all men and women had depressive symptoms
  2. 75% of all men and women had depressive symptoms
  3. The distribution among men and women was almost equal.
  4. Women were 10 times more likely to have depressive symptoms.
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 and loss of pleasure; 4 SIG E CAPS; diminished social function; all 1 wks
  2. Depressed mood and loss of pleasure; 2 SIG E CAPS; diminished social function; all 4 wks
  3. Depressed mood or 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.  What is NOT an impact of untreated depression?
  1. Poor recovery during rehabiliation
  2. Pre-mature mortality
  3. Increased physical disability
  4. Higher quality of life
9.  Which of the following statements describes behavioral activation?
  1. Pleasant-event activities are identified and encouraged.
  2. Mood is rated on a scale of 1-10.
  3. Teaches patients that mood is related to what they are doing.
  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