Assignment: Assessing and Treating Clients With Impulsivity, Compulsivity, and Addiction

Assignment: Assessing and Treating Clients With Impulsivity, Compulsivity, and Addiction

Impulsivity, compulsivity, and addiction are challenging disorders for clients across the lifespan. These disorders often manifest as negative behaviors, resulting in adverse outcomes for clients. In your role as the psychiatric mental health nurse practitioner, you have the opportunity to help clients address underlying causes of the disorders and overcome these behaviors. For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat clients presenting with impulsivity, compulsivity, and addiction.
Learning Objectives
Students will:
• Assess client factors and history to develop personalized therapy plans for clients with impulsivity, compulsivity, and addiction
• Analyze factors that influence pharmacokinetic and pharmacodynamic processes in clients requiring therapy for impulsivity, compulsivity, and addiction
• Evaluate efficacy of treatment plans
• Analyze ethical and legal implications related to prescribing therapy for clients with impulsivity, compulsivity, and addiction
To prepare for this Assignment:
The Assignment
Examine Case Study: A Puerto Rican Woman With Comorbid Addiction. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes. (Decisions have already been made. See decision results in the attached case study)
You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.
I want you to answer the questions given to you (decision points one, two, and three) before you click on the option. The answers will be based on your decisions made and patient outcomes during the decision tree (see results of decision tree in the attachment doc). I am looking for an essay that is long enough to cover the topic BUT short enough to keep my interest. I do not need you to tell me the treatment options available to you – I am very familiar with the cases. Remember this is a Pharmacology class that incorporates Pharmacotherapy and not a class on diagnosing disease. I want you to tell me why you selected an option (why is it the best option- using clinically relevant and patient specific data) AND why you did not choose the other options (with clinically relevant and patient specific data).
At each decision point, stop to complete the following:
* Decision #1
Select what the PMHNP should do next:
• You decided to start patient on Naltrexone (Vivitrol) injection, 380 mg intramuscularly every month. (see attachment for result of decision#1)
• Why did you select this decision? Support your response with evidence and references to the Learning Resources.
• What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
• Why did you not choose the option to of Antabuse (Disulfiram) 250 mg orally daily or Campral (Acamprosate) 666 mg orally three times/day?
• Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?
Decision #2
Select what the PMHNP should do next:
• You decide to refer the client to refer client to a counselor to address gambling issues. (see attachment for result of decision#2)
• Why did you select this decision? Support your response with evidence and references to the Learning Resources.
• What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
• Why did you not choose the options to add Valium (Diazepam) 5 mg TID as needed for anxiety or add Chantix 1 mg twice a day.
• Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?
Decision #3
Select what the PMHNP should do next:
• You decide to explore the issues that Mrs. Perez is having with her counselor, and encourage her to continue attending the Gamblers Anonymous meetings. (see attachment for result of decision#3)
• Why did you select this decision? Support your response with evidence and references to the Learning Resources.
• What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
• Why did you not choose the options to either discontinue Naltrexone (Vivitrol). Encourage Mrs. Perez to continue seeing her counselor and continue participating in the Gamblers Anonymous Group or encourage her to continue seeing her current counselor while still continuing attending the Gamblers Anonymous meetings.
• Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?
 Also include how ethical considerations might impact your treatment plan and communication with clients.

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