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NURS 6670 Discussion: Treatment of Personality Disorders

Week 3: Personality Disorders

I cannot believe these people. Don’t they know who I am? I deserve better treatment than this. That hostess should have seated me immediately, but I had to wait for 10 minutes and then she put me at this table right by the kitchen. I see an empty table right in the middle where I should be. I am just going to get up and move there. I don’t care what the hostess says, rules don’t apply to me.

Ashley, age 25

Personality disorders represent perhaps the most challenging disorders that the psychiatric mental health nurse practitioner will have to address in their professional careers. Personality disorders can co-occur in every mental health disorder and, in some cases, can mask as disorder . Although difficult to treat, the PMHNP must be able to identify personality disorders and endeavor to work with the client to not only recognize the disorder, but to treat a disorder that clients often do not believe they have. NURS 6670 Discussion: Treatment of Personality Disorders.

NURS 6670 EXAMS, DISCUSSIONS AND ASSIGNMENTS

This week, you will explore the many personality disorders and use the DSM-5 criteria for diagnosing individuals with specific personality disorders. You will use the Decision Tree format to diagnose and treat a client with a personality disorder. You also will complete the Fitzgerald University Exit Comprehensive Exam to determine your readiness for the certification exam. NURS 6670 Discussion: Treatment of Personality Disorders.

Photo Credit: kaisersosa67 / iStock / Getty Images Plus / Getty Images

NURS 6670 Discussion: Treatment of Personality Disorders Learning Resources

Note:
 To access this week’s required library resources, please click on the link to the Course Readings List, found in the 
Course Materials
 section of your Syllabus.

Required Readings

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014).
Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry
(11th ed.). Philadelphia, PA: Wolters Kluwer.

Chapter 4, “Theories of Personality and Psychopathology” (pp. 151–191)

Chapter 22, “Personality Disorders” (pp. 742–762)

Chapter 13, “Psychosomatic Medicine” (pp. 451–464)

Gabbard, G. O. (2014).
Gabbard’s treatment of psychiatric disorders
(5th ed.). Washington, DC: American Psychiatric Publications.

Chapter 68, “Paranoid, Schizotypal, and Schizoid Personality Disorders”

Chapter 69, “Antisocial Personality Disorder”

Chapter 70, “Borderline Personality Disorder”

Chapter 71, “Histrionic Personality Disorder”

Chapter 72, “Narcissistic Personality Disorder”

Chapter 73, “Cluster C Personality Disorders

Note:
You will access this book from Walden Library databases. NURS 6670 Discussion: Treatment of Personality Disorders.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

“Personality Disorders”

Note:
You will access this book from Walden Library databases.

Perry, J. C., Presniak, M. D., & Olson, T. R. (2013). Defense mechanisms in schizotypal, borderline, antisocial, and narcissistic personality disorders.
Psychiatry: Interpersonal & Biological Processes, 76
(1), 32–52. doi:10.1521/psyc.2013.76.1.32

Note:
You will access this article from Walden Library databases.

Rees, C. S., & Pritchard, R. (2015).
Brief cognitive therapy for avoidant personality disorder. Psychotherapy, 52
(1), 45–55. doi:10.1037/a0035158

Note:
You will access this article from Walden Library databases. NURS 6670 Discussion: Treatment of Personality Disorders.

Required Media

Laureate Education. (2017a).
A woman with personality disorder
[Interactive media file]. Baltimore, MD: Author.

Kernberg, O. (n.d.).
Psychoanalytic psychotherapy for personality disorders: An Interview with Otto Kernberg
, MD. [Video file]. Mill Valley, CA: Psychotherapy.net

Note:
This video is approximately 94 minutes of length. You will access this article from Walden Library databases.

Discussion: Treatment of Personality Disorders

Personality disorders occur in 10–20% of the population. They are difficult to treat as individuals with personality disorders are less likely to seek help than individuals with other mental health disorders. Treatment can be challenging as they do not see their symptoms as painful to themselves or others.

In this Discussion, you will explore personality disorders in greater detail and discuss treatment options using evidence-based research. NURS 6670 Discussion: Treatment of Personality Disorders.

NURS 6670 Discussion: Treatment of Personality Disorders Learning Objectives

Students will:

Analyze diagnostic criteria for personality disorders

Analyze evidence-based psychotherapy and psychopharmacologic treatments for personality disorders

Analyze clinical features of clients with personality disorders

Align clinical features with DSM-5 criteria

Compare differential diagnostic features of personality disorders

Note:
 For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts, and cannot post anonymously. Please check your post carefully before clicking 
Submit
!

To prepare for this Discussion:

By Day 5 of Week 2, your Instructor will have assigned you a personality disorder, which will be your focus for your initial post for this Discussion.

Review the Learning Resources. NURS 6670 Discussion: Treatment of Personality Disorders.

By Day 3

Post:

Explain the diagnostic criteria for your assigned personality disorder.

Explain the evidenced-based psychotherapy and psychopharmacologic treatment for your assigned personality disorder.

Describe clinical features from a client that led you to believe this client had this disorder. Align the clinical features with the DSM-5 criteria. NURS 6670 Discussion: Treatment of Personality Disorders.

Support your rationale with references to the Learning Resources or other academic resources.

By Day 6

Respond
 to at least 
two
 of your colleagues by comparing the differential diagnostic features of the disorder you were assigned to the diagnostic features of the disorder your colleagues were assigned. What are their similarities and differences? How might you differentiate the two diagnoses? NURS 6670 Discussion: Treatment of Personality Disorders.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 3 Discussion Rubric

Post by Day 3 and Respond by Day 6

To participate in this Discussion:

Week 3 Discussion

Assignment 1: Decision Tree

For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat adult and older adult clients presenting symptoms of a mental health disorder.

NURS 6670 Discussion: Treatment of Personality Disorders Learning Objectives

Students will:

Evaluate clients for treatment of mental health disorders

Analyze decisions made throughout diagnosis and treatment of clients with mental health disorders

** Assigned in Week 3 and submitted in Week 4

Examine 
Case 1
: You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical as well as mental factors that might impact the client’s diagnosis and treatment.

At each Decision Point, stop to complete the following:

Decision #1: Differential Diagnosis

Which Decision did you select?

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. NURS 6670 Discussion: Treatment of Personality Disorders.

Explain any difference between what you expected to achieve with Decision #1 and the results of the Decision. Why were they different?

Decision #2: Treatment Plan for Psychotherapy

Why did you select this Decision? Support your response with evidence and references to the Learning Resources. NURS 6670 Discussion: Treatment of Personality Disorders.

What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.

Explain any difference between what you expected to achieve with Decision #2 and the results of the Decision. Why were they different? NURS 6670 Discussion: Treatment of Personality Disorders.

Decision #3: Treatment Plan for Psychopharmacology

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.

Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different? NURS 6670 Discussion: Treatment of Personality Disorders.

Also include how ethical considerations might impact your treatment plan and communication with clients and their family.

Note:
 Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement. NURS 6670 Discussion: Treatment of Personality Disorders.

By Day 7

Submit
 by Day 7 of Week 4.

Assignment 2: Fitzgerald Health Education Associates (FHEA) PMHNP 150 University Exit Comprehensive Exam

In Weeks 1 or 2 of this course, you received an e-mail from Fitzgerald Health Education Associates (FHEA) explaining how to access the Fitzgerald Health Education Associates (FHEA) PMHNP 150 University Exit Comprehensive Exam. Please follow the directions FHEA provided and complete the exam. You must complete the exam by Day 7 of Week 3 to receive a grade. Each exam is worth 100 points and 10% of your grade. The 3-hour exam is required and will provide you with an overall view of your preparedness for the certification exam.

Note:
 Your Instructor receives the results and will inform you when the results are available. Do not e-mail the Fitzgerald site. NURS 6670 Discussion: Treatment of Personality Disorders.

NURS 6670 Discussion: Treatment of Personality Disorders Assignment 3: Board Vitals

This week you will be responding to twenty Board Vitals questions that cover a broad review of your Nurse Practitioner program courses up to this point.

These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability. NURS 6670 Discussion: Treatment of Personality Disorders.

https://www.boardvitals.com/

By Day 7

Complete the Board Vitals questions.

NURS 6670 Discussion: Treatment of Personality Disorders Making Connections

This week, you explored the many personality disorders and used the DSM-5 criteria for diagnosing individuals with specific personality disorders. You used the Decision Tree format to diagnose and treat a client with a personality disorder. You also completed the Fitzgerald University Exit Comprehensive Exam to determine your readiness for the certification exam. NURS 6670 Discussion: Treatment of Personality Disorders.

Next week, you will analyze clients presenting for treatment of substance-related and addictive disorders and evaluate effectiveness of therapeutic approaches for clients diagnosed with substance-related and addictive disorders. NURS 6670 Discussion: Treatment of Personality Disorders.

NURS 6670 Discussion: Clinical Supervision – Kaltura

Week 4: Substance-Related and Addictive Disorders

I can’t believe that stupid horse lost! My inside man told me it was a sure bet at 20:1 odds. I thought for sure that I would be able to make back the money I lost yesterday. What am I going to tell my wife? That was the money for the mortgage payment…well, the last three mortgage payments. She does not know I have been spending my days at the track. I lost my job at the company because a few hundred dollars went missing. I just need a break. I know this next horse will be my winner! NURS 6670 Discussion: Clinical Supervision – Kaltura.

Michael, age 37

Substance abuse and addiction affects persons in all walks of life; every ethnic and economic group is affected in some way by addiction or substance abuse. In your practice as a PMHNP, you will encounter patients with substance abuse and dependence. Some of the people who present for treatment are at a low point in their lives and want to turn things around. They may present for other conditions such as depression or bipolar disorder, anxiety, PTSD, or personality disorders. One of the most common ways of self-medicating a mental illness is with alcohol and illicit drugs. Marijuana is a common substance used by clients to treat various symptoms. To effectively treat clients with addictive disorders and substance use disorders, the provider needs to examine their own values and thoughts about the use of substances. NURS 6670 Discussion: Clinical Supervision – Kaltura.

NURS 6670 EXAMS, DISCUSSIONS AND ASSIGNMENTS

This week, you will analyze clients presenting for treatment of substance-related and addictive disorders and evaluate effectiveness of therapeutic approaches for clients diagnosed with substance-related and addictive disorders.

Photo Credit: ianmcdonnell / iStock / Getty Images Plus

NURS 6670 Discussion: Clinical Supervision – Kaltura Learning Resources

Note:
 To access this week’s required library resources, please click on the link to the Course Readings List, found in the 
Course Materials
 section of your Syllabus.

Required Readings

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014).
Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry
(11th ed.). Philadelphia, PA: Wolters Kluwer.

Chapter 20, “Substance Use and Addictive Disorders” (pp. 616–693)

American Psychiatric Association. (2013).
Diagnostic and statistical manual of mental disorders
(5th ed.). Washington, DC: Author. NURS 6670 Discussion: Clinical Supervision – Kaltura.

Note:
You will access this book from the Walden Library databases.

Stahl, S. M. (2014).
Prescriber’s Guide: Stahl’s Essential Psychopharmacology
(5th ed.). New York, NY: Cambridge University Press.

 

Note:
All Stahl resources can be accessed through the Walden Library using the link below. This link will take you to a login page for the Walden Library. Once you log in to the library, the Stahl website will appear. http://ezp.waldenulibrary.org/login?url=http://stahlonline.cambridge.org/. NURS 6670 Discussion: Clinical Supervision – Kaltura.

 

To access information on specific medications, click on
The Prescriber’s Guide, 5th Ed
. tab on the Stahl Online website and select the appropriate medication.

Alcohol abstinence

Alcohol dependence

Alcohol withdrawal

Nicotine addiction

Opioid dependence

Reversal of benzodiazepine effects

acamprosate

disulfiram

nalmefene

naltrexone

chlordiazepoxide

clonidine

clorazepate

diazepam

lorazepam

oxazepam

bupropin

varenicline

buprenorphine

naltrexone

flumazenil

Note:
 For more information about buprenorphine, see https: //www.samhsa.gov/medication-assisted-treatment/qualify-nps-pas-waivers

Required Media

Ashwood, D. (Producer). (n.d.-a).
Mindfulness-based relapse prevention for addictions: Volume I
[Video file]. Mill Valley, CA: Psychotherapy.net.

 

Note:
The approximate length of this media piece is 69 minutes. You will access this video through the Walden Library databases.

Ashwood, D. (Producer). (n.d.-b).
Mindfulness-based relapse prevention for addictions: Volume II
[Video file]. Mill Valley, CA: Psycotherapy.net. NURS 6670 Discussion: Clinical Supervision – Kaltura.

 

Note:
The approximate length of this media piece is 126 minutes. You will access this video through the Walden Library databases. NURS 6670 Discussion: Clinical Supervision – Kaltura.

Optional Resources

Gabbard, G. O. (2014).
Gabbard’s treatment of psychiatric disorders
(5th ed.). Washington, DC: American Psychiatric Publications.

Chapter 46, “Alcohol-Related Disorders”

Chapter 47, “Sedative-, Hypnotic-, or Anxiolytic-Related Disorders”

Chapter 48, “Opioid-Related Disorders: Opioid Detoxification”

Chapter 49, “Opioid-Related Disorders: Antagonist Treatment”

Chapter 50, “Opioid-Related Disorders: Agonist Maintenance Treatment”

Chapter 51, “Hallucinogen-Related Disorders

Chapter 52, “Cannabis-Related Disorders”

Chapter 53, “Club Drug Addiction”

Chapter 54, “Stimulant-Related Disorders”

Chapter 55, “Nicotine-Related Disorders”

Chapter 56, “Individual Therapy for Substance Use Disorders”

Chapter 57, “Cognitive, Behavioral, and Motivational Therapies for Substance Use Disorders”

Chapter 58, “Group Therapy for Substance Use Disorders”

Chapter 59, “Family Therapy in Substance Abuse Treatment”

Chapter 60, “Network Therapy for Substance Use Disorders”

Chapter 61, “Pain and Addiction”

Chapter 62, “Gambling Disorder”

Note:
You will access this textbook from the Walden Library databases.

Bechtold, J., Simpson, T., White, H. R., & Pardini, D. (2015). Chronic adolescent marijuana use as a risk factor for physical and mental health problems in young adult men. Psychology of Addictive Behaviors, 29(3), 552–563. doi:10.1037/adb0000103

Note:
You will access this article from the Walden Library databases. NURS 6670 Discussion: Clinical Supervision – Kaltura.

Substance Abuse and Mental Health Services Administration (SAMHSA). (2013b).
TIP 48: Managing depressive symptoms in substance abuse clients during early recovery
. Retrieved from http://store.samhsa.gov/product/TIP-48-Managing-Depressive-Symptoms-in-Substance-Abuse-Clients-During-Early-Recovery/SMA13-4353. NURS 6670 Discussion: Clinical Supervision – Kaltura.

Note:
This document is available as free download.

Substance Abuse and Mental Health Services Administration (SAMHSA). (2013b).
TIP 42: Substance abuse treatment for persons with co-occurring disorders
. Retrieved from http://store.samhsa.gov/product/TIP-42-Substance-Abuse-Treatment-for-Persons-With-Co-Occurring-Disorders/SMA13-3992

Note:
This document is available as free download.

Borchardt, D. (2017).
National Academy of Sciences pushes for rescheduling of marijuana. Forbes
. Retrieved from https://www.forbes.com/sites/debraborchardt/2017/01/18/national-academy-of-sciences-suggests-removing-barriers-to-cannabis-research-basically-deschedule/#22269c753f76. NURS 6670 Discussion: Clinical Supervision – Kaltura.

Discussion: Clinical Supervision – Kaltura

Substance use disorders are complicated psychiatric and medical conditions that involve physical addiction as well as psychological or emotional dependence. Substance use disorders are some of the most difficult to treat. It takes a great deal of patience on the part of the provider and the client. It may take several attempts before a client is successfully able to “kick the habit.” Your guidance and patience can help the client to persevere through difficult times during the journey to recovery. NURS 6670 Discussion: Clinical Supervision – Kaltura.

Clinical Supervision is an essential component of your development as a psychiatric mental health nurse practitioner. It provides an opportunity for professional collaboration as you share experiences with and gain insights from colleagues. For this Clinical Supervision, consider a client with a substance abuse disorder whom you do not think is adequately progressing according to expected clinical outcomes.

Learning Objectives

Students will:

Analyze clients presenting for treatment of substance-related and addictive disorders

Evaluate effectiveness of therapeutic approaches for clients diagnosed with substance-related and addictive disorders

Recommend treatment plans

Note:
For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts, and cannot post anonymously. Please check your post carefully before clicking
Submit
! NURS 6670 Discussion: Clinical Supervision – Kaltura.

To prepare for this Discussion:

Review this week’s Learning Resources concerning treating patients with substance-related and addictive disorders.

Reflect on a client you are currently counseling or have previously counseled at your practicum site who has been diagnosed with substance-related and addictive disorders. NURS 6670 Discussion: Clinical Supervision – Kaltura.

By Day 3

Post 
a 3- to 5-minute Kaltura video in which you do the following:

Describe the client. Note: Do not use the client’s actual name.

Explain your therapeutic approach with the client, including the perceived effectiveness of your approach.

Identify any additional information about this client that may potentially impact expected outcomes. NURS 6670 Discussion: Clinical Supervision – Kaltura.

Provide specific recommendations for the client to help them in determining why they are not progressing and what your suggested treatment plan consists of. It is useful to consult the Prochaska and DiClement model.

Note:
Nurse practitioners must have strong oral communication skills. This Discussion is designed to help you hone these skills. When filming your Kaltura video, be sure to dress and speak in a professional manner. NURS 6670 Discussion: Clinical Supervision – Kaltura.

View
 a selection of your colleagues’ responses.

By Day 6

Respond
 to at least 
two
 of your colleagues by suggesting an alternate therapeutic approach. Support your feedback with evidence-based literature and/or your own experiences with clients.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 4 Discussion Rubric

Post by Day 3 and Respond by Day 6

To participate in this Discussion:

Week 4 Discussion

Assignment 1: Week 1 Practicum Journal Entry: Certification Plan

By Day 7

Submit
 your Assignment. Refer to Week 1 for additional guidance.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK4Assgn1+last name+first initial.(extension)” as the name.

Click the 
Week 4 Assignment 1 Rubric 
to review the Grading Criteria for the Assignment.

Click the 
Week 4 Assignment 1 
link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the 
Browse My Computer
 button. Find the document you saved as “WK4Assgn1+last name+first initial.(extension)” and click 
Open
. NURS 6670 Discussion: Clinical Supervision – Kaltura.

If applicable: From the Plagiarism Tools area, click the checkbox for 
I agree to submit my paper(s) to the Global Reference Database
.

Click on the 
Submit
 button to complete your submission.

Grading Criteria

To access your rubric:

Week 4 Assignment 1 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 4 Assignment 1 draft and review the originality report.

Submit Your Assignment by Day 7

To submit your Assignment:

Week 4 Assignment 1

Assignment 2: Week 2 Practicum Journal: Safe Prescribing

By Day 7

Submit
 your Assignment. Refer to Week 2 for additional guidance.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK4Assgn2+last name+first initial.(extension)” as the name.

Click the 
Week 4 Assignment 2 Rubric 
to review the Grading Criteria for the Assignment.

Click the 
Week 4 Assignment 2 
link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the 
Browse My Computer
 button. Find the document you saved as “WK4Assgn2+last name+first initial.(extension)” and click 
Open
.

If applicable: From the Plagiarism Tools area, click the checkbox for 
I agree to submit my paper(s) to the Global Reference Database
. NURS 6670 Discussion: Clinical Supervision – Kaltura.

Click on the 
Submit
 button to complete your submission.

Grading Criteria

To access your rubric:

Week 4 Assignment 2 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 4 Assignment 2 draft and review the originality report.

Submit Your Assignment by Day 7

To submit your Assignment:

Week 4 Assignment 2

Assignment 3: Week 3 Practicum Journal: Decision Tree

By Day 7

Submit
 your Assignment. Refer to Week 3 for additional guidance.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK4Assgn3+last name+first initial.(extension)” as the name.

Click the 
Week 4 Assignment 3 Rubric 
to review the Grading Criteria for the Assignment.

Click the 
Week 4 Assignment 3 
link. You will also be able to “View Rubric” for grading criteria from this area. NURS 6670 Discussion: Clinical Supervision – Kaltura.

Next, from the Attach File area, click on the 
Browse My Computer
 button. Find the document you saved as “WK4Assgn3+last name+first initial.(extension)” and click 
Open
.

If applicable: From the Plagiarism Tools area, click the checkbox for 
I agree to submit my paper(s) to the Global Reference Database
.

Click on the 
Submit
 button to complete your submission.

Grading Criteria

To access your rubric:

Week 4 Assignment 3 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 4 Assignment 3 draft and review the originality report.

Submit Your Assignment by Day 7

To submit your Assignment:

Week 4 Assignment 3

Assignment 4: Board Vitals

This week you will be responding to twenty Board Vitals questions that cover a broad review of your Nurse Practitioner program courses up to this point. NURS 6670 Discussion: Clinical Supervision – Kaltura.

These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability. NURS 6670 Discussion: Clinical Supervision – Kaltura.

You can access Board Vitals through the link sent to you in email or by following the link below:

https://www.boardvitals.com/

By Day 7

Complete the Board Vitals questions.

Practicum Reminder

Time Logs: 
You are required to keep a log of the time you spend related to your practicum experience 
and enter every patient you see each day
. You can access your time log from the Welcome Page in your Meditrek account. You will track time individually for each patient you work with. Please make sure to continuously input your hours throughout the term. NURS 6670 Discussion: Clinical Supervision – Kaltura.

Making Connections

This week, you analyzed clients presenting for treatment of substance-related and addictive disorders and evaluated effectiveness of therapeutic approaches for clients diagnosed with substance-related and addictive disorders.

Next week, you will, once again, become “captain of the ship” as you take full responsibility for a client with a bipolar disorder by recommending psychopharmacologic treatment and psychotherapy, identifying medical management needs and community support, and recommending follow-up plans. You will use the decision tree format to justify your rationale for diagnosis, pharmacological treatment, and psychotherapy of a patient with a mental illness. You also will evaluate the results of your Fitzgerald University Exit Comprehensive Exam and, based on those results, develop a plan of action to prepare for the certification exam. NURS 6670 Discussion: Clinical Supervision – Kaltura.

NURS 6670 “Captain of the Ship” Project – Bipolar Disorders Assignment

Week 5: Bipolar Disorders

I am finally doing everything right. I stayed up all night studying for my final exams and even managed to clean out my closet and order a whole new bedroom from the Internet. I know I will ace all my exams. Nothing can go wrong like they did a few months ago. I was so low and was sleeping all the time. I did not think I would ever be happy again, but now I know I can do anything. NURS 6670 “Captain of the Ship” Project – Bipolar Disorders Assignment.

Jessica, age 22

Bipolar disorder is relatively rare with around only 3% of the population diagnosed with one of them. Although being relatively rare in terms of lifetime prevalence, bipolar disorder is burdensome to the individual and health care system because of its early onset, severity, and chronic nature. The average age of onset is around 25 and affects men and women equally. The importance of evidence-based intervention for treatment in persons with bipolar disorder cannot be underestimated. Unstable mood can result in repeat chronic hospitalizations. Developing a good rapport and relationship with the client can make a difference in the course, symptom management, and stability of the person with bipolar disorder.

This week, you will once again become “cCaptain of the Sship” as you take full responsibility for a client with a bipolar disorder by recommending psychopharmacologic treatment and psychotherapy, identifying medical management needs and community support, and recommending follow-up plans. You will use the decision tree format to justify your rationale for diagnosis, pharmacological treatment, and psychotherapy of a patient with a mental illness. You also will evaluate the results of your Fitzgerald University Exit Comprehensive Exam and, based on those results, develop a plan of action to prepare for the certification exam. NURS 6670 “Captain of the Ship” Project – Bipolar Disorders Assignment.

NURS 6670 EXAMS, DISCUSSIONS AND ASSIGNMENTS

NURS 6670 “Captain of the Ship” Project – Bipolar Disorders Assignment Learning Resources

Required Readings

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014).
Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry
(11th ed.). Philadelphia, PA: Wolters Kluwer.

Chapter 8, “Mood Disorders” (pp. 347–386)

Note:
This is review from the Learning Resource in Week 2.

Gabbard, G. O. (2014).
Gabbard’s treatment of psychiatric disorders
(5th ed.). Washington, DC: American Psychiatric Publications.

Chapter 13, “Acute and Maintenance Treatment of Bipolar and Related Disorders”

Note:
You will access this textbook from the Walden Library databases.

American Psychiatric Association. (2013).
Diagnostic and statistical manual of mental disorders
(5th ed.). Washington, DC: Author. NURS 6670 “Captain of the Ship” Project – Bipolar Disorders Assignment.

“Bipolar and Related Disorders”

Note:
You will access this book from the Walden Library databases.

Stahl, S. M. (2014).
Prescriber’s Guide: Stahl’s Essential Psychopharmacology
(5th ed.). New York, NY: Cambridge University Press. NURS 6670 “Captain of the Ship” Project – Bipolar Disorders Assignment.

Note:
All Stahl resources can be accessed through the Walden Library using the link below. This link will take you to a login page for the Walden Library. Once you log in to the library, the Stahl website will appear. http://ezp.waldenulibrary.org/login?url=http://stahlonline.cambridge.org/

 

To access information on specific medications, click on
The Prescriber’s Guide, 5th Ed
. tab on the Stahl Online website and select the appropriate medication.

 

Bipolar depression

Bipolar disorder

Bipolar maintenance

Mania

amoxapine

aripiprazole

armodafinil

asenapine

bupropion

carbamazepine

fluoxetine

iloperidone

lamotrigine

lithium

lurasidone

modafinil

olanzapine

olanzapine-fluoxetine combination

quetiapine

risperidone

sertindole

valproate (divalproex)

ziprasidone

alprazolam (adjunct)

amoxapine

aripiprazole

asenapine

bupropion

carbamazepine

chlorpromazine

clonazepam (adjunct)

cyamemazine

doxepin

fluoxetine

flupenthixol

fluphenazine

gabapentin (adjunct)

haloperidol

iloperidone

lamotrigine

levetiracetam

lithium

lorazepam (adjunct)

loxapine

lurasidone

molindone

olanzapine

olanzapine-fluoxetine combination

oxcarbazepine

paliperidone

perphenazine

pipothiazine

quetiapine

risperidone

sertindole

thiothixene

topiramate (adjunct)

trifluoperazine

valproate (divalproex)

ziprasidone

zonisamide

zotepine

zuclopenthixol

aripiprazole

asenapine

carbamazepine

iloperidone

lamotrigine

lithium

lurasidone

olanzapine

olanzapine-fluoxetine combination

quetiapine

risperidone (injectable)

sertindole

valproate (divalproex)

ziprasidone

alprazolam (adjunct)

aripiprazole

asenapine

carbamazepine

chlorpromazine

clonazepam (adjunct)

iloperidone

lamotrigine

levetiracetam

lithium

lorazepam (adjunct)

lurasidone

olanzapine

quetiapine

risperidone

sertindole

valproate (divalproex)

ziprasidone

zotepine

Marsee, K., & Gross, A. F. (2013). Bipolar disorder or something else?
Current Psychiatry, 12
(2), 43–49. Retrieved from http://www.mdedge.com/currentpsychiatry/article/66320/bipolar-disorder/bipolar-disorder-or-something-else

Miller, L. J., Ghadiali, N. Y., Larusso, E. M., Wahlen, K. J., Avni-Barron, O., Mittal, L., & Greene, J. A. (2015). Bipolar disorder in women.
Health Care for Women International, 36
(4), 475–498. doi:10.1080/07399332.2014.962138

 

Note:
You will access this book from the Walden Library databases.

Schouws, S. M., Comijs, H. C., Dols, A., Beekman, A. F., & Stek, M. L. (2016). Five-year follow-up of cognitive impairment in older adults with bipolar disorder.
Bipolar Disorders, 18
(2), 148–154. doi:10.1111/bdi.12374. NURS 6670 “Captain of the Ship” Project – Bipolar Disorders Assignment.

Ward, I. (2017). Pharmacologic options for bipolar disorder.
Clinical Advisor, 20
(3), 17–25.

 

Note:
You will access this article from the Walden Library databases.

Required Media

Laureate Education (Producer). (2017d).
A young woman with depression
[Multimedia file]. Baltimore, MD: Author.

Redfield Jamison, K. (Producer). (n.d.).
Assessment & psychological treatment of bipolar disorder
[Video file]. Mill Valley, CA: Psychotherapy.net.

 

Note:
The approximate length of this media piece is 52 minutes.

 

Note:
You will access this article from the Walden Library databases.

Optional Resources

Malhi, G. S., McAulay, C., Gershon, S., Gessler, D., Fritz, K., Das, P., & Outhred, T. (2016). The lithium battery: Assessing the neurocognitive profile of lithium in bipolar disorder.
Bipolar Disorders, 18
(2), 102–115. doi:10.1111/bdi.12375

Samalin, L., de Chazeron, I., Vieta, E., Bellivier, F., & Llorca, P. (2016). Residual symptoms and specific functional impairments in euthymic patients with bipolar disorder.
Bipolar Disorders, 18
(2), 164–173. doi:10.1111/bdi.12376. NURS 6670 “Captain of the Ship” Project – Bipolar Disorders Assignment.

Assignment 1: “Captain of the Ship” Project – Bipolar Disorders

Bipolar disorders are severe disorders of mood that include both depressive episodes and expansive, grandiose, or manic episodes. During these times, the person may engage in activities with little awareness of the consequences because of accompanying psychosis. A diagnosis of bipolar disorder includes periods of mania or hypomania and periods of depression where the mood is down, hopeless, and suicidal. The neurovegetative symptoms of bipolar depression can be incapacitating. It is also important to differentiate the psychosis of bipolar disorder from schizophrenia.

In this Assignment, you will become the “captain of the ship” as you provide treatment recommendations and identify medical management, community support resources, and follow-up plans for a client with a bipolar disorder.

Learning Objectives

Students will:

Recommend psychopharmacologic treatments based on therapeutic end points for clients with bipolar disorders

Recommend psychotherapy based on therapeutic end points for clients with bipolar disorders

Identify medical management needs for clients with bipolar disorders

Identify community support resources for clients with bipolar disorders

NURS 6670 “Captain of the Ship” Project – Bipolar Disorders Assignment

Recommend follow-up plans for clients with bipolar disorders

To prepare for this Assignment:

Select an adult or older adult client with a bipolar disorder that you have seen in your practicum.

In 3-4 pages, write a treatment plan for your client. In which you do the following:

Describe the HPI and clinical impression for the client.

Recommend psychopharmacologic treatments and describe specific and therapeutic end points for your psychopharmacologic agent. (This should relate to HPI and clinical impression.).

Recommend psychotherapy choices (individual, family, and group) and specific therapeutic endpoints for your choices.

Identify medical management needs, including primary care needs, specific to this client.

Identify community support resources (housing, socioeconomic needs, etc.) and community agencies that are available to assist the client.

Recommend a plan for follow-up intensity and frequency and collaboration with other providers.

By Day 7

Submit
 your Assignment.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK5Assgn1+last name+first initial.(extension)” as the name.

Click the 
Week 5 Assignment 1 Rubric 
to review the Grading Criteria for the Assignment.

Click the 
Week 5 Assignment 1 
link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the 
Browse My Computer
 button. Find the document you saved as “WK5Assgn1+last name+first initial.(extension)” and click 
Open
.

If applicable: From the Plagiarism Tools area, click the checkbox for 
I agree to submit my paper(s) to the Global Reference Database
.

NURS 6670 “Captain of the Ship” Project – Bipolar Disorders Assignment

Click on the 
Submit
 button to complete your submission.

Grading Criteria

To access your rubric:

Week 5 Assignment 1 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 5 Assignment 1 draft and review the originality report.

Submit Your Assignment by Day 7

To submit your Assignment:

Week 5 Assignment 1

Assignment 2: FHEA Exam Follow-up

In Week 3 you completed the Fitzgerald University Exit Comprehensive Exam and you should have received your results. This exam is an example of the certification exam you may be required to take in order to be licensed as a PMHNP in your state. Your results from the exam may reflect how you would do in the actual certification exam.

In this Assignment, you will develop a plan of action to address any areas of the exam where you may have scored less than acceptable.

Learning Objectives

Students will:

Develop plan of action for certification exam preparation

To prepare for this Assignment:

Develop plan of action for certification exam preparation

In 1 page:

Based on your results from the FHEA Exam, develop a plan of action, including an academic study plan, which will help you maintain your areas of strength and address the areas that need improvement, and help you prepare for the Certification Exam. Address each area of the exam including:

Foundations of Advanced Practice Nursing

Independent Practice Competencies

Professional Role and Policy

By Day 7

Submit
 your Assignment.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK5Assgn2+last name+first initial.(extension)” as the name.

Click the 
Week 5 Assignment 2 Rubric 
to review the Grading Criteria for the Assignment.

Click the 
Week 5 Assignment 2 
link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the 
Browse My Computer
 button. Find the document you saved as “WK5Assgn2+last name+first initial.(extension)” and click 
Open
.

If applicable: From the Plagiarism Tools area, click the checkbox for 
I agree to submit my paper(s) to the Global Reference Database
.

Click on the 
Submit
 button to complete your submission.

Grading Criteria

To access your rubric:

Week 5 Assignment 2 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 5 Assignment 2 draft and review the originality report.

Submit Your Assignment by Day 7

To submit your Assignment:

Week 5 Assignment 2

Assignment 3:

Practicum: Decision Tree

For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat adult and older adult clients presenting symptoms of a mental health disorder.

Learning Objectives

Students will:

Evaluate clients for treatment of mental health disorders

Analyze decisions made throughout diagnosis and treatment of clients with mental health disorders

Examine Case 2:
 You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical, as well as mental factors that might impact the client’s diagnosis and treatment. NURS 6670 “Captain of the Ship” Project – Bipolar Disorders Assignment.

At each Decision Point stop to complete the following:

Decision #1: Differential Diagnosis

Which Decision did you select?

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.

Explain any difference between what you expected to achieve with Decision #1 and the results of the Decision. Why were they different?

Decision #2: Treatment Plan for Psychotherapy

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. NURS 6670 “Captain of the Ship” Project – Bipolar Disorders Assignment.

Explain any difference between what you expected to achieve with Decision #2 and the results of the Decision. Why were they different?

Decision #3: Treatment Plan for Psychopharmacology

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. NURS 6670 “Captain of the Ship” Project – Bipolar Disorders Assignment.

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 and their family.

Note:
 Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement.

By Day 7 of Week 7

Submit
 your Assignment.

Assignment 4: Board Vitals

This week you will be responding to twenty Board Vitals questions that cover a broad review of your Nurse Practitioner program courses up to this point.

These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability. NURS 6670 “Captain of the Ship” Project – Bipolar Disorders Assignment.

You can access Board Vitals through the link sent to you in email or by following the link below:

https://www.boardvitals.com/

By Day 7

Complete the Board Vitals questions.

Making Connections

This week, you once again became “captain of the ship” as you took full responsibility for a client with a bipolar disorder by recommending psychopharmacologic treatment and psychotherapy, identifying medical management needs, community support, and recommending follow-up plans. You used the decision tree format to justify your rationale for diagnosis, pharmacological treatment, and psychotherapy of a patient with a mental illness. You also evaluated the results of your Fitzgerald University Exit Comprehensive Exam and, based on those results, developed a plan of action to help you prepare for the certification exam. NURS 6670 “Captain of the Ship” Project – Bipolar Disorders Assignment.

Next week, you will explore evidence-based treatment methods for clients with anxiety disorders. You will complete a midterm exam and analyze reimbursement rates for treatment of mental health disorders. NURS 6670 “Captain of the Ship” Project – Bipolar Disorders Assignment.

Treatment of Anxiety Disorders Discussion – NURS 6670

Week 6: Anxiety Disorders, PTSD, and Related Disorders

Oh no! It is happening again. I am having a heart attack… I know it. My heart is racing, I can’t breathe, and I am shaking all over. I can’t go to the ER again. They will say what they always say… I am not having a heart attack. It is all in my head.

Barbara, age 68

The anxiety disorders provide us a good opportunity to take a close look at the nature/nurture debate as well as the gene/environment interactions that influence the nervous system and neurochemistry. A significant part of most of Sigmund Freud’s theories, the concept of anxiety has been debated and discussed over many years in the psychiatric literature. While Freud’s theories focused on the “mind” and the unconscious, another way to look at anxiety is with Hans Selye’s concept of “fight or flight” in which the sympathetic nervous system is activated as a response to stress. As you explore the concept of anxiety, you will notice that no two cases of anxiety are the same.

This week, you will explore evidence-based treatment methods for clients with anxiety disorders. You will complete a midterm exam and analyze reimbursement rates for treatment of mental health disorders. Treatment of Anxiety Disorders Discussion – NURS 6670.

NURS 6670 EXAMS, DISCUSSIONS AND ASSIGNMENTS

Treatment of Anxiety Disorders Discussion – NURS 6670 Learning Resources

Required Readings

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014).
Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry
(11th ed.). Philadelphia, PA: Wolters Kluwer.

Chapter 9, “Anxiety Disorders” (pp. 387–417)

Chapter 11, “Trauma- and Stressor-Related Disorders” (pp. 437–451)

Gabbard, G. O. (2014).
Gabbard’s treatment of psychiatric disorders
(5th ed.). Washington, DC: American Psychiatric Publications. Treatment of Anxiety Disorders Discussion – NURS 6670.

Chapter 16, “Panic Disorder”

Chapter 18, “Social Anxiety Disorder (Social Phobia)”

Chapter 19, “Generalized Anxiety Disorder”

Chapter 20, “Specific Phobia”

Note:
You will access this textbook from the Walden Library databases.

American Psychiatric Association. (2013).
Diagnostic and statistical manual of mental disorders
(5th ed.). Washington, DC: Author. Treatment of Anxiety Disorders Discussion – NURS 6670.

“Anxiety Disorders”

“Trauma- and Stressor-Related Disorders”

Note:
You will access this book from the Walden Library databases.

Stahl, S. M. (2014).
Prescriber’s Guide: Stahl’s Essential Psychopharmacology
(5th ed.). New York, NY: Cambridge University Press. Treatment of Anxiety Disorders Discussion – NURS 6670.

Note:
All Stahl resources can be accessed through the Walden Library using the link below. This link will take you to a login page for the Walden Library. Once you log in to the library, the Stahl website will appear. http://ezp.waldenulibrary.org/login?url=http://stahlonline.cambridge.org/

 

To access information on specific medications, click on
The Prescriber’s Guide, 5th Ed
. tab on the Stahl Online website and select the appropriate medication.

 

Anxiety

Generalized anxiety disorder

Panic disorder

alprazolam

amitriptyline

amoxapine

buspirone

chlordiazepoxide

citalopram

clomipramine

clonazepam

clonidine

clorazepate

cyamemazine

desipramine

diazepam

dothiepin

doxepin

duloxetine

escitalopram

fluoxetine

fluvoxamine

gabapentin (adjunct)

hydroxyzine

imipramine

isocarboxazid

lofepramine

loflazepate

lorazepam

maprotiline

mianserin

mirtazapine

moclobemide

nefazodone

nortriptyline

oxazepam

paroxetine

phenelzine

pregabalin

reboxetine

sertraline

tiagabine

tianeptine

tranylcypromine

trazodone

trifluoperazine

trimipramine

venlafaxine

vilazodone

alprazolam

citalopram

desvenlafaxine

duloxetine

escitalopram

fluoxetine

fluvoxamine

mirtazapine

paroxetine

pregabalin

sertraline

tiagabine (adjunct)

venlafaxine

alprazolam

citalopram

clonazepam

desvenlafaxine

escitalopram

fluoxetine

fluvoxamine

isocarboxazid

lorazepam

mirtazapine

nefazodone

paroxetine

phenelzine

pregabalin

reboxetine

sertraline

tranylcypromine

venlafaxine

Posttraumatic stress disorder

Reversal of benzodiazepine effects

Social anxiety disorder

citalopram

clonidine

desvenlafaxine

escitalopram

fluoxetine

fluvoxamine

mirtazapine

nefazodone

paroxetine

prazosin (nightmares)

propranolol (prophylactic)

sertraline

venlafaxine

flumazenil

citalopram

clonidine

desvenlafaxine

escitalopram

fluoxetine

fluvoxamine

isocarboxazid

moclobemide

paroxetine

phenelzine

pregabalin

sertraline

tranylcypromine

venlafaxine

Maples-Keller, J. L., Price, M., Rauch, S., Gerardi, M., & Rothbaum, B. O. (2017). Investigating relationships between PTSD symptom clusters within virtual reality exposure therapy for OEF/OIF veterans.
Behavior Therapy, 48
(2), 147–155. doi:10.1016/j.beth.2016.02.011

 

Note:
You will access this article from the Walden Library databases.

Hayes, J. P., Logue, M. W., Reagan, A., Salat, D., Wolf, E. J., Sadeh, N., & … Miller, M. W. (2017). COMT Val158Met polymorphism moderates the association between PTSD symptom severity and hippocampal volume.
Journal of Psychiatry & Neuroscience: JPN, 42
(2), 95–102. doi:10.1503/jpn.150339

Note:
You will access this article from the Walden Library databases. Treatment of Anxiety Disorders Discussion – NURS 6670.

Quinn, B. L., & Peters, A. (2017). Strategies to reduce nursing student test anxiety: A literature review.
Journal of Nursing Education, 56
(3), 145–151. doi:10.3928/01484834-20170222-05. Treatment of Anxiety Disorders Discussion – NURS 6670.

Note:
You will access this article from the Walden Library databases.

Document:
Reimbursement Rate Template (Word document)

Required Media

Wolpe, J. (Producer). (n.d.).
Joseph Wolpe on systematic desensitization
[Video file]. Mill Valley, CA: Psychotherapy.net

Note:
The approximate length of this media piece is 59 minutes. You will access this video from the Walden Library databases. Treatment of Anxiety Disorders Discussion – NURS 6670.

Optional Resources

Acosta, M. C., Possemato, K., Maisto, S. A., Marsch, L. A., Barrie, K., Lantinga, L., . . . Rosenblum, A. (2017). Web-delivered CBT reduces heavy drinking in OEF-OIF veterans in primary care with symptomatic substance use and PTSD. Behavior Therapy, 48(2), 262-–276. doi:10.1016/j.beth.2016.09.001

Substance Abuse and Mental Health Services Association (SAMHSA). (2014).
TIP 57: Trauma-informed care in behavioral health services
. Retrieved from: http://store.samhsa.gov/product/TIP-57-Trauma-Informed-Care-in-Behavioral-Health-Services/SMA14-4816

Note:
This document is available as a free download. Treatment of Anxiety Disorders Discussion – NURS 6670.

Discussion: Treatment of Anxiety Disorders

Anxiety disorders are common in both primary care and psychiatric practice. Clients with anxiety disorders including generalized anxiety disorders, agoraphobia, and other specific phobias will present to the PMHNP’s office with a significant level of distress. Successful recognition and treatment of anxiety disorders includes an accurate diagnostic assessment with a treatment plan that includes a combination of psychopharmacology and psychotherapy. Although psychoanalytic theories are based on the concept of anxiety, the more recent standard of care is with the cognitive-behavioral therapies. Treatment of Anxiety Disorders Discussion – NURS 6670.

In this Discussion, you will analyze evidence-based treatment plans for clients with anxiety disorders.

Treatment of Anxiety Disorders Discussion – NURS 6670 Learning Objectives

Students will:

Analyze differences between adjustments disorders and anxiety disorders

Analyze diagnostic criteria for anxiety disorders. Treatment of Anxiety Disorders Discussion – NURS 6670

Analyze evidence-based psychotherapy and psychopharmacologic treatment for anxiety disorders

Compare differential diagnostic features of anxiety disorders

Note:
 For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts and cannot post anonymously. Please check your post carefully before clicking Submit! Treatment of Anxiety Disorders Discussion – NURS 6670

To prepare for this Discussion:

By Day 5 of Week 5, your Instructor will have assigned you an anxiety disorder, which will be your focus for your initial post for this Discussion.

Review the Learning Resources.

By Day 3

Post:

Explain the difference between an adjustment disorder and anxiety disorder. Provide examples to illustrate your rationale. Treatment of Anxiety Disorders Discussion – NURS 6670.

Explain the diagnostic criteria for your assigned anxiety disorder.

Explain the evidenced-based psychotherapy and psychopharmacologic treatment for your assigned anxiety disorder.

Support your rationale with references to the Learning Resources or other academic resource.

By Day 6

Respond
 to at least 
two
 of your colleagues by comparing the differential diagnostic features of the disorder you were assigned to the diagnostic features of the disorder your colleagues were assigned.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 6 Discussion Rubric

Post by Day 3 and Respond by Day 6

To participate in this Discussion:

Week 6 Discussion

Assignment 1: Midterm Exam

This exam is designed to assess how well you have synthesized the information from all your PMHNP courses. It draws upon the material from all the textbooks from NURS 6630, NURS 6640, NURS 6670, NURS 6660, and NURS 6670. It is very similar to what you will experience in your certification exam.

Treatment of Anxiety Disorders Discussion – NURS 6670 Learning Objectives

Students will:

Assess knowledge of adult and older adult psychotherapy concepts and principles

This exam will cover the following topics:

Psychiatric Assessment of the Adult and Older Adult

Depressive Disorders

Personality Disorders

Substance-Related and Addictive Disorders

Bipolar Disorders

Anxiety Disorders, PTSD, & Related Disorders

By Day 7

Complete the Midterm Exam. Prior to starting the exam, you should review all of your materials. There is a 2-hour time limit to complete this 75-question exam. You may only attempt this exam once. Treatment of Anxiety Disorders Discussion – NURS 6670.

This exam is a test of your knowledge in preparation for your certification exam. 
No outside resources
 including books, notes, websites, or any other type of resource are to be used to complete this exam. You are expected to 
comply with Walden University’s Code of Conduct
.

By Day 7

Submit
 your Exam.

Submission and Grading Information

Submit Your Exam by Day 7

To submit your Exam:

Week 6 Midterm Exam

Assignment 2:

Week 6 Practicum Journal: Reimbursement Rates

Reimbursement rates and medical coding can be almost as complicated as treating some mental illnesses. As a PMHNP, you will be faced with varying rates that may be different than other health care providers you may work with. Treatment of Anxiety Disorders Discussion – NURS 6670.

In this Practicum Journal Assignment, you will analyze reimbursement rates for mental health treatments you will likely use in your practice and compare those rates to other provider rates.

Learning Objectives

Students will:

Analyze reimbursement rates for mental health treatments

Treatment of Anxiety Disorders Discussion – NURS 6670

To prepare for this Practicum Journal:

Research reimbursement rates for various treatment modalities.

Compare NP rates to other provider rates.

For this Practicum Journal:

Complete the Reimbursement Rate Template in your Learning Resources using the five types of services you are likely to use in your practice. Treatment of Anxiety Disorders Discussion – NURS 6670.

By Day 7 of Week 7

Submit
 your Assignment.

Assignment 3: Board Vitals

This week you will be responding to twenty Board Vitals questions that cover a broad review of your Nurse Practitioner program courses up to this point.

These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability. Treatment of Anxiety Disorders Discussion – NURS 6670.

You can access Board Vitals through the link sent to you in email or by following the link below:

https://www.boardvitals.com/

By Day 7

Complete the Board Vitals questions.

Making Connections

This week, you explored evidence-based treatment methods for clients with anxiety disorders. You completed a midterm exam and analyzed reimbursement rates for treatment of mental health disorders.

Next week, you will, once again, become “captain of the ship” as you take full responsibility for a client with an obsessive-compulsive disorder by recommending psychopharmacologic treatment and psychotherapy, identifying medical management needs and community support, and recommending follow-up plans. Treatment of Anxiety Disorders Discussion – NURS 6670.

“Captain of the Ship” Project – Obsessive-Compulsive Disorders

Week 7: Obsessive-Compulsive Disorders

It is getting embarrassing to go to my hair stylist. She always comments on the bald patches on my head. They keep getting bigger as I continue to pull out one strand of hair at a time. I even do it in my sleep. I can’t help myself. It all started when I was in high school when I would pull just from the back. Now I have to wear my hair a specific way so the bald patches don’t show. I don’t even color my hair anymore. I don’t want anyone to notice me. “Captain of the Ship” Project – Obsessive-Compulsive Disorders.

Michelle, age 27

Although actual statistics vary, obsessive-compulsive disorder impacts approximately 1.2% of the population in the United States (APA, 2013, p. 239). It is characterized by the presence of obsessive thoughts, which are manifested as persistent thoughts, images, or even “urges.” The only way that the individual can disperse the anxiety of these persistent thoughts/images or urges is to perform a behavior (the compulsion). The compulsion could be checking things, counting, reciting a silent prayer, or repeating a number of phrases. The disorder becomes so pervasive that the person can spend a significant amount of time each day attending to the compulsion in order to relieve the anxiety caused by the obsession.

NURS 6670 EXAMS, DISCUSSIONS AND ASSIGNMENTS

This week, you will, once again, become “captain of the ship” as you take full responsibility for a client with an obsessive-compulsive disorder by recommending psychopharmacologic treatment and psychotherapy, identifying medical management needs and community support, and recommending follow-up plans. You also will evaluate your progress in completing your certification plan. “Captain of the Ship” Project – Obsessive-Compulsive Disorders.

Photo Credit: Mixmike / E+ / Getty Images

“Captain of the Ship” Project – Obsessive-Compulsive Disorders Learning Resources

Required Readings

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014).
Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry
(11th ed.). Philadelphia, PA: Wolters Kluwer.

Chapter 10, “Obsessive-Compulsive and Related Disorders” (pp. 418–436)

Gabbard, G. O. (2014).
Gabbard’s treatment of psychiatric disorders
(5th ed.). Washington, DC: American Psychiatric Publications.

Chapter 21, “Obsessive-Compulsive Disorder”

Note:
You will access this textbook from the Walden Library databases.

American Psychiatric Association. (2013).
Diagnostic and statistical manual of mental disorders
(5th ed.). Washington, DC: Author. “Captain of the Ship” Project – Obsessive-Compulsive Disorders.

“Obsessive-Compulsive and Related Disorders”

Note:
You will access this book from the Walden Library databases.

Stahl, S. M. (2014).
Prescriber’s Guide: Stahl’s Essential Psychopharmacology
(5th ed.). New York, NY: Cambridge University Press.

 

Note:
All Stahl resources can be accessed through the Walden Library using the link below. This link will take you to a login page for the Walden Library. Once you log in to the library, the Stahl website will appear. http://ezp.waldenulibrary.org/login?url=http://stahlonline.cambridge.org/

 

To access information on specific medications, click on
The Prescriber’s Guide, 5th Ed
. tab on the Stahl Online website and select the appropriate medication. “Captain of the Ship” Project – Obsessive-Compulsive Disorders.

 

Obsessive-compulsive disorder

citalopram

clomipramine

escitalopram

fluoxetine

fluvoxamine

paroxetine

sertraline

venlafaxine

vilazodone

Thompson-Hollands, J., Edson, A., Tompson, M. C., & Comer, J. S. (2014). Family involvement in the psychological treatment of obsessive-compulsive disorder: A meta-analysis.
Journal of Family Psychology, 28
(3), 287–298. doi:10.1037/a0036709

 

Note:
You will access this article from the Walden Library databases.

Required Media

Bruce, T. & Jongsma, A. (Producers). (n.d.)
Evidence-based treatment planning for obsessive compulsive disorder
[Video file]. Mill Valley, CA: Psychotherapy.net.

 

Note:
The approximate length of this media piece is 64 minutes. You will access this video from the Walden Library databases. “Captain of the Ship” Project – Obsessive-Compulsive Disorders.

Optional Resources

Himle, J. A., Chatters, L. M., Taylor, R. J., & Nguyen, A. (2013). The relationship between obsessive-compulsive disorder and religious faith: Clinical characteristics and implications for treatment.
Spirituality in Clinical Practice, 1
(S), 53–70. doi:10.1037/2326-4500.1.S.53

Wheaton, M. G., Rosenfield, D., Foa, E. B., & Simpson, H. B. (2015). Augmenting serotonin reuptake inhibitors in obsessive–compulsive disorder:
What moderates improvement? Journal of Consulting and Clinical Psychology, 83
(5), 926–937. doi:10.1037/ccp0000025

Assignment 1: “Captain of the Ship” Project – Obsessive-Compulsive Disorders

In earlier weeks, you were introduced to the concept of the “captain of the ship.” In this Assignment, you become the “captain of the ship” as you provide treatment recommendations and identify medical management, community support resources, and follow-up plans for a client with an obsessive-compulsive disorder.

“Captain of the Ship” Project – Obsessive-Compulsive Disorders Learning Objectives

Students will:

Recommend psychopharmacologic treatments based on therapeutic endpoints for clients with obsessive-compulsive disorders

Recommend psychotherapy based on therapeutic endpoints for clients with obsessive-compulsive disorders

Identify medical management needs for clients with obsessive-compulsive disorders

“Captain of the Ship” Project – Obsessive-Compulsive Disorders

Identify community support resources for clients with obsessive-compulsive disorders

Recommend follow-up plans for clients with depression disorders

To prepare for this Assignment:

Select an adult or older adult client with an obsessive-compulsive disorder you have seen in your practicum.

In 3–4 pages, write a treatment plan for your client in which you do the following:

Describe the HPI and clinical impression for the client.

Recommend psychopharmacologic treatments and describe specific and therapeutic endpoints for your psychopharmacologic agent. (This should relate to HPI and clinical impression.)

Recommend psychotherapy choices (individual, family, and group) and specific therapeutic endpoints for your choices. “Captain of the Ship” Project – Obsessive-Compulsive Disorders.

Identify medical management needs, including primary care needs, specific to this client.

Identify community support resources (housing, socioeconomic needs, etc.) and community agencies that are available to assist the client. “Captain of the Ship” Project – Obsessive-Compulsive Disorders.

Recommend a plan for follow-up intensity and frequency and collaboration with other providers.

By Day 7

Submit
 your “Captain of the Ship” Project – Obsessive-Compulsive Disorders Assignment.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your “Captain of the Ship” Project – Obsessive-Compulsive Disorders Assignment using the naming convention “WK7Assgn1+last name+first initial.(extension)” as the name.

Click the 
Week 7 Assignment 1 Rubric 
to review the Grading Criteria for the Assignment.

Click the 
Week 7 Assignment 1 
link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the 
Browse My Computer
 button. Find the document you saved as “WK7Assgn1+last name+first initial.(extension)” and click 
Open
.

If applicable: From the Plagiarism Tools area, click the checkbox for 
I agree to submit my paper(s) to the Global Reference Database
.

Click on the 
Submit
 button to complete your “Captain of the Ship” Project – Obsessive-Compulsive Disorders submission.

Grading Criteria

To access your rubric:

Week 7 Assignment 1 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 7 Assignment 1 draft and review the originality report.

Submit Your Assignment by Day 7

To submit your “Captain of the Ship” Project – Obsessive-Compulsive Disorders Assignment:

Week 7 Assignment 1

Assignment 2:

Week 7 Practicum Journal: Checkpoint for Certification Plan

“Captain of the Ship” Project – Obsessive-Compulsive Disorders Learning Objectives

Students will:

Evaluate progress on certification plans

Report your progress on the Certification Plan completed in Week 1 and submitted in Week 4.

What have you done to prepare for your certification?

Have you completed the scheduled tasks assigned on your timeline? If not, what are your plans to stay on schedule?

By Day 7

Submit
 your Assignment.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK7Assgn2+last name+first initial.(extension)” as the name.

Click the 
Week 7 Assignment 2 Rubric 
to review the Grading Criteria for the Assignment.

Click the 
Week 7 Assignment 2 
link. You will also be able to “View Rubric” for grading criteria from this area. “Captain of the Ship” Project – Obsessive-Compulsive Disorders.

Next, from the Attach File area, click on the 
Browse My Computer
 button. Find the document you saved as “WK7Assgn2+last name+first initial.(extension)” and click 
Open
.

If applicable: From the Plagiarism Tools area, click the checkbox for 
I agree to submit my paper(s) to the Global Reference Database
.

Click on the 
Submit
 button to complete your submission.

Grading Criteria

To access your rubric:

Week 7 Assignment 2 Rubric

Check Your Assignment Draft for Authenticity

To check your “Captain of the Ship” Project – Obsessive-Compulsive Disorders Assignment draft for authenticity:

Submit your Week 7 Assignment 2 draft and review the originality report.

Submit Your Assignment by Day 7

To submit your Assignment:

Week 7 Assignment 2

Assignment 3: Week 5 Practicum: Decision Tree

By Day 7

Submit
 your Assignment. Refer to Week 5 for additional guidance.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your “Captain of the Ship” Project – Obsessive-Compulsive Disorders Assignment using the naming convention “WK7Assgn3+last name+first initial.(extension)” as the name.

Click the 
Week 7 Assignment 3 Rubric 
to review the Grading Criteria for the Assignment.

Click the 
Week 7 Assignment 3 
link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the 
Browse My Computer
 button. Find the document you saved as “WK7Assgn3+last name+first initial.(extension)” and click 
Open
.

If applicable: From the Plagiarism Tools area, click the checkbox for 
I agree to submit my paper(s) to the Global Reference Database
.

Click on the 
Submit
 button to complete your submission.

Grading Criteria

To access your rubric:

Week 7 Assignment 3 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 7 “Captain of the Ship” Project – Obsessive-Compulsive Disorders Assignment 3 draft and review the originality report.

Submit Your Assignment by Day 7

To submit your Assignment:

Week 7 Assignment 3

Assignment 4: Week 6 Practicum Journal – Reimbursement Rates

By Day 7

Submit
 your Assignment. Refer to Week 6 for additional guidance.

Submission and Grading Information

To submit your completed “Captain of the Ship” Project – Obsessive-Compulsive Disorders Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK7Assgn4+last name+first initial.(extension)” as the name.

Click the 
Week 7 Assignment 4 Rubric 
to review the Grading Criteria for the Assignment.

Click the 
Week 7 Assignment 4 
link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the 
Browse My Computer
 button. Find the document you saved as “WK7Assgn4+last name+first initial.(extension)” and click 
Open
.

If applicable: From the Plagiarism Tools area, click the checkbox for 
I agree to submit my paper(s) to the Global Reference Database
.

Click on the 
Submit
 button to complete your submission.

Grading Criteria

To access your rubric:

Week 7 Assignment 4 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 7 Assignment 4 draft and review the originality report.

Submit Your Assignment by Day 7

To submit your Assignment:

Week 7 Assignment 4

“Captain of the Ship” Project – Obsessive-Compulsive Disorders Assignment 5: Board Vitals

This week you will be responding to twenty Board Vitals questions that cover a broad review of your Nurse Practitioner program courses up to this point.

These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability.

You can access Board Vitals through the link sent to you in email or by following the link below:

https://www.boardvitals.com/

By Day 7

Complete the Board Vitals questions.

Practicum Reminder

Time Logs:
 You are required to keep a log of the time you spend related to your practicum experience 
and enter every patient you see each day
. You can access your time log from the Welcome Page in your Meditrek account. You will track time individually for each patient you work with. Please make sure to continuously input your hours throughout the term. “Captain of the Ship” Project – Obsessive-Compulsive Disorders.

Making Connections

This week, you, once again, became “captain of the ship” as you took full responsibility for a client with an obsessive-compulsive disorder by recommending psychopharmacologic treatment and psychotherapy, identifying medical management needs and community support, and recommending follow-up plans. “Captain of the Ship” Project – Obsessive-Compulsive Disorders.

Next week, you will explore evidence-based psychotherapy and psychopharmacologic treatment for neurocognitive disorders. You will complete your final Decision Tree as you rationalize and justify your diagnosis and treatment of a patient with a mental health disorder. “Captain of the Ship” Project – Obsessive-Compulsive Disorders.

NURS 6670 Discussion: Treatment of Neurocognitive Disorders

Week 8: Neurocognitive Disorders

My mother used to be a teacher—an elementary school teacher. We were all so proud of her when she completed her PhD when she was 50. Now she is 75 and has begun to have times when she does not know what day it is. We found her wandering around the neighborhood because she could not find her way home. Once, she forgot where she parked her car at the grocery store. She thought someone had stolen it. The manager was so kind to drive her around the parking lot until she recognized her car. We are afraid she might get hurt or lost.

Gary, age 50, son of Dorothy, age 75

The neurocognitive disorders are unique among the other psychiatric disorders you have studied in that the diseases that are to blame for the neurocognitive manifestations that have been extensively studied. Additionally, these conditions are also acquired and represent a decline from a previous level of functioning. The neurocognitive disorders present a diagnostic challenge to the PMHNP in that many of the signs and symptoms overlap.

This week, you will explore evidence-based psychotherapy and psychopharmacologic treatment for neurocognitive disorders. You will complete your final Decision Tree as you rationalize and justify your diagnosis and treatment of a patient with a mental health disorder. NURS 6670 Discussion: Treatment of Neurocognitive Disorders.

NURS 6670 EXAMS, DISCUSSIONS AND ASSIGNMENTS

NURS 6670 Discussion: Treatment of Neurocognitive Disorders Learning Resources

Required Readings

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014).
Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry
(11th ed.). Philadelphia, PA: Wolters Kluwer.

Chapter 21, “Neurocognitive Disorders” (pp. 694–741)

Gabbard, G. O. (2014).
Gabbard’s treatment of psychiatric disorders
(5th ed.). Washington, DC: American Psychiatric Publications.

Chapter 63, “Delirium”

Chapter 64, “Neurocognitive Disorder Due to Alzheimer’s Disease”

Chapter 65, “Frontotemporal Neurocognitive Disorder”

Chapter 66, “Vascular Neurocognitive Disorder”

Chapter 67, “Neurocognitive Disorder Due to Parkinson’s Disease”

Note:
You will access this textbook from the Walden Library databases.

American Psychiatric Association. (2013).
Diagnostic and statistical manual of mental disorders
(5th ed.). Washington, DC: Author.

“Neurocognitive Disorders”

Note:
You will access this book from the Walden Library databases.

Stahl, S. M. (2014).
Prescriber’s Guide: Stahl’s Essential Psychopharmacology
(5th ed.). New York, NY: Cambridge University Press. NURS 6670 Discussion: Treatment of Neurocognitive Disorders.

Note:
All Stahl resources can be accessed through the Walden Library using the link below. This link will take you to a login page for the Walden Library. Once you log in to the library, the Stahl website will appear. http://ezp.waldenulibrary.org/login?url=http://stahlonline.cambridge.org/

 

To access information on specific medications, click on
The Prescriber’s Guide, 5th Ed
. tab on the Stahl Online website and select the appropriate medication. NURS 6670 Discussion: Treatment of Neurocognitive Disorders.

 

Alzheimer disease

Delirium

Dementia

Parkinson’s disease dementia

caprylidene

donepezil

galantamine

memantine

rivastigmine

haloperidol (adjunct)

lorazepam (adjunct)

donepezil

galantamine

memantine

rivastigmine

rivastigmine

pimavanserin

Note:
 For more information on Pimavanserin, see:

Acadia Pharmaceuticals. (2017).
Transform the treatment of Parkinson’s disease psychosis with NUPLAZID
. Retrieved from https://www.nuplazidhcp.com/?gclid=CIHS5auvwtMCFQkaaQodrU0FGQ

U.S. Food and Drug Administration. (n. d.). Highlights of prescribing information: Nuplazid. Retrieved from https://www.accessdata.fda.gov/drugsatfda_docs/label/2016/207318lbl.pdf

Hopkins, S. A., & Chan, D. (2016). Key emerging issues in frontotemporal dementia.
Journal of Neurology, 263
(2), 407–413. doi:10.1007/s00415-015-7880-7

 

Note:
You will access this article from the Walden Library databases.

Walker, Z., Possin, K. L., Boeve, B. F., & Aarsland, D. (2015). Lewy body dementias. The Lancet, 386(10004), 1683-1697.

 

Note:
You will access this article from the Walden Library databases.

Required Media

Laureate Education (Producer). (2017a).
A gentleman with a neurocognitive disorder
[Multimedia file]. Baltimore, MD: Author. NURS 6670 Discussion: Treatment of Neurocognitive Disorders.

 

Bolin, P. (2015, December 31).
Neurocognitive disorders – CRASH! Medical review series
[Video file]. Retrieved from https://www.youtube.com/watch?v=bQXOPITY9XM

 

Note:
The approximate length of this media piece is 57 minutes.

Optional Resources

Kota, L. N., Bharath, S., Purushottam, M., Moily, N. S., Sivakumar, P. T., Varghese, M., . . . Jain, S. (2015). Reduced telomere length in neurodegenerative disorders may suggest shared biology.
The Journal of Neuropsychiatry and Clinical Neurosciences, 27
(2), e92–e96. doi:10.1176/appi.neuropsych.13100240

Lepkowsky, C. M. (2016). Neurocognitive disorder with Lewy bodies: Evidence-based diagnosis and treatment.
Practice Innovations, 1
(4), 234–242. doi:10.1037/pri0000031

Oltra-Cucarella, J., Pérez-Elvira, R., Espert, R., & Sohn McCormick, A. (2016). Are cognitive interventions effective in Alzheimer’s disease? A controlled meta-analysis of the effects of bias.
Neuropsychology, 30
(5), 631–652. doi:10.1037/neu0000283

Discussion: Treatment of Neurocognitive Disorders

Neurocognitive disorders (NCD) such as delirium, dementia, and amnestic disorders are more prevalent in older adults. As the population ages and as life expectancy in the United States continues to increase, the incidence of these disorders will continue to increase. Cognitive functioning such as memory, language, orientation, judgment, and problem solving are affected in clients with NCDs. Caring for someone with a neurocognitive disorder is not only challenging for the clinician, but also stressful for the family. The PMHNP needs to consider not only the client but also the “family as client.” Collaboration with primary care providers and specialty providers is essential. Anticipatory guidance also becomes extremely important.

In this Discussion, you will integrate several sources of knowledge specific to NCDs as you discuss evidenced-based therapies used to treat these disorders. NURS 6670 Discussion: Treatment of Neurocognitive Disorders.

NURS 6670 Discussion: Treatment of Neurocognitive Disorders Learning Objectives

Students will:

Analyze diagnostic criteria for neurocognitive disorders

Analyze evidence-based psychotherapy and psychopharmacologic treatment for neurocognitive disorders

Evaluate benefits and risks of neurocognitive therapies

Compare differential diagnostic features of neurocognitive disorders

Note:
 For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts, and cannot post anonymously. Please check your post carefully before clicking Submit! NURS 6670 Discussion: Treatment of Neurocognitive Disorders.

To prepare for this Discussion:

By Day 5 of Week 7, your Instructor will have assigned you a neurocognitive disorder, which will be the focus for your initial post for this Discussion.

Review the Learning Resources.

By Day 3

Post:

Explain the diagnostic criteria for your assigned neurocognitive disorder.

Explain the evidenced-based psychotherapy and psychopharmacologic treatment for your assigned neurocognitive disorder. NURS 6670 Discussion: Treatment of Neurocognitive Disorders

Identify the risks of different types of therapy and explain how the benefits of the therapy that might be achieved might outweigh the risks.

Support your rationale with references to the Learning Resources or other academic resource. NURS 6670 Discussion: Treatment of Neurocognitive Disorders

By Day 6

Respond
 to at least 
two
 of your colleagues by comparing the differential diagnostic features of the disorder you were assigned to the diagnostic features of the disorder your colleagues were assigned.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 8 Discussion Rubric

Post by Day 3 and Respond by Day 6

To participate in this Discussion:

Week 8 Discussion. NURS 6670 Discussion: Treatment of Neurocognitive Disorders.

Assignment 1: Practicum: Decision Tree

For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat adult and older adult clients presenting symptoms of a mental health disorder.

The Assignment:

NURS 6670 Discussion: Treatment of Neurocognitive Disorders Learning Objectives

Students will:

Evaluate clients for treatment of mental health disorders

Analyze decisions made throughout diagnosis and treatment of clients with mental health disorders

Examine Case 3
: You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical as well as mental factors that might impact the client’s diagnosis and treatment.

At each Decision Point, stop to complete the following:

Decision #1: Differential Diagnosis

Which Decision did you select?

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.

Explain any difference between what you expected to achieve with Decision #1 and the results of the Decision. Why were they different?

Decision #2: Treatment Plan for Psychotherapy

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.

Explain any difference between what you expected to achieve with Decision #2 and the results of the Decision. Why were they different?

Decision #3: Treatment Plan for Psychopharmacology

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.

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 and their family.

Note:
 Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement.

By Day 7 of Week 10

Submit
 your Assignment.

Assignment 2: Board Vitals

This week you will be responding to twenty Board Vitals questions that cover a broad review of your Nurse Practitioner program courses up to this point.

These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability. NURS 6670 Discussion: Treatment of Neurocognitive Disorders/

You can access Board Vitals through the link sent to you in email or by following the link below:

https://www.boardvitals.com/

By Day 7

Complete the Board Vitals questions.

Making Connections

This week, you explored evidence-based psychotherapy and psychopharmacologic treatment for neurocognitive disorders. You completed your final Decision Tree as you rationalized and justified your diagnosis and treatment of a patient with a mental health disorder.

Next week, you will explore a wide variety of disorders along the schizophrenia spectrum as you become “captain of the ship” once again. You also will analyze issues involved with state practice agreements. NURS 6670 Discussion: Treatment of Neurocognitive Disorders.

Schizophrenia Spectrum and Other Psychotic Disorders Assignment: “Captain of the Ship” Project

Week 9: Schizophrenia Spectrum and Other Psychotic Disorders

I am being followed. They are even in my home. I am crouched in the corner of my apartment, but they know I am here and are just waiting to get me. I have a secret and they are trying to get it. The secret is hidden in my brain and they are going to open my skull to get it out. I have to block them from getting into my brain. Hiding in the closet, behind all the clothes, they will not see me….

Jamie, age 26

There are many disorders that result in the development of “positive” symptoms, such as hallucinations and delusions, but not all of these conditions represent schizophrenia. When treating schizophrenia spectrum and other psychotic disorders, emphasis should be placed not only on treating the positive symptoms but the negative and residual symptoms as well.

This week, you will explore a wide variety of disorders along the schizophrenia spectrum as you become “captain of the ship” once again. You also will analyze issues involved with state practice agreements.

Photo Credit: [riskms]/[iStock / Getty Images Plus]/Getty Images

Schizophrenia Spectrum and Other Psychotic Disorders Assignment: “Captain of the Ship” Project Learning Resources

Note:
 To access this week’s required library resources, please click on the link to the Course Readings List, found in the 
Course Materials
 section of your Syllabus.

Required Readings

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014).
Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry
(11th ed.). Philadelphia, PA: Wolters Kluwer.

Chapter 7, “Schizophrenia Spectrum and other Psychotic Disorders” (pp. 300–346)

Gabbard, G. O. (2014).
Gabbard’s treatment of psychiatric disorders
(5th ed.). Washington, DC: American Psychiatric Publications. Schizophrenia Spectrum and Other Psychotic Disorders Assignment: “Captain of the Ship” Project.

Chapter 8, “Early-Stage Schizophrenia”

Chapter 9, “Toward a Dimensional Understanding of Psychosis and Its Treatment”

Chapter 10, “Psychosocial Treatments for Chronic Psychosis”

Chapter 11, “Pharmacological Treatment of Psychosis”

Note
: You will access this book from the Walden Library databases.

American Psychiatric Association. (2013).
Diagnostic and statistical manual of mental disorders
(5th ed.). Washington, DC: Author. Schizophrenia Spectrum and Other Psychotic Disorders Assignment: “Captain of the Ship” Project.

“Schizophrenia Spectrum and other Psychotic Disorders”

Note
: You will access this book from the Walden Library databases.

Stahl, S. M. (2014).
Prescriber’s Guide: Stahl’s Essential Psychopharmacology
(5th ed.). New York, NY: Cambridge University Press.

 

Note:
All Stahl resources can be accessed through the Walden Library using the link below. This link will take you to a login page for the Walden Library. Once you log in to the library, the Stahl website will appear. Schizophrenia Spectrum and Other Psychotic Disorders Assignment: “Captain of the Ship” Project.

To access information on specific medications, click on
The Prescriber’s Guide, 5
th
Ed.
tab on the Stahl Online website and select the appropriate medication.

Psychosis

Schizoaffective disorder

alprazolam (adjunct)

amisulpride

aripiprazole

asenapine

blonanserin

carbamazepine (adjunct)

chlorpromazine

clonazepam (adjunct)

clozapine

cyamemazine

flupenthixol

fluphenazine

haloperidol

iloperidone

lamotrigine (adjunct)

lorazepam (adjunct)

loxapine

lurasidone

mesoridazine

molindone

olanzapine

paliperidone

perospirone

perphenazine

pimozide

pipothiazine

quetiapine

risperidone

sertindole

sulpiride

thioridazine

thiothixene

trifluoperazine

valproate (divalproex) (adjunct)

ziprasidone

zotepine

zuclopenthixol

amisulpride

aripiprazole

asenapine

carbamazepine (adjunct)

chlorpromazine

clozapine

cyamemazine

flupenthixol

haloperidol

iloperidone

lamotrigine (adjunct)

l-methylfolate (adjunct)

loxapine

lurasidone

mesoridazine

molindone

olanzapine

paliperidone

perospirone

perphenazine

pipothiazine

quetiapine

risperidone

sertindole

sulpiride

thioridazine

thiothixene

trifluoperazine

valproate (divalproex) (adjunct)

ziprasidone

zotepine

zuclopenthixol

Schizophrenia

Cataplexy syndrome

Catatonia

Extrapyramidal side effects

amisulpride

aripiprazole

asenapine

carbamazepine (adjunct)

chlorpromazine

clozapine

cyamemazine

flupenthixol

haloperidol

iloperidone

lamotrigine (adjunct)

l-methylfolate (adjunct)

loxapine

lurasidone

mesoridazine

molindone

olanzapine

paliperidone

perospirone

perphenazine

pipothiazine

quetiapine

risperidone

sertindole

sulpiride

thioridazine

thiothixene

trifluoperazine

valproate (divalproex) (adjunct)

ziprasidone

zotepine

zuclopenthixol

Seasonal affective disorder

bupropion

Sedation-induction

hydroxyzine

midazolam

clomipramine

imipramine

sodium oxybate

alprazolam

chlordiazepoxide

clonazepam

clorazepate

diazepam

estazolam

flunitrazepam

flurazepam

loflazepate

lorazepam

midazolam

oxazepam

quazepam

temazepam

triazolam

benztropine

diphenhydramine

trihexyphenidyl

Ferreira, C. D., de Souza, M. G. D., Fernández-Calvo, B., Machado-de-Sousa, J. P., Cecilio Hallak, J. E., & Torro-Alves, N. (2016). Neurocognitive functions in schizophrenia: A systematic review of the effects of typical and atypical antipsychotic drugs.
Psychology & Neuroscience, 9
(1), 12–31. doi:10.1037/pne0000045. Schizophrenia Spectrum and Other Psychotic Disorders Assignment: “Captain of the Ship” Project.

Note
: You will access this article through the Walden Library databases.

Granholm, E., Holden, J., Link, P. C., & McQuaid, J. R. (2014). Randomized clinical trial of cognitive behavioral social skills training for schizophrenia: Improvement in functioning and experiential negative symptoms.
Journal of Consulting and Clinical Psychology, 82
(6), 1173–1185. doi:10.1037/a0037098

Note
: You will access this article through the Walden Library databases. Schizophrenia Spectrum and Other Psychotic Disorders Assignment: “Captain of the Ship” Project.

Required Media

Murphy, L. (2011, July 21).
Types of schizophrenia – A day in the life (scary)
[Video file]. Retrieved from https://www.youtube.com/watch?v=LWYwckFrksg

Assignment 1: “Captain of the Ship” Project – Schizophrenia Spectrum and Other Psychotic Disorders

In earlier weeks, you were introduced to the concept of the “captain of the ship.” In this Assignment, you become the “captain of the ship” once again as you provide treatment recommendations and identify medical management, community support resources, and follow-up plans for a client with a schizophrenia spectrum/other psychotic disorder. Schizophrenia Spectrum and Other Psychotic Disorders Assignment: “Captain of the Ship” Project.

NURS 6670 EXAMS, DISCUSSIONS AND ASSIGNMENTS

Learning Objectives

Students will:

Recommend psychopharmacologic treatments based on therapeutic endpoints for clients with schizophrenia spectrum and other psychotic disorders

Recommend psychotherapy based on therapeutic endpoints for clients with schizophrenia spectrum and other psychotic disorders. Schizophrenia Spectrum and Other Psychotic Disorders Assignment: “Captain of the Ship” Project.

Identify medical management needs for clients with schizophrenia spectrum and other psychotic disorders

Identify community support resources for clients with schizophrenia spectrum and other psychotic disorders

Recommend follow-up plans for clients with schizophrenia spectrum and other psychotic disorders. Schizophrenia Spectrum and Other Psychotic Disorders Assignment: “Captain of the Ship” Project.

To prepare for this Schizophrenia Spectrum and Other Psychotic Disorders Assignment: “Captain of the Ship” Project Assignment:

Select an adult or older adult client with a schizophrenia spectrum and other psychotic disorder you have seen in your practicum.

In 3–4 pages, write a treatment plan for your client in which you do the following:

Describe the HPI and clinical impression for the client.

Recommend psychopharmacologic treatments and describe specific and therapeutic endpoints for your psychopharmacologic agent. (This should relate to HPI and clinical impression.)

Recommend psychotherapy choices (individual, family, and group) and specific therapeutic endpoints for your choices. Schizophrenia Spectrum and Other Psychotic Disorders Assignment: “Captain of the Ship” Project.

Identify medical management needs, including primary care needs, specific to this client.

Identify community support resources (housing, socioeconomic needs, etc.) and community agencies that are available to assist the client.

Recommend a plan for follow-up intensity and frequency and collaboration with other providers. Schizophrenia Spectrum and Other Psychotic Disorders Assignment: “Captain of the Ship” Project.

By Day 7

Submit
 your Assignment.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK9Assgn1+last name+first initial.(extension)” as the name.

Click the 
Week 9 Assignment 1 Rubric 
to review the Grading Criteria for the Assignment.

Click the 
Week 9 Assignment 1 
link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the 
Browse My Computer
 button. Find the document you saved as “WK9Assgn1+last name+first initial.(extension)” and click 
Open
.

If applicable: From the Plagiarism Tools area, click the checkbox for 
I agree to submit my paper(s) to the Global Reference Database
.

Click on the 
Submit
 button to complete your submission. Schizophrenia Spectrum and Other Psychotic Disorders Assignment: “Captain of the Ship” Project.

Grading Criteria

To access your rubric:

Week 9 Assignment 1 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 9 Assignment 1 draft and review the originality report.

Submit Your Assignment by Day 7

To submit your Assignment:

Week 9 Assignment 1

Assignment 2:

Week 9 Practicum Journal: State Practice Agreements

In many states, nurse practitioners are completely autonomous professionals. In other states, however, NPs have a wide range of “restrictive” practice ranging from requirements for a “supervising” physician to requirements for a “collaborative” agreement with a physician. Schizophrenia Spectrum and Other Psychotic Disorders Assignment: “Captain of the Ship” Project.

In this Practicum Journal Assignment, you will examine the requirements of your own state in order to prepare yourself for the realities of practice upon graduation. Schizophrenia Spectrum and Other Psychotic Disorders Assignment: “Captain of the Ship” Project.

Learning Objectives

Students will:

Analyze state PMHNP practice agreements

Analyze physician collaboration issues

Analyze barriers to PMHNP independent practice

Create plans for addressing state PMHNP practice issues

**Assigned in Week 9 and submitted in Week 10

To Prepare for this Practicum Journal:

Review practice agreements in your state.

Identify at least two physician collaboration issues in your state.

For this Practicum Journal:

Briefly describe the practice agreements for PMHNPs in your state.

Explain the two physician collaboration issues that you identified.

Explain what you think are the barriers to PMHNPs practicing independently in your state.

Outline a plan for how you might address PMHNP practice issues in your state.

By Day 7 of Week 10

Submit
 your Practicum Journal.

Schizophrenia Spectrum and Other Psychotic Disorders Assignment: “Captain of the Ship” Project Assignment 3: Board Vitals

This week you will be responding to twenty Board Vitals questions that cover a broad review of your Nurse Practitioner program courses up to this point.

These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability.

You can access Board Vitals through the link sent to you in email or by following the link below:

https://www.boardvitals.com/

By Day 7

Complete the Board Vitals questions.

Making Connections

This week, you explored a wide variety of disorders along the schizophrenia spectrum as you became “captain of the ship” once again. You also analyzed issues involved with state practice agreements.

Next week, you will analyze the diagnostic criteria and treatment options of insomnia, hypersomnolence, narcolepsy, sleep apnea, non-rapid eye movement, nightmare disorder, sleep behavior disorder, and other DSM-5 sleep and parasomnic disorders. Schizophrenia Spectrum and Other Psychotic Disorders Assignment: “Captain of the Ship” Project.

Sleep/Wake Disorders and Parasomnias Essay Assignment Paper

Week 10: Sleep/Wake Disorders and Parasomnias

Tick, tock, and here we go again. I have been in bed trying to go to sleep for three hours now. I have not gotten more than a few hours of sleep a night in months. My work is being affected and so is my relationship with my wife. She’s over there sleeping like a baby and cannot understand why I can’t sleep. ‘Just close your eyes and relax’, she says. When I close my eyes, all I see is all the work I have to do.

Riley, age 34

Sleep is essential for a healthy mind and body, and lack of quality sleep can cause distress during the daytime. Sleep disorders can involve difficulties with quality, timing, and amount of sleep and frequently accompany other disorders, especially depression, anxiety, and PTSD. Obtaining a good sleep history is essential to diagnosing sleep disorders, prescribing a treatment plan, and monitoring the plan’s effectiveness. Understanding and managing sleep problems frequently leads to improvement in other mental health disorders that the patient is experiencing. Sleep/Wake Disorders and Parasomnias Essay Assignment Paper.

This week, you will analyze the diagnostic criteria and treatment options of insomnia, hypersomnolence, narcolepsy, sleep apnea, non-rapid eye movement, nightmare disorder, sleep behavior disorder, and other DSM-5 sleep and parasomnic disorders.

Photo Credit: [riskms]/[iStock / Getty Images Plus]/Getty Images

Sleep/Wake Disorders and Parasomnias Essay Assignment Paper Learning Resources

Note:
 To access this week’s required library resources, please click on the link to the Course Readings List, found in the 
Course Materials
 section of your Syllabus. Sleep/Wake Disorders and Parasomnias Essay Assignment Paper.

Required Readings

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014).
Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry
(11th ed.). Philadelphia, PA: Wolters Kluwer.

Chapter 13, “Psychosomatic Medicine” (pp. 465–503)

Chapter 16, “Normal Sleep and Sleep-Wake Disorders” (pp. 533–563)

Note
: This is review from the Learning Resource in Week 3.

Gabbard, G. O. (2014).
Gabbard’s treatment of psychiatric disorders
(5th ed.). Washington, DC: American Psychiatric Publications.

Chapter 36, “Sleep-Wake Disorders”

Note
: You will access this book from the Walden Library databases.

American Psychiatric Association. (2013).
Diagnostic and statistical manual of mental disorders
(5th ed.). Washington, DC: Author. Sleep/Wake Disorders and Parasomnias Essay Assignment Paper.

“Sleep-Wake Disorders”

Note
: You will access this book from the Walden Library databases.

Stahl, S. M. (2014).
Prescriber’s Guide: Stahl’s Essential Psychopharmacology
(5th ed.). New York, NY: Cambridge University Press. Sleep/Wake Disorders and Parasomnias Essay Assignment Paper.

Note:
All Stahl resources can be accessed through the Walden Library using the link below. This link will take you to a login page for the Walden Library. Once you log in to the library, the Stahl website will appear.

To access information on specific medications, click on
The Prescriber’s Guide, 5
th
Ed.
tab on the Stahl Online website and select the appropriate medication.

Excessive sleepiness in narcolepsy, obstructive sleep apnea/hypopnea syndrome, shift work sleep disorder

Insomnia

Narcolepsy

Restless leg syndrome

armodafinil

modafinil

sodium oxybate (in narcolepsy only)

agomelatine

alprazolam

amitriptyline

amoxapine

clomipramine

clonazepam

desipramine

diazepam

dothiepin

doxepin

estazolam

eszopiclone

flunitrazepam

flurazepam

hydroxyzine

imipramine

lofepramine

lorazepam

maprotiline

mianserin

nortriptyline

quazepam

ramelteon

temazepam

trazodone

triazolam

trimipramine

zaleplon

zolpidem

zopiclone

amphetamine (d)

amphetamine (d,l)

lisdexamfetamine

methylphenidate (d)

methylphenidate (d,l)

modafinil

sodium oxybate

gabapentin ER

Optional Resources

Bélanger, L., Harvey, A. G., Fortier-Brochu, É., Beaulieu-Bonneau, S., Eidelman, P., Talbot, L., . . . Morin, C. M. (2016). Impact of comorbid anxiety and depressive disorders on treatment response to cognitive behavior therapy for insomnia.
Journal of Consulting and Clinical Psychology
,
84
(8), 659–667. doi:10.1037/ccp0000084

Olaithe, M., Nanthakumar, S., Eastwood, P. R., & Bucks, R. S. (2015). Cognitive and mood dysfunction in adult obstructive sleep apnoea (OSA): Implications for psychological research and practice.
Translational Issues in Psychological Science
,
1
(1), 67–78. doi:10.1037/tps0000021. Sleep/Wake Disorders and Parasomnias Essay Assignment Paper.

Discussion: Treatment of Sleep/Wake Disorders

The power of sleep to heal the body cannot be underestimated. Most research indicates that 7–8 hours of sleep are a minimum that people need to stay healthy. Clients who come to the PMHNP’s office frequently complain of sleep problems. It is estimated that 10–20% of patients report some type of sleeping problem. Sleep/Wake Disorders and Parasomnias Essay Assignment Paper.

In this Discussion, you will analyze the diagnostic criteria and evidence-based psychotherapy and psychopharmacologic treatment for sleep/wake disorders.

Learning Objectives

Students will:

Analyze diagnostic criteria for sleep/wake disorders

Analyze evidence-based psychotherapy and psychopharmacologic treatment for sleep/wake disorders

Analyze criteria for referring clients to primary care physicians for treatment of sleep/wake disorders

Compare differential diagnostic features of sleep/wake disorders

Note:
 For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts, and cannot post anonymously. Please check your post carefully before clicking 
Submit
! Sleep/Wake Disorders and Parasomnias Essay Assignment Paper

To prepare for this Discussion:

By Day 5 of Week 9, your Instructor will have assigned you a sleep/wake disorder, which will be the focus of your original post for this Discussion. Sleep/Wake Disorders and Parasomnias Essay Assignment Paper.

Review the Learning Resources.

By Day 3

Post:

Explain the diagnostic criteria for your assigned sleep/wake disorder.

Explain the evidenced-based psychotherapy and psychopharmacologic treatment for your assigned sleep/wake disorder. Sleep/Wake Disorders and Parasomnias Essay Assignment Paper.

Describe at what point you would refer the client to their primary care physician for an additional referral to a neurologist, pulmonologist, or physician specializing in sleep disorders and explain why.

Support your rationale with references to the Learning Resources or other academic resource. Sleep/Wake Disorders and Parasomnias Essay Assignment Paper.

By Day 6

Respond 
to at least 
two
 of your colleagues by comparing the differential diagnostic features of the disorder you were assigned to the diagnostic features of the disorder your colleagues were assigned. Sleep/Wake Disorders and Parasomnias Essay Assignment Paper.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 10 Discussion Rubric

Post by Day 3 and Respond by Day 6

To participate in this Discussion:

Week 10 Discussion

Assignment 1:

Week 10 Practicum Journal: Checkpoint for Certification Plan

Learning Objectives

Students will:

Evaluate progress on certification plans

Report your progress on the Certification Plan completed in Week 1 and submitted in Week 4.

What have you done to prepare for your certification?

Have you completed the scheduled tasks assigned on your timeline? If not, what are your plans to stay on schedule? Sleep/Wake Disorders and Parasomnias Essay Assignment Paper.

By Day 7

Submit
 your Assignment.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK10Assgn1+last name+first initial.(extension)” as the name. Sleep/Wake Disorders and Parasomnias Essay Assignment Paper.

Click the 
Week 10 Assignment 1 Rubric 
to review the Grading Criteria for the Assignment.

Click the 
Week 10 Assignment 1 
link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the 
Browse My Computer
 button. Find the document you saved as “WK10Assgn1+last name+first initial.(extension)” and click 
Open
. Sleep/Wake Disorders and Parasomnias Essay Assignment Paper.

If applicable: From the Plagiarism Tools area, click the checkbox for 
I agree to submit my paper(s) to the Global Reference Database
.

Click on the 
Submit
 button to complete your submission. Sleep/Wake Disorders and Parasomnias Essay Assignment Paper.

Grading Criteria

To access your rubric:

NURS 6670 EXAMS, DISCUSSIONS AND ASSIGNMENTS

Week 10 Assignment 1 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 10 Assignment 1 draft and review the originality report.

Submit Your Assignment by Day 7

To submit your Assignment:

Week 10 Assignment 1

Assignment 2:

Week 8 Practicum: Decision Tree

By Day 7

Submit
 your Assignment. Refer to Week 8 for additional guidance.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK10Assgn2+last name+first initial.(extension)” as the name. Sleep/Wake Disorders and Parasomnias Essay Assignment Paper.

Click the 
Week 10 Assignment 2 Rubric 
to review the Grading Criteria for the Assignment.

Click the 
Week 10 Assignment 2 
link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the 
Browse My Computer
 button. Find the document you saved as “WK10Assgn2+last name+first initial.(extension)” and click 
Open
.

If applicable: From the Plagiarism Tools area, click the checkbox for 
I agree to submit my paper(s) to the Global Reference Database
. Sleep/Wake Disorders and Parasomnias Essay Assignment Paper.

Click on the 
Submit
 button to complete your submission.

Grading Criteria

To access your rubric:

Week 10 Assignment 2 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 10 Assignment 2 draft and review the originality report. Sleep/Wake Disorders and Parasomnias Essay Assignment Paper.

Submit Your Assignment by Day 7

To submit your Assignment:

Week 10 Assignment 2

Assignment 3:

Week 9 Practicum Journal: State Practice Agreements

By Day 7

Submit
 your Assignment. Refer to Week 9 for additional guidance.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK10Assgn3+last name+first initial.(extension)” as the name. Sleep/Wake Disorders and Parasomnias Essay Assignment Paper.

Click the 
Week 10 Assignment 3 Rubric 
to review the Grading Criteria for the Assignment.

Click the 
Week 10 Assignment 3 
link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the 
Browse My Computer
 button. Find the document you saved as “WK10Assgn3+last name+first initial.(extension)” and click 
Open
.

If applicable: From the Plagiarism Tools area, click the checkbox for 
I agree to submit my paper(s) to the Global Reference Database
. Sleep/Wake Disorders and Parasomnias Essay Assignment Paper.

Click on the 
Submit
 button to complete your submission.

Grading Criteria

To access your rubric:

Week 10 Assignment 3 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 10 Assignment 3 draft and review the originality report. Sleep/Wake Disorders and Parasomnias Essay Assignment Paper.

Submit Your Assignment by Day 7

To submit your Assignment:

Week 10 Assignment 3

Sleep/Wake Disorders and Parasomnias Essay Assignment Paper Assignment 4: Board Vitals

This week you will be responding to twenty Board Vitals questions that cover a broad review of your Nurse Practitioner program courses up to this point.

These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability.

You can access Board Vitals through the link sent to you in email or by following the link below:

https://www.boardvitals.com/

By Day 7

Complete the Board Vitals questions.

Practicum Reminder

Time Logs
: You are required to keep a log of the time you spend related to your practicum experience 
and enter every patient you see each day
. You can access your time log from the Welcome Page in your Meditrek account. You will track time individually for each patient you work with. Please make sure to continuously input your hours throughout the term. Sleep/Wake Disorders and Parasomnias Essay Assignment Paper.

Making Connections

This week, you analyzed the diagnostic criteria and treatment options of insomnia, hypersomnolence, narcolepsy, sleep apnea, non-rapid eye movement, nightmare disorder, sleep behavior disorder, and other DSM-5 sleep and parasomnic disorders.

Next week, you will analyze how to assess and care for individuals with sexual disorders. You also will analyze the concept of gender dysphoria and how to guide individuals through the process of establishing their sexual identity and preferred sexual orientation. Sleep/Wake Disorders and Parasomnias Essay Assignment Paper.

Assessment and Treatment of Gender Dysphoria, Paraphilic Disorders, and Sexual Dysfunction Essay Assignment Discussion Papers

Week 11: Gender Dysphoria, Paraphilic Disorders, and Sexual Dysfunction

I have been under a lot of stress lately. Between my job, the house and kids, and my wife complaining, I don’t seem to have the “staying power” I used to. Our sex life used to be perfect, but now I cannot perform as well or as often as I used to. My wife does not seem to understand and now I am feeling inadequate. I have a long life in front of me and I don’t want to live without feeling like a true man.”

Larry, age 40

This week’s topics include gender dysphoria, paraphilic disorders, and sexual dysfunction. The term gender dysphoria is the diagnosis describing those persons who experience incongruence between their gender assigned at birth and their experienced gender. Paraphilic disorders include pedophilia, exhibitionism, fetishism, and voyeurism, for example. Sexual dysfunction disorders include, most commonly, male erectile disorder, female orgasmic disorder, and other disorders. These diagnoses may be treated with pharmacologic and psychotherapy modalities. Assessment and Treatment of Gender Dysphoria, Paraphilic Disorders, and Sexual Dysfunction Essay Assignment Discussion Papers.

This week, you will explore ways to assess and care for persons with gender dysphoria, paraphilic disorders, and sexual dysfunction disorders as outlined in the DSM-5.

Photo Credit: Rick Gomez / Blend Images / Getty Images

Assessment and Treatment of Gender Dysphoria, Paraphilic Disorders, and Sexual Dysfunction Essay Assignment Discussion Papers Learning Resources

Note:
 To access this week’s required library resources, please click on the link to the Course Readings List, found in the 
Course Materials
 section of your Syllabus.

Required Readings

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014).
Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry
(11th ed.). Philadelphia, PA: Wolters Kluwer.

Chapter 17, “Human Sexuality and Sexual Dysfunctions” (pp. 564–599)

Chapter 18, “Gender Dysphoria” (pp. 600–607)

Note
: This is review from the Learning Resource in Week 3.

Gabbard, G. O. (2014).
Gabbard’s treatment of psychiatric disorders
(5th ed.). Washington, DC: American Psychiatric Publications.

Chapter 37, “Sexual Dysfunctions”

Chapter 38, “Paraphilias and Paraphilic Disorders”

Chapter 39, “Gender Dysphoria”

Note
: You will access this book from the Walden Library databases.

American Psychiatric Association. (2013).
Diagnostic and statistical manual of mental disorders
(5th ed.). Washington, DC: Author.

“Gender Dysphoria”

“Paraphilic Disorders”

“Sexual Dysfunctions”

Note
: You will access this book from the Walden Library databases.

Stahl, S. M. (2014).
Prescriber’s Guide: Stahl’s Essential Psychopharmacology
(5th ed.). New York, NY: Cambridge University Press.

 

Note:
All Stahl resources can be accessed through the Walden Library using the link below. This link will take you to a login page for the Walden Library. Once you log in to the library, the Stahl website will appear.

 

To access information on specific medications, click on
The Prescriber’s Guide, 5
th
Ed.
tab on the Stahl Online website and select the appropriate medication. Assessment and Treatment of Gender Dysphoria, Paraphilic Disorders, and Sexual Dysfunction Essay Assignment Discussion Papers.

Sexual dysfunction

bupropion

Johnson, L., Shipherd, J., & Walton, H. M. (2016). The psychologist’s role in transgender-specific care with U.S. veterans.
Psychological Services
,
13(
1), 69–76. doi:10.1037/ser0000030

 

Note:
You will access this article through the Walden Library databases.

Levenson, J. S., & Grady, M. D. (2016). The influence of childhood trauma on sexual violence and sexual deviance in adulthood.
Traumatology
,
22
(2), 94–103. doi:10.1037/trm0000067

 

Note:
You will access this article through the Walden Library databases.

Hawes, S. W., Boccaccini, M. T., & Murrie, D. C. (2013). Psychopathy and the combination of psychopathy and sexual deviance as predictors of sexual recidivism: Meta-analytic findings using the Psychopathy Checklist—Revised.
Psychological Assessment
,
25
(1), 233–243. doi:10.1037/a0030391

Note:
You will access this article through the Walden Library databases.

Required Media

Johnson, S. (Producer). (n.d.).
Emotionally focused therapy with same-sex couples
[Video file]. Mill Valley, CA: Psychotherapy.net.

 

Note:
You will access this video through the Walden Library databases.

Discussion: Assessment and Treatment of Gender Dysphoria, Paraphilic Disorders, and Sexual Dysfunction

Sexuality is an important part of each person’s quality of life. Research indicates that awareness of sexual identity and its importance may begin as early as age 3. However, individuals with varying diagnoses, disorders, or dysfunctions may grapple with issues related to their sexuality in their teen years, as well as into adulthood.

In this Discussion, you will explore the assessment and treatment of gender dysphoria, paraphilic disorders, and sexual dysfunction. Assessment and Treatment of Gender Dysphoria, Paraphilic Disorders, and Sexual Dysfunction Essay Assignment Discussion Papers.

Learning Objectives

Students will:

Analyze diagnostic criteria for gender dysphoria, paraphilic disorders and sexual dysfunction

Analyze evidence-based psychotherapy and psychopharmacologic treatments for gender/sexual disorders

Compare differential diagnostic features of gender/sexual disorders

Note:
 For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts, and cannot post anonymously. Please check your post carefully before clicking 
Submit
!

To prepare for this Discussion:

Select a gender dysphoria, paraphilic disorder, or sexual dysfunction that interests you.

Review the Learning Resources.

By Day 3

Post:

Explain the diagnostic criteria for the gender dysphoria, paraphilic disorder, or sexual dysfunction you selected.

Explain the evidenced-based psychotherapy and psychopharmacologic treatment for the gender dysphoria, paraphilic disorder, or sexual dysfunction you selected.

Support your rationale with references to the Learning Resources or other academic resource.

By Day 6

Respond
 to at least 
two
 of your colleagues by comparing the differential diagnostic features of the disorder you selected to the diagnostic features of the disorder your colleagues were assigned. Assessment and Treatment of Gender Dysphoria, Paraphilic Disorders, and Sexual Dysfunction Essay Assignment Discussion Papers.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 11 Discussion Rubric

Post by Day 3 and Respond by Day 6

To participate in this Discussion:

Week 11 Discussion

NURS 6670 EXAMS, DISCUSSIONS AND ASSIGNMENTS

Assessment and Treatment of Gender Dysphoria, Paraphilic Disorders, and Sexual Dysfunction Essay Assignment Discussion Papers Assignment 1: Final Exam

This exam is designed to assess how well you have synthesized the information from all your PMHNP courses. It draws upon the material from all the textbooks from NURS 6630, NURS 6640, NURS 6670, NURS 6660, and NURS 6670. It is very similar to what you will experience in your certification exam.

Learning Objectives

Students will:

Assess knowledge of adult and older adult psychotherapy concepts and principles (E)

This exam will cover the following topics:

Obsessive-Compulsive Disorders

Neurocognitive Disorders

Schizophrenia Spectrum and Other Psychotic Disorders

Sleep/Wake Disorders, Parasomnias

Gender Dysphoria, Paraphilic Disorders, & Sexual Dysfunction

By Day 7

Complete the Final Exam by. Prior to starting the exam, you should review all of your materials. There is a 2-hour time limit to complete this 75-question exam. You may only attempt this exam once. Assessment and Treatment of Gender Dysphoria, Paraphilic Disorders, and Sexual Dysfunction Essay Assignment Discussion Papers.

This exam is a test of your knowledge in preparation for your certification exam. 
No outside resources
 including books, notes, websites, or any other type of resource are to be used to complete this exam. You are expected to 
comply with Walden University’s Code of Conduct
.

Submission and Grading Information

Submit Your Exam by Day 7

To submit your Exam:

Week 11 Final Exam

Assignment 2: Board Vitals

This week you will be responding to twenty Board Vitals questions that cover a broad review of your Nurse Practitioner program courses up to this point. Assessment and Treatment of Gender Dysphoria, Paraphilic Disorders, and Sexual Dysfunction Essay Assignment Discussion Papers.

These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability.

You can access Board Vitals through the link sent to you in email or by following the link below:

https://www.boardvitals.com/

By Day 7

Complete the Board Vitals questions.

Making Connections

This week, you explored ways to assess and care for persons with gender dysphoria, paraphilic disorders, and sexual dysfunction disorders as outlined in the DSM-5.

Congratulations! After you have finished all of the assignments for this week, you have completed the course. Please submit your Course Evaluation by Day 7. Assessment and Treatment of Gender Dysphoria, Paraphilic Disorders, and Sexual Dysfunction Essay Assignment Discussion Papers.

Decision Tree Nursing Assignment

Assignment 1: Practicum: Decision Tree

For this Decision Tree Nursing Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat adult and older adult clients presenting symptoms of a mental health disorder.

The Assignment:

Decision Tree Nursing Assignment  Learning Objectives

Students will:

Evaluate clients for treatment of mental health disorders

Analyze decisions made throughout diagnosis and treatment of clients with mental health disorders

Examine Case 3
: You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical as well as mental factors that might impact the client’s diagnosis and treatment.

At each Decision Point, stop to complete the following Decision Tree Nursing Assignment :

NURS 6670 EXAMS, DISCUSSIONS AND ASSIGNMENTS

Decision #1: Differential Diagnosis

Which Decision did you select?

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. Decision Tree Nursing Assignment .

Explain any difference between what you expected to achieve with Decision #1 and the results of the Decision. Why were they different?

Decision #2: Treatment Plan for Psychotherapy

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. Decision Tree Nursing Assignment .

Explain any difference between what you expected to achieve with Decision #2 and the results of the Decision. Why were they different?

Decision #3: Treatment Plan for Psychopharmacology

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.

Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different? Decision Tree Nursing Assignment .

Also include how ethical considerations might impact your treatment plan and communication with clients and their family. Decision Tree Nursing Assignment .

Note:
 Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement. Decision Tree Nursing Assignment

Discussion: Treatment of Neurocognitive Disorders

Neurocognitive disorders (NCD) such as delirium, dementia, and amnestic disorders are more prevalent in older adults. As the population ages and as life expectancy in the United States continues to increase, the incidence of these disorders will continue to increase. Cognitive functioning such as memory, language, orientation, judgment, and problem solving are affected in clients with NCDs. Caring for someone with a neurocognitive disorder is not only challenging for the clinician, but also stressful for the family. The PMHNP needs to consider not only the client but also the “family as client.” Collaboration with primary care providers and specialty providers is essential. Anticipatory guidance also becomes extremely important.

In this Discussion, you will integrate several sources of knowledge specific to NCDs as you discuss evidenced-based therapies used to treat these disorders.

Decision Tree Nursing Assignment Discussion Learning Objectives

Students will:

Analyze diagnostic criteria for neurocognitive disorders

Analyze evidence-based psychotherapy and psychopharmacologic treatment for neurocognitive disorders

Evaluate benefits and risks of neurocognitive therapies

Compare differential diagnostic features of neurocognitive disorders

Decision Tree Nursing Assignment Discussion

Note:
 For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts, and cannot post anonymously. Please check your post carefully before clicking Submit! NURS 6670 Discussion: Treatment of Neurocognitive Disorders.

To prepare for this Decision Tree Nursing Assignment Discussion:

By Day 5 of Week 7, your Instructor will have assigned you a neurocognitive disorder, which will be the focus for your initial post for this Decision Tree Nursing Assignment Discussion.

Review the Learning Resources. Decision Tree Nursing Assignment Discussion.

By Day 3

Post:

Explain the diagnostic criteria for your assigned neurocognitive disorder.

Explain the evidenced-based psychotherapy and psychopharmacologic treatment for your assigned neurocognitive disorder.

Identify the risks of different types of therapy and explain how the benefits of the therapy that might be achieved might outweigh the risks. Decision Tree Nursing Assignment Discussion.

Support your rationale with references to the Learning Resources or other academic resource.

By Day 6

Respond
 to at least 
two
 of your colleagues by comparing the differential diagnostic features of the disorder you were assigned to the diagnostic features of the disorder your colleagues were assigned. Decision Tree Nursing Assignment Discussion.