Assignment: Assessing
and Treating Patients With Impulsivity, Compulsivity, and Addiction
Impulsivity, compulsivity, and addiction are
challenging disorders for patients across the life span. Impulsivity is the
inclination to act upon sudden urges or desires without considering potential
consequences; patients often describe impulsivity as living in the present
moment without regard to the future (MentalHelp.net, n.d.). Thus, these
disorders often manifest as negative behaviors, resulting in adverse outcomes
for patients. For example, compulsivity represents a behavior that an
individual feels driven to perform to relieve anxiety (MentalHelp.net, n.d.).
The presence of these behaviors often results in addiction, which represents
the process of the transition from impulsive to compulsive behavior.
In your role as the psychiatric nurse
practitioner (PNP), you have the opportunity to help patients address
underlying causes of the disorders and overcome these behaviors. For this
Assignment, as you examine the client case study in this week’s Learning Resources,
consider how you might assess and treat clients presenting with impulsivity,
compulsivity, and addiction.
Reference: MentalHelp.net.
(n.d.). Impaired decision-making, impulsivity, and compulsivity:
Addictions’ effect on the cerebral cortex. https://www.mentalhelp.net/addiction/impulsivity-and-compulsivity-addictions-effect-on-the-cerebral-cortex/
To prepare for this
Assignment:
Review this week’s Learning Resources, including the
Medication Resources indicated for this week.
Reflect on the psychopharmacologic treatments you might
recommend for the assessment and treatment of patients requiring therapy
for impulsivity, compulsivity, and addiction.
The Assignment: 5
pages
Examine Case Study: A Puerto Rican Woman
With Comorbid Addiction. You will be asked to make three decisions
concerning the medication to prescribe to this client. Be sure to consider
factors that might impact the client’s pharmacokinetic and pharmacodynamic
processes.
At each decision point, you should evaluate all
options before selecting your decision and moving throughout the exercise.
Before you make your decision, make sure that you have researched each option
and that you evaluate the decision that you will select. Be sure to research
each option using the primary literature.
Introduction to the
case (1 page)
Briefly explain and summarize the case for this
Assignment. Be sure to include the specific patient factors that may
impact your decision making when prescribing medication for this patient.
Decision #1 (1 page)
Which decision did you select?
Why did you select this decision? Be specific and
support your response with clinically relevant and patient-specific
resources, including the primary literature.
Why did you not select the other two options provided
in the exercise? Be specific and support your response with clinically
relevant and patient-specific resources, including the primary literature.
What were you hoping to achieve by making this
decision? Support your response with evidence and references to the
Learning Resources (including the primary literature).
Explain how ethical considerations may impact your
treatment plan and communication with patients. Be specific and provide
examples.
Decision #2 (1 page)
Why did you select this decision? Be specific and
support your response with clinically relevant and patient-specific
resources, including the primary literature.
Why did you not select the other two options provided
in the exercise? Be specific and support your response with clinically
relevant and patient-specific resources, including the primary literature.
What were you hoping to achieve by making this
decision? Support your response with evidence and references to the
Learning Resources (including the primary literature).
Explain how ethical considerations may impact your
treatment plan and communication with patients. Be specific and provide
examples.
Decision #3 (1 page)
Why did you select this decision? Be specific and
support your response with clinically relevant and patient-specific
resources, including the primary literature.
Why did you not select the other two options provided
in the exercise? Be specific and support your response with clinically
relevant and patient-specific resources, including the primary literature.
What were you hoping to achieve by making this
decision? Support your response with evidence and references to the
Learning Resources (including the primary literature).
Explain how ethical considerations may impact your
treatment plan and communication with patients. Be specific and provide
examples.
Conclusion (1 page)
Summarize your recommendations on the treatment options you
selected for this patient. Be sure to justify your recommendations and
support your response with clinically relevant and patient-specific
resources, including the primary literature.
Note: Support your rationale with a minimum of five
academic resources. While you may use the course text to support your
rationale, it will not count toward the resource requirement. You should be
utilizing the primary and secondary literature.
Reminder : The College of
Nursing requires that all papers submitted include a title page, introduction,
summary, and references. The Sample Paper provided at the Walden Writing Center
provides an example of those required elements (available at
https://academicguides.waldenu.edu/writingcenter/templates/general#s-lg-box-20293632).
All papers submitted must use this formatting.
Web link to
access the entire case study
https://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6630/DT/week_08/index.html
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