Scenario one: You are the treating provider for a patient diagnosed with schizophrenia. The patient has been stable with prescribed olanzapine. However, the patient has a history of nicotine dependence and has relapsed recently, and has started to smoke cigarettes.
In a 2-3 page paper, select one of the scenarios and:
Given the scenario, what would happen to the patient’s symptoms with recent relapse of cigarette smoking.
Describe the decision you would make regarding the scenario selected, provide the rationale.
Discuss at least two strategies that would guide your decision making as a PMHNP
Provide evidence-based references to support your rationale
Scenerio two: Adults and children respond to medications differently. Some potential safety concerns are required when prescribing psychotropic medications for children and adolescents. You were to evaluate a 14-year-old Caucasian female diagnosed with Attention Deficit Hyperactive Disorder (ADHD). The mother asked you to prescribe a medication that worked well for a neighbor’s child who was also diagnosed with ADHD but seeing a different provider. You know as PMHNP that the drug she is requesting is off-label medication for ADHD.
In a 2-3 page paper,
Describe how you would proceed with the mother’s request
Explain the circumstances, in which you would prescribe an off-label drug to a pediatric patient.
Describe any legal or ethical issues involved with prescribing off-label medication to the pediatric population.
Provide the description and names of at least three off-label psychiatric drugs that require extra care and attention when used in pediatrics.
Discuss patient teaching for the family.
Provide evidence-based references to support your rationale.
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