Assessing and Treating Patients With Impulsivity, Compulsivity, and Addiction

 

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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.

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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.

Assessing

and Treating Patients With 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 opt

ions 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

lit

erature.

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 resp

onse with

clinically rele

vant 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 resp

onse 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

lit

erature).

·

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.

Assessing
and Treating Patients With 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 opt
ions 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 resp
onse 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
lit
erature).

·

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 rele
vant and patient

specific resources, including the primary literature.

Assessing and Treating Patients With 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.

C

ase

study

Psychopharmacologic Approaches to Treatment of Psychopathology (laureate

media.com)

Assessing and Treating Patients With 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. B

efore 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 litera

ture.

Introduction to the case (1 page)

·

Briefly explain and summar

ize 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 sp

ecific and support your response with

clinically relevan

t and patient

specific resources,

including the primary litera

ture.

·

Why did you not select the other two options provided in the exercise? Be specific

and support your response with clinically relevan

t 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 ethica

l 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.

C
ase
study
Psychopharmacologic Approaches to Treatment of Psychopathology (laureate

media.com)

Assessing and Treating Patients With 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. B
efore 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 summar
ize 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 sp
ecific 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 relevan
t 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 ethica
l 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 litera
ture.

·

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).

Case study

Psychopharmacologic Approaches to Treatment of Psychopathology (laureate-media.com)

Assessing and Treating Patients With 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).

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