NURS 6630 Treating Impulsivity Compulsivity and Addiction Essay

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NURS 6630 Treating Impulsivity Compulsivity and Addiction Essay

NURS 6630 Treating Impulsivity Compulsivity and Addiction Essay

 

Impulsivity, compulsivity, and addiction are challenging
disorders for clients across the lifespan. These disorders often manifest as
negative behaviors, resulting in adverse outcomes for clients. In your role as
the psychiatric mental health nurse practitioner, you have the opportunity to
help clients address underlying causes of the disorders and overcome these
behaviors. For this Assignment, as you examine the client case study in this
week’s Learning Resources, consider how you might assess and treat clients
presenting with impulsivity, compulsivity, and addiction.

Learning Objectives

Students will:

Assess client factors and history to develop personalized
therapy plans for clients with impulsivity, compulsivity, and addiction

Analyze factors that influence pharmacokinetic and
pharmacodynamic processes in clients requiring therapy for impulsivity,
compulsivity, and addiction

Evaluate efficacy of treatment plans

Analyze ethical and legal implications related to
prescribing therapy for clients with impulsivity, compulsivity, and addiction

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

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

Stahl, S. M. (2013).
Stahl’s essential psychopharmacology: Neuroscientific basis and practical
applications (4th ed.). New York, NY: Cambridge University Press.

To access the following chapters, click on the Essential
Psychopharmacology, 4th ed tab on the Stahl Online website and select the
appropriate chapter. Be sure to read all sections on the left navigation bar
for each chapter.

Chapter 14, “Impulsivity, Compulsivity, and Addiction”

Stahl, S. M., & Grady, M. (2012). Stahl’s illustrated
substance use and impulsive disorder New York, NY: Cambridge University Press.

To access the following chapter, click on the Illustrated
Guides tab and then the Substance Use and Impulsive Disorders tab.

Chapter 10, “Disorders of Impulsivity and Compulsivity”

Stahl, S. M. (2014b). The prescriber’s guide (5th ed.). New
York, NY: Cambridge University Press.

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

Review the following medications:

For insomnia

For obsessive-compulsive disorder

Citalopram

clomipramine

escitalopram

fluoxetine

fluvoxamine

paroxetine

sertraline

venlafaxine

vilazodone

For alcohol withdrawal

chlordiazepoxide

clonidine

clorazepate

diazepam

lorazepam

oxazepam

For bulimia nervosa and binge eating

fluoxetine

topiramate

zonisamide

For alcohol
abstinence

acamprosate

disulfiram

For alcohol dependence

nalmefene

naltrexone

For opioid dependence

buprenorphine

naltrexone

For nicotine
addiction

bupropion

varenicline

Book Excerpt: Substance Abuse and Mental Health Services
Administration. (1999). Treatment of adolescents with substance use disorders.
Treatment Improvement Protocol Series, No. 32. Retrieved from
http://www.ncbi.nlm.nih.gov/books/NBK64350/

Chapter 1, “Substance Use Among Adolescents”

Chapter 2, “Tailoring Treatment to the Adolescent’s Problem”

Chapter 7, “Youths with Distinctive Treatment Needs”

University of Michigan Health System. (2016). Childhood
trauma linked to worse impulse control in adulthood, study finds. Retrieved
from https://www.sciencedaily.com/releases/2016/01/160120201324.htm

Note: Retrieved from Walden Library databases.

Grant, J. E., Odlaug, B. L., & Schreiber, L. N. (2014).
Pharmacological treatments in pathological gambling. British Journal of Clinical
Pharmacology, 77(2), 375–381. doi:10.1111/j.1365-2125.2012.04457.x

Note: Retrieved from Walden Library databases.

Loreck, D., Brandt, N. J., & DiPaula, B. (2016).
Managing opioid abuse in older adults: Clinical considerations and challenges.
Journal of Gerontological Nursing, 42(4), 10–15.
doi:10.3928/00989134-20160314-04

Note: Retrieved from Walden Library databases.

Salmon, J. M., & Forester, B. (2012). Substance abuse
and co-occurring psychiatric disorders in older adults: A clinical case and
review of the relevant literature. Journal of Dual Diagnosis, 8(1), 74–84.
doi:10.1080/15504263.2012.648439

Note: Retrieved from Walden Library databases.

Sanches, M., Scott-Gurnell, K., Patel, A., Caetano, S. C.,
Zunta-Soares, G. B., Hatch, J. P., & … Soares, J. C. (2014). Impulsivity
in children and adolescents with mood disorders and unaffected offspring of
bipolar parents. Comprehensive Psychiatry, 55(6), 1337–1341.
doi:10.1016/j.comppsych.2014.04.018

Note: Retrieved from Walden Library databases.

Required Media

Laureate Education
(2016c). Case study: A Puerto Rican woman with comorbid addiction [Interactive
media file]. Baltimore, MD: Author

Note: This case study will serve as the foundation for this
week’s Assignment.

To prepare for this Assignment:

Review this week’s Learning Resources. Consider how to
assess and treat adolescent clients requiring therapy for impulsivity,
compulsivity, and addiction.

The Assignment

Examine Case Study: A Puerto Rican Woman With Comorbid
Addiction. You will be asked to make three decisions concerning the medication
to prescribe to this client. Be sure to consider factors that might impact the
client’s pharmacokinetic and pharmacodynamic processes.

At each decision point stop to complete the following:

Decision #1

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

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

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?

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