Week 8: Therapy for Patients With Sleep/Wake Disorders
Week 8: Therapy for Patients With Sleep/Wake Disorders
From negative changes in mood to problems concentrating, sleep/wake disorders can have a tremendous impact on patients’ lives. When patients suffer from these disorders, they often seek medical care with the intent of receiving medications to manage symptoms. However, many of the medications used to treat sleep/wake disorders may be addictive, making thorough patient assessments and close follow-up care essential. To prescribe appropriate therapies with patient safety in mind, you must understand not only the pathophysiology of these disorders but also the pharmacologic agents used to treat them.
This week, as you study therapies for individuals with sleep/wake disorders, you examine the assessment and treatment of patients with these disorders. You also explore ethical and legal implications of these therapies.
Learning Objectives
Students will:
• Synthesize concepts related to the psychopharmacologic treatment of patients
• Assess patient factors and history to develop personalized therapy plans for patients with sleep/wake disorders
• Analyze factors that influence pharmacokinetic and pharmacodynamic processes in patients requiring therapy for sleep/wake disorders
• Synthesize knowledge of providing care to patients presenting for sleep/wake disorders
• Analyze ethical and legal implications related to prescribing therapy for patients with sleep/wake disorders
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Learning Resources
Required Readings (click to expand/reduce)
Medication Resources (click to expand/reduce)
Required Media (click to expand/reduce)
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Assignment 1: Short Answer Assessment
As a psychiatric nurse practitioner, you will likely encounter patients who suffer from various mental health disorders. Not surprisingly, ensuring that your patients have the appropriate psychopharmacologic treatments will be essential for their overall health and well-being. The psychopharmacologic treatments you might recommend for patients may have potential impacts on other mental health conditions and, therefore, require additional consideration for positive patient outcomes. For this Assignment, you will review and apply your understanding of psychopharmacologic treatments for patients with multiple mental health disorders.
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To Prepare
• Review the Learning Resources for this week.
• Reflect on the psychopharmacologic treatments that you have covered up to this point that may be available to treat patients with mental health disorders.
• Consider the potential effects these psychopharmacologic treatments may have on co-existing mental health conditions and/or their potential effects on your patient’s overall health.
To complete:
Address the following Short Answer prompts for your Assignment. Be sure to include references to the Learning Resources for this week.
1. In 3 or 4 sentences, explain the appropriate drug therapy for a patient who presents with MDD and a history of alcohol abuse. Which drugs are contraindicated, if any, and why? Be specific. What is the timeframe that the patient should see resolution of symptoms?
2. List 4 predictors of late onset generalized anxiety disorder.
3. List 4 potential neurobiology causes of psychotic major depression.
4. An episode of major depression is defined as a period of time lasting at least 2 weeks. List at least 5 symptoms required for the episode to occur. Be specific.
5. List 3 classes of drugs, with a corresponding example for each class, that precipitate insomnia. Be specific.
Please answer question 1 -5 each with a paragraph
NURS_6630_Week8_Assignment1_Rubric
• Grid View
• List View
Excellent
Point range: 90–100 Good
Point range: 80–89 Fair
Point range: 70–79 Poor
Point range: 0–69
In 3 or 4 sentences, explain the appropriate drug therapy for a patient who presents with MDD and a history of alcohol abuse. Which drugs are contraindicated, if any, and why. Be specific. What it is the timeframe that the patient should see resolution of symptoms? 12 (16%) – 13 (17.33%)
The response accurately and clearly explains in detail the appropriate drug therapy for a patient who presents with MDD and a history of alcohol abuse.
The response accurately and clearly details which drugs are contraindicated with specific examples.
The response accurately and clearly explains in detail the timeframe that the patient should see resolution of symptoms. 11 (14.67%) – 11 (14.67%)
The response accurately explains the appropriate drug therapy for a patient who presents with MDD and a history of alcohol abuse.
The response accurately identifies which drugs are contraindicated with specific examples.
The response accurately explains the timeframe that the patient should see resolution of symptoms. 10 (13.33%) – 10 (13.33%)
The response inaccurately or vaguely explains the appropriate drug therapy for a patient who presents with MDD and a history of alcohol abuse.
The response inaccurately or vaguely identifies which drugs are contraindicated with inaccurate or vague examples.
The response inaccurately or vaguely explains the timeframe that the patient should see resolution of symptoms. 0 (0%) – 9 (12%)
The response inaccurately and vaguely explains the appropriate drug therapy for a patient who presents with MDD and a history of alcohol abuse, or is missing.
The response inaccurately and vaguely identifies which drugs are contraindicated with inaccurate examples, or is missing.
The response inaccurately and vaguely explains the timeframe that the patient should see resolution of symptoms, or is missing.
List four predictors of late onset generalized anxiety disorder. 12 (16%) – 13 (17.33%)
The response accurately and clearly lists in detail four predictors of late-onset generalized anxiety disorder. 11 (14.67%) – 11 (14.67%)
The response accurately lists four predictors of late-onset generalized anxiety disorder. 10 (13.33%) – 10 (13.33%)
The response inaccurately or vaguely lists four predictors of late-onset generalized anxiety disorder. 0 (0%) – 9 (12%)
The response inaccurately and vaguely lists four predictors of late-onset generalized anxiety disorder, or is missing.
List four potential neurobiology causes of psychotic major depression. 12 (16%) – 13 (17.33%)
The response accurately and clearly lists in detail four potential neurobiology causes of psychotic major depression. 11 (14.67%) – 11 (14.67%)
The response accurately lists four potential neurobiology causes of psychotic major depression. 10 (13.33%) – 10 (13.33%)
The response inaccurately or vaguely lists four potential neurobiology causes of psychotic major depression. 0 (0%) – 9 (12%)
The response inaccurately and vaguely lists four potential neurobiology causes of psychotic major depression.
An episode of major depression is defined as a period of time lasting at least 2 weeks. List at least five symptoms required for the episode to occur. Be specific. 12 (16%) – 13 (17.33%)
The response accurately and clearly explains in detail at least five symptoms for the episode of major depression to occur.
Specific examples provided fully support the response. 11 (14.67%) – 11 (14.67%)
The response accurately explains at least five symptoms for the episode of major depression to occur.
Specific examples provided support the response. 10 (13.33%) – 10 (13.33%)
The response inaccurately or vaguely explains at least five symptoms for the episode of major depression to occur.
Specific examples provided inaccurately or vaguely support the response. 0 (0%) – 9 (12%)
The response inaccurately and vaguely explains at least five symptoms for the episode of major depression to occur, or is missing.
Specific examples provided do not support the response, or is missing.
List 3 classes of drugs, with a corresponding example for each class, that precipitate insomnia. Be specific. 12 (16%) – 13 (17.33%)
The response accurately and clearly lists in detail 3 classes of drugs, with a corresponding example for each class, that precipitate insomnia.
Examples provided fully support the response provided. 11 (14.67%) – 11 (14.67%)
The response accurately lists 3 classes of drugs, with a corresponding example for each class, that precipitate insomnia.
Examples provided support the response provided. 10 (13.33%) – 10 (13.33%)
The response inaccurately or vaguely lists 3 classes of drugs, with a corresponding example for each class, that precipitate insomnia.
Examples provided inaccurately or vaguely support the response provided. 0 (0%) – 9 (12%)
The response inaccurately and vaguely lists 3 classes of drugs, with a corresponding example for each class, that precipitate insomnia, or is missing.
Examples provided do not support the response provided, or is missing.
Written Expression and Formatting – English writing standards:
Correct grammar, mechanics, and proper punctuation 5 (6.67%) – 5 (6.67%)
Uses correct grammar, spelling, and punctuation with no errors. 4 (5.33%) – 4 (5.33%)
Contains a few (1 or 2) grammar, spelling, and punctuation errors. 3.5 (4.67%) – 3.5 (4.67%)
Contains several (3 or 4) grammar, spelling, and punctuation errors. 0 (0%) – 2 (2.67%)
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list. 5 (6.67%) – 5 (6.67%)
Uses correct APA format with no errors. 4 (5.33%) – 4 (5.33%)
Contains a few (1 or 2) APA format errors. 3.5 (4.67%) – 3.5 (4.67%)
Contains several (3 or 4) APA format errors. 0 (0%) – 2 (2.67%)
Contains many (≥ 5) APA format errors.
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