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

 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. 

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. 

Rubric

NURS_6630_Week8_Assignment1_Rubric

NURS_6630_Week8_Assignment1_Rubric

Criteria

Ratings

Pts

This criterion is linked to a Learning OutcomeIn 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?

13 to >11.0 pts

Excellent Point range: 90–100

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 to >10.0 pts

Good Point range: 80–89

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 to >9.0 pts

Fair Point range: 70–79

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.

9 to >0 pts

Poor Point range: 0–69

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.

13 pts

This criterion is linked to a Learning OutcomeList four predictors of late onset generalized anxiety disorder.

13 to >11.0 pts

Excellent Point range: 90–100

The response accurately and clearly lists in detail four predictors of late-onset generalized anxiety disorder.

11 to >10.0 pts

Good Point range: 80–89

The response accurately lists four predictors of late-onset generalized anxiety disorder.

10 to >9.0 pts

Fair Point range: 70–79

The response inaccurately or vaguely lists four predictors of late-onset generalized anxiety disorder.

9 to >0 pts

Poor Point range: 0–69

The response inaccurately and vaguely lists four predictors of late-onset generalized anxiety disorder, or is missing.

13 pts

This criterion is linked to a Learning OutcomeList four potential neurobiology causes of psychotic major depression.

13 to >11.0 pts

Excellent Point range: 90–100

The response accurately and clearly lists in detail four potential neurobiology causes of psychotic major depression.

11 to >10.0 pts

Good Point range: 80–89

The response accurately lists four potential neurobiology causes of psychotic major depression.

10 to >9.0 pts

Fair Point range: 70–79

The response inaccurately or vaguely lists four potential neurobiology causes of psychotic major depression.

9 to >0 pts

Poor Point range: 0–69

The response inaccurately and vaguely lists four potential neurobiology causes of psychotic major depression.

13 pts

This criterion is linked to a Learning OutcomeAn 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.

13 to >11.0 pts

Excellent Point range: 90–100

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 to >10.0 pts

Good Point range: 80–89

The response accurately explains at least five symptoms for the episode of major depression to occur…. Specific examples provided support the response.

10 to >9.0 pts

Fair Point range: 70–79

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.

9 to >0 pts

Poor Point range: 0–69

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.

13 pts

This criterion is linked to a Learning OutcomeList 3 classes of drugs, with a corresponding example for each class, that precipitate insomnia. Be specific.

13 to >11.0 pts

Excellent Point range: 90–100

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 to >10.0 pts

Good Point range: 80–89

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 to >9.0 pts

Fair Point range: 70–79

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.

9 to >0 pts

Poor Point range: 0–69

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.

13 pts

This criterion is linked to a Learning OutcomeWritten Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation

5 to >4.0 pts

Excellent Point range: 90–100

Uses correct grammar, spelling, and punctuation with no errors.

4 to >3.5 pts

Good Point range: 80–89

Contains a few (1 or 2) grammar, spelling, and punctuation errors.

3.5 to >2.0 pts

Fair Point range: 70–79

Contains several (3 or 4) grammar, spelling, and punctuation errors.

2 to >0 pts

Poor Point range: 0–69

Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.

5 pts

This criterion is linked to a Learning OutcomeWritten 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 to >4.0 pts

Excellent Point range: 90–100

Uses correct APA format with no errors.

4 to >3.5 pts

Good Point range: 80–89

Contains a few (1 or 2) APA format errors.

3.5 to >2.0 pts

Fair Point range: 70–79

Contains several (3 or 4) APA format errors.

2 to >0 pts

Poor Point range: 0–69

Contains many (≥ 5) APA format errors.

5 pts

Total Points: 75

· Stahl, S. M. (2021).  Stahl's essential psychopharmacology: Neuroscientific basis and practical applications (5th Ed.) Cambridge University Press.

· Chapter 10, "Disorders of Sleep and Wakefulness and Their Treatment: Neurotransmitter Networks for Histamine and Orexin" (pp. 401-448)

· American Psychiatric Association. (2022).  Diagnostic and statistical manual of mental disorders Links to an external site.  (5th ed., text rev.). https://go.openathens.net/redirector/waldenu.edu?url=https://dsm.psychiatryonline.org/doi/book/10.1176/appi.books.9780890425787

· Fernandez-Mendoza, J., & Vgontzas, A. N. (2013). Insomnia and its impact on physical and mental health. 

Current Psychiatry ReportsLinks to an external site. , 15(12), 418. https://doi.org/10.1007/s11920-012-0418-8

· Levenson, J. C., Kay, D. B., & Buysse, D. J. (2015). The pathophysiology of insomnia.  ChestLinks to an external site. , 147(4), 1179–1192. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4388122/

· Morgenthaler, T. I., Kapur, V. K., Brown, T. M., Swick, T. J., Alessi, C., Aurora, R. N., Boehlecke, B., Chesson, A. L., Friedman, L., Maganti, R., Owens, J., Pancer, J., & Zak, R. (2007). Practice parameters for the treatment of narcolepsy and other hypersomnias of central origin.  SLEEPLinks to an external site. , 30(12), 1705–1711. https://j2vjt3dnbra3ps7ll1clb4q2-wpengine.netdna-ssl.com/wp-content/uploads/2017/07/PP_Narcolepsy.pdf

· Morgenthaler, T. I., Owens, J., Alessi, C., Boehlecke, B, Brown, T. M., Coleman, J., Friedman, L., Kapur, V. K., Lee-Chiong, T., Pancer, J., & Swick, T. J. (2006). Practice parameters for behavioral treatment of bedtime problems and night wakings in infants and young children.  SLEEP Links to an external site. ,  29(1), 1277–1281. https://j2vjt3dnbra3ps7ll1clb4q2-wpengine.netdna-ssl.com/wp-content/uploads/2017/07/PP_NightWakingsChildren.pdf

· Sateia, M. J., Buysse, D. J., Krystal, A. D., Neubauer, D. N., & Heald, J. L. (2017). Clinical practice guideline for the pharmacologic treatment of chronic insomnia in adults: An American Academy of Sleep Medicine clinical practice guideline.  Journal of Clinical Sleep MedicineLinks to an external site. , 13(2), 307–349. https://jcsm.aasm.org/doi/pdf/10.5664/jcsm.6470

· Winkleman, J. W. (2015). Insomnia disorder.  The New England Journal of MedicineLinks to an external site. , 373(15), 1437–1444. https://doi.org/10.1056/NEJMcp1412740

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