NURS 6630 Short Answer Assessment Paper

NURS 6630 Short Answer Assessment Paper

NURS 6630 Short Answer Assessment Paper

NURS 6630 Short Answer Assessment

Don't use plagiarized sources. Get Your Custom Essay on
NURS 6630 Short Answer Assessment Paper
Just from $13/Page
Order Essay

 Short Answer Assessment

  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 the resolution of symptoms?

BUY A PLAGIARISM-FREE PAPER HERE

According to Anker (2019), recent findings from controlled trials suggest that a combination of antidepressants, such as sertraline, and naltrexone, a medication used for alcohol treatment, represents the most efficacious treatment approach for individuals experiencing comorbid depression and alcohol dependence. Individuals classified as Type A alcoholics may derive significant benefits from selective serotonin reuptake inhibitor (SSRI) therapy due to their comparatively lower levels of acute distress and later onset of alcohol dependence (McHugh & Weiss, 2019).

According to Thom et al. (2019), the administration of sertraline and naltrexone in conjunction resulted in the complete eradication of depressive symptoms and alcohol consumption among patients within a timeframe of 8 to 12 weeks. Notably, a notable amelioration in symptoms was observed during the initial four weeks of treatment. The use of antidepressants with a potential for overdoses, such as nortriptyline, duloxetine, or bupropion, is contraindicated in individuals with a comorbidity of depression and alcohol use disorder due to the increased risk of suicide associated with these medications.

  1. List 4 predictors of late-onset generalized anxiety disorder.
  • Being female: According to recent studies, it has been discovered that females exhibit heightened sensitivity to low concentrations of corticotropin-releasing factor (CRF), a hormone responsible for regulating stress responses in mammals. This heightened sensitivity renders women twice as susceptible as men to the development of stress-related disorders (Park & Zarate, 2019).
  • A recent occurrence of a life-adverse event.
  • The presence of physical illnesses that persist throughout time such as heart failure, arrhythmia, breathing problems, and dyslipidemia, among others, has been identified as potential predictors of late-onset generalized anxiety disorder.
  • A history of mental illnesses such as GAD, phobias, and depression (Park & Zarate, 2019).
  1. List 4 potential neurobiology causes of psychotic major depression.
  • Hypersensitive to stress: The role of stress in the initiation and intensification of positive symptoms of psychosis has been consistently implicated. There is a growing body of interest surrounding the examination of the impact of psychosocial stress on the manifestation of psychosis symptoms in individuals who are identified as being at Clinical High Risk (CHR) for psychosis (Thom et al., 2019).
  • Serotonin deficiency: Numerous studies have established a correlation between a deficit in serotonin levels and the manifestation of depression, as well as the potential association with various other disorders. Pharmaceutical substances that enhance serotonin levels or modulate its activity, such as SSRIs, have demonstrated efficacy in the management of depression, anxiety, migraine, and various other medical conditions (Thom et al., 2019).
  • Propensity for major depressive disorder: Depression is a psychiatric condition that may lead to the occurrence of psychotic episodes, particularly in cases where individuals do not have access to adequate professional care and treatment(Thom et al., 2019). Co-occurrence of mood disorders and psychotic disorders is feasible; however, it is important to note that depressive disorders should be regarded as separate entities from schizophrenia.
  • Higher amounts of dopamine:According to Thom et al. (2019), there is a consensus among researchers regarding the significant involvement of dopamine in the manifestation of psychosis. Dopamine is classified as a neurotransmitter, which is one of several chemical substances employed by the brain to facilitate the transmission of information between individual neurons. It is linked to individuals’ subjective perception of the significance, importance, or interest of something.
  1. An episode of major depression is defined as a period lasting at least 2 weeks. List at least 5 symptoms required for the episode to occur. Be specific.
  • A decrease in physical or mental energy or the state of being tired.
  • Anhedonia
  • Depression
  • Difficulties with sleep
  • A sense of diminished self-worth (Li et al., 2021).
  1. List 3 classes of drugs, with a corresponding example for each class, that precipitate insomnia. Be specific. 
  • Dopamine agonists, such as pramipexole and apomorphine, are pharmaceutical interventions commonly employed in the management of Parkinson’s disease (Li et al., 2021). The consumption of these substances heightens the likelihood of experiencing hallucinations, which in turn can lead to disruptions in sleep patterns. Motor fluctuations, such as the occurrence of “off” periods due to medication, can also contribute to sleep disturbances.
  • Selective serotonin reuptake inhibitors (SSRIs), such as sertraline and fluoxetine (commonly known as Prozac), are pharmacological agents commonly used in the treatment of various psychiatric disorders. According to Li et al. (2021), antidepressants that enhance serotonin function through the mechanisms of reuptake inhibition or metabolism inhibition exhibit the most pronounced impact on rapid eye movement (REM) sleep.
  • Decongestants and cold medications, like oxymetazoline and phenylephrine, are commonly used to alleviate symptoms associated with nasal congestion. A number of these products comprise constituents such as pseudoephedrine or phenylephrine, which have the potential to induce a stimulatory response in certain individuals affecting their sleep.

References

Anker, J. (2019). Co-Occurring Alcohol Use Disorder and Anxiety: Bridging the Psychiatric, Psychological, and Neurobiological Perspectives. Alcohol Research: Current Reviews, 40(1). https://doi.org/10.35946/arcr.v40.1.03

Li, Z., Ruan, M., Chen, J., & Fang, Y. (2021). Major Depressive Disorder: Advances in Neuroscience Research and Translational Applications. Neuroscience Bulletin, 37(6). https://doi.org/10.1007/s12264-021-00638-3

McHugh, R. K., & Weiss, R. D. (2019). Alcohol Use Disorder and Depressive Disorders. Alcohol Research: Current Reviews, 40(1). https://doi.org/10.35946/arcr.v40.1.01

Park, L. T., & Zarate Jr, C. A. (2019). Depression in the primary care setting. New England Journal of Medicine, 380(6), 559-568.DOI: 10.1056/NEJMcp1712493

Thom, R., Silbersweig, D. A., & Boland, R. J. (2019). Major depressive disorder in medical illness: a review of assessment, prevalence, and treatment options. Psychosomatic Medicine, 81(3), 246-255.DOI: 10.1097/PSY.0000000000000678‌

ORDER A CUSTOM PAPER HERE NOW

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.

Resources

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

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.

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?

List 4 predictors of late onset generalized anxiety disorder.

List 4 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 5 symptoms required for the episode to occur. Be specific.

List 3 classes of drugs, with a corresponding example for each class, that precipitate insomnia. Be specific.

By Day 7

This Assignment is due.

submission information

Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.

To submit your completed assignment, save your Assignment as WK8Assgn1_LastName_Firstinitial

Then, click on Start Assignment near the top of the page.

Next, click on Upload File and select Submit Assignment for review.

ORDER A CUSTOM PAPER HERE NOW

Rubric

NURS_6630_Week8_Assignment1_Rubric

NURS_6630_Week8_Assignment1_Rubric

Criteria Ratings Pts
This criterion is linked to a Learning Outcome 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?
13 to >11.0 ptsExcellent 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 ptsGood 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 ptsFair 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 ptsPoor 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 Outcome List four predictors of late onset generalized anxiety disorder.
13 to >11.0 ptsExcellent Point range: 90–100

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

11 to >10.0 ptsGood Point range: 80–89

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

10 to >9.0 ptsFair Point range: 70–79

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

9 to >0 ptsPoor 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 Outcome List four potential neurobiology causes of psychotic major depression.
13 to >11.0 ptsExcellent Point range: 90–100

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

11 to >10.0 ptsGood Point range: 80–89

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

10 to >9.0 ptsFair Point range: 70–79

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

9 to >0 ptsPoor 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 Outcome 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.
13 to >11.0 ptsExcellent 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 ptsGood 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 ptsFair 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 ptsPoor 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 Outcome List 3 classes of drugs, with a corresponding example for each class, that precipitate insomnia. Be specific.
13 to >11.0 ptsExcellent 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 ptsGood 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 ptsFair 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 ptsPoor 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 Outcome Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation
5 to >4.0 ptsExcellent Point range: 90–100

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

4 to >3.5 ptsGood Point range: 80–89

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

3.5 to >2.0 ptsFair Point range: 70–79

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

2 to >0 ptsPoor 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 Outcome 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 to >4.0 ptsExcellent Point range: 90–100

Uses correct APA format with no errors.

4 to >3.5 ptsGood Point range: 80–89

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

3.5 to >2.0 ptsFair Point range: 70–79

Contains several (3 or 4) APA format errors.

2 to >0 ptsPoor Point range: 0–69

Contains many (≥ 5) APA format errors.

5 pts
Total Points: 75

Calculate the price
Make an order in advance and get the best price
Pages (550 words)
$0.00
*Price with a welcome 15% discount applied.
Pro tip: If you want to save more money and pay the lowest price, you need to set a more extended deadline.
We know how difficult it is to be a student these days. That's why our prices are one of the most affordable on the market, and there are no hidden fees.

Instead, we offer bonuses, discounts, and free services to make your experience outstanding.
How it works
Receive a 100% original paper that will pass Turnitin from a top essay writing service
step 1
Upload your instructions
Fill out the order form and provide paper details. You can even attach screenshots or add additional instructions later. If something is not clear or missing, the writer will contact you for clarification.
Pro service tips
How to get the most out of your experience with Proscholarly
One writer throughout the entire course
If you like the writer, you can hire them again. Just copy & paste their ID on the order form ("Preferred Writer's ID" field). This way, your vocabulary will be uniform, and the writer will be aware of your needs.
The same paper from different writers
You can order essay or any other work from two different writers to choose the best one or give another version to a friend. This can be done through the add-on "Same paper from another writer."
Copy of sources used by the writer
Our college essay writers work with ScienceDirect and other databases. They can send you articles or materials used in PDF or through screenshots. Just tick the "Copy of sources" field on the order form.
Testimonials
See why 20k+ students have chosen us as their sole writing assistance provider
Check out the latest reviews and opinions submitted by real customers worldwide and make an informed decision.
DESIGN AND IMPLEMENTATION OF NURSE ADVOCATE HEALTHCARE PROGRAM
The absolute best ! Thanks for great communication, quality papers, and amazing time delivery!
Customer 452467, November 14th, 2022
Medicine
Great work, Thank you, will come back with more work
Customer 452441, November 11th, 2022
Medicine
Well researched paper. Excellent work
Customer 452441, November 11th, 2022
Medicine
This was done very well. Thank you!
Customer 452441, November 11th, 2022
Medicine
Good work. Will be placing another order tomorrow
Customer 452441, November 11th, 2022
Medicine
Very fond of the paper written. The topic chosen is defiantly trending at this time
Customer 452495, July 27th, 2023
11,595
Customer reviews in total
96%
Current satisfaction rate
3 pages
Average paper length
37%
Customers referred by a friend
OUR GIFT TO YOU
15% OFF your first order
Use a coupon FIRST15 and enjoy expert help with any task at the most affordable price.
Claim my 15% OFF Order in Chat