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NURS 6630 Week 4 Assignment : Assessing and Treating Clients with With Bipolar Disorder

NURS 6630 Week 4 Assignment : Assessing and Treating Clients with With Bipolar Disorder

Bipolar disorder is a unique disorder that causes shifts in mood and energy, which
results in depression and mania for clients. Proper diagnosis of this disorder is often a
challenge for two reasons: 1) clients often present as depressive or manic, but may
have both; and 2) many symptoms of bipolar disorder are similar to other disorders.
Misdiagnosis is common, making it essential for you to have a deep understanding of
the disorder’s pathophysiology. 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 bipolar disorder.
Learning Objectives
Students will:
 Assess client factors and history to develop personalized plans of bipolar therapy for clients
 Analyze factors that influence pharmacokinetic and pharmacodynamic processes in clients
requiring bipolar therapy
 Evaluate efficacy of treatment plans
 Analyze ethical and legal implications related to prescribing bipolar therapy to clients across the
lifespan
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 this link provided.

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 6, “Mood Disorders”
 Chapter 8, “Mood Stabilizers”
Stahl, S. M., & Ball, S. (2009b). Stahl’s illustrated mood stabilizers. New York, NY:
Cambridge University Press.

To access the following chapters, click on the Illustrated Guides tab and then the
Mood Stabilizers tab.
 Chapter 4, “Lithium and Various Anticonvulsants as Mood Stabilizers for Bipolar Disorder”
 Chapter 5, “Atypical Antipsychotics as Mood Stabilizers for Bipolar Disorder”
Vitiello, B. (2013). How effective are the current treatments for children diagnosed with
manic/mixed bipolar disorder? CNS Drugs, 27(5), 331-333. doi:10.1007/s40263-013-
0060-3

Chen, R., Wang, H., Shi, J., Shen, K., & Hu, P. (2015). Cytochrome P450 2D6 genotype
affects the pharmacokinetics of controlled-release paroxetine in healthy Chinese
subjects: comparison of traditional phenotype and activity score systems. European
Journal of Clinical Pharmacology, 71(7), 835-841. doi:10.1007/s00228-015-1855-6
Required Media
Laureate Education. (2016f). Case study: An Asian American woman with bipolar
disorder [Interactive media file]. Baltimore, MD: Author

Note: This case study will serve as the foundation for this week’s Assignment.
Optional Resources
Mostafavi, A., Solhi, M., Mohammadi, M., Hamedi, M., Keshavarzi, M., & Akhondzadeh,
S. (2014). Melatonin decreases olanzapine induced metabolic side-effects in
adolescents with bipolar disorder: a randomized double-blind placebo-controlled trial.
Acta Medica Iranica, 52(10), 734-739.
Retrieved from http://acta.tums.ac.ir/index.php/acta

NURS 6630 Week 4 Assignment  Assessing and Treating Clients with With Bipolar Disorder

NURS 6630 Week 4 Assignment  Assessing and Treating Clients with With Bipolar Disorder

Click here to ORDER an A++ paper from our MASTERS and DOCTORATE WRITERS:NURS 6630 Week 4 Assignment : Assessing and Treating Clients with With Bipolar Disorder

To prepare for this Assignment:

 Review this week’s Learning Resources. Consider how to assess and treat clients requiring
bipolar therapy.
The Assignment
Examine Case Study: An Asian American Woman With Bipolar Disorder. 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
o Which decision did you select?
o Why did you select this decision? Support your response with evidence and references to the
Learning Resources.
o What were you hoping to achieve by making this decision? Support your response with
evidence and references to the Learning Resources.
o Explain any difference between what you expected to achieve with Decision #1 and the results
of the decision. Why were they different?
 Decision #2
o Why did you select this decision? Support your response with evidence and references to the
Learning Resources.
o What were you hoping to achieve by making this decision? Support your response with
evidence and references to the Learning Resources.
o Explain any difference between what you expected to achieve with Decision #2 and the results
of the decision. Why were they different?
 Decision #3
o Why did you select this decision? Support your response with evidence and references to the
Learning Resources.
o What were you hoping to achieve by making this decision? Support your response with
evidence and references to the Learning Resources.
o Explain any difference between what you expected to achieve with Decision #3 and the results
of the decision. Why were they different?
Also include how ethical considerations might impact your treatment plan and
communication with clients.
Note: Support your rationale with a minimum of three academic resources. While you
may use the course text to support your rationale, it will not count toward the resource
requirement.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
 Save your Assignment using the naming convention “WK4Assgn+last name+first
initial.(extension)” as the name.
 Click on the Assignment Rubric to review the Grading Criteria for the Assignment.
 Click on the Week 4 Assignment link. Next, from the Attach File area, click on the Browse My
Computer button. Find the document you saved as “WK4Assgn+last name+first
initial.(extension)” and click on Open.
 If applicable: From the Plagiarism Tools area, click in the checkbox for I agree to submit my
paper(s) to the Global Reference Database.
Grading Criteria
To access your rubric:
Week 4 Assignment Rubric

Check Your Assignment Draft for Authenticity
To check your Assignment draft for authenticity:
Submit your Week 4 Assignment draft and review the originality report.
Submit Your Assignment by Day 7
To submit your Assignment:
Week 4 Assignment

Making Connections

Now that you have:
 Assessed clients presenting with bipolar disorder
 Developed personalized plans of bipolar therapy for clients
 Examined factors that influence pharmacokinetic and pharmacodynamic processes in clients
requiring bipolar therapy
 Explored ethical and legal implications of prescribing bipolar therapy to clients
Next week, you will build on your assessment and treatment skills as you examine
clients presenting for anxiolytic therapy and PTSD treatment.
To go to the next week:
Week 5

Week 5: Anxiolytic Therapy & PTSD

Treatment

"I'm no longer at the mercy of my PTSD, and I would not be here today had I not had
the proper diagnosis and treatment. It's never too late to seek help."

—P.K. Philips, PTSD patient
For individuals suffering from posttraumatic stress disorder (PTSD) and other anxiety
disorders, everyday life can be a constant challenge. Clients requiring anxiolytic therapy
may present with anxiousness, depression, substance abuse issues, and even physical
symptoms related to cardiovascular, respiratory, and gastrointestinal ailments. As a
psychiatric mental health nurse practitioner, you must be prepared to address the many
needs of individuals seeking treatment for PTSD and other anxiety disorders.
This week, as you study anxiolytic therapies and PTSD treatments, you examine the
assessment and treatment of clients with PTSD and other anxiety disorders. You also
explore ethical and legal implications of these therapies.

Name:  Assignment Rubric

  Excellent Good Fair Poor
Summarize your interpretation of the frequency data provided in the output for respondent’s age, highest school grade completed, and family income from prior month. 32 (32%) – 35 (35%)

The response accurately and clearly explains, in detail, a summary of the frequency distributions for the variables presented.

The response accurately and clearly explains, in detail, the number of times the value occurs in the data.

The response accurately and clearly explains, in detail, the appearance of the data, the range of data values, and an explanation of extreme values in describing intervals that sufficiently provides an analysis that fully supports the categorization of each variable value.

The response includes relevant, specific, and appropriate examples that fully support the explanations provided for each of the areas described.

28 (28%) – 31 (31%)

The response accurately summarizes the frequency distributions for the variables presented.

The response accurately explains the number of times the value occurs in the data.

The response accurately explains the appearance of the data, the range of data values, and explains extreme values in describing intervals that provides an analysis which supports the categorization of each variable value.

The response includes relevant, specific, and accurate examples that support the explanations provided for each of the areas described.

25 (25%) – 27 (27%)

The response inaccurately or vaguely summarizes the frequency distributions for the variables presented.

The response inaccurately or vaguely explains the number of times the value occurs in the data.

The response inaccurately or vaguely explains the appearance of the data, the range of data values, and inaccurately or vaguely explains extreme values.

An analysis that may support the categorization of each variable value is inaccurate or vague.

The response includes inaccurate and irrelevant examples that may support the explanations provided for each of the areas described.

0 (0%) – 24 (24%)

The response inaccurately and vaguely summarizes the frequency distributions for the variables presented, or it is missing.

The response inaccurately and vaguely explains the number of times the value occurs in the data, or it is missing.

The response inaccurately and vaguely explains the appearance of the data, the range of data values, and an explanation of extreme values, or it is missing.

An analysis that does not support the categorization of each variable values is provided, or it is missing.

The response includes inaccurate and vague examples that do not support the explanations provided for each of the areas described, or it is missing.

Summarize your interpretation of the descriptive statistics provided in the output for respondent’s age, highest school grade completed, race and ethnicity, currently employed, and family income from prior month. 45 (45%) – 50 (50%)

The response accurately and clearly summarizes in detail the interpretation of the descriptive statistics provided.

The response accurately and clearly evaluates in detail each of the variables presented, including an accurate and complete description of the sample size, the mean, the median, standard deviation, and the size and spread of the data.

40 (40%) – 44 (44%)

The response accurately summarizes the interpretation of the descriptive statistics provided.

The response accurately explains evaluates each of the variables presented, including an accurate description of the sample size, the mean, the median, standard deviation, and the size and spread of the data.

35 (35%) – 39 (39%)

The response inaccurately or vaguely summarizes the interpretation of the descriptive statistics provided.

The response inaccurately or vaguely evaluates each of the variables presented, including an inaccurate or vague description of the sample size, the mean, the median, the standard deviation, and the size and spread of the data.

0 (0%) – 34 (34%)

The response inaccurately and vaguely summarizes the interpretation of the descriptive statistics provided, or it is missing.

The response inaccurately and vaguely evaluates each of the variables presented, including an inaccurate and vague description of the sample size, the mean, the median, the standard deviation, and the size and spread of the data, or it is missing.

Written Expression and Formatting – Paragraph Development and Organization:
Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.
5 (5%) – 5 (5%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity.

A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.

4 (4%) – 4 (4%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.

Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive.

3 (3%) – 3 (3%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time.

Purpose, introduction, and conclusion of the assignment is vague or off topic.

0 (0%) – 2 (2%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.

No purpose statement, introduction, or conclusion was provided.

Written Expression and Formatting – English writing standards:
Correct grammar, mechanics, and proper punctuation
5 (5%) – 5 (5%)

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

4 (4%) – 4 (4%)

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

3 (3%) – 3 (3%)

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

0 (0%) – 2 (2%)

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 (5%) – 5 (5%)

Uses correct APA format with no errors.

4 (4%) – 4 (4%)

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

3 (3%) – 3 (3%)

Contains several (3 or 4) APA format errors.

0 (0%) – 2 (2%)

Contains many (≥ 5) APA format errors.

Total Points: 100

Name:  Assignment Rubric

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