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NURS 6630 Week 5 Assignment: Assessing and Treating Clients With Anxiety Disorders

NURS 6630 Week 5 Assignment: Assessing and Treating Clients With Anxiety Disorders

Common symptoms of anxiety disorders include chest pains, shortness of breath, and
other physical symptoms that may be mistaken for a heart attack or other physical
ailment. These manifestations often prompt clients to seek care from their primary care
providers or emergency departments. Once it is determined that there is no organic
basis for these symptoms, clients are typically referred to a psychiatric mental health
practitioner for anxiolytic therapy. 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 anxiety disorders.
Learning Objectives
Students will:
 Assess client factors and history to develop personalized plans of anxiolytic therapy for clients
 Analyze factors that influence pharmacokinetic and pharmacodynamic processes in clients
requiring anxiolytic therapy
 Evaluate efficacy of treatment plans
 Analyze ethical and legal implications related to prescribing anxiolytic 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 9, “Anxiety Disorder and Anxiolytics”
Stahl, S. M., & Grady, M. (2010). Stahl’s illustrated anxiety, stress, and PTSD. New
York, NY: Cambridge University Press.

To access the following chapters, click on the Illustrated Guides tab and then the
Anxiety, Stress, and PTSD tab.
 Chapter 4, “First-Line Medications for PTSD”
 Chapter 5, “Second-Line, Adjunct, and Investigational Medications for PTSD”
Strawn, J. R., Wehry, A. M., DelBello, M. P., Rynn, M. A., & Strakowski, S. (2012).
Establishing the neurobiologic basis of treatment in children and adolescents with
generalized anxiety disorder. Depression and Anxiety, 29(4), 328-339.
doi:10.1002/da.21913

Hamilton, M. (1959). Hamilton Anxiety Rating Scale. PsycTESTS, doi:10.1037/t02824-0
Required Media

Click here to ORDER an A++ paper from our MASTERS and DOCTORATE WRITERS:NURS 6630 Week 5 Assignment: Assessing and Treating Clients With Anxiety Disorders

Laureate Education. (2016b). Case study: A middle-aged Caucasian man with anxiety
[Interactive media file]. Baltimore, MD: Author.

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

NURS 6630 Week 5 Assignment Assessing and Treating Clients With Anxiety Disorders

NURS 6630 Week 5 Assignment Assessing and Treating Clients With Anxiety Disorders

Optional Resources
Lupi, M., Martinotti, G., Acciavatti, T., Pettorruso, M., Brunetti, M., Santacroce, R., & …
Di Giannantonio, M. (2014). Pharmacological treatments in gambling disorder: A
qualitative review. Biomed Research International, 2014. doi:10.1155/2014/537306
To prepare for this Assignment:
 Review this week’s Learning Resources. Consider how to assess and treat clients requiring
anxiolytic therapy.
The Assignment
Examine Case Study: A Middle-Aged Caucasian Man With Anxiety. 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 “WK5Assgn+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 5 Assignment link. Next, from the Attach File area, click on the Browse My
Computer button. Find the document you saved as “WK5Assgn+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 5 Assignment Rubric
Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:
Submit your Week 5 Assignment draft and review the originality report.
Submit Your Assignment by Day 7
To submit your Assignment:
Week 5 Assignment

Making Connections

Now that you have:
 Assessed clients presenting with PTSD and other anxiety disorders
 Developed personalized plans of anxiolytic therapy for clients
 Examined factors that influence pharmacokinetic and pharmacodynamic processes in clients
requiring anxiolytic therapy
 Explored ethical and legal implications of prescribing anxiolytic therapy to clients
Next week, you will build on your assessment and treatment skills as you examine
clients presenting for antipsychotic therapy.
To go to the next week:
Week 6

Week 6: Antipsychotic Therapy
According to the National Alliance on Mental Illness, approximately 100,000 people
experience psychosis in the United States each year (NAMI, 2016). In practice, clients
may present with delusions, hallucinations, disorganized thinking, disorganized or
abnormal motor behavior, as well as other negative symptoms that can be disabling for
these individuals. Not only are these symptoms one of the most challenging symptom
clusters you will encounter, many are associated with other disorders such as
depression, bipolar disorder, and disorders on the schizophrenia spectrum. As a
psychiatric mental health nurse practitioner, you must understand the underlying
neurobiology of these symptoms to select appropriate therapies and improve outcomes
for clients.
This week, as you examine antipsychotic therapies, you explore the assessment and
treatment of clients with psychosis and schizophrenia. You also consider 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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