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NURS 6630 Week 10 Assignment: Assessing and Treating Clients With Dementia

NURS 6630 Week 10 Assignment: Assessing and Treating Clients With Dementia

The Alzheimer’s Association defines dementia as “a general term for a decline in mental
ability severe enough to interfere with daily life” (Alzheimer’s Association, 2016). This
term encompasses dozens of cognitive disorders of impaired memory formation, recall,
and communication. The care and treatment of clients with dementia is dependent on
multiple factors, including the stage of dementia, comorbidities, family support, and
even the care setting. In your role, as the psychiatric mental health nurse practitioner,
you must be prepared to not only treat clients with these various cognitive disorders, but
also the multiple behavioral issues that often accompany them. 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 dementia.
Learning Objectives
Students will:
 Assess client factors and history to develop personalized therapy plans for clients with dementia
 Analyze factors that influence pharmacokinetic and pharmacodynamic processes in clients
requiring therapy for dementia
 Evaluate efficacy of treatment plans
 Analyze ethical and legal implications related to prescribing therapy for clients with dementia
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 chapter, 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 13, “Dementia and Its Treatment”
Stahl, S. M. (2014b). The prescriber’s guide (5th ed.). New York, NY: Cambridge
University Press.

To access information on the following medications, click on The Prescriber’s Guide,
5th ed tab on the Stahl Online website and select the appropriate medication.

Review the following medications:
For insomnia
 donepezil
 galantamine
 memantine
 rivastigmine

Bui, Q. (2012). Antidepressants for agitation and psychosis in patients with dementia.
American Family Physician, 85(1), 20–22. Retrieved from
http://www.aafp.org/journals/afp.html
Note: Retrieved from from the Walden Library databases.
Meltzer, H. Y., Mills, R., Revell, S., Williams, H., Johnson, A., Bahr, D., & Friedman, J.
H. (2010). Pimavanserin, a serotonin receptor inverse agonist for the treatment of
Parkinson's disease psychosis. Neuropsychopharmacology, 35, 881–891. Retrieved
from http://www.nature.com/npp/journal/v35/n4/pdf/npp2009176a.pdf
Required Media
Laureate Education. (2016h). Case study: An elderly Iranian man with Alzheimer’s
disease [Interactive media file]. Baltimore, MD: Author.
Note: This case study will serve as the foundation for this week’s Assignment.
To prepare for this Assignment:
 Review this week’s Learning Resources. Consider how to assess and treat clients requiring
therapy for dementia.
The Assignment
Examine Case Study: An Elderly Iranian Man With Alzheimer’s Disease. 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:
o Decision #1
 Which decision did you select?
 Why did you select this decision? Support your response with evidence and references to the
Learning Resources.
 What were you hoping to achieve by making this decision? Support your response with
evidence and references to the Learning Resources.
 Explain any difference between what you expected to achieve with Decision #1 and the results
of the decision. Why were they different?
o Decision #2
 Why did you select this decision? Support your response with evidence and references to the
Learning Resources.
 What were you hoping to achieve by making this decision? Support your response with
evidence and references to the Learning Resources.
 Explain any difference between what you expected to achieve with Decision #2 and the results
of the decision. Why were they different?
o Decision #3
 Why did you select this decision? Support your response with evidence and references to the
Learning Resources.
 What were you hoping to achieve by making this decision? Support your response with
evidence and references to the Learning Resources.
 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.
By Day 7
Submit your assignment
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
 Please save your Assignment using the naming convention “WK10Assgn+last name+first
initial.(extension)” as the name.
 Click the Week 10 Assignment Rubric to review the Grading Criteria for the Assignment.
 Click the Week 10 Assignment link. You will also be able to “View Rubric” for grading criteria
from this area.

NURS 6630 Week 10 Assignment Assessing and Treating Clients With Dementia

NURS 6630 Week 10 Assignment Assessing and Treating Clients With Dementia

Click here to ORDER an A++ paper from our MASTERS and DOCTORATE WRITERS:NURS 6630 Week 10 Assignment: Assessing and Treating Clients With Dementia

 Next, from the Attach File area, click on the Browse My Computer button. Find the document
you saved as “WK10Assgn+last name+first initial.(extension)” and click Open.

 If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my
paper(s) to the Global Reference Database.
 Click on the Submit button to complete your submission.
Grading Criteria
To access your rubric:
Week 10 Assignment Rubric
Check Your Assignment Draft for Authenticity
To check your Assignment draft for authenticity:
Submit your Week 10 Assignment draft and review the originality report.
Submit Your Assignment by Day 7
To submit your Assignment:
Week 10 Assignment

Making Connections

Now that you have:
 Assessed clients presenting with dementia
 Developed personalized plans of therapy for clients with dementia
 Examined factors that influence pharmacokinetic and pharmacodynamic processes in clients
requiring therapy for dementia
 Explored ethical and legal implications of prescribing therapy to clients with dementia
Next week, you will build on your assessment and treatment skills as you examine
clients presenting for therapy for comorbid conditions.
To go to the next week:
Week 11

Week 11: Therapy for Clients With

Comorbid Conditions

As a psychiatric mental health nurse practitioner, you will frequently work with clients
who have comorbid conditions. For instance, you may treat a 19-year-old male with
Down syndrome and increasing violent behaviors; a middle-aged female with
schizophrenia, diabetes, and poor renal function; or an older adult with a mental
disorder, stage I Alzheimer’s disease, and chronic obstructive pulmonary disease
(COPD). In cases like these, you must draw from foundational knowledge of
pathophysiology and collaborate with other healthcare providers to ensure optimal
safely and efficacy of psychopharmacological therapies for clients.
This week, as you study therapy for patients with comorbid conditions, you examine
psychopharmacologic approaches to treatment for clients across the lifespan.

Final Exam

This exam will cover the following topics, which relate to psychopharmacologic
approaches to treatment for clients across the lifespan:
 Therapy for Clients with Pain and Sleep/Wake Disorders
 Therapy for Clients with Impulsivity, Compulsivity, and Addiction
 Therapy for Clients with ADHD
 Therapy for Clients with Dementia
 Therapy for Clients with Comorbid Conditions
Learning Objectives
Students will:
 Assess psychopharmacologic approaches to treatment for 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. (2014a). Stahl’s illustrated violence: Neural circuits, genetics and treatment.
New York, NY: Cambridge University Press.

To access the following chapter, click on the Illustrated Guides tab and then the
Violence tab.

 Chapter 3, “Treatment of Violence and Aggression”
Stahl, S. M. (2014b). The prescriber’s guide (5th ed.). New York, NY: Cambridge
University Press.
To access information on the following medications, click on The Prescriber’s Guide,
5th ed tab on the Stahl Online website and select the appropriate medication.

Review the following medications:
For Alzheimer’s disease
 donepezil
 galantamine
 memantine
 rivastigmine
For Parkinson’s disease with dementia
 rivastigmine

Crocker, A. G., Prokić, A., Morin, D., & Reyes, A. (2014). Intellectual disability and co-
occurring mental health and physical disorders in aggressive behaviour. Journal of
Intellectual Disability Research, 58(11), 1032-1044. doi:10.1111/jir.12080

Erickson, S. C., Le, L., Zakharyan, A., Stockl, K. M., Harada, A. M., Borson, S., & …
Curtis, B. (2012). New-onset treatment-dependent diabetes mellitus and hyperlipidemia
associated with atypical antipsychotic use in older adults without schizophrenia or
bipolar disorder. Journal of the American Geriatrics Society, 60(3), 474–479.
doi:10.1111/j.1532-5415.2011.03842.x

Hulvershorn, L. A., Schroeder, K. M., Wink, L. K., Erickson, C. A., & McDougle, C. J.
(2015). Psychopharmacologic treatment of children prenatally exposed to drugs of
abuse. Human Psychopharmacology, 30(3), 164-172. doi:10.1002/hup.2467

Malhotra, A. K., Zhang, J., & Lencz, T. (2012). Pharmacogenetics in psychiatry:
Translating research into clinical practice. Molecular Psychiatry, 17(8), 760-769.
doi:10.1038/mp.2011.146

Substance Abuse and Mental Health Services Administration. (2013). Substance abuse
treatment for persons with co-occurring disorders: A treatment improvement protocol
TIP 42. Retrieved from https://store.samhsa.gov/system/files/sma13-3992.pdf

Document: Final Exam Study Guide (PDF)
Optional Resources
Stahl, S. M. (2014a). Stahl’s illustrated violence: Neural circuits, genetics and treatment.
New York, NY: Cambridge University Press.

To access the following chapters, click on the Illustrated Guides tab and then the
Violence tab.

 Chapter 1, “Which Individuals Will Become Violent or Aggressive?”
 Chapter 2, “Neurobiology and Genetics of Violence and Aggression”
Final Exam:
This exam will cover the following topics, which relate to psychopharmacologic
approaches to treatment for clients across the lifespan:
 Therapy for Clients with Pain and Sleep/Wake Disorders
 Therapy for Clients with Impulsivity, Compulsivity, and Addiction
 Therapy for Clients with ADHD
 Therapy for Clients with Dementia
 Therapy for Clients with Comorbid Conditions
By Day 7
Complete the Final Exam. Prior to starting the exam, you should review all of your
materials. There is a 2-hour time limit to complete this 76-question exam. You may only
attempt this exam once.
This exam is a test of your knowledge in preparation for your certification exam. No
outside resources including books, notes, websites, or any other type of resource are
to be used to complete this exam. You are expected to comply with Walden
University’s Code of Conduct.
Submit Your Final Exam by Day 7
To submit your Final Exam:
Week 11 Final Exam
Congratulations! After you have finished all of the assignments for this week, you have
completed the course. Please submit your Course Evaluation by Day 7.

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