NURS 6630 Short Answer Assessment

Sample Answer for NURS 6630 Short Answer Assessment Included After Question

NURS 6630 Short Answer Assessment

SHORT ANSWER ASSESSMENT NURS 6630 WEEK 8 

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. 

  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? 
  1. List 4 predictors of late onset generalized anxiety disorder. 
  1. List 4 potential neurobiology causes of psychotic major depression. 
  1. 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. 
  1. 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 

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  1. To submit your completed assignment, save your Assignment as WK8Assgn1_LastName_Firstinitial  
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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 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 Outcome List 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 Outcome List 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 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 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 Outcome List 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 Outcome Written 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 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 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 

 

A Sample Answer For the Assignment: NURS 6630 Short Answer Assessment

Title: NURS 6630 Short Answer Assessment

NURS 6630 Short Answer Assessment

Alcohol abuse and major depressive disorders occur commonly in the population. These disorders, from time to time occur together. When they occur together, they display a dreadful outcome (Baranyi et al., 2022). An integrated approach to the treatment of these patients is paramount. The purpose of this paper is to discuss the neurobiology, symptoms, and the appropriate drug therapy for patients with Major Depressive Disorder co-occurring with Alcohol Abuse.

Explain the Appropriate Drug therapy for Major Depressive Disorder co-occurring with Alcohol Abuse

A combination of naltrexone and sertraline has been proven ideal for the treatment of co-occurrence of alcohol abuse and major depressive disorder. This combination delays the reversion to alcohol abuse, is highly efficacious, marked improvement in mood in comparison to other drug therapies, and had fewer side effects (Stubbs et al., 2022).

Which Drugs are contraindicated

Benzodiazepines- such as diazepam- are contraindicated as they lower the seizure threshold hence the patient is at an increased risk of

NURS 6630 Short Answer Assessment
NURS 6630 Short Answer Assessment

falls, intellectual impairment, increased risk aspiration, and low efficacy, in the long run, cross-tolerance of the benzodiazepines and alcohol hence propensity to abuse the drugs, and withdrawal effects after stoppage of the drug.

Bupropion lowers the seizure threshold. Mirtazapine and tricyclic antidepressants when used in the setting of alcohol abuse, they act synergistically to increase the sedative effects of alcohol. Duloxetine is hepatotoxic and may propel liver disease in the setting of chronic alcohol abuse.

What is the Timeframe that the Patient should see the Resolution of symptoms

  • With adherence to medication and abstinence from alcohol, symptoms abate starting from two weeks post initiation of therapy (Close, 2019).

List four Predictors of Late Onset Generalized Anxiety Disorder

  • They include chronic disease conditions like COPD, mental retardation, presence of other mental illnesses like depression, lack of support and affection during childhood, poverty, unpropitious events in life, and separation.

List four Potential Neurobiological causes of Psychotic Major Depression

  • They include hypersensitized response to stress, serotonin dysfunction, disrupted dopamine feedback system in the nigrostriatal pathway, and noradrenaline dysfunction.

List at least five Symptoms of Major Depression

  • The presence of all three of a low mood, anhedonia, and anergia plus at least any three of disturbed sleep, lack of appetite, ideations of self-harm, worthlessness, reduced self-esteem, reduced attention and pessimism about the future.

List three Classes of Drugs that Precipitate Insomnia with a corresponding example for each class, be specific

  • Selective Serotonin Reuptake Inhibitors such as fluoxetine.
  • Dopamine receptor agonists such as
  • Alpha-blockers such as alfuzosin.

 

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NURS 6630 Short Answer Assessment References

Baranyi, G., Fazel, S., Langerfeldt, S. D., & Mundt, A. P. (2022). The prevalence of comorbid serious mental illnesses and substance use disorders in prison populations: a systematic review and meta-analysis. The Lancet Public Health, 7(6), e557–e568. https://doi.org/10.1016/s2468-2667(22)00093-7

Close, L. (2019). Depression & Substance Abuse Treatment Plans, Medication, Therapy. American Addiction Centers. https://americanaddictioncenters.org/treating-depression-substance-abuse

Stubbs, K. R., Van Bezooyen, J., & Tang, Y. (2022, January 1). Chapter 31 – Managing treatment-resistant depression with comorbid substance use disorders (J. Quevedo, P. Riva-Posse, & W. V. Bobo, Eds.). ScienceDirect; Academic Press. https://www.sciencedirect.com/science/article/pii/B9780128240670000311

Neurons are information messengers with three main parts namely the cell body, axon, and the dendrites (Kringelbach et al., 2020). The cell body is made up of a nucleus and cytoplasm and produces protein required to construct other parts of the neuron. The axon, on the other hand, extends from the cell body and carries signals away from the cell body while the dendrites carry signals toward the cell body and have numerous synapses to receive the signal from nearby neurons. Upon stimulation, neurons transmit an electrical impulse that passes through the dendrite, to the cell body, axon, axon terminal, and finally, the stimulus is passed (Kringelbach et al., 2020). At the axonal terminal, the axon releases neurotransmitters that depolarize neighboring cells through synapses and by binding to the membrane of the dendrite.

Subcortical Structures

Other structures within the brain are subcortical structures that act as information hubs for the nervous system. Their main role is to relay and modulate information circulating in different areas of the brain. They include the basal ganglia, limbic structures, pituitary gland, and the diencephalon (Malinowski, 2019).

The limbic systems play a great role in learning and memory addiction.  The systems provide the anatomical substrate for emotions and motivated behaviors, including the circulatory for reward-related events and stress responses. Specifically, the hippocampus is used to mediate a cognitive/spatial form of memory. It controls learning and declarative memory which covers the memory of facts and events (Malinowski, 2019).  The dorsal striatum also helps in memory by mediating the stimulus-response habit memory. Addiction on the other hand is linked to the limbic system through the orbitofrontal cortex and anterior cingulate gyrus (Malinowski, 2019).

In line with motor control, the nigra striatal region offers two anatomically and functionally distinct portions knowns as the substantia nigra pars compacta and the substantia nigra pars reticulata.

Glial Cells

Other essential components in the central nervous system are the glial cells. They include the astrocytes whose role is to maintain the environment for neuronal signaling by controlling the level of neurotransmitters surrounding the synapses (Hirbec et al., 2020). Equally, oligodendrocytes wrap around the axons forming a protective layer called myelin sheath which enhances neuron signaling. The cells also include microglia, ependymal cells, and radial glial whose roles are clearing dead cells or removing harmful toxins, maintaining homeostasis, and regenerating neurons and other glial cells like astrocytes and oligodendrocytes respectively.

Neuron Communication

Neurons communicate with each other through synaptic transmission. A chemical synapse is registered at the axon terminal of the presynaptic neuron and the dendrite of the postsynaptic neuron (Malinowski, 2019). The dendrite picks up signals and passes the signals down to the axon, into the axon terminals, and into the synapses. The role of the chemical synapse is to transform the electrical signal in the presynaptic cell’s axon into a chemical signal and back into an electrical signal in the postsynaptic cell.

Neuroplasticity

Brain plasticity denotes the ability of the brain to reorganize itself and form new neural connections in response to extrinsic or intrinsic stimuli.  Through axonal sprouting, the undamaged axons develop new nerve endings and reconnect neurons with severed or injured links (Mateos-Aparicio & Rodríguez-Moreno, 2019). For instance, undamaged brain sites of stroke patients rewire themselves to take over functions of the damaged brain sites. Similarly, the undamaged axons sprout nerve endings that connect with other undamaged nerve cells to form new neural pathways (Mateos-Aparicio & Rodríguez-Moreno, 2019).   For example, exposing the brain to specific grammatical rules helps it process and develop language.

NURS 6630 Short Answer AssessmentReferences

Hirbec, H., Déglon, N., Foo, L. C., Goshen, I., Grutzendler, J., Hangen, E., … & Escartin, C. (2020). Emerging technologies to study glial cells. Glia, 68(9), 1692-1728. https://doi.org/10.1002/glia.23780

Kringelbach, M. L., Cruzat, J., Cabral, J., Knudsen, G. M., Carhart-Harris, R., Whybrow, P. C., … & Deco, G. (2020). Dynamic coupling of whole-brain neuronal and neurotransmitter systems. Proceedings of the National Academy of Sciences, 117(17), 9566-9576. https://doi.org/10.1073/pnas.1921475117

Malinowski, M. N. (2019). Anatomy of the brain and brain stem. In Deer’s Treatment of Pain (pp. 49-59). Springer, Cham.

Mateos-Aparicio, P., & Rodríguez-Moreno, A. (2019). The impact of studying brain plasticity. Frontiers in cellular neuroscience, 13, 66. https://doi.org/10.3389/fncel.2019.00066