Treating Residual Inattention 2025

I NEED A RESPONSE TO THIS ASSIGNMENT 1 PAGE 3REFERENCES ZERO PLAGIARISM Week 9 Main Post, Case #3, Vol. 2, Case #21, Treating Residual Inattention Questions I Would Ask the Client I would ask the client if he felt comfortable taking Cymbalta and if it is helping his anxiety. I would also ask: are you having sexual side effects, are you having trouble sleeping, how long have you noticed the inattention problems, do you have other medical conditions like high blood pressure, and tell me what other symptoms you are having? I would also question the client’s partner or nearest relative. A partner can provide information about daily activities of the client (Kooij, Bijlenga, Salerno, Jaeschke, Bitter, Balazs, Thome, Dom, Kasper, Filipe, Stes, Mohr, Leppamaki, Casas, Bobes, Mccarthy, Richarte, Philipsen, and Asherson, 2019). I would ask the partner what it is like to be with this person. I would ask: do you notice him having an inability to finish tasks, does he start several projects without completing them? I would ask the client and the partner or family member these questions because the symptomology is what guides the sort of medication that will be prescribed. Also, some of the side effects of medications are increased heart rate and blood pressure. Sexual side effects can cause the client to discontinue a medication. Sleep problems would incline the clinician to prescribe a more sedating medication at bedtime versus a stimulant. This client likely has ADHD undiagnosed and it is important to get symptoms in order to make a diagnosis. Tests Needed I would administer an IQ test since many clients with high IQs can mask their disorder of ADHD (Milioni, Chaim, Cavallet, de Oliveira, Annes, dos Santos, Louza, da Silva, Miguel, Serpa, Zanetti, Husatto, and Cunha, 2017). I would use the Stroop task test which activates the dorsal anterior cingulate cortex of the brain indicating ADHD (Stahl, 2013). I would also administer the n-back test which analyzes the client’s problem solving, sustained attention, and ability to finish tasks (Stahl, 2013). I would have the client fill out the Adult Self Report Rating Scale (ASRS) to get the symptomology in order to diagnose ADHD (Kooij et al., 2019). Finally, I would get a baseline blood pressure and vital signs, since ADHD medications can lower or increase blood pressure and heart rate (Joseph, Ayyagari, Xie, M., Cai, Xie, J., Huss, and Sikirica, 2017). Differential Diagnoses According to the DSM-5 I would diagnose this client with these three disorders: Post-Traumatic Stress Disorder 309.81 (F43.10) Attention-Deficit/Hyperactivity Disorder: Predominant inattentive presentation 314.01 (F90.0) Generalized Anxiety Disorder 300.2 (F41.1) (American Psychiatric Association, 2013). Medications for This Client I would continue with Cymbalta 60 mg daily for this client if he states it is working for him and we could always increase up to 120 mg per day if his anxiety is not well controlled. Generalized anxiety disorder (GAD) is his main diagnosis and we can also switch him to Zoloft if the side effects are too much, since Zoloft has less side effects (Stahl, 2017). I would add guanfacine ER (Intuiv), which is an Alpha 2 adrenergic antagonist. I chose this over a stimulant since they can become habit forming (Stahl, 2013). Guanfacine ER has no potential for abuse and works throughout the day with no side effects (Stahl, 2017). I would counsel the patient about possible decreased appetite and sedation, but they generally go away with time (Stahl, 2017). Since the client has some mood problems, PTSD history, and anxiety, this medication is an NRI and will treat those symptoms as well and is used for treatment-resistant depression (Stahl, 2017). Amoxetine (Strattera) is another non-stimulant medication for ADHD, but in a systematic review of several randomized controlled trials, Intuiv was more efficacious and participant’s ADHD symptoms declined significantly to a probability of 93.91% (Joseph et al., 2017). This is why I chose Intuiv over Strattera, but in 4-8 weeks we could re-evaluate and try Strattera if Intuiv is ineffective. Lessons Learned First, many adults go undiagnosed with ADHD because it was missed in childhood and they learned to compensate for the dysfunction as they got older (Stahl, 2013). Too often clinicians focus on the mood disorder and miss the diagnosis of ADHD and this could lead to a substance disorder, low quality of life, or nicotine dependence in adulthood if not treated (Stahl, 2013). Second, it is important to administer neuropsychology tests in adults in order to diagnose ADHD because many clients with a high IQ mask their ADHD with intelligence and “creative compensation” (Milioni et al., 2017). The executive function dysregulation of ADHD shows up in college and when the client gets a job in the professional world (Milioni et al., 2017). The clients can no longer compensate and the disorganization of ADHD and inability to handle life’s responsibilities shows up (Milioni et al., 2017). References American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: . Joseph, A., Ayyagari, R., Xie, M., Cai, S., Xie, J., Huss, M., & Sikirica, V. (2017). Comparative efficacy and safety of attention-deficit/hyperactivity disorder pharmacotherapies, including guanfacine extended release: A mixed treatment comparison. European Child & Adolescent Psychiatry , 26(8) , 875-897. https://doi.org/10.1007/s00787-017-0962-6 Kooij, J., Bijlenga, D., Salerno, L., Jaeschke, R., Bitter, I., Balazs, J., … Asherson, P. (2019). Updated European consensus statement on diagnosis and treatment of adult ADHD. European Psychiatry , 56 , 14-34. https://doi.org/10.1016/j.eurpsy.2018.11.001 Milioni, A. L., Chaim, T. M., Cavallet, M., De Oliveira, N. M., Annes, M., Dos Santos, B., … Cunha, P. J. (2017). High IQ may “mask” the diagnosis of ADHD by compensating for deficits in executive functions in treatment-naive adults with ADHD. Journal of Attention Disorders , 21(6 ), 455-464. https://doi.org/10.1177/1087054714554933 Stahl, S. M. (2013). Stahl’s essential psychoparmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press. Stahl, S. M. (2017). Stahl’s essential psychopharmacology: Prescriber’s guide (6th ed.). New York, NY: Cambridge University Press.

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Wk3/1 2025

The four principles, especially in the context of bioethics in the United States, has often been critiqued for raising the principle of autonomy to the highest place, such that it trumps all other principles or values. How would you rank the importance of each of the four principles? How do you believe they would be ordered in the context of the Christian biblical narrative? Refer to the topic study materials in your response.

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Adolescent Health Risk Seminar 2025

For this assignment, you will develop and deliver a 10–15 minute seminar/workshop aimed at the teen or young adult audience on a specific health risk associated with the population. you will submit your presentation using the Kaltura recording tool within Blackboard. See the Getting Started with Kaltura link listed under the Resources area in your course menu to learn how to use this tool. * If you predominantly work with a specific population and would like to present a relevant health risk seminar to that population, you must seek instructor approval in advance. Email your instructor through the Virtual Office. Choose a health risk associated with adolescence. Some categories to consider may include: Suicide Pregnancy Substance use and abuse Motor vehicle crashes Tobacco use Sexually transmitted disease Domestic violence Mental health issues Eating disorders Nutrition and fitness As the health care advocate, you will present the following to the target audience (adolescents or young adults)in 10-15 slides or screens: An overview of the risk factor Contributing factors Prevalence of the health risk (meaningful data) Explain your role with the issue as a health care practitioner/advocate Ways to identify a problem and address the issue Present an activity or project or exercise for the audience to engage in related to the topic Help and support resources In your research materials, incorporate 3–4 current sources with one containing the most current statistics. Use age-appropriate creativity to ensure the message gets across to the selected audience. As you plan your seminar, consider: How will you initiate a conversation (rather than give a lecture)? How will you keep the attention and respect of this audience? Use APA for citing and referencing your sources. Keep your design and audio appropriate to the audience, yet professional. Your presentation must include both audio and visual components and be professional in nature. What is a seminar? See this week’s Resource folder for curriculum and topic ideas. Review the rubric for further information on how your assignment will be graded.

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Global Health Risk Paper 2025

Choose a global health issue. For this assignment, you will introduce the health issue and discuss the interventions necessary to prevent the issue and promote health. Some topics to consider may include: Anthrax Bioterrorism Cholera Clostridium botulinum infection Community-associated methicillin-resistant Staphylococcus Ebola virus disease Escherichia coli Human immunodeficiency virus disease Malaria Plague Severe respiratory distress syndrome Small pox Suicide Tuberculosis Vancomycin-resistant enterococcus infection West Nile virus Include the following in your paper: Introduction/overview of the health issue and the prevalence in the United States and worldwide Contributing factors Prevention strategies Signs and symptoms Diagnostic tests (if applicable) Advanced practice nursing role and management strategies Medical/pharmacological management (if applicable) Follow-up care Conclusion Write a 3–4 page paper following APA format. You must include 2–3 scholarly sources in your citations and references. Review the rubric for further information on how your assignment will be graded. Due: Sunday, 11:59 p.m. (Pacific time) Points: 100

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Discussion 2025

First, what is the Older American’s Act (OAA)? What is the significance of the OAA? How are funds distributed? What kinds of services are offered? Who benefits? Next, what is Social Security (with regard to older adults), and how does it work? What are current challenges to the long-term feasibility of the program? Mention at least two (2) examples. Then, briefly state at least two (2) main options for Social Security reform. Lastly, present arguments for the option that will “save” Social Security. Note here you are asked for a referenced and scholarly argument given what you’ve read this week rather than personal opinions or beliefs. What is Medicare? Define it, and discuss examples of what it covers and what it does not cover. What are some of the concerns associated with Medicare and its viability long-term? Lastly, present arguments for the option that will “save” Medicare. Note here you are asked for a referenced and scholarly argument given what you’ve read this week rather than personal opinions or beliefs. Lastly, older adults as a group are often accused of being selfish and using more than their fair share of resources. Why does this perception exist? Should we be allocating fewer or more resources to the older adult population, or is the current allocation sufficient? Justify your response, taking into consideration factors like the rapidly aging demographic, the role of culture, the cost of providing services, and the cost of not providing services for example.

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