Discussion: Decision Making When Treating Psychological Disorders. 2025

PLEASE FOLLOW THE INSTRUCTIONS AS INDICATED BELOW: 1). ZERO (0) PLAGIARISM 2). ATLEAST 5 REFERENCES, NO MORE THAN 5 YEARS 3). PLEASE SEE THE ATTACHMENT FOR RUBRIC DETAILS. 4). Please review and follow the grading rubric details well, and include each component in the assignment as required. Also, follow the APA writing rules and style Psychological disorders, such as depression, bipolar, and anxiety disorders can present several complications for patients of all ages. These disorders affect patients physically and emotionally, potentially impacting judgment, school and/or job performance, and relationships with family and friends. Since these disorders have many drastic effects on patients’ lives, it is important for advanced practice nurses to effectively manage patient care. With patient factors and medical history in mind, it is the advanced practice nurse’s responsibility to ensure the safe and effective diagnosis, treatment, and education of patients with psychological disorders. For this Discussion, you will select an interactive media piece to practice decision-making when treating patients with psychological disorders. You will recommend the most effective pharmacotherapeutic to treat the psychological disorder presented and examine potential impacts of pharmacotherapeutics on a patient’s pathophysiology. To Prepare Review this week’s interactive media pieces and select one to focus on for this Discussion. Reflect on the decision steps in the interactive media pieces, and consider the potential impacts from the administration of the associated pharmacotherapeutics on the patient’s pathophysiology. Post a brief explanation of the psychological disorder presented and the decision steps you applied in completing the interactive media piece for the psychological disorder you selected. Then, explain how the administration of the associated pharmacotherapeutics you recommended may impact the patient’s pathophysiology. How might these potential impacts inform how you would suggest treatment plans for this patient? Be specific and provide examples. Adult/Geriatric Depression Hispanic Male With MDD BACKGROUND INFORMATION The client is a 70 year-old Hispanic American male who came to the United States when he was in high school with his father. His mother died back in Mexico when he was in school. He presents today to your office for an initial appointment for complaints of depression. The client was referred by his PCP after “routine” medical work-up to rule out an organic basis for his depression. He has no other health issues with the exception of some occasional back pain and “stiff” shoulders which he attributes to his current work as a laborer in a warehouse. SUBJECTIVE During today’s clinical interview, client reports that he always felt like an outsider as he was “teased” a lot for being “black” in high school. States that he had few friends, and basically kept to himself. He describes his home life as “good.” Stating “Dad did what he could for us, there were 8 of us.” He also reports a remarkably diminished interest in engaging in usual activities, states that he has gained 15 pounds in the last 2 months. He is also troubled with insomnia which began about 6 months ago, but have been progressively getting worse. He does report poor concentration which he reports is getting in “trouble” at work. MENTAL STATUS EXAM The client is alert, oriented to person, place, time, and event. He is casually dressed. Speech is clear, but soft. He does not readily make eye contact, but when he does, it is only for a few moments. He is endorsing feelings of depression. Affect is somewhat constricted, but improves as the clinical interview progresses. He denies visual or auditory hallucinations, no overt delusional or paranoid thought processes readily apparent. Judgment and insight appear grossly intact. He is currently denying suicidal or homicidal ideation. You administer the “Montgomery- Asberg Depression Rating Scale (MADRS)” and obtained a score of 51 (indicating severe depression) . RESOURCES § Montgomery, S. A., & Asberg, M. (1979). A new depression scale designed to be sensitive to change. British Journal of Psychiatry, 134, 382-389. Decision Point One Decision Point One Select what you should do: Begin zoloft 25 mg orally daily RESULTS OF DECISION POINT ONE Client returns to clinic in four weeks Reports a 25% decrease in symptoms Client is concerned over the new onset of erectile dysfunction Decision Point One Begin Effexor XR 37.5 mg orally daily RESULTS OF DECISION POINT ONE Client returns to clinic in four weeks Client reports that there is no change in depressive symptoms at all Decision Point One Begin Phenelzine 15 mg orally TID RESULTS OF DECISION POINT ONE Client returns to clinic in four weeks Client reports that he was rushed to the Emergency Room 2 weeks ago after collapsing at the warehouse where he works. He was taken by ambulance to the local community hospital. He was diagnosed with postural hypotension Client was treated with fluid bolus and told to stop taking his phenelzine and to follow up with his primary care provider within one week, and you within that same time frame. Decision Point Two Select what you should do next: Decision Point Two Restart Phenelzine and counsel client on dietary choices and importance of hydration RESULTS OF DECISION POINT TWO Client reports that although he had no more episodes of passing out, he has been dizzy when he gets up at night to use the bathroom Client also reports that at various times throughout the day when he goes from a sitting to a standing position, he feels light-headed Decision Point Two Phenelzine is not reinitiated. Instead, we began therapy with Lexapro 20 mg orally daily after an appropriate “wash out” period (5 half-lives). RESULTS OF DECISION POINT TWO Client returns to clinic in four weeks Client had no more syncopal episodes or episodes of orthostatic hypotension Client reports a decrease in depressive symptoms by approximately 25 percent on the MADR scale Decision Point Two Re-start Phenelzine 7.5 mg orally TID RESULTS OF DECISION POINT TWO Client returns to clinic in four weeks Client reported that he still has a little dizziness Client also reports that that his depression has improved greatly (a 35% decrease in MADR scale from 51 to 33) Decision Point Three Select what you should do next: Decision Point Three Continue current drug dose and counsel client on dietary modifications and orthostatic hypotension safety Guidance to Student The initiation of an SSRI or SNRI should not begin until an adequate “wash out” period of MAOI- this is generally defined as the time it takes for 5 half-lives of the drug to be metabolized. Co-administration of SSRI, SNRI, or TCA with MAOI is contraindicated as it can cause serotonin syndrome and can actually be fatal. You can continue the current dose and counsel client as to dietary modifications as well as orthostatic hypotension safety, however, it should be remembered that he works in a warehouse and may be at risk for falls/injury due to orthostatic hypotension. A “watch and wait” approach may be appropriate if the client has failed all other antidepressants. Increasing the dose back to 15 mg orally TID is not indicated as his orthostatic hypotension will likely worsen.

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Case Study 2025

CASE STUDY 76-year-old female patient complains of weight gain, shortness of breath, peripheral edema, and abdominal swelling. She has a history of congestive heart failure and admits to not taking her diuretic, as it makes her “have to get up every couple hours to go to the bathroom.” She now has to sleep on two pillows in order to get enough air. Case Study Analysis An understanding of the cardiovascular and respiratory systems is a critically important component of disease diagnosis and treatment. This importance is magnified by the fact that these two systems work so closely together. A variety of factors and circumstances that impact the emergence and severity of issues in one system can have a role in the performance of the other. Effective disease analysis often requires an understanding that goes beyond these systems and their capacity to work together. The impact of patient characteristics, as well as racial and ethnic variables, can also have an important impact. An understanding of the symptoms of alterations in cardiovascular and respiratory systems is a critical step in diagnosis and treatment of many diseases. For APRNs this understanding can also help educate patients and guide them through their treatment plans. In this Assignment, you examine a case study and analyze the symptoms presented. You identify the elements that may be factors in the diagnosis, and you explain the implications to patient health. Assignment (2-3-page case study analysis) In your Case Study Analysis related to the scenario provided, explain the following The cardiovascular and cardiopulmonary pathophysiologic processes that result in the patient presenting these symptoms. Any racial/ethnic variables that may impact physiological functioning. How these processes interact to affect the patient. McCance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier. · Chapter 32: Structure and Function of the Cardiovascular and Lymphatic Systems; Summary Review · Chapter 33: Alterations of Cardiovascular Function (stop at Dysrhythmias); Summary Review · Chapter 35: Structure and Function of the Pulmonary System; Summary Review · Chapter 36: Alterations of Pulmonary Function (stop at Disorders of the chest wall and pleura); (obstructive pulmonary diseases) (stop at Pulmonary artery hypertension); Summary Review Note : The above chapters were first presented in the Week 3 resources. If you read them previously you are encouraged to review them this week. Inamdar, A. A. & Inamdar, A. C. (2016). Heart failure: Diagnosis, management, and utilization, 5 (7). doi:10.3390/jcm5070062 MedCram. (2015, September 14). Pneumonia explained clearly by MedCram [Video file]. Retrieved from https://www.youtube.com/watch?v=nqyPECmkSeo

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Your Leadership Profile 2025

PLEASE FOLLOW THE INSTRUCTION BELOW THE PDF ARE MY LEADERSHIP TRAITS TO POST A BRIEF DESCRIPTION ON MY RESULT FROM STRENGTH FINDER ASSESSMENT ZERO PLAGIARISM FIVE REFERENCES Do you believe you have the traits to be an effective leader? Perhaps you are already in a supervisory role, but as has been discussed previously, appointment does not guarantee leadership skills. How can you evaluate your own leadership skills and behaviors? You can start by analyzing your performance in specific areas of leadership. In this Discussion, you will complete Gallup’s StrengthsFinder assessment. This assessment will identify your personal strengths, which have been shown to improve motivation, engagement, and academic self-conference. Through this assessment, you will discover your top five themes—which you can reflect upon and use to leverage your talents for optimal success and examine how the results relate to your leadership traits. To Prepare: Complete the StrengthsFinder assessment instrument, per the instructions found in this Module’s Learning Resources. Please Note: This Assessment will take roughly 30 minutes to complete. Once you have completed your assessment, you will receive your “Top 5 Signature Themes of Talent” on your screen. Click the Download button below Signature Theme Report, and then print and save the report. We also encourage you to select the Apply tab to review action items. NOTE: Please keep your report. You will need your results for future courses. Technical Issues with Gallup: If you have technical issues after registering, please contact the Gallup Education Support group by phone at +1.866-346-4408. Support is available 24 hours/day from 6:00 p.m. Sunday U.S. Central Time through 5:00 p.m. Friday U.S. Central Time. Reflect on the results of your Assessment, and consider how the results relate to your leadership traits. Download your Signature Theme Report to submit for this Discussion. By Day 3 of Week 5 Post a brief description of your results from the StrengthsFinder assessment. Then, briefly describe two core values, two strengths, and two characteristics that you would like to strengthen based on the results of your StrengthsFinder assessment. Be specific. Note: Be sure to attach your Signature Theme Report to your Discussion post.

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Area of Interest Power Point Presentation 2025

Purpose The process for affecting positive change to improve practice outcomes can start with either the identification of an area of interest or the identification of a potential or existing practice problem. Selecting an area of interest helps to define a direction for further inquiry. The purpose of this assessment is for students to identify and discuss an area of interest specific to advanced practice nursing. Students will identify a common practice problem related to the selected area of interest and provide a recommendation to affect positive change. Students will build on this project in later courses. Note: The purpose of the MSN project is to translate evidence currently found in the literature into practice within the chosen specialty track. Due to the research complexity, time involvement, and implications regarding human subjects, drug studies are not acceptable areas of interest for an MSN project. Requirements: Criteria for Content For this presentation, select an area of nurse practitioner (NP) practice that is of interest to you and in which you would like to see a practice change occur. Conduct a review of literature to see what is currently known about the topic and to find research support for the practice change you are recommending. You may use a topic from the list at the link below or may investigate a topic of your choice as long as it pertains to NP practice. If you are unsure of your topic, please reach out to your instructor. Be sure to provide speaker’s notes for all slides except the title and reference slides. Through this assignment, the student will demonstrate the ability to: Examine roles and competencies of advanced practice nurses essential to performing as leaders and advocates of holistic, safe, and quality care. (CO1) Analyze essential skills needed to lead within the context of complex systems. (CO3) Explore the process of scholarship engagement to improve health and healthcare outcomes in various settings. (CO4) List of Possible Topics Note: The purpose of the MSN project proposal is to translate evidence currently found in the literature into practice within the chosen specialty track. Due to the research complexity, time involvement, and implications regarding human subjects, drug studies are not acceptable areas of interest for a MSN project. FNP · Best evidence available about a topic (i.e. frequency of mammography) · Screening recommendations (i.e. PSA for prostate cancer) · Information about a healthcare-related phenomenon (i.e. when to talk to a person about ending treatment for a terminal illness, non-compliance of diet for individuals with congestive heart failure) · Vaccinations for adults and/or children · Early assessment for health-related concerns (i.e. depression in teenagers; suicide prevention for the elderly) · Life style changes (i.e. smoking cessation, increasing activity in teenagers) · Relationship between events or health concerns (i.e. relationship between dementia and caffeine consumption. · Selection on an intervention (i.e. use of small group theory to lessen anxiety) · Symptom management (i.e. pain, vomiting) Create an 8-12 slide PowerPoint Presentation that includes the following: Introduction : slide should identify concepts to be addressed and sections of the presentation. Include speaker’s notes that explain, in more detail, what will be covered. Evidence-based projects : slide should explain the general importance of master’s-prepared nurses engaging in evidence-based projects related to nursing practice and profession. Provide speaker’s notes with additional detail and support from at least one outside scholarly source (not the textbook or course lesson). Conceptual Model : slide should provide an illustration of a conceptual model that could be used to develop an evidence-based project. Possible models include The John’s Hopkins or Advancing Research and Clinical Practice through Close Collaboration (ARCC) Models or you may select another model you find in the literature. In the speaker’s notes, explain how the model would be applied to the development of an evidence-based project. Provide support from at least one outside scholarly source (not the textbook or course lesson). Area of Interest: identify an area of interest related to NP practice in which a practice change may be needed. Slide should identify the area of interest and what is currently known on the topic. Speaker’s notes more fully explain what is currently known and should provide rationale for why the area of interest is important to NP practice. Provide support from at least one outside scholarly source (not the textbook or course lesson). Issue/concern and recommendation for change : slide should identify a specific concern related to your general area of interest and your recommendation for a practice change. Speaker’s notes should more fully explain the recommended change and rationale for the change. Recommendation should be supported by at least one outside scholarly source (not the textbook or course lesson). Factors Influencing Change : slide should identify at least 2 internal and external factors that could impact your ability to implement your recommended change. Speaker’s notes should more fully explain how the factors you’ve identified would support or impede the implementation of your recommendations. Factors may be based on personal experience or on information you found in your research. If the identified factors come from the literature, provide reference citations to support your ideas. NONPF Competencies : slide identifies at least two NONPF Competencies that are relevant to an evidence-based project related to your area of interest. Speaker’s notes should explain how the competencies relate to your area of interest. Provide support from at least one outside scholarly source (not the textbook or course lesson). Conclusion : slide provides summary points of presentation. Speaker’s notes provide final comments on the topic. Preparing the presentation Submission Requirements Application: Use Microsoft Power Point™ to create the PowerPoint presentation. Length: The PowerPoint presentation must be 8-12 total slides (excluding title and reference slides). Speaker notes are used and include in-text citations when applicable. A minimum of four (4) scholarly literature references must be used. Submission: Submit your file: Last name_First initial_Wk6Assessment_Area of Interest. Best Practices in Preparing the Project The following are best practices in preparing this project: Review directions thoroughly. Follow submission requirements. Make sure all elements on the grading rubric are included. Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal, scientific writing. Review the Creating a Professional Presentation located resource. Ideas and information that come from scholarly literature must be cited and referenced correctly. Abide by CCN academic integrity policy. ASSIGNMENT CONTENT Introduction Slide should identify concepts to be addressed and sections of the presentation. Include speaker’s notes that explain, in more detail, what will be covered. Evidence-based projects Slide should explain the general importance of master’s-prepared nurses engaging in evidence-based projects related to nursing practice and profession. Provide speaker’s notes with additional detail and support from at least one outside scholarly source (not the textbook or course lesson). Conceptual Model Slide should provide an illustration of a conceptual model that could be used to develop an evidence-based project. Possible models include The John’s Hopkins or Advancing Research and Clinical Practice through Close Collaboration (ARCC) Models or you may select another model you find in the literature. In the speaker’s notes, explain how the model would be applied to the development of an evidence-based project. Provide support from at least one outside scholarly source (not the textbook or course lesson). Area of Interest Identify an area of interest related to NP practice in which a practice change may be needed. Slide should identify the area of interest and what is currently known on the topic. Speaker’s notes more fully explain what is currently known and should provide rationale for why the area of interest is important to NP practice. Provide support from at least one outside scholarly source (not the textbook or course lesson). Issue/concern and recommendation for change Slide should identify a specific concern related to your general area of interest and your recommendation for a practice change. Speaker’s notes should more fully explain the recommended change and rationale for the change. Recommendation should be supported by at least one outside scholarly source (not the textbook or course lesson). Factors Influencing Change Slide should identify at least 2 internal and external factors that could impact your ability to implement your recommended change. Speaker’s notes should more fully explain how the factors you’ve identified would support or impede the implementation of your recommendations. Factors may be based on personal experience or on information you found in your research. If the identified factors come from the literature, provide reference citations to support your ideas. NONPF Competencies Slide identifies at least two NONPF Competencies that are relevant to an evidence-based project related to your area of interest. Speaker’s notes should explain how the competencies relate to your area of interest. Provide support from at least one outside scholarly source (not the textbook or course lesson). Conclusion Slide provides summary points of presentation. Speaker’s notes provide final comments on the topic. ASSIGNMENT FORMAT APA Formatting 1) References on reference slide must be in APA format. May use bullets instead of hanging indents. 2) In-text citations on slides and in speaker’s notes must be in APA format. Writing Mechanics Writing mechanics follow the rules of grammar, spelling, word usage, punctuation, and other aspects of formal written work as found in the current edition of the APA manual. Presentation length meets assignment guidelines. Slide Formatting 1) Presentation has title slide 2) Presentation has reference slide(s) 3) Slides are professional in appearance and tone; 4) Slides are balanced spatially, including words and graphics.

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Week 8 Assignment: Evidence-Based Medicine: Research Presentation 2025

For this project, you will complete a clinical case study analysis, research review, and PowerPoint video presentation about the pathophysiology of a topic of your choice. Just Make powerpoint part I will present it. Your presentation should follow a case study SBAR format (situation, background, assessment, and recommendations). You must include three (3) different medical-based evidence and/or research recommendations. You must include at least three (3) scholarly sources in your overall presentation. Your PowerPoint presentation should include the following slides: Introduction to the case or situation Background detail Clinical assessment Recommendations Application to future practice Reference slide: At least three (3) scholarly references supporting your ideas.

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