The Assignment: 5 pages

Examine Case Study: An African American Child Suffering From Depression (Link: https://cdnfiles.laureate.net/2dett4d/Walden/NURS/6521/05/mm/decision_trees/week_02/index.html). You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes.

At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.

Introduction to the case (1 page)

• Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.

Decision #1 (1 page)

• Which decision did you select?
• Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
• Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #2 (1 page)

• Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
• Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #3 (1 page)

• Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
• Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Conclusion (1 page)

Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.

Note: Support your rationale with a minimum of five academic resources. 

The Discussion: 

  Discuss and redefine the causes of absenteeism and give examples of how to assist the employee and How should the nurse manager respond to employees with chronic absenteeism?.

• Must address the topic.
• Rationale must be provided.
• May list examples from your own nursing practice.
• 150-word minimum/250-word maximum without the references.
• Minimum of two references (the course textbook must be one of the references) in APA format, must have been published within last 3-5 years.

 I NEED A RESPONSE TO THIS ASSIGNMENT

2 REFERENCES

 You mentioned the patient has diagnoses of attention deficit hyperactivity disorder (ADHD) and adjustment disorder.  “Many children with ADHD and their families struggle with oppositional behavior, conduct problems, and aggression” (Pringsheim, Hirsch, Gardner, & Gorman, 2015a, p. 42).  Tenex and Strattera are moderately effective for adjustment disorder, but stimulants are the most effective medications for children with ADHD and comorbid conduct problems, oppositional behavior, and aggression (Pringsheim et al., 2015a).  While risperidone has been shown to be effective in children and adolescents with below average intelligence, evidence to support the use of antipsychotics and mood stabilizers in children with these comorbid disorders is of low quality (Pringsheim, Hirsch, Gardner, & Gorman, 2015b).

References

Pringsheim, T., Hirsch, L., Gardner, D., & Gorman, D. A. (2015a). The pharmacological management of oppositional behavior, conduct problems, and aggression in children and adolescents with attention-deficit hyperactivity disorder, oppositional defiant disorder, and conduct disorder: A systematic review and meta-analysis. Part 1: psychostimulants, alpha-2 agonists, and atomoxetine. The Canadian Journal of Psychiatry, 60(2), 42-51. doi:10.1177/070674371506000202

Pringsheim, T., Hirsch, L., Gardner, D., & Gorman, D. A. (2015b). The pharmacological management of oppositional behavior, conduct problems, and aggression in children and adolescents with attention-deficit hyperactivity disorder, oppositional defiant disorder, and conduct disorder: A systematic review and meta-analysis. Part 2: Antipsychotics and traditional mood stabilizers. The Canadian Journal of Psychiatry, 60(2), 52-61. doi:10.1177/070674371506000203

  

Discuss cultural disparity in health care for the Hispanic community in USA and that you believe as an Advanced Psychiatric Nurse Practitioner you can impact in practice. 

Instructions:

Use an APA 7 style and a minimum of 200 words. Provide support from a minimum of at least three (3) scholarly sources. The scholarly source needs to be: 1) evidence-based, 2) scholarly in nature, 3) Sources should be no more than five years old (published within the last 5 years), and 4) an in-text citation. citations and references are included when information is summarized/synthesized and/or direct quotes are used, in which APA style standards apply. 

• Textbooks are not considered scholarly sources. 

• Wikipedia, Wikis, .com website or blogs should not be used.