Mood disorders can impact every facet of a human being’s life, making the most basic activities difficult for patients and their families. This was the case for 13-year-old Jeanette, who was struggling at home and at school. For more than 8 years, Jeanette suffered from temper tantrums, impulsiveness, inappropriate behavior, difficulty in judgment, and sleep issues. 

As a PNP working with pediatric patients, you must be able to assess whether these symptoms are caused by psychological, social, or underlying growth and development issues. You must then be able recommend appropriate therapies. 

This week, as you examine antidepressant therapies, you explore the assessment and treatment of three populations: pediatrics, adults, and geriatrics. The focus of your assessment tool, a decision tree, will specifically center on one of the most vulnerable populations, pediatrics. Please remember, you must also consider the ethical and legal implications of these therapies. You will also complete a Quiz on the concepts addressed throughout this module. 

Assignment- Decision tree 

Required: media file within classroom  (https://cdnfiles.laureate.net/2dett4d/Walden/NURS/6521/05/mm/decision_trees/week_02/index.html) 

You will write a formal (APA formatted) paper no more than 5-6 pages long addressing the media file as directed in the classroom directions

Assignment: Assessing and Treating Pediatric Patients With Mood Disorders

When pediatric patients present with mood disorders, the process of assessing, diagnosing, and treating them can be quite complex. Children not only present with different signs and symptoms than adult patients with the same disorders, they also metabolize medications much differently. Yet, there may be times when the same psychopharmacologic treatments may be used in both pediatric and adult cases with major depressive disorders. As a result, psychiatric nurse practitioners must exercise caution when prescribing psychotropic medications to these patients. For this Assignment, as you examine the patient case study in this week’s Learning Resources, consider how you might assess and treat pediatric patients presenting with mood disorders.

To prepare for this Assignment:

· Review this week’s Learning Resources, including the Medication Resources indicated for this week.

· Reflect on the psychopharmacologic treatments you might recommend for the assessment and treatment of pediatric patients requiring antidepressant therapy.

The Assignment: 5 pages

Examine Case Study: An African American Child Suffering From Depression. 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. While you may use the course text to support your rationale, it will not count toward the resource requirement. You should be utilizing the primary and secondary literature..

Reminder : The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references.

 Your friend Bruce calls in a panic. He has just come from the doctor and been diagnosed with a bacterial infection. The doctor told him not to worry; his B cells will take care of it in no time! Knowing that you are studying the immune response, he is calling to ask you to explain this statement. Is the doctor correct? Is there more to the story? 

Newman pointed out that, “nurse client relationships often begin during periods of disruption, uncertainty, and unpredictability in patient’s lives” (Smith & Parker, 2015, p. 288). Explore what she means by this statement. Then, reflect on a patient that you cared for that you could apply her theory to. Provide details of the interaction and outcomes.

Instructions
Plays are meant to be performed, rather than read. The purpose of dramatic arts often extends far beyond the words written on a page; staging, lighting, costumes intonation, expression, and audience experience are all part of the experience of a theatrical production. To develop your understanding of the cultural role of the dramatic arts, you will view a production of a play this week and write a reflection to explain your viewing experience. Choose a play that you would like to view and find a version online, YouTube, DVD or iTunes, Amazon, Netflix, etc. You can also choose to see a play live if you prefer.

Play Suggestions:

• A Midsummer Night’s Dream
• Romeo and Juliet
• As You Like It
• Taming of the Shrew
• The Tempest
• Much Ado About Nothing
• The Comedy of Errors
• Macbeth
• King Lear

If you have another idea, please ask your instructor to approve it.

Then, select and address one of the following options:

Option 1: Write an analysis of the play that you viewed. Include at least one quote from the play in your essay. In your essay, address the following:

• Identify the performance that you have selected.
• Describe the staging, lighting, costumes, and characters of the performance. How do these match or revise the written version of the play? You do not need to read the entire play, but you should skim the text.
• What type of mood and tone does the performance create? How?
• What parts of the play are easier to understand through performance? What are some details that stood out through performance?
• What are your feelings about this performance? What did you take away from viewing it?

Option 2: Find an adaptation or transformation of a play. Choose an adaptation with some significant differences from the original, such as transposed plots and characters into a variety of different settings and historical contexts. Here are some examples:

• A Midsummer Night’s Dream – A Midsummer Night’s Dream (1999) or A Midsummer Night’s DREAM (2018)
• Romeo and Juliet – Romeo + Juliet (1996) or West Side Story (1961) or Romeo Must Die (2000)
• As You Like It – As You Like It (2006)
• Taming of the Shrew – 10 Things I Hate About You (1999) or Kiss Me, Kate (1948)
• Much Ado About Nothing – Much Ado About Nothing (2012)
• The Comedy of Errors – The Bomb-itty of Errors (2012)
• King Lear – A Thousand Acres (1997)
• Othello – O (2001)
• Hamlet – The Lion King (2019 or 1994) or Hamlet (2000)
• Twelfth Night – She’s the Man (2006)

If you have another idea, please ask your instructor to approve it.

Watch the original version and the adapted version. In your essay, address the following:

• How is the adaptation the same as the original? Discuss plot, characters, theme, conflict, language, etc.
• How does the adaptation differ from the original? Discuss setting, time period, characters, plot, language, etc.
• Does the original story translate well in the adaptation? Why or why not? Did the adaptation work in a different setting, time period, etc. Why or why not?
• Why do you think Shakespeare’s plays are adapted so often?

Writing Requirements (APA format)

• Length: 1.5-2 pages (not including title page or references page)
• 1-inch margins
• Double spaced
• 12-point Times New Roman font
• Title page
• References page (minimum of 1 source)

Grading
This activity will be graded based on the W4 Essay Grading Rubric.

Course Outcomes (CO): 1, 2, 3, 4