Assignment: Assessing and Treating Patients With Impulsivity, Compulsivity, and Addiction

Impulsivity, compulsivity, and addiction are challenging disorders for patients across the life span. Impulsivity is the inclination to act upon sudden urges or desires without considering potential consequences; patients often describe impulsivity as living in the present moment without regard to the future (MentalHelp.net, n.d.). Thus, these disorders often manifest as negative behaviors, resulting in adverse outcomes for patients. For example, compulsivity represents a behavior that an individual feels driven to perform to relieve anxiety (MentalHelp.net, n.d.). The presence of these behaviors often results in addiction, which represents the process of the transition from impulsive to compulsive behavior.

In your role as the psychiatric nurse practitioner (PNP), you have the opportunity to help patients address underlying causes of the disorders and overcome these behaviors. For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat clients presenting with impulsivity, compulsivity, and addiction.

Reference: MentalHelp.net. (n.d.). Impaired decision-making, impulsivity, and compulsivity: Addictions’ effect on the cerebral cortex. https://www.mentalhelp.net/addiction/impulsivity-and-compulsivity-addictions-effect-on-the-cerebral-cortex/

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 patients requiring therapy for impulsivity, compulsivity, and addiction.

The Assignment: 5 pages.  (Case Study Link: https://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6630/DT/week_08/index.html) 

Examine Case Study: A Puerto Rican Woman With Comorbid Addiction. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’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.

 

This project requires you to develop a personal budget from scratch using MS Excel. It is important that businesses and individuals track spending and create budgets for financial planning. How many of you have scribbled notes on the back of a scratch piece of paper that you throw away after writing bills for the month? In this scenario, MS Excel can be useful to create a budget that you can track electronically. Create your own worksheet that incorporates the major features that you have learned about in the first half of the course. Include income and expenses for all 12 months in the budget. All of this information should be fictitious. Please do not include any of your own personal information.

You will be graded on use of all features, professional impact, organization, creativity and overall impression. (Remember, creativity makes an impression!) Be sure to include these key features (and more): number formatting, wrapping text, merging cells, naming worksheets, formulas, functions, font styles and sizes, borders, adjustments to column width and row height, cell borders and fill colors, mathematical operators, and relative and absolute cell references. Upon completion, upload your Excel Spreadsheet to the Assignments area.

 

• Develop a personal budget from scratch using MS Excel.
• Create your own worksheet that incorporates income for all 12 months in the budget.
• Create your own worksheet that incorporates expenses for all 12 months in the budget.
• You should be able track your budget by subtracting your expenses from your income using a formula.

50

50

Professional Impact: Be sure to include these key features (and more): font styles and sizes, borders, adjustments to column width and row height, cell borders and fill colors.

10

10

Organization: Be sure to include these key features (and more): number formatting, wrapping text, merging cells, and naming worksheets

10

10

Creativity: Be sure to include these key features (and more): mathematical operators and formulas.

10

10

Overall Impression: Develop a personal budget from scratch using MS Excel.

The client is a 34-year-old Pakistani female who moved to the United States in her late teens/early 20s. She is currently in an “arranged” marriage (her husband was selected for her when she was 9 years old). She presents following a 21-day hospitalization for what was diagnosed as “brief psychotic disorder.” She was given this diagnosis as her symptoms have persisted for less than 1 month. 

Prior to admission, she was reporting visions of Allah, and over the course of a week, she believed that she was the prophet Mohammad. She believed that she would deliver the world from sin. Her husband became concerned about her behavior to the point that he was afraid of leaving their 4 children with her. One evening, she was “out of control,” which resulted in his calling the police and her subsequent admission to an inpatient psych unit.

During today’s assessment, she appears quite calm and insists that the entire incident was “blown out of proportion.” She denies that she believed herself to be the prophet Mohammad and states that her husband was just out to get her because he never loved her and wanted an “American wife” instead of her. She says she knows this because the television is telling her so. 

She currently weighs 140 lbs., and she is 5’ 5.

 

Developing Your Team

Overview

Continue in the same role and use the same company that you used for  your assignments, Creating a Culture of Innovation and Creativity and  Leadership Strategies for HR.

It’s time to develop your team! You are planning a virtual meeting  to ensure that your management team members are all on the same page.  You will be presenting on diversity, team dynamics, ethics, and aligning  new employees with your company’s mission.

Instructions

Create a 15–20 slide PowerPoint presentation in which you:

1. Provide the company’s mission statement.     
   • Be sure to integrate any relevant feedback from your Week 6 assignment.
2. Describe two management strategies you will implement to ensure  that your new team members align with your company’s mission and discuss  how you plan to measure the effectiveness of each strategy. Provide a  rationale for your choice of strategies.
3. Discuss one method you will use to manage diversity and how you  plan to measure its effectiveness. Explain why you chose this method.
4. Discuss two strategies you will use to optimize team dynamics and  how you plan to measure the effectiveness of each strategy. Provide a  rationale for your choices.
5. Explain the importance of ethical behavior to the organization’s culture and any ethical dilemmas created by globalization.
6. Include presenter’s notes or record audio for each slide, as if  you were actually presenting in front of your management team members.     
   • Refer to Kaltura Help [PDF] as needed.
7. Use at least three quality resources in this assignment. Note:  Wikipedia and similar websites do not qualify as quality resources.

This course requires the use of Strayer Writing Standards. For  assistance and information, please refer to the Strayer Writing  Standards link in the left-hand menu of your course. Check with your  professor for any additional instructions.

The specific course learning outcome associated with this assignment is:

• Propose a plan for creating a team of employees that addresses  diversity, team dynamics, and alignment with the company’s mission.

Jewish History 

Part 1: Common Holy Days in Jewish Religious Traditions

Complete the table below with information about common Jewish holy days (such as Rosh Hashanah or Passover). Identify at least seven Jewish religious holy days and place each holy day in the correct season (time of year). Provide a brief explanation of each holy day you identified.

Note: An example has been provided. You may add additional rows or move the text fields to different locations within the table as needed. 

Fall 

(September – November)

Winter 

(December – February)

Spring

(March – May)

Summer

(June – August)

Enter text.

Example:

Hanukkah

Hanukkah is an 8 day-long Festival of Lights. It is a celebration of the victory of the Maccabees over the armies of Syria, as well as the rededication of the Temple in Jerusalem.

Enter text.

Enter text.

Enter text.

Enter text.

Enter text.

Enter text.

Part 2: Major Sects of Judaism

Select 3 major sects of contemporary Judaism to compare and contrast. Identify them in the table below.

Sect of Judaism

Enter text.

Sect of Judaism

Enter text.

Sect of Judaism

Enter text.

In the table below, list at least 2 similarities and 2 differences among the sects of Judaism you selected. 

Similarities

Differences

Enter text.

Enter text.

Part 3: Summary

Write a 525- to 700-word summary that includes the following:

• A description of the life and importance of 1 key person in Jewish history (person must be from a historical figure from Judaism, such as Abraham, Isaiah, or Josephus.) 
• An explanation of 1 key event in the history of Judaism that is connected to that person
• A description of any rituals, symbols, or sacred texts in Judaism associated with this event or person
• Brief explanation of Jewish ethics

Summary

Enter text.

References

Enter text.