Assignment: Assessing and Treating Clients With Impulsivity Compulsivity and Addiction NURS 6630N

The Assignment
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 stop to complete the following:
 Decision #1
o Which decision did you select?
o Why did you select this decision? Support your response with evidence and references to the
Learning Resources.
o What were you hoping to achieve by making this decision? Support your response with
evidence and references to the Learning Resources.
o Explain any difference between what you expected to achieve with Decision #1 and the results
of the decision. Why were they different?
 Decision #2
o Why did you select this decision? Support your response with evidence and references to the
Learning Resources.
o What were you hoping to achieve by making this decision? Support your response with
evidence and references to the Learning Resources.
o Explain any difference between what you expected to achieve with Decision #2 and the results
of the decision. Why were they different?
 Decision #3
o Why did you select this decision? Support your response with evidence and references to the
Learning Resources.
o What were you hoping to achieve by making this decision? Support your response with
evidence and references to the Learning Resources.
o Explain any difference between what you expected to achieve with Decision #3 and the results
of the decision. Why were they different?
Note: Support your rationale with a minimum of three academic resources. While you
may use the course text to support your rationale, it will not count toward the resource
requirement.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
 Please save your Assignment using the naming convention “WK8Assgn+last name+first
initial.(extension)” as the name.
 Click the Week 8 Assignment Rubric to review the Grading Criteria for the Assignment.
 Click the Week 8 Assignment link. You will also be able to “View Rubric” for grading criteria
from this area.
 Next, from the Attach File area, click on the Browse My Computer button. Find the document
you saved as “WK8Assgn+last name+first initial.(extension)” and click Open.
 If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my
paper(s) to the Global Reference Database.
 Click on the Submit button to complete your submission.
Grading Criteria
To access your rubric:

Week 8 Assignment Rubric
Check Your Assignment Draft for Authenticity
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Submit your Week 8 Assignment draft and review the originality report.
Submit Your Assignment by Day 7
To submit your Assignment:
Week 8 Assignment

Making Connections

Now that you have:
 Assessed clients presenting with impulsivity, compulsivity, and addiction
 Developed personalized plans of therapy for clients with impulsivity, compulsivity, and addiction
 Examined factors that influence pharmacokinetic and pharmacodynamic processes in clients
requiring therapy for impulsivity, compulsivity, and addiction
 Explored ethical and legal implications of prescribing therapy to clients with impulsivity,
compulsivity, and addiction
Next week, you will build on your assessment and treatment skills as you examine
clients presenting for therapy for ADHD.

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Assignment: Assessing and Treating Clients With Impulsivity Compulsivity and Addiction NURS 6630N

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Learning Resources
Note: To access this week’s required library resources, please click on the link to the
Course Readings List, found in the Course Materials section of your Syllabus.
Required Readings
Note: All Stahl resources can be accessed through this link provided.

Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and
practical applications (4th ed.). New York, NY: Cambridge University Press.

To access the following chapters, click on the Essential Psychopharmacology, 4th ed
tab on the Stahl Online website and select the appropriate chapter. Be sure to read all
sections on the left navigation bar for each chapter.
 Chapter 14, “Impulsivity, Compulsivity, and Addiction”
Stahl, S. M., & Grady, M. (2012). Stahl’s illustrated substance use and impulsive
disorder New York, NY: Cambridge University Press.

To access the following chapter, click on the Illustrated Guides tab and then the
Substance Use and Impulsive Disorders tab.
 Chapter 10, “Disorders of Impulsivity and Compulsivity”
Stahl, S. M. (2014b). The prescriber’s guide (5th ed.). New York, NY: Cambridge
University Press.
To access information on the following medications, click on The Prescriber’s Guide,
5th ed tab on the Stahl Online website and select the appropriate medication.
Review the following medications:
For insomnia
For obsessive-compulsive disorder
 Citalopram
 clomipramine
 escitalopram
 fluoxetine
 fluvoxamine
 paroxetine
 sertraline
 venlafaxine
 vilazodone
For alcohol withdrawal
 chlordiazepoxide
 clonidine
 clorazepate
 diazepam
 lorazepam
 oxazepam
For bulimia nervosa and binge eating
 fluoxetine
 topiramate
 zonisamide
For alcohol abstinence
 acamprosate
 disulfiram
For alcohol dependence
 nalmefene
 naltrexone
For opioid dependence
 buprenorphine
 naltrexone

For nicotine addiction
 bupropion
 varenicline
Book Excerpt: Substance Abuse and Mental Health Services Administration. (1999).
Treatment of adolescents with substance use disorders. Treatment Improvement
Protocol Series, No. 32. Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK64350/
 Chapter 1, “Substance Use Among Adolescents”
 Chapter 2, “Tailoring Treatment to the Adolescent’s Problem”
 Chapter 7, “Youths with Distinctive Treatment Needs”
Childhood trauma linked to worse impulse control. (2016). Journal of Psychosocial
Nursing & Mental Health Services, 54(4), 15.

Grant, J. E., Odlaug, B. L., & Schreiber, L. N. (2014). Pharmacological treatments in
pathological gambling. British Journal of Clinical Pharmacology, 77(2), 375-381.
doi:10.1111/j.1365-2125.2012.04457.x

Loreck, D., Brandt, N. J., & DiPaula, B. (2016). Managing opioid abuse in older adults:
Clinical considerations and challenges. Journal of Gerontological Nursing, 42(4), 10-15.
doi:http://dx.doi.org/10.3928/00989134-20160314-04

Salmon, J. M., & Forester, B. (2012). Substance abuse and co-occurring psychiatric
disorders in older adults: A clinical case and review of the relevant literature. Journal of
Dual Diagnosis, 8(1), 74-84. doi:10.1080/15504263.2012.648439

Sanches, M., Scott-Gurnell, K., Patel, A., Caetano, S. C., Zunta-Soares, G. B., Hatch, J.
P., & … Soares, J. C. (2014). Impulsivity in children and adolescents with mood
disorders and unaffected offspring of bipolar parents. Comprehensive Psychiatry, 55(6),
1337-1341.
Required Media
Laureate Education (2016c). Case study: A Puerto Rican woman with comorbid
addiction [Interactive media file]. Baltimore, MD: Author
Note: This case study will serve as the foundation for this week’s Assignment.