Therapy for Clients With Comorbid Conditions

Therapy for Clients With Comorbid Conditions

Therapy for Clients With Comorbid Conditions
Week 11: Therapy for Clients With Comorbid Conditions
As a psychiatric mental health nurse practitioner, you will frequently work with clients who have comorbid conditions. For instance, you may treat a 19-year-old male with Down syndrome and increasing violent behaviors; a middle-aged female with schizophrenia, diabetes, and poor renal function; or an older adult with a mental disorder, stage I Alzheimer’s disease, and chronic obstructive pulmonary disease (COPD). In cases like these, you must draw from foundational knowledge of pathophysiology and collaborate with other healthcare providers to ensure optimal safely and efficacy of psychopharmacological therapies for clients. Therapy for Clients With Comorbid Conditions
This week, as you study therapy for patients with comorbid conditions, you examine psychopharmacologic approaches to treatment for clients across the lifespan. Therapy for Clients With Comorbid Conditions.
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Final Exam
This exam will cover the following topics, which relate to psychopharmacologic approaches to treatment for clients across the lifespan:

Therapy for Clients with Pain and Sleep/Wake Disorders
Therapy for Clients with Impulsivity, Compulsivity, and Addiction
Therapy for Clients with ADHD
Therapy for Clients with Dementia
Therapy for Clients with Comorbid Conditions. Therapy for Clients With Comorbid Conditions

Learning Objectives
Students will:

Assess psychopharmacologic approaches to treatment for clients across the lifespan

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. Therapy for Clients With Comorbid Conditions.
Required Readings
Note: All Stahl resources can be accessed through the Walden Library using this link. This link will take you to a log-in page for the Walden Library. Once you log into the library, the Stahl website will appear.
Stahl, S. M. (2014a). Stahl’s illustrated violence: Neural circuits, genetics and treatment. New York, NY: Cambridge University Press. Therapy for Clients With Comorbid Conditions.
To access the following chapter, click on the Illustrated Guides tab and then the Violence tab.

Chapter 3, “Treatment of Violence and Aggression”

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 Alzheimer’s disease

donepezil
galantamine
memantine
rivastigmine

For Parkinson’s disease with dementia

rivastigmine

Crocker, A. G., Prokić, A., Morin, D., & Reyes, A. (2014). Intellectual disability and co-occurring mental health and physical disorders in aggressive behaviour. Journal of Intellectual Disability Research, 58(11), 1032–1044. doi:10.1111/jir.12080. Therapy for Clients With Comorbid Conditions.
 
Note: Retrieved from from the Walden Library databases.
Erickson, S. C., Le, L., Zakharyan, A., Stockl, K. M., Harada, A. M., Borson, S., & … Curtis, B. (2012). New-onset treatment-dependent diabetes mellitus and hyperlipidemia associated with atypical antipsychotic use in older adults without schizophrenia or bipolar disorder. Journal of the American Geriatrics Society, 60(3), 474–479. doi:10.1111/j.1532-5415.2011.03842.x
Hulvershorn, L. A., Schroeder, K. M., Wink, L. K., Erickson, C. A., & McDougle, C. J. (2015). Psychopharmacologic treatment of children prenatally exposed to drugs of abuse. Human Psychopharmacology, 30(3), 164–172. doi:10.1002/hup.2467. Therapy for Clients With Comorbid Conditions
Note: Retrieved from from the Walden Library databases.
Malhotra, A. K., Zhang, J., & Lencz, T. (2012). Pharmacogenetics in psychiatry: Translating research into clinical practice. Molecular Psychiatry, 17(8), 760–769. doi:10.1038/mp.2011.146
Note: Retrieved from from the Walden Library databases.
Substance Abuse and Mental Health Services Administration. (2013). Substance abuse treatment for persons with co-occurring disorders: A treatment improvement protocol. Treatment Improvement Protocol (TIP) Series 42. Rockville, MD: Author. Retrieved from http://store.samhsa.gov/shin/content//SMA13-3992/SMA13-3992.pdf
Document: Final Exam Study Guide (PDF)
Optional Resources
Stahl, S. M. (2014a). Stahl’s illustrated violence: Neural circuits, genetics and treatment. New York, NY: Cambridge University Press. Therapy for Clients With Comorbid Conditions.
To access the following chapters, click on the Illustrated Guides tab and then the Violence tab.
 

Chapter 1, “Which Individuals Will Become Violent or Aggressive?”
Chapter 2, “Neurobiology and Genetics of Violence and Aggression”

Final Exam:
This exam will cover the following topics, which relate to psychopharmacologic approaches to treatment for clients across the lifespan:

Therapy for Clients with Pain and Sleep/Wake Disorders
Therapy for Clients with Impulsivity, Compulsivity, and Addiction
Therapy for Clients with ADHD
Therapy for Clients with Dementia
Therapy for Clients with Comorbid Conditions. Therapy for Clients With Comorbid Conditions

By Day 7
Complete the Final Exam. Prior to starting the exam, you should review all of your materials. There is a 2-hour time limit to complete this 76-question exam. You may only attempt this exam once.
This exam is a test of your knowledge in preparation for your certification exam. No outside resources including books, notes, websites, or any other type of resource are to be used to complete this exam. You are expected to comply with Walden University’s Code of Conduct. Submit Your Final Exam by Day 7. Therapy for Clients With Comorbid Conditions

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