Assignent Solutionnurs

Learning Goal: I’m working on a nursing case study and need guidance to help me learn.Examine Case Study: Pakistani Woman With Delusional Thought Processes. 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.
Delusional DisordersPakistani Female With Delusional Thought Processes
BACKGROUNDThe 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.
SUBJECTIVEClient reports that her mood is “good.” She denies auditory/visual
hallucinations but believes that the television talks to her. She
believes that Allah sends her messages through the TV. At times
throughout the clinical interview, she becomes hostile towards you but
then calms down.A review of her hospital records shows that she received a medical
workup from a physician, who reported her to be in overall good health.
Lab studies were all within normal limits. Client admits that she was tolerating her Risperdal well but stopped
taking about a week after she got out of the hospital because she thinks
her husband is going to poison her so that he can marry an American
woman.
MENTAL STATUS EXAMThe client is alert and oriented to person, place, time, and event.
She is dressed appropriately for the weather and time of year. She
demonstrates no noteworthy mannerisms, gestures, or tics. Her speech is
slow and, at times, interrupted by periods of silence. Self-reported
mood is euthymic. Affect is constricted. Although the client denies
visual or auditory hallucinations, she appears to be “listening” to
something. Delusional and paranoid thought processes as described above.
Insight and judgment are impaired. She is currently denying suicidal or
homicidal ideation.
You administer the PANSS which reveals the following scores:-40 for the positive symptoms scale-20 for the negative symptom scale-60 for general psychopathology scale
Diagnosis: Schizophrenia, paranoid type
RESOURCESPANSS Scale. Available at: http://egret.psychol.cam.ac.uk/medicine/scales/PANSS § Kay, S. R., Fiszbein, A., & Opler, L. A. (1987). The Positive
and Negative Syndrome Scale (PANSS) for schizophrenia. Schizophrenia
Bulletin, 13(2), 261–276. doi:10.1093/schbul/13.2.261https://www.clozapinerems.com/CpmgClozapineUI/rems/pdf/resources/Clozapine_REMS_A_Guide_for_Healthcare_Providers.pdf § Clozapine REMS Program. (n.d.). Clozapine REMS: A guide for healthcare providers. Retrieved September 7, 2016, from https://www.clozapinerems.com/CpmgClozapineUI/rems/pdf/resources/Clozapine_REMS_A_Guide_for_Healthcare_Providers.pdfhttp://www.ima.org.il/FilesUpload/IMAJ/0/40/20149.pdf§ Paz, Z., Nalls, M., and Ziv, E. (2011). The genetics of benign
neutropenia. Israel Medical Association Journal, 13(10), 625–629.
Retrieved from http://www.ima.org.il/FilesUpload/IMAJ/0/40/20149.pdf
Decision Point OneSelect what you should do:
Start Zyprexa (olanzapine) 10 mg orally at BEDTIME
Start Invega Sustenna 234 mg IM X1 followed by 156 mg IM on day 4 and monthly thereafter
Start Abilify (aripiprazole) 10 mg orally at BEDTIME
Requirements: 5 pages