course materials

1. Treating Patients With Sleep/Wake Disorders HW
Treating Patients With Sleep/Wake Disorders HWTreating Patients With Sleep/Wake
Disorders HWAs a psychiatric nurse practitioner, you will likely encounter patients who
suffer from various mental health disorders. Not surprisingly, ensuring that your patients
have the appropriate psychopharmacologic treatments will be essential for their overall
health and well-being. The psychopharmacologic treatments you might recommend for
patients may have potential impacts on other mental health conditions and, therefore,
require additional consideration for positive patient outcomes. For this Assignment, you
will review and apply your understanding of psychopharmacologic treatments for patients
with multiple mental health disorders.To Prepare· Review the Learning Resources for this
week.· Reflect on the psychopharmacologic treatments that you have covered up to this
point that may be available to treat patients with mental health disorders.· Consider the
potential effects these psychopharmacologic treatments may have on co-existing mental
health conditions and/or their potential effects on your patient’s overall health.To
complete:Address the following Short Answer prompts for your Assignment. Be sure to
include references to the Learning Resources for this week.1. In 3 or 4 sentences, explain
the appropriate drug therapy for a patient who presents with MDD and a history of alcohol
abuse. Which drugs are contraindicated, if any, and why? Be specific. What is the timeframe
that the patient should see resolution of symptoms?ORDER NOW FOR CUSTOMIZED,
PLAGIARISM-FREE PAPERS2. List 4 predictors of late onset generalized anxiety disorder.3.
List 4 potential neurobiology causes of psychotic major depression.4. An episode of major
depression is defined as a period of time lasting at least 2 weeks. List at least 5 symptoms
required for the episode to occur. Be specific.5. List 3 classes of drugs, with a corresponding
example for each class, that precipitate insomnia. Be specific.By Day 7This Assignment is
due.Submission and Grading InformationTo submit your completed Assignment for review
and grading, do the following:· Please save your Assignment using the naming convention
“WK8Assgn1+last name+first initial.(extension)” as the name.· Click the Week 8 Assignment
1 Rubric to review the Grading Criteria for the Assignment.· Click the Week 8 Assignment 1
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 “WK8Assgn1+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. Treating Patients With Sleep/Wake Disorders HW· Click on the Submit
button to complete your submission.Grading CriteriaTo access your rubric:Week 8

2. Assignment 1 RubricAssignment 2: Assessing and Treating Patients With Sleep/Wake
DisordersSleep disorders are conditions that result in changes in an individual’s pattern of
sleep (Mayo Clinic, 2020). Not surprisingly, a sleep disorder can affect an individual’s
overall health, safety, and quality of life. Psychiatric nurse practitioners can treat sleep
disorders with psychopharmacologic treatments, however, many of these drugs can have
negative effects on other aspects of a patient’s health and well-being. Additionally, while
psychopharmacologic treatments may be able to address issues with sleep, they can also
exert potential challenges with waking patterns. Thus, it is important for the psychiatric
nurse practitioner to carefully evaluate the best psychopharmacologic treatments for
patients that present with sleep/wake disorders.Reference: Mayo Clinic. (2020). Sleep
disorders. https://www.mayoclinic.org/diseases-conditions/sleep-disorders/symptoms-
causes/syc-20354018To 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 with sleep/wake disorders.The Assignment: 5 pages not more than 6 pages
pleaseExamine Case Study: Pharmacologic Approaches to the Treatment of Insomnia in a
Younger Adult. 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 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
your response with clinically relevant and patient-specific resources, including the primary
literature.· What were you hoping to achieve by making this decision? 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 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 your response with clinically relevant and
patient-specific resources, including the primary literature.· What were you hoping to
achieve by making this decision? 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 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

3. specific and your response with clinically relevant and patient-specific resources,
including the primary literature.· What were you hoping to achieve by making this decision?
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 your response with clinically relevant and
patient-specific resources, including the primary literature.Note: your rationale with a
minimum of five academic resources. While you may use the course text to 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. The Sample Paper provided at
the Walden Writing Center provides an example of those required elements (available at
https://academicguides.waldenu.edu/writingcenter/templates/general#s-lg-box-
20293632). All papers submitted must use this formatting.By Day 7Submit your
Assignment.Submission and Grading InformationTo submit your completed Assignment for
review and grading, do the following:· Please save your Assignment using the naming
convention “WK8Assgn2+last name+first initial.(extension)” as the name.· Click the Week 8
Assignment 2 Rubric to review the Grading Criteria for the Assignment.· Click the Week 8
Assignment 2 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 “WK8Assgn2+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. Treating Patients With Sleep/Wake Disorders HWGrading CriteriaTo access
your rubric:Week 8 Assignment 2 Rubric// InsomniaInsomnia 31-year-old Male76-year-old
Iranian Male BACKGROUNDThis week, we examine a 31-year-old male who presents to the
office with a chief complaint of insomnia.SUBJECTIVEPatient is a 31-year-old male. He
states that his insomnia has gotten progressively worse over the past 6 months. Per the
patient, he has never been a “great sleeper” but is now having difficulty both falling asleep
and staying asleep at night. The problem began approximately 6 months ago after the
sudden loss of his fiancé. The patient states this is affecting his ability to perform his job,
which is a forklift operator at a local chemical company. The patient states he has used
diphenhydramine in the past to sleep but does not like the way it makes him feel the
morning after. He states he has fallen asleep on the job due to lack of sleep from the night
before. The patient’s medical record from his previous physician states that he has a history
of opiate abuse, which began after he broke his ankle in a skiing accident and was
prescribed hydrocodone/apap (acetaminophen) for acute pain management. The patient
has not received a prescription for an opiate analgesic in 4 years. The patient states recently
he has been using alcohol to help him fall asleep, approximately four beers prior to
bed.MENTAL STATUS EXAMThe patient is alert and oriented to person, place, time, event.
He makes good eye contact and is dressed appropriately for time of year. He denies
auditory/visual hallucinations. Judgement, insight, and reality contact are all intact. Patient

4. denies suicidal/homicidal ideation, and is future oriented.Decision Point OneSelect what
you should do:Zolpidem: 10 mg daily at bedtimeTrazodone: 50–100 mg daily at
bedtimeHydroxyzine: 50 mg daily at bedtime Treating Patients With Sleep/Wake Disorders
HW