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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.
MentalHelp.net. (n.d.). Impaired decision-making, impulsivity, and compulsivity: Addictions’ effect on the cerebral cortex.
https://www.mentalhelp.net/addiction/impulsivity-a…
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.
Lupi, M., Martinotti, G., Acciavatti, T., Pettorruso, M., Brunetti, M., Santacroce, R., Cinose, E., Di
Iorio, G., Di Nicola, M., & Di Giannantonio, M. (2014). Pharmacological treatments in gambling
disorder: A qualitative review. Biomed Research International, 2014.
https://doi.org/10.1155/2014/537306
Reference:
The Assignment: 5 pages
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 patientspecific resources, including the primary literature.
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