N521-19B_21 Module 7 Assignment 3
N521-19B_21 Module 7 Assignment 3
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Assignment 3
L. P., age 23, is a Hispanic woman who graduated from college last year. She reports to the CNP in her local community mental health center. She began working as an accountant 1 month after graduating. Approximately 2 months ago, she moved into a two-bedroom apartment with another woman who works at the same accounting firm. She states that her roommate recommended that she see a doctor to find out if she has anemia or “some sort of fatigue syndrome.” She states that she has felt “restless” and “on edge” for most of the past 9 months. She becomes easily fatigued and irritable and has difficulty concentrating and falling asleep. She states that sometimes her mind “just goes blank,” and she is worried that her work performance is no longer excellent. She reports that all her life she had good grades in school and was very successful in everything she attempted. Although she has been “a worrier from the day I was born,” now she worries more than she ever has and feels nervous “all the time.” L. P. reports that she has a good relationship with her boyfriend but they do not get to see each other very often because he is attending graduate school 100 miles away. She reports having a satisfying sexual relationship with him. She denies having any problems with relationships with her parents, roommate, or peers. She denies having any financial worries unless she is fired from her job for poor work performance. She reports that she has always been healthy and has taken good care of herself. The only medication she takes is birth control pills, which she has taken for the past 4 years without any adverse effects. N521-19B_21 Module 7 Assignment 3
In a paper not to exceed six pages, excluding title and reference pages, submit your answers to the following in an MS Word document:
- What is L. P.’s likely diagnosis?
- List specific pharmacotherapeutic treatment goals for L. P.
- Should the CNP order any labs for L. P. at this time? Why?
- What drug therapy would the CNP likely prescribe? Why?
- What are the parameters for monitoring the success of the therapy?
- Describe specific patient monitoring based on the prescribed therapy.
- List one or two adverse reactions for the selected agent that would cause the CNP to change therapy.
- L. P. returns to see the CNP after six weeks, complaining of still feeling anxious and had heard of a medication called Klonopin that she would like to try; how should the CNP respond to her request?
- What health promotion activities should be recommended for this patient?
- What is L. P.’s long-term prognosis?
Please use the Case Study Analysis rubric provided to guide you in completing this assignment. It will be used to evaluate your submitted work. N521-19B_21 Module 7 Assignment 3
Competency
40
36
33
0
Points Earned
Case Study questions completely and thoroughly answered with accurate evidence-based supported rationales
Accurate and well defined discussion of all 10 questions for the case study using current evidence-based resources.
Accurate discussion of nine case study questions presented with use of current evidence-based resources.
Accurate discussion of 8 questions using current evidence-based resources
Missing response to questions or inappropriate answers to questions. No use of evidence-based resources.
/40
40
36
33
0
Evidence of
critical thinking
therapeutic decision-making in drug selection and evaluation of patient care
pathophysiology and current pharmacological research
assessment of the effectiveness of drug therapy
formulation of clinical care and teaching plans for persons from diverse populations
Well-defined evidence of
critical thinking
therapeutic decision-making in drug selection and evaluation of patient care
pathophysiology and current pharmacological research
assessment of the effectiveness of drug therapy
formulation of clinical care and teaching plans for persons from diverse populations
Evidence of critical thinking in prescriptive therapy, monitoring and adverse events. May have lacked a teaching plan or pathophysiologic discussion.
Evidence of critical thinking but incompletely described therapeutic decision making and omitted teaching plan and pathophysiology.
Multiple bulleted points are absent or poorly defined in the assignment. There is no demonstration of critical thinking.
/40
Competency
10
9
8
0
Points Earned
Grammar, spelling, and punctuation N521-19B_21 Module 7 Assignment 3
There are no errors in grammar, spelling, and punctuation
There are a few minor errors in grammar, spelling, and punctuation that do not detract from the meaning (1-3 errors)
There are major errors in grammar, spelling, and punctuation .(4-5 errors)
No content or more than 5 errors
/10
Competency
10
9
8
0
APA Compliance
The paper meets APA formatting guidelines
There are a few minor errors (1-3 errors)
There are significant errors in the format of the paper (4-5 errors)
No content or more than 5 errors
/10
Total Points
/100
|
Competency |
40 |
36 |
33 |
0 |
Points Earned |
| Case Study questions completely and thoroughly answered with accurate evidence-based supported rationales | Accurate and well defined discussion of all 10 questions for the case study using current evidence-based resources. | Accurate discussion of nine case study questions presented with use of current evidence-based resources. N521-19B_21 Module 7 Assignment 3 | Accurate discussion of 8 questions using current evidence-based resources |
Missing response to questions or inappropriate answers to questions. No use of evidence-based resources. |
/40 |
|
40 |
36 |
33 |
0 |
|
|
Evidence of
|
Well-defined evidence of
|
Evidence of critical thinking in prescriptive therapy, monitoring and adverse events. May have lacked a teaching plan or pathophysiologic discussion. | Evidence of critical thinking but incompletely described therapeutic decision making and omitted teaching plan and pathophysiology. |
Multiple bulleted points are absent or poorly defined in the assignment. There is no demonstration of critical thinking. |
/40 |
|
Competency |
10 |
9 |
8 |
0 |
Points Earned |
| Grammar, spelling, and punctuation | There are no errors in grammar, spelling, and punctuation | There are a few minor errors in grammar, spelling, and punctuation that do not detract from the meaning (1-3 errors) | There are major errors in grammar, spelling, and punctuation .(4-5 errors) | No content or more than 5 errors |
/10 |
|
Competency |
10 |
9 |
8 |
0 |
|
| APA Compliance |
The paper meets APA formatting guidelines |
There are a few minor errors (1-3 errors) N521-19B_21 Module 7 Assignment 3 |
There are significant errors in the format of the paper (4-5 errors) |
No content or more than 5 errors |
/10 |
| Total Points |
|
/100 |
Submission status
Discussion 7
J. T., who is a Native American male, age 8, is always interrupting his teacher, jumping out of his seat in class, fidgeting relentlessly, and butting into other children’s games. At home, he runs around recklessly and is uncontrollable. His mother comes to the CNP in the Pediatric Clinic and wonders why he will not listen. She is concerned because his grades at school are dropping. After medical evaluation, you find nothing wrong with J. T. physically, and he is taking no other medications. Through questioning, you determine that he has trouble concentrating on his homework, often forgets he has homework, loses pieces of games frequently, and hates to sit and read. His mother is unsure of the time frame over which these behaviors developed, but she thinks it has been since her second child was born 5 years ago. While in your office, J. T. did not seem to be hyperactive or inattentive, but you notice he is easily distracted by people passing in the hallway because the door is slightly ajar.
Diagnosis: Attention-Deficit Hyperactive Disorder (ADHD)
In this discussion forum:
- Discuss specific goals for pharmacotherapy for treating J. T.’s ADHD.
- Discuss the first-line drug therapy for J. T., and why.
- Discuss monitoring parameters you would institute for J. T.’s parents and his teachers.
- Discuss specific patient education you would provide to J. T.’s parents based on the prescribed therapy.
Remember to respond to at least two of your peers. Please see the Course Syllabus for Discussion Participation Requirements and Grading Criteria.