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Case Study Marcus, an 18-year-old high school senior, presents with symptoms of difficulty sleeping and feeling sad, which result in an initial diagno

jkings

Nov 17, 2024 • 2 min read

^{Case Study}

^{Marcus, an 18-year-old high school senior, presents with symptoms of difficulty sleeping and feeling sad, which result in an initial diagnosis of depression. His mother later reports, however, that Marcus exhibits symptoms of irritability and risk-taking behaviors. (His little brother reported to his mother that they were driving over 90 miles an hour on the highway.) After further evaluation, Marcus’ psychiatric nurse practitioner diagnoses him with bipolar disorder.}

^{Cases like this are not uncommon with bipolar disorder, as initial assessments rarely provide all the information needed. In your role, as a psychiatric nurse practitioner, you must develop strategies for properly assessing and diagnosing these patients because treatments for bipolar disorder are significantly different than treatments for depression or other mood disorders.}

^{This week, as you examine bipolar therapies, you explore the assessment and treatment of patients with bipolar disorder. You also consider ethical and legal implications of these therapies.}

^{Assignment- Decision tree}

^{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)}

^{Decision Point One}

^{Select what you should do:}

^{Begin Lithium 300 mg orally BID,}

^{Begin Risperdal 1 mg orally BID}

^{Begin Seroquel XR 100 mg orally at HS}

^?^{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)Decision Point Two}

^{Select what you should do next:}

^{Increase Lithium to 450 mg orally BID}

^{Assess rationale for non-compliance to elicit reason for non-compliance and educate client re: drug effects, and pharmacology}

^{Switch to Depakote ER 500 mg orally at HS}

^{Why did you select this decision? 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)}

^{Decision Point Three}

^{Select what you should do next:}

^{Assess for rationale for non-compliance and educate client}

^{Consider hospitalization}

^{Change to abilify 10 mg orally at HS}

^?^{Why did you select this decision? 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.}

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