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NURS 6630 Week 7 Assignment: Assessing and Treating Patients With Psychosis and Schizophrenia (GRADED) $10.99   Add to cart

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NURS 6630 Week 7 Assignment: Assessing and Treating Patients With Psychosis and Schizophrenia (GRADED)

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Assessing and Treating Clients With Psychosis and Schizophrenia Walden University NURS -6630, Psychopharmacologic Approaches to Treatment of Psychopathology Introd uction Psychosis according to National Institute of Mental Health [NIMH] (2016), is used to describe conditions that affect the mind, w...

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  • July 25, 2022
  • 9
  • 2021/2022
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Assessing and Treating Clients With Psychosis and Schizophrenia

Walden University

NURS -6630, Psychopharmacologic Approaches to Treatment of Psychopathology




Introduction

Psychosis according to National Institute of Mental Health [NIMH] (2016), is used to

describe conditions that affect the mind, where the individual has some loss of contact with

reality. Psychosis is a symptom, not an illness, and in the U.S., approximately 100,000 young

people experience psychosis each year. A person who is in a psychotic episode may experience

depression, anxiety, sleep problems, social withdrawal, lack of motivation, and difficulty

functioning overall (NIMH, 2016). Psychosis includes a range of symptoms but typically

involves one of these two, hallucinations and delusions and treatment may involve

psychotherapy and medication. Psychosis also can be related to several mental health conditions

such as schizophrenia, bipolar disorder, schizoaffective disorder, and substance abuse (National

Alliance on Mental Illness [NAMI], 2019). Schizophrenia is a serious mental illness that affects
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, a person’s ability to think clearly, manage emotions, make decisions and relate to others; hence,

it is a complex, long-term medical illness, affecting about 1% of Americans (NAMI, 2019).

In the case study for this assignment, a 34-year-old woman from Pakistan presents with a

diagnosis of “brief psychotic disorder” following 21 days of hospitalization. After a week of

taking the medication Risperdal prescribed to her, she reports to have stopped because of her

delusional thinking that her husband is going to poison her. The client has been experiencing

delusional and paranoid thoughts such as having visions of Allah, believing she was Prophet

Mohammad, and that she would deliver the world from sin (Laureate Education, 2016j). The

Positive and Negative Syndrome Scale (PANSS) is administered to the client and her scores

reveals a diagnosis of schizophrenia, paranoid type (Laureate Education, 2016j). PANSS is a

standardized, clinical interview that rates the presence and severity of positive and negative

symptoms, as well as general psychopathology for people with schizophrenia (Depp, Loughran,

Vahia, & Molinari, 2010). The purpose of this paper is to show how to assess and treat clients

requiring antipsychotic therapy based on the decision concerning the medication to prescribe to a

34-year-old woman from Pakistan with a diagnosis of schizophrenia, influence of

pharmacokinetic and pharmacodynamic, and including ethical considerations might impact the

treatment plan and communication with clients.

Decision One

The first decision selected is to start Invega Sustenna 234 mg intramuscular (IM) X1

followed by 156 mg intramuscular on day 4 and monthly thereafter. According to NAMI (2016),

paliperidone is a medication that works in the brain in treating schizophrenia and schizoaffective

disorder. It is long-acting injectables (LAIs) that allow for the slow release of medicine into the

blood, it rebalances dopamine and serotonin to improve thinking, mood, and behavior; therefore




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