Course Materials

1. Health Discussion: Pakistani Female With Delusional Thought Processes
Health Discussion: Pakistani Female With Delusional Thought Processes ON Health
Discussion: Pakistani Female With Delusional Thought ProcessesAccording to the National
Alliance on Mental Illness, approximately 100,000 people experience psychosis in the
United States each year (NAMI, 2016). In practice, clients may present with delusions,
hallucinations, disorganized thinking, disorganized or abnormal motor behavior, as well as
other negative symptoms that can be disabling for these individuals. Not only are these
symptoms one of the most challenging symptom clusters you will encounter, many are
associated with other disorders such as depression, bipolar disorder, and disorders on the
schizophrenia spectrum. As a psychiatric mental health nurse practitioner, you must
understand the underlying neurobiology of these symptoms to select appropriate therapies
and improve outcomes for clients.This week, as you examine antipsychotic therapies, you
explore the assessment and treatment of clients with psychosis and schizophrenia. You also
consider ethical and legal implications of these therapies.Photo Credit: Ingram
Publishing/Getty ImagesAssignment: Assessing and Treating Clients With Psychosis and
SchizophreniaPsychosis and schizophrenia greatly impact the brain’s normal processes,
which interferes with the ability to think clearly. When symptoms of these disorders are
uncontrolled, clients may struggle to function in daily life. However, clients often thrive
when properly diagnosed and treated under the close supervision of a psychiatric mental
health practitioner. 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
psychosis and schizophrenia. Health Discussion: Pakistani Female With Delusional Thought
ProcessesLearning ObjectivesStudents will:Assess client factors and history to develop
personalized plans of antipsychotic therapy for clientsAnalyze factors that influence
pharmacokinetic and pharmacodynamic processes in clients requiring antipsychotic
therapyEvaluate efficacy of treatment plansAnalyze ethical and legal implications related to
prescribing antipsychotic therapy to clients across the lifespanLearning ResourcesNote: To
access this week’s required library resources, please click on the link to the Course
Readings List, found in the Course Materials section of your Syllabus.REQUIRED
READINGSNote: All Stahl resources can be accessed through the Walden Library using this
link. This link will take you to a log-in page for the Walden Library. Once you log into the
library, the Stahl website will appear.Stahl, S. M. (2013). Stahl’s essential
psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York,
NY: Cambridge University Press.To access the following chapters, click on the Essential

2. Psychopharmacology, 4th ed tab on the Stahl Online website and select the appropriate
chapter. Be sure to read all sections on the left navigation bar for each chapter.Chapter 4,
“Psychosis and Schizophrenia”Chapter 5, “Antipsychotic Agents”Stahl, S. M. (2014b). The
prescriber’s guide (5th ed.). New York, NY: Cambridge University Press.To access
information on the following medications, click on The Prescriber’s Guide, 5th ed tab on the
Stahl Online website and select the appropriate medication.Review the following
medications:amisulpridearipiprazoleasenapinechlorpromazineclozapineflupenthixolfluphe
nazinehaloperidoliloperidoneloxapinelurasidoneolanzapinepaliperidoneperphenazinequeti
apinerisperidonesulpiridethioridazinethiothixenetrifluoperazineziprasidoneNaber, D., &
Lambert, M. (2009). The CATIE and CUtLASS studies in schizophrenia: Results and
implications for clinicians. CNS Drugs, 23(8), 649-659. doi:10.2165/00023210-200923080-
00002Note: Retrieved from Walden Library databases.Document: Midterm Exam Study
Guide (PDF)Kay, S. R., Fiszbein, A., & Opler, L. A. (1987). The Positive and Negative
Syndrome Scale (PANSS) for schizophrenia. Schizophrenia Bulletin, 13(2), 261-
276.Note: Retrieved from Walden Library databases.Clozapine REMS. (2015). Clozapine
REMS: The single shared system for clozapine. Retrieved
from https://www.clozapinerems.com/CpmgClozapineUI/rems…Walden University.
(2016). ASC success strategies: Studying for and taking a test. Retrieved
from http://academicguides.waldenu.edu/ASCsuccess/ASCte…REQUIRED MEDIALaureate
Education. (2016j). Case study: Pakistani woman with delusional thought
processes [Interactive media file]. Baltimore, MD: AuthorNote: This case study will serve as
the foundation for this week’s Assignment.OPTIONAL RESOURCESChakos, M., Patel, J. K.,
Rosenheck, R., Glick, I. D., Hammer, M. B., Tapp, A., & … Miller, D. (2011). Concomitant
psychotropic medication use during treatment of schizophrenia patients: Longitudinal
results from the CATIE study. Clinical Schizophrenia & Related Psychoses, 5(3), 124-134.
doi:10.3371/CSRP.5.3.2Fangfang, S., Stock, E. M., Copeland, L. A., Zeber, J. E., Ahmedani, B. K.,
& Morissette, S. B. (2014). Polypharmacy with antipsychotic drugs in patients with
schizophrenia: Trends in multiple health care systems. American Journal of Health-System
Pharmacy, 71(9), 728-738. doi:10.2146/ajhp130471Lin, L. A., Rosenheck, R., Sugar, C., &
Zbrozek, A. (2015). Comparing antipsychotic treatments for schizophrenia: A health state
approach. The Psychiatric Quarterly, 86(1), 107-121. doi:10.1007/s11126-014-9326-2To
prepare for this Assignment:Review this week’s Learning Resources. Consider how to
assess and treat clients requiring anxiolytic therapy.The AssignmentExamine Case Study:
Pakistani Woman with Delusional Thought Processes. 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. Health
Discussion: Pakistani Female With Delusional Thought ProcessesAt each decision point stop
to complete the following:Decision #1Which decision did you select?Why did you select this
decision? your response with evidence and references to the Learning Resources.What
were you hoping to achieve by making this decision? your response with evidence and
references to the Learning Resources.Explain any difference between what you expected to
achieve with Decision #1 and the results of the decision. Why were they different?Decision
#2Why did you select this decision? your response with evidence and references to the

3. Learning Resources.What were you hoping to achieve by making this decision? your
response with evidence and references to the Learning Resources.Explain any difference
between what you expected to achieve with Decision #2 and the results of the decision.
Why were they different?Decision #3Why did you select this decision? your response with
evidence and references to the Learning Resources.What were you hoping to achieve by
making this decision? your response with evidence and references to the Learning
Resources.Explain any difference between what you expected to achieve with Decision #3
and the results of the decision. Why were they different?Also include how ethical
considerations might impact your treatment plan and communication with
clients.Note: your rationale with a minimum of three academic resources. While you may
use the course text to your rationale, it will not count toward the resource
requirement.// Delusional DisordersDelusional DisordersPakistani Female With Delusional
Thought ProcessesHealth Discussion: Pakistani Female With Delusional Thought Processes