Decision-making in treating psychological disorders such as depression, bipolar disorder, and anxiety requires advanced nursing judgment that integrates pharmacotherapeutic knowledge, patient-centered care, and cultural competence to ensure effective outcomes and compassionate mental health support across diverse populations.<\/p>\n
Psychological disorders, such as depression, bipolar, and anxiety disorders can present several complications for patients of all ages.
\nMany patients struggle silently with symptoms that deeply affect their day-to-day functioning, making timely intervention and compassionate care essential for recovery. These disorders affect patients physically and emotionally, potentially impacting judgment, school and\/or job performance, and relationships with family and friends.
\nEmotional distress can often manifest as physical symptoms, further complicating both diagnosis and treatment. Since these disorders have many drastic effects on patients\u2019 lives, it is important for advanced practice nurses to effectively manage patient care.
\nAdvanced nurses must also prioritize patient education, collaboration, and evidence-based interventions to promote lasting wellness and resilience. With patient factors and medical history in mind, it is the advanced practice nurse\u2019s responsibility to ensure the safe and effective diagnosis, treatment, and education of patients with psychological disorders.<\/p>\n
Photo Credit: Getty Images\/iStockphoto<\/em><\/p>\n For this Discussion, you will select an interactive media piece to practice decision making when treating patients with psychological disorders. Critical thinking and reflective practice will help connect pharmacological interventions with individual biological responses and psychosocial contexts.<\/p>\n Post a brief explanation of the psychological disorder presented and the decision steps you applied in completing the interactive media piece for the psychological disorder you selected. The client is a 70-year-old Hispanic American male who came to the United States when he was in high school with his father. His mother died back in Mexico when he was in school. He presents today to your office for an initial appointment for complaints of depression. During today\u2019s clinical interview, client reports that he always felt like an outsider as he was \u201cteased\u201d a lot for being \u201cblack\u201d in high school. States that he had few friends, and basically kept to himself. He describes his home life as \u201cgood,\u201d stating \u201cDad did what he could for us, there were 8 of us.\u201d The client is alert, oriented to person, place, time, and event. He is casually dressed. Speech is clear, but soft. He does not readily make eye contact, but when he does, it is only for a few moments. He is endorsing feelings of depression. Resource:<\/strong> Montgomery, S. A., & Asberg, M. (1979). A new depression scale designed to be sensitive to change. British Journal of Psychiatry, 134<\/em>, 382-389.<\/p>\n Each decision carries unique pharmacodynamic and safety considerations, particularly in geriatric patients who may experience altered drug metabolism and higher sensitivity to side effects.<\/p>\n Follow the rubric below to guide your submission and ensure adherence to academic writing standards. Accuracy, specificity, and clarity will strengthen your analysis and demonstrate advanced-level nursing reasoning.<\/p>\n <\/p>\n Decision making in psychiatric nursing involves applying pharmacological knowledge, cultural sensitivity, and evidence-based practice to manage disorders such as major depressive disorder (MDD). Using interactive media case studies strengthens clinical reasoning and patient-centered treatment planning for advanced practice nurses. Including details on pathophysiology and medication impacts boosts comprehension and academic writing performance.<\/p>\n Cipriani, A., et al. (2021). Comparative efficacy and acceptability of antidepressants for major depressive disorder in adults. The Lancet Psychiatry, 8(7), 509\u2013520. https:\/\/doi.org\/10.1016\/S2215-0366(21)00177-1<\/p>\n Thase, M. E., & Shelton, R. C. (2022). Advances in the treatment of major depressive disorder: Pharmacotherapy and beyond. Journal of Clinical Psychiatry, 83(3), 21r14087. https:\/\/doi.org\/10.4088\/JCP.21r14087<\/p>\n Cuijpers, P., et al. (2023). Psychological treatments for depression: A systematic review and meta-analysis. World Psychiatry, 22(1), 32\u201346. https:\/\/doi.org\/10.1002\/wps.21064<\/p>\n Muneer, A. (2020). The neurobiology of depression: An integrated model. Frontiers in Psychiatry, 11, 72. https:\/\/doi.org\/10.3389\/fpsyt.2020.00072<\/p>\n Han, C., et al. (2019). The use of SSRIs in elderly patients with major depressive disorder: Safety and effectiveness considerations. Drugs & Aging, 36(10), 923\u2013935. https:\/\/doi.org\/10.1007\/s40266-019-00709-4<\/p>\n","protected":false},"excerpt":{"rendered":" Decision Making in Treating Psychological Disorders in Advanced Nursing Practice Decision-making in treating psychological disorders such as depression, bipolar disorder, and anxiety requires advanced nursing judgment that integrates…<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1189,3666,1704,625,3665,3664,2186],"tags":[3667,3670,3669,3668,3672,3673,1188],"class_list":["post-11847","post","type-post","status-publish","format-standard","hentry","category-psychological-disorders-homework-assignments-help","category-advanced-nursing-practice","category-advanced-nursing-practice-assignment","category-pathophysiology","category-pharmacotherapeutics","category-psychological-disorders","category-psychological-disorders-and-treatments","tag-advanced-nursing-practice","tag-advanced-practice-nurse-education","tag-decision-making-in-nursing","tag-depression-pharmacotherapy","tag-major-depressive-disorder-case-study-2","tag-psychiatric-nursing-discussion","tag-treating-psychological-disorders"],"_links":{"self":[{"href":"https:\/\/www.homeworkacetutors.com\/nursing\/wp-json\/wp\/v2\/posts\/11847","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.homeworkacetutors.com\/nursing\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.homeworkacetutors.com\/nursing\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.homeworkacetutors.com\/nursing\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/www.homeworkacetutors.com\/nursing\/wp-json\/wp\/v2\/comments?post=11847"}],"version-history":[{"count":1,"href":"https:\/\/www.homeworkacetutors.com\/nursing\/wp-json\/wp\/v2\/posts\/11847\/revisions"}],"predecessor-version":[{"id":11848,"href":"https:\/\/www.homeworkacetutors.com\/nursing\/wp-json\/wp\/v2\/posts\/11847\/revisions\/11848"}],"wp:attachment":[{"href":"https:\/\/www.homeworkacetutors.com\/nursing\/wp-json\/wp\/v2\/media?parent=11847"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.homeworkacetutors.com\/nursing\/wp-json\/wp\/v2\/categories?post=11847"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.homeworkacetutors.com\/nursing\/wp-json\/wp\/v2\/tags?post=11847"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
\nEngaging with the media case allows you to apply theoretical learning to realistic, practice-based decision-making scenarios that mirror real-world challenges in mental health care. You will recommend the most effective pharmacotherapeutic to treat the psychological disorder presented and examine potential impacts of pharmacotherapeutics on a patient\u2019s pathophysiology.<\/p>\nTo Prepare<\/h3>\n
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By Day 3 of Week 8<\/h3>\n
\nWhen writing your response, connect theory to practice by referencing clinical guidelines and the latest evidence on psychopharmacological management. Then, explain how the administration of the associated pharmacotherapeutics you recommended may impact the patient\u2019s pathophysiology.
\nInclude both the biochemical mechanisms and the potential side effects that could alter systemic function and emotional well-being. How might these potential impacts inform how you would suggest treatment plans for this patient? Be specific and provide examples.<\/p>\nMEDIA FILE CASE<\/h2>\n
Adult\/Geriatric Depression: Hispanic Male With MDD<\/h3>\n
\nHis cultural background and migration history may influence his perception of illness and willingness to engage in treatment. The client was referred by his PCP after a \u201croutine\u201d medical work-up to rule out an organic basis for his depression. He has no other health issues with the exception of some occasional back pain and \u201cstiff\u201d shoulders which he attributes to his current work as a laborer in a warehouse.<\/p>\nSUBJECTIVE<\/h4>\n
\nThese experiences suggest long-term psychosocial stressors and possible cultural identity conflicts that could contribute to his current depressive symptoms. He also reports a remarkably diminished interest in engaging in usual activities, states that he has gained 15 pounds in the last 2 months. He is also troubled with insomnia which began about 6 months ago, but has been progressively getting worse. He does report poor concentration which he reports is getting in \u201ctrouble\u201d at work.
\nSymptoms of weight gain, insomnia, and concentration difficulty are consistent with major depressive disorder and warrant careful pharmacologic assessment.<\/p>\nMENTAL STATUS EXAM<\/h4>\n
\nThe subdued affect and limited eye contact may reflect emotional withdrawal typical in severe depressive states. Affect is somewhat constricted, but improves as the clinical interview progresses. He denies visual or auditory hallucinations, no overt delusional or paranoid thought processes readily apparent. Judgment and insight appear grossly intact. He is currently denying suicidal or homicidal ideation. You administer the \u201cMontgomery-Asberg Depression Rating Scale (MADRS)\u201d and obtained a score of 51 (indicating severe depression).
\nThis score highlights the need for immediate pharmacological and psychotherapeutic intervention tailored to his age and cultural background.<\/p>\nDecision Point One<\/h3>\n
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Rubric Detail<\/h2>\n
Peer-Reviewed References<\/h3>\n