When pediatric patients present with
mood disorders, the process of assessing, diagnosing, and treating them
can be quite complex. Children not only present with different signs
and symptoms than adult patients with the same disorders, they also
metabolize medications much differently. Yet, there may be times when
the same psychopharmacologic treatments may be used in both pediatric
and adult cases with major depressive disorders. As a result,
psychiatric nurse practitioners must exercise caution when prescribing
psychotropic medications to these patients. For this Assignment, as you
examine the patient case study in this week’s Learning Resources,
consider how you might assess and treat pediatric patients presenting
with mood disorders.
To prepare for this Assignment:
Review this week’s Learning Resources, including the Medication Resources indicated for this week.
Reflect on the psychopharmacologic treatments you might recommend
for the assessment and treatment of pediatric patients requiring
antidepressant therapy.
The Assignment: 5 pages
Examine Case Study: An African American Child Suffering From Depression.
You will be asked to make three decisions concerning the medication to
prescribe to this patient. Be sure to consider factors that might impact
the patient’s pharmacokinetic and pharmacodynamic processes.
At each decision point, you should evaluate all
options before selecting your decision and moving throughout the
exercise. Before you make your decision, make sure that you have
researched each option and that you evaluate the decision that you will
select. Be sure to research each option using the primary literature.
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)
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)
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 #3 (1 page)
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.
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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