NRNP 6635 Week 8 Assessing and Diagnosing Patients With Substance-Related and Addictive Disorders
Walden University NRNP 6635 Week 8 Assessing and Diagnosing Patients With Substance-Related and Addictive Disorders-Step-By-Step Guide
This guide will demonstrate how to complete the Walden University NRNP 6635 Week 8 Assessing and Diagnosing Patients With Substance-Related and Addictive Disorders assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for NRNP 6635 Week 8 Assessing and Diagnosing Patients With Substance-Related and Addictive Disorders
Whether one passes or fails an academic assignment such as the Walden University NRNP 6635 Week 8 Assessing and Diagnosing Patients With Substance-Related and Addictive Disorders depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for NRNP 6635 Week 8 Assessing and Diagnosing Patients With Substance-Related and Addictive Disorders
The introduction for the Walden University NRNP 6635 Week 8 Assessing and Diagnosing Patients With Substance-Related and Addictive Disorders is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
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How to Write the Body for NRNP 6635 Week 8 Assessing and Diagnosing Patients With Substance-Related and Addictive Disorders
After the introduction, move into the main part of the NRNP 6635 Week 8 Assessing and Diagnosing Patients With Substance-Related and Addictive Disorders assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for NRNP 6635 Week 8 Assessing and Diagnosing Patients With Substance-Related and Addictive Disorders
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for NRNP 6635 Week 8 Assessing and Diagnosing Patients With Substance-Related and Addictive Disorders
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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Sample Answer for NRNP 6635 Week 8 Assessing and Diagnosing Patients With Substance-Related and Addictive Disorders
Subjective:
CC (chief complaint):The patient, Lisa, is worried about going to rehab.
HPI: The patient presents to the clinic worried about going to rehab. She reports that she is scared as she does not want to recognize herself as an addict and also fears people will also refer to her as an addict. She uses alcohol and reports that she sometimes uses with friends, but she is in control. She also reports she fears that her advertising businessis about to close. She reports she found her boyfriend, Jeremy, cheating on her after having moved in together nine months agoand is currently living in a house away from where they lived. She also reports she has emptied their business bank account and says that Jeremy had been using money from the account for four months without her knowledge to pay off his debts. She also says that she recently found out that her boyfriend smokes crack cocaine after she caught him cheating but is aware he drinks a lot and smokes weed. Lisa is also worried about staying in the hospital for detoxification and is unwilling to go to rehab as she associates it with dirt and unemployment. She also says that she recently moved back in with her boyfriend after he apologized and is currently conflicted about leaving him since he had promised to give her back the money they had lost in the business. She also reports that she has also smocked cracked cocaine and that it elevates her mood. She also seems not to have enough of it and fears she will start to feel horrible again. She is also unwilling to accept help as Jeremy promises her everything will be okay.
Past Psychiatric History:
- General Statement: There is no previous history of a psychiatric evaluation.
- Caregivers (if applicable): None
- Hospitalizations: None
- Medication trials: None
- Psychotherapy or Previous Psychiatric Diagnosis:None
Substance Current Use and History:There is a history of alcohol and cocaine use.
Family Psychiatric/Substance Use History: None
Psychosocial History: She lives with her boyfriend and has an advertising business.
Medical History:
- Current Medications: None
- Allergies:None
- Reproductive Hx:She has a daughter called Sarah.
ROS:
- GENERAL: She reports feeling tired and anxious.
- HEENT: No nasal discharge, eye redness, and ear pain.
- SKIN: No bruises, pustules, erythematous lesions, or hyperpigmentation.
- CARDIOVASCULAR: The patient has had episodes of palpitations but denies orthopnea and paroxysmal nocturnal or exertional dyspnea.
- RESPIRATORY: No chest pain, dyspnea, and cough.
- GASTROINTESTINAL: There are changes in appetite and bowel movements but no weight gain or loss and abdominal pain.
- GENITOURINARY: No dysuria, hematuria, and abnormal vaginal discharge.
- NEUROLOGICAL: The patient has had episodes of headaches, confusion, and altered levels of consciousness but no vertigo.
- MUSCULOSKELETAL: No joint pain or stiffness and muscular pain or weakness.
- HEMATOLOGIC: No abnormal bruising, recurrent infections, or easy fatiguability.
- LYMPHATICS: No lymph node swelling or pain.
- ENDOCRINOLOGIC: No polyuria, polydipsia, or changes in menstrual cycle.
Objective:
Physical exam:Not performed.
Diagnostic results:No diagnostic test was done.
Assessment:
Mental Status Examination: The patient was alert, appropriately groomed, and oriented in time, place, and person. She appeared agitated and had a depressed mood. She spoke with a normal rate and rhythm but occasionally used a low tone. She had incoherent thoughts and looseness of associated but had no hallucinations or delusions. She had a reduced attention and concentration span with some selective inattention. She also had some memory gaps and lacked judgment and insight.
Differential Diagnoses:
Substance Use Disorder (SUD): The DSM-V diagnostic criteria for SUD include the use of certain groups of drugs, including alcohol and stimulants like cocaine, as seen in Lisa’s case. Examples of symptoms seen in Lisa that fit in the DSM-V diagnostic criteria include the need for an individual to take the substance in higher amounts and for a longer duration than was originally intended (Volkow et al., 2023). In addition, Lisa has been wanting to regulate her alcohol use but is unable to, has constant urges to smoke cocaine, and currently has relationship problems with her boyfriend. Lisa has also been taking cocaine despite her knowing about the harmful effects it has on her health and is unwilling to seek help or quit her relationship to recover from cocaine use.
Major Depressive Disorder (MDD): MDD is an example of DSM-V depressive disorder characterized by a depressed mood that lasts for more than two weeks. In Lisa’s case, she has been feeling hopeless and empty as she fears losing her business and recently found out that her boyfriend cheated on her, and has had significant distress (Christensen et al., 2020). In addition, she appeared tearful and had psychomotor agitation during the interview. She also had difficulties in concentration and was indecisive. However, due to Lisa’s alcohol and cocaine use, most of these symptoms, despite meeting the DSM-V diagnostic criteria, may have occurred due to associated substance use (Aas et al., 2021).
Generalized Anxiety Disorder (GAD):GAD is an example of DSM-V anxiety disorder characterized by excessive worry, as seen in Lisa’s case, as she is constantly worried about losing her business, financial, and identity status (Mishra et al., 2023). In addition, she cannot control her worry, is restless, and has concentration difficulties with episodes of blank thought processes. However, she does not meet some aspects of the diagnostic criteria, as some symptoms may have occurred due to substance use(Aas et al., 2021).
Reflections:
In my next session, I would wish to ask Lisa about her past before she met her boyfriend to understand her emotional and psychological state before meeting her boyfriend. I would also inquire about her psychosocial support, including friends, family, and community she can rely on when she has personal issues or during recovery (Alsubaie, 2023). I would also educate her on the impact of alcohol and cocaine use on her overall health, inform her importance of rehab for her physical, psychological, and emotional well-being, and encourage her to join one (Frank et al., 2022). I would also educate Lisa about psychotherapy and recommend acceptance and cognitive behavioral therapy to help Lisa understand and accept addiction and also promote behavioral change to help in recovery.
References
Aas, C. F., Vold, J. H., Gjestad, R., Skurtveit, S., Lim, A. G., Gjerde, K. V., Løberg, M., Johansson, K. A., Fadnes, L. T., & Group, H. S. (2021). Substance use and symptoms of mental health disorders: A prospective cohort of patients with severe substance use disorders in Norway. Substance Abuse Treatment, Prevention, and Policy, 16. https://doi.org/10.1186/s13011-021-00354-1
Alsubaie, S. (2023). Psychosocial Life Aspects among Substance Misuse Clients who are at Rehabilitation Phase: A Narrative Review. Health Psychology Research, 11. https://doi.org/10.52965/001c.66174
Christensen, M. C., Johnny Wong, C. M., & Baune, B. T. (2020). Symptoms of Major Depressive Disorder and Their Impact on Psychosocial Functioning in the Different Phases of the Disease: Do the Perspectives of Patients and Healthcare Providers Differ? Frontiers in Psychiatry, 11. https://doi.org/10.3389/fpsyt.2020.00280
Frank, A. A., Schwartz, A. C., Welsh, J. W., Ruble, A. E., Branch, R., DeMoss, D., & DeJong, S. M. (2022). Enhancing Addictions Education in Patient Care and Medical Knowledge Competencies for General Psychiatry Residents. Academic Psychiatry, 46(3), 375-380. https://doi.org/10.1007/s40596-022-01634-z
Mishra, A. K., & Varma, A. R. (2023). A Comprehensive Review of the Generalized Anxiety Disorder. Cureus, 15(9). https://doi.org/10.7759/cureus.46115
Volkow, N. D., & Blanco, C. (2023). Substance use disorders: A comprehensive update of classification, epidemiology, neurobiology, clinical aspects, treatment and prevention. World Psychiatry, 22(2), 203-229. https://doi.org/10.1002/wps.21073