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Assignment: Decision Tree 

For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat adult and older adult clients presenting symptoms of a mental health disorder.

Examine Case 1: ( click on required media below) You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical as well as mental factors that might impact the client’s diagnosis and treatment.

At each Decision Point, stop to complete the following:

• Decision #1:      Differential Diagnosis
  • Which Decision       did you select?
  • Why did you       select this Decision? Support your response with evidence and references       to the Learning Resources.
  • What were you       hoping to achieve by making this Decision? Support 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 #2:      Treatment Plan for Psychotherapy
  • Why did you       select this Decision? Support your response with evidence and references       to the Learning Resources.
  • What were you       hoping to achieve by making this Decision? Support 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 #3:      Treatment Plan for Psychopharmacology
  • Why did you       select this Decision? Support your response with evidence and references       to the Learning Resources.
  • What were you       hoping to achieve by making this Decision? Support 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 and their family.

Note: Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement.

Required Readings ( Need 3 + references).

American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.

· Standard 12 “Leadership” (pages 76-77)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

· “Personality Disorders”

Gabbard, G. O. (2014). Gabbard’s treatment of psychiatric disorders (5th ed.). Washington, DC: American Psychiatric Publications.

· Chapter 68, “Paranoid, Schizotypal, and Schizoid Personality Disorders”

· Chapter 69, “Antisocial Personality Disorder”

· Chapter 70, “Borderline Personality Disorder”

· Chapter 71, “Histrionic Personality Disorder”

· Chapter 72, “Narcissistic Personality Disorder”

· Chapter 73, “Cluster C Personality Disorders

Perry, J. C., Presniak, M. D., & Olson, T. R. (2013). Defense mechanisms in schizotypal, borderline, antisocial, and narcissistic personality disorders. Psychiatry: Interpersonal & Biological Processes, 76(1), 32–52. doi:10.1521/psyc.2013.76.1.32

Rees, C. S., & Pritchard, R. (2015). Brief cognitive therapy for avoidant personality disorder. Psychotherapy, 52(1), 45–55. doi:10.1037/a0035158

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.

· Chapter 4, “Theories of Personality and Psychopathology” (pp. 151–191)

· Chapter 22, “Personality Disorders” (pp. 742–762)

· Chapter 13, “Psychosomatic Medicine” (pp. 465–503)

Required Media

Laureate Education. (2017a). A woman with personality disorder [Interactive media file]. Baltimore, MD: Author. 

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