Therapy for Patients With Impulsive/Substance Use Disorders (SUD)
See attachedWeek 10: Therapy for Patients With Impulsive/Substance Use Disorders (SUD)Assignment 1: Assessing and Treating Patients With Impulsivity, Compulsivity, and AddictionImpulsivity, compulsivity, and addiction are challenging disorders for patients across the life span. Impulsivity is the inclination to act upon sudden urges or desires without considering potential consequences; patients often describe impulsivity as living in the present moment without regard to the future (MentalHelp.net, n.d.). Thus, these disorders often manifest as negative behaviors, resulting in adverse outcomes for patients. For example, compulsivity represents a behavior that an individual feels driven to perform to relieve anxiety (MentalHelp.net, n.d.). The presence of these behaviors often results in addiction, which represents the process of the transition from impulsive to compulsive behavior.In your role as the psychiatric nurse practitioner (PNP), you have the opportunity to help patients address underlying causes of the disorders and overcome these behaviors. 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 impulsivity, compulsivity, and addiction.Reference: MentalHelp.net. (n.d.). Impaired decision-making, impulsivity, and compulsivity: Addictions’ effect on the cerebral cortex. https://www.mentalhelp.net/addiction/impulsivity-and-compulsivity-addictions-effect-on-the-cerebral-cortex/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 patients requiring therapy for impulsivity, compulsivity, and addiction.The Assignment: 5 pagesExamine Case Study: A Puerto Rican Woman With Comorbid Addiction. 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.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.Note: Support your rationale with a minimum of five academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement. You should be utilizing the primary and secondary literature.Reminder : The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates/general#s-lg-box-20293632). All papers submitted must use this formatting.By Day 7Submit your Assignment. Submission and Grading InformationTo submit your completed Assignment for review and grading, do the following:Please save your Assignment using the naming convention “WK10Assgn1+last name+first initial.(extension)” as the name.Click the Week 10 Assignment 1 Rubric to review the Grading Criteria for the Assignment.Click the Week 10 Assignment 1 link. You will also be able to “View Rubric” for grading criteria from this area.Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK10Assgn1+last name+first initial.(extension)” and click Open.If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.Click on the Submit button to complete your submission.ResourcesKelly, J. E., & Renner, J. A. (2016). Alcohol-Related disorders. In T. A. Stern, M. Favo, T. E. Wilens, & J. F. Rosenbaum. (Eds.), Massachusetts General Hospital psychopharmacology and neurotherapeutics (pp. 163–182). Elsevier.Renner, J. A., & Ward, N. (2016). Drug addiction. In T. A. Stern, M. Favo, T. E. Wilens, & J. F. Rosenbaum. (Eds.), Massachusetts General Hospital psychopharmacology and neurotherapeutics (pp. 163–182). Elsevier.Substance Abuse and Mental Health Services Administration. (1999). Treatment of adolescents with substance use disorders: Treatment improvement protocol series, no. 32. http://www.ncbi.nlm.nih.gov/books/NBK64350/Chapter 1, “Substance Use Among Adolescents”Chapter 2, “Tailoring Treatment to the Adolescent’s Problem”Chapter 7, “Youths with Distinctive Treatment Needs”University of Michigan Health System. (2016). Childhood trauma linked to worse impulse control. Journal of Psychosocial Nursing & Mental Health Services, 54(4), 15.Grant, J. E., Odlaug, B. L., & Schreiber, L. N. (2014). Pharmacological treatments in pathological gambling. British Journal of Clinical Pharmacology, 77(2), 375–381. https://doi.org/10.1111/j.1365-2125.2012.04457.xHulvershorn, L. A., Schroeder, K. M., Wink, L. K., Erickson, C. A., & McDougle, C. J. (2015). Psychopharmacologic treatment of children prenatally exposed to drugs of abuse. Human Psychopharmacology, 30(3), 164–172. https://doi.org/10.1002/hup.2467Loreck, D., Brandt, N. J., & DiPaula, B. (2016). Managing opioid abuse in older adults: Clinical considerations and challenges. Journal of Gerontological Nursing, 42(4), 10–15. https://doi.org/10.3928/00989134-20160314-04Salmon, J. M., & Forester, B. (2012). Substance abuse and co-occurring psychiatric disorders in older adults: A clinical case and review of the relevant literature. Journal of Dual Diagnosis, 8(1), 74–84. https://doi.org/10.1080/15504263.2012.648439Sanches, M., Scott-Gurnell, K., Patel, A., Caetano, S. C., Zunta-Soares, G. B., Hatch, J. P., Olvera, R., Swann, A. C., & Soares, J. C. (2014). Impulsivity in children and adolescents with mood disorders and unaffected offspring of bipolar parents. Comprehensive Psychiatry, 55(6), 1337–1341. https://doi.org/10.1016/j.comppsych.2014.04.018Medication Resourceshttps://www.accessdata.fda.gov/scripts/cder/daf/index.cfmNote: To access the following medications, use the Drugs@FDA resource. Type the name of each medication in the keyword search bar. Select the hyperlink related to the medication name you searched. Review the supplements provided and select the package label resource file associated with the medication you searched. If a label is not available, you may need to conduct a general search outside of this resource provided. Be sure to review the label information for each medication as this information will be helpful for your review in preparation for your Assignments.Rubric DetailSelect Grid View or List View to change the rubric’s layout.ContentName: NURS_6630_Week10_Assignment1_RubricGrid ViewList View ExcellentPoint range: 90–100GoodPoint range: 80–89FairPoint range: 70–79PoorPoint range: 0–69 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.Points:Points Range: 9 (9%) – 10 (10%)The response accurately, clearly, and fully summarizes in detail the case for the Assignment.The response accurately and clearly explains in detail the specific patient factors that impact decision making when prescribing medication for this patient.Feedback:Points:Points Range: 8 (8%) – 8 (8%)The response accurately summarizes the case for the Assignment.The response accurately explains the specific patient factors that impact decision making with prescribing medication for this patient.Feedback:Points:Points Range: 7 (7%) – 7 (7%)The response inaccurately or vaguely summarizes the case for the Assignment.The response inaccurately or vaguely explains the specific patient factors that impact decision making with prescribing medication for this patient.Feedback:Points:Points Range: 0 (0%) – 6 (6%)The response inaccurately and vaguely summarizes the case for the Assignment, or is missing.The response inaccurately and vaguely explains the specific patient factors that impact decision making with prescribing medication for this patient.Feedback:Decision #1 (1–2 pages)• 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.Points:Points Range: 18 (18%) – 20 (20%)The response accurately and clearly explains in detail the decision selected.The response accurately and clearly explains in detail why the decision was selected, with specific clinically relevant resources that fully support the decision selected.The response accurately and clearly explains in detail why the other two responses were not selected, with specific clinically relevant resources that fully support the response.The response accurately and clearly explains in detail the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that fully support the response.The response accurately and clearly explains in detail how ethical considerations impact the treatment plan and communication with patients.Examples provided fully support the decisions and responses provided.Feedback:Points:Points Range: 16 (16%) – 17 (17%)The response accurately explains the decision selected.The response explains why the decision was selected, with specific clinically relevant resources that support the decision selected.The response accurately explains why the other two responses were not selected, with specific clinically relevant resources that support the response.The response accurately explains the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that support the response.The response accurately explains how ethical considerations impact the treatment plan and communication with patients.Examples provided support the decisions and responses provided.Feedback:Points:Points Range: 14 (14%) – 15 (15%)The response inaccurately or vaguely explains the decision selected.The response inaccurately or vaguely explains why the decision was selected, with specific clinically relevant resources that inaccurately or vaguely support the decision selected.The response inaccurately or vaguely explains why the other two responses were not selected, with specific clinically relevant resources that inaccurately or vaguely support the response.The response inaccurately or vaguely explains the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that inaccurately or vaguely support the response.The response inaccurately or vaguely explains how ethical considerations impact the treatment plan and communication with patients.Examples provided may support the decisions and responses provided.Feedback:Points:Points Range: 0 (0%) – 13 (13%)The response inaccurately and vaguely explains the decision selected.The response inaccurately and vaguely explains why the decision was selected, with specific clinically relevant resources that do not support the decision selected, or is missing.The response inaccurately and vaguely explains why the other two responses were not selected, with specific clinically relevant resources that do not support the decision selected, or is missing.The response inaccurately and vaguely explains the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that do not support the response, or is missing.The response inaccurately and vaguely explains how ethical considerations impact the treatment plan and communication with patients, or is missing.Examples provided do not support the decisions and responses provided, or is missing.Feedback:Decision #2 (1–2 pages)• 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.Points:Points Range: 18 (18%) – 20 (20%)The response accurately and clearly explains in detail the decision selected.The response accurately and clearly explains in detail why the decision was selected, with specific clinically relevant resources that fully support the decision selected.The response accurately and clearly explains in detail why the other two responses were not selected, with specific clinically relevant resources that fully support the response.The response accurately and clearly explains in detail the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that fully support the response.The response accurately and clearly explains in detail how ethical considerations impact the treatment plan and communication with patients.Examples provided fully support the decisions and responses provided.Feedback:Points:Points Range: 16 (16%) – 17 (17%)The response accurately explains the decision selected.The response explains why the decision was selected, with specific clinically relevant resources that support the decision selected.The response accurately explains why the other two responses were not selected, with specific clinically relevant resources that support the response.The response accurately explains the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that support the response.The response accurately explains how ethical considerations impact the treatment plan and communication with patients.Examples provided support the decisions and responses provided.Feedback:Points:Points Range: 14 (14%) – 15 (15%)The response inaccurately or vaguely explains the decision selected.The response inaccurately or vaguely explains why the decision was selected, with specific clinically relevant resources that inaccurately or vaguely support the decision selected.The response inaccurately or vaguely explains why the other two responses were not selected, with specific clinically relevant resources that inaccurately or vaguely support the response.The response inaccurately or vaguely explains the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that inaccurately or vaguely support the response.The response inaccurately or vaguely explains how ethical considerations impact the treatment plan and communication with patients.Examples provided may support the decisions and responses provided.Feedback:Points:Points Range: 0 (0%) – 13 (13%)The response inaccurately and vaguely explains in detail the decision selected.The response inaccurately and vaguely explains why the decision was selected, with specific clinically relevant resources that do not support the decision selected, or is missing.The response inaccurately and vaguely explains why the other two responses were not selected, with specific clinically relevant resources that do not support the decision selected, or is missing.The response inaccurately and vaguely explains the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that do not support the response, or is missing.The response inaccurately and vaguely explains how ethical considerations impact the treatment plan and communication with patients, or is missing.Examples provided do not support the decisions and responses provided, or is missing.Feedback:Decision #3 (1–2 pages)• 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.Points:Points Range: 18 (18%) – 20 (20%)The response accurately and clearly explains in detail the decision selected.The response accurately and clearly explains in detail why the decision was selected, with specific clinically relevant resources that fully support the decision selected.The response accurately and clearly explains in detail why the other two responses were not selected, with specific clinically relevant resources that fully support the response.The response accurately and clearly explains in detail the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that fully support the response.The response accurately and clearly explains in detail how ethical considerations impact the treatment plan and communication with patients.Examples provided fully support the decisions and responses provided.Feedback:Points:Points Range: 16 (16%) – 17 (17%)The response accurately explains the decision selected.The response explains why the decision was selected, with specific clinically relevant resources that support the decision selected.The response accurately explains why the other two responses were not selected, with specific clinically relevant resources that support the response.The response accurately explains the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that support the response.The response accurately explains how ethical considerations impact the treatment plan and communication with patients.Examples provided support the decisions and responses provided.Feedback:Points:Points Range: 14 (14%) – 15 (15%)The response inaccurately or vaguely explains the decision selected.The response inaccurately or vaguely explains why the decision was selected, with specific clinically relevant resources that inaccurately or vaguely support the decision selected.The response inaccurately or vaguely explains why the other two responses were not selected, with specific clinically relevant resources that inaccurately or vaguely support the response.The response inaccurately or vaguely explains the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that inaccurately or vaguely support the response.The response inaccurately or vaguely explains how ethical considerations impact the treatment plan and communication with patients.Examples provided may support the decisions and responses provided.Feedback:Points:Points Range: 0 (0%) – 13 (13%)The response inaccurately and vaguely explains in detail the decision selected.The response inaccurately and vaguely explains why the decision was selected, with specific clinically relevant resources that do not support the decision selected, or is missing.The response inaccurately and vaguely explains why the other two responses were not selected, with specific clinically relevant resources that do not support the decision selected, or is missing.The response inaccurately and vaguely explains the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that do not support the response, or is missing.The response inaccurately and vaguely explains how ethical considerations impact the treatment plan and communication with patients, or is missing.Examples provided do not support the decisions and responses provided, or is missing.Feedback: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.Points:Points Range: 14 (14%) – 15 (15%)The response accurately and clearly summarizes in detail the recommendations on the treatment options selected for this patient.The response accurately and clearly explains a justification for the recommendations provided, including clinically relevant resources that fully support the recommendations provided.Feedback:Points:Points Range: 12 (12%) – 13 (13%)The response accurately summarizes the recommendations on the treatment options selected for this patient.The response accurately explains a justification for the recommendation provided, including clinically relevant resources that support the recommendations provided.Feedback:Points:Points Range: 11 (11%) – 11 (11%)The response inaccurately or vaguely summarizes the recommendations on the treatment options selected for this patient.The response inaccurately or vaguely explains a justification for the recommendations provided, including clinically relevant resources that inaccurately or vaguely support the recommendations provided.Feedback:Points:Points Range: 0 (0%) – 10 (10%)The response inaccurately and vaguely summarizes the recommendations on the treatment options selected for this patient, or is missing.The response inaccurately and vaguely explains a justification for the recommendations provided, including clinically relevant resources that do not support the recommendations provided, or is missing.Feedback:Written Expression and Formatting – Paragraph Development and Organization:Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.Points:Points Range: 5 (5%) – 5 (5%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity.A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria.Feedback:Points:Points Range: 4 (4%) – 4 (4%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.Purpose, introduction, and conclusion of the assignment are stated, yet they are brief and not descriptive.Feedback:Points:Points Range: 3.5 (3.5%) – 3.5 (3.5%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time.Purpose, introduction, and conclusion of the assignment is vague or off topic.Feedback:Points:Points Range: 0 (0%) – 3 (3%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.No purpose statement, introduction, or conclusion were provided.Feedback:Written Expression and Formatting – English writing standards:Correct grammar, mechanics, and proper punctuationPoints:Points Range: 5 (5%) – 5 (5%)Uses correct grammar, spelling, and punctuation with no errors.Feedback:Points:Points Range: 4 (4%) – 4 (4%)Contains a few (1 or 2) grammar, spelling, and punctuation errors.Feedback:Points:Points Range: 3.5 (3.5%) – 3.5 (3.5%)Contains several (3 or 4) grammar, spelling, and punctuation errors.Feedback:Points:Points Range: 0 (0%) – 3 (3%)Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.Feedback:Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.Points:Points Range: 5 (5%) – 5 (5%)Uses correct APA format with no errors.Feedback:Points:Points Range: 4 (4%) – 4 (4%)Contains a few (1 or 2) APA format errors.Feedback:Points:Points Range: 3.5 (3.5%) – 3.5 (3.5%)Contains several (3 or 4) APA format errors.Feedback:Points:Points Range: 0 (0%) – 3 (3%)Contains many (≥ 5) APA format errors.Feedback:Show Descriptions Show FeedbackIntroduction 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.–Levels of Achievement:ExcellentPoint range: 90–100 9 (9%) – 10 (10%)The response accurately, clearly, and fully summarizes in detail the case for the Assignment.The response accurately and clearly explains in detail the specific patient factors that impact decision making when prescribing medication for this patient.GoodPoint range: 80–89 8 (8%) – 8 (8%)The response accurately summarizes the case for the Assignment.The response accurately explains the specific patient factors that impact decision making with prescribing medication for this patient.FairPoint range: 70–79 7 (7%) – 7 (7%)The response inaccurately or vaguely summarizes the case for the Assignment.The response inaccurately or vaguely explains the specific patient factors that impact decision making with prescribing medication for this patient.PoorPoint range: 0–69 0 (0%) – 6 (6%)The response inaccurately and vaguely summarizes the case for the Assignment, or is missing.The response inaccurately and vaguely explains the specific patient factors that impact decision making with prescribing medication for this patient.Feedback:Decision #1 (1–2 pages)• 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.–Levels of Achievement:ExcellentPoint range: 90–100 18 (18%) – 20 (20%)The response accurately and clearly explains in detail the decision selected.The response accurately and clearly explains in detail why the decision was selected, with specific clinically relevant resources that fully support the decision selected.The response accurately and clearly explains in detail why the other two responses were not selected, with specific clinically relevant resources that fully support the response.The response accurately and clearly explains in detail the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that fully support the response.The response accurately and clearly explains in detail how ethical considerations impact the treatment plan and communication with patients.Examples provided fully support the decisions and responses provided.GoodPoint range: 80–89 16 (16%) – 17 (17%)The response accurately explains the decision selected.The response explains why the decision was selected, with specific clinically relevant resources that support the decision selected.The response accurately explains why the other two responses were not selected, with specific clinically relevant resources that support the response.The response accurately explains the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that support the response.The response accurately explains how ethical considerations impact the treatment plan and communication with patients.Examples provided support the decisions and responses provided.FairPoint range: 70–79 14 (14%) – 15 (15%)The response inaccurately or vaguely explains the decision selected.The response inaccurately or vaguely explains why the decision was selected, with specific clinically relevant resources that inaccurately or vaguely support the decision selected.The response inaccurately or vaguely explains why the other two responses were not selected, with specific clinically relevant resources that inaccurately or vaguely support the response.The response inaccurately or vaguely explains the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that inaccurately or vaguely support the response.The response inaccurately or vaguely explains how ethical considerations impact the treatment plan and communication with patients.Examples provided may support the decisions and responses provided.PoorPoint range: 0–69 0 (0%) – 13 (13%)The response inaccurately and vaguely explains the decision selected.The response inaccurately and vaguely explains why the decision was selected, with specific clinically relevant resources that do not support the decision selected, or is missing.The response inaccurately and vaguely explains why the other two responses were not selected, with specific clinically relevant resources that do not support the decision selected, or is missing.The response inaccurately and vaguely explains the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that do not support the response, or is missing.The response inaccurately and vaguely explains how ethical considerations impact the treatment plan and communication with patients, or is missing.Examples provided do not support the decisions and responses provided, or is missing.Feedback:Decision #2 (1–2 pages)• 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.–Levels of Achievement:ExcellentPoint range: 90–100 18 (18%) – 20 (20%)The response accurately and clearly explains in detail the decision selected.The response accurately and clearly explains in detail why the decision was selected, with specific clinically relevant resources that fully support the decision selected.The response accurately and clearly explains in detail why the other two responses were not selected, with specific clinically relevant resources that fully support the response.The response accurately and clearly explains in detail the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that fully support the response.The response accurately and clearly explains in detail how ethical considerations impact the treatment plan and communication with patients.Examples provided fully support the decisions and responses provided.GoodPoint range: 80–89 16 (16%) – 17 (17%)The response accurately explains the decision selected.The response explains why the decision was selected, with specific clinically relevant resources that support the decision selected.The response accurately explains why the other two responses were not selected, with specific clinically relevant resources that support the response.The response accurately explains the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that support the response.The response accurately explains how ethical considerations impact the treatment plan and communication with patients.Examples provided support the decisions and responses provided.FairPoint range: 70–79 14 (14%) – 15 (15%)The response inaccurately or vaguely explains the decision selected.The response inaccurately or vaguely explains why the decision was selected, with specific clinically relevant resources that inaccurately or vaguely support the decision selected.The response inaccurately or vaguely explains why the other two responses were not selected, with specific clinically relevant resources that inaccurately or vaguely support the response.The response inaccurately or vaguely explains the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that inaccurately or vaguely support the response.The response inaccurately or vaguely explains how ethical considerations impact the treatment plan and communication with patients.Examples provided may support the decisions and responses provided.PoorPoint range: 0–69 0 (0%) – 13 (13%)The response inaccurately and vaguely explains in detail the decision selected.The response inaccurately and vaguely explains why the decision was selected, with specific clinically relevant resources that do not support the decision selected, or is missing.The response inaccurately and vaguely explains why the other two responses were not selected, with specific clinically relevant resources that do not support the decision selected, or is missing.The response inaccurately and vaguely explains the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that do not support the response, or is missing.The response inaccurately and vaguely explains how ethical considerations impact the treatment plan and communication with patients, or is missing.Examples provided do not support the decisions and responses provided, or is missing.Feedback:Decision #3 (1–2 pages)• 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.–Levels of Achievement:ExcellentPoint range: 90–100 18 (18%) – 20 (20%)The response accurately and clearly explains in detail the decision selected.The response accurately and clearly explains in detail why the decision was selected, with specific clinically relevant resources that fully support the decision selected.The response accurately and clearly explains in detail why the other two responses were not selected, with specific clinically relevant resources that fully support the response.The response accurately and clearly explains in detail the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that fully support the response.The response accurately and clearly explains in detail how ethical considerations impact the treatment plan and communication with patients.Examples provided fully support the decisions and responses provided.GoodPoint range: 80–89 16 (16%) – 17 (17%)The response accurately explains the decision selected.The response explains why the decision was selected, with specific clinically relevant resources that support the decision selected.The response accurately explains why the other two responses were not selected, with specific clinically relevant resources that support the response.The response accurately explains the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that support the response.The response accurately explains how ethical considerations impact the treatment plan and communication with patients.Examples provided support the decisions and responses provided.FairPoint range: 70–79 14 (14%) – 15 (15%)The response inaccurately or vaguely explains the decision selected.The response inaccurately or vaguely explains why the decision was selected, with specific clinically relevant resources that inaccurately or vaguely support the decision selected.The response inaccurately or vaguely explains why the other two responses were not selected, with specific clinically relevant resources that inaccurately or vaguely support the response.The response inaccurately or vaguely explains the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that inaccurately or vaguely support the response.The response inaccurately or vaguely explains how ethical considerations impact the treatment plan and communication with patients.Examples provided may support the decisions and responses provided.PoorPoint range: 0–69 0 (0%) – 13 (13%)The response inaccurately and vaguely explains in detail the decision selected.The response inaccurately and vaguely explains why the decision was selected, with specific clinically relevant resources that do not support the decision selected, or is missing.The response inaccurately and vaguely explains why the other two responses were not selected, with specific clinically relevant resources that do not support the decision selected, or is missing.The response inaccurately and vaguely explains the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that do not support the response, or is missing.The response inaccurately and vaguely explains how ethical considerations impact the treatment plan and communication with patients, or is missing.Examples provided do not support the decisions and responses provided, or is missing.Feedback: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.–Levels of Achievement:ExcellentPoint range: 90–100 14 (14%) – 15 (15%)The response accurately and clearly summarizes in detail the recommendations on the treatment options selected for this patient.The response accurately and clearly explains a justification for the recommendations provided, including clinically relevant resources that fully support the recommendations provided.GoodPoint range: 80–89 12 (12%) – 13 (13%)The response accurately summarizes the recommendations on the treatment options selected for this patient.The response accurately explains a justification for the recommendation provided, including clinically relevant resources that support the recommendations provided.FairPoint range: 70–79 11 (11%) – 11 (11%)The response inaccurately or vaguely summarizes the recommendations on the treatment options selected for this patient.The response inaccurately or vaguely explains a justification for the recommendations provided, including clinically relevant resources that inaccurately or vaguely support the recommendations provided.PoorPoint range: 0–69 0 (0%) – 10 (10%)The response inaccurately and vaguely summarizes the recommendations on the treatment options selected for this patient, or is missing.The response inaccurately and vaguely explains a justification for the recommendations provided, including clinically relevant resources that do not support the recommendations provided, or is missing.Feedback:Written Expression and Formatting – Paragraph Development and Organization:Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.–Levels of Achievement:ExcellentPoint range: 90–100 5 (5%) – 5 (5%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity.A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria.GoodPoint range: 80–89 4 (4%) – 4 (4%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.Purpose, introduction, and conclusion of the assignment are stated, yet they are brief and not descriptive.FairPoint range: 70–79 3.5 (3.5%) – 3.5 (3.5%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time.Purpose, introduction, and conclusion of the assignment is vague or off topic.PoorPoint range: 0–69 0 (0%) – 3 (3%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.No purpose statement, introduction, or conclusion were provided.Feedback:Written Expression and Formatting – English writing standards:Correct grammar, mechanics, and proper punctuation–Levels of Achievement:ExcellentPoint range: 90–100 5 (5%) – 5 (5%)Uses correct grammar, spelling, and punctuation with no errors.GoodPoint range: 80–89 4 (4%) – 4 (4%)Contains a few (1 or 2) grammar, spelling, and punctuation errors.FairPoint range: 70–79 3.5 (3.5%) – 3.5 (3.5%)Contains several (3 or 4) grammar, spelling, and punctuation errors.PoorPoint range: 0–69 0 (0%) – 3 (3%)Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.Feedback:Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.–Levels of Achievement:ExcellentPoint range: 90–100 5 (5%) – 5 (5%)Uses correct APA format with no errors.GoodPoint range: 80–89 4 (4%) – 4 (4%)Contains a few (1 or 2) APA format errors.FairPoint range: 70–79 3.5 (3.5%) – 3.5 (3.5%)Contains several (3 or 4) APA format errors.PoorPoint range: 0–69 0 (0%) – 3 (3%)Contains many (≥ 5) APA format errors.Feedback:Total Points: 100Name: NURS_6630_Week10_Assignment1_Rubricnaltrexone (revia/vivitrol)naloxoneacamprosatedisulfiram