Assessing and Treating Patients With Impulsivity, Compulsivity, and Addiction

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Impulsivity, 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 pages
Examine 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.

 

Sample Solution

l market from 1876.

In a 1895 work called Seoyu Kyeonmun (‘Things seen and heard in travels to the West’) by Yu Kilchun (1856-1914), an early reformist, he explains the definitions of ‘nation’ and ‘patriotism’ to the Korean people to whom these ideas were still alien. Nationalist thought was introduced to the Koreans before Japanese colonisation, and Yu Kilchun had warned that insufficient nationalism could lead to Korea becoming a ‘slave’ among nations. The Japanese colonisation of Korea was a psychological shock for many Koreans, provoking mixed feelings of shame and wrath, as Japan had always been regarded as an inferior country to them. For many leading intellectuals of the following generation, who had grown up under Japanese rule, believed strongly in Yu Kilchun’s writing and that nationalism should be promoted in order to regain political independence. Eckert suggests that prewar Japan’s ‘ultra-nationalism’ was transmitted directly to Koreans through the colonial education system, and resulted in a much more militant and xenophobic Korean nationalism. (Eckert, p368)

However, Robinson disputes the idea that Japanese colonialism paved the way for Korean nationalism, calling it as ‘simplistic Korea-Japan binary” which overlays various narratives, and denotes that anybody who was successful during the occupation was a ‘collaborator’ and so were ‘non-Korean’. Robinson writes, ‘These politicized narratives obscure a rich and pluralistic discourse on representation of the political community during the colonial period.’ (Robinson, p13) Korean nationalists were divided, and some groups wanted to be closely associated to the West and followed western ideas, whereas some wanted to return to Confucian values. These nationalist divisions are still present in Korea today.

The Japanese government responded to some criticism over how harsh its rule was by easing some policies in the 1920s, by allowing some books and magazines to be published in the Korean language, and investing in government buildings and education. The Japanese claimed that this was to provide opportunities f

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