Assessing and Treating Pediatric Patients with Mood Disorders
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Assessing and Treating Pediatric Patients with Mood Disorders
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. 12/12/21, 6:48 PM Psychopharmacologic Approaches to Treatment of Psychopathology
https://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6630/DT/week_02/index.html 1/3
Therapy for Pediatric Clients with Mood Disorders An African American Child Su�ering From Depression
BACKGROUND INFORMATION The client is an 8-year-old African American male who arrives at the ER with his mother. He is exhibiting signs of
depression.
� Client complained of feeling “sad”
12/12/21, 6:48 PM Psychopharmacologic Approaches to Treatment of Psychopathology
https://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6630/DT/week_02/index.html 2/3
� Mother reports that teacher said child is withdrawn from peers in class
� Mother notes decreased appetite and occasional periods of irritation
� Client reached all developmental landmarks at appropriate ages
� Physical exam unremarkable
� Laboratory studies WNL
� Child referred to psychiatry for evaluation
� Client seen by Psychiatric Nurse Practitioner
MENTAL STATUS EXAM Alert & oriented X 3, speech clear, coherent, goal directed, spontaneous. Self-reported mood is “sad”. A�ect somewhat
blunted, but child smiled appropriately at various points throughout the clinical interview. He denies visual or auditory
hallucinations. No delusional or paranoid thought processes noted. Judgment and insight appear to be age-
appropriate. He is not endorsing active suicidal ideation, but does admit that he often thinks about himself being dead
and what it would be like to be dead.
The PMHNP administers the Children’s Depression Rating Scale, obtaining a score of 30 (indicating signi�cant
depression)
RESOURCES
12/12/21, 6:48 PM Psychopharmacologic Approaches to Treatment of Psychopathology
https://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6630/DT/week_02/index.html 3/3
- Poznanski, E., & Mokros, H. (1996). Child Depression Rating Scale–Revised. Los Angeles, CA: Western Psychological
Services.
Decision Point One Select what the PMHNP should do:
Begin Zoloft 25 mg orally daily
(1.html)
Begin Paxil 10 mg orally daily
(2.html)
Begin Wellbutrin 75 mg orally BID
(3.html)
https://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6630/DT/week_02/1.html
https://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6630/DT/week_02/2.html
https://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6630/DT/week_02/3.html
RUBRIC
Excellent Quality
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Introduction 45-41 points
The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.
Literature Support
91-84 points
The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.
Methodology
58-53 points
Content is well-organized with headings for each slide and bulleted lists to group related material as needed. Use of font, color, graphics, effects, etc. to enhance readability and presentation content is excellent. Length requirements of 10 slides/pages or less is met.
Average Score
50-85%
40-38 points
More depth/detail for the background and significance is needed, or the research detail is not clear. No search history information is provided.
83-76 points
Review of relevant theoretical literature is evident, but there is little integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are included. Summary of information presented is included. Conclusion may not contain a biblical integration.
52-49 points
Content is somewhat organized, but no structure is apparent. The use of font, color, graphics, effects, etc. is occasionally detracting to the presentation content. Length requirements may not be met.
Poor Quality
0-45%
37-1 points
The background and/or significance are missing. No search history information is provided.
75-1 points
Review of relevant theoretical literature is evident, but there is no integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are not included in the summary of information presented. Conclusion does not contain a biblical integration.
48-1 points
There is no clear or logical organizational structure. No logical sequence is apparent. The use of font, color, graphics, effects etc. is often detracting to the presentation content. Length requirements may not be met
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