Captain of the Ship Project – Schizophrenia Spectrum and Other Psychotic Disorders Assignment
Week 9: Schizophrenia Spectrum and Other Psychotic Disorders
I am being followed. They are even in my home. I am crouched in the corner of my apartment, but they know I am here and are just waiting to get me. I have a secret and they are trying to get it. The secret is hidden in my brain and they are going to open my skull to get it out. I have to block them from getting into my brain. Hiding in the closet, behind all the clothes, they will not see me….
Jamie, age 26
There are many disorders that result in the development of “positive” symptoms, such as hallucinations and delusions, but not all of these conditions represent schizophrenia. When treating schizophrenia spectrum and other psychotic disorders, emphasis should be placed not only on treating the positive symptoms but the negative and residual symptoms as well. Captain of the Ship Project – Schizophrenia Spectrum and Other Psychotic Disorders Assignment.
This week, you will explore a wide variety of disorders along the schizophrenia spectrum as you become “captain of the ship” once again. You also will analyze issues involved with state practice agreements.
Learning Resources
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
Required Readings
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 7, “Schizophrenia Spectrum and other Psychotic Disorders” (pp. 300–346)
Gabbard, G. O. (2014). Gabbard’s treatment of psychiatric disorders (5th ed.). Washington, DC: American Psychiatric Publications. Captain of the Ship Project – Schizophrenia Spectrum and Other Psychotic Disorders Assignment.
- Chapter 8, “Early-Stage Schizophrenia”
- Chapter 9, “Toward a Dimensional Understanding of Psychosis and Its Treatment”
- Chapter 10, “Psychosocial Treatments for Chronic Psychosis”
- Chapter 11, “Pharmacological Treatment of Psychosis”
Note: You will access this book from the Walden Library databases.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
- “Schizophrenia Spectrum and other Psychotic Disorders”
Note: You will access this book from the Walden Library databases.
Stahl, S. M. (2014). Prescriber’s Guide: Stahl’s Essential Psychopharmacology (5th ed.). New York, NY: Cambridge University Press.
Note: All Stahl resources can be accessed through the Walden Library using the link below. This link will take you to a login page for the Walden Library. Once you log in to the library, the Stahl website will appear. Captain of the Ship Project – Schizophrenia Spectrum and Other Psychotic Disorders Assignment.
To access information on specific medications, click on The Prescriber’s Guide, 5th Ed. tab on the Stahl Online website and select the appropriate medication.
| Psychosis | Schizoaffective disorder | ||
|---|---|---|---|
| alprazolam (adjunct) amisulpride aripiprazole asenapine blonanserin carbamazepine (adjunct) chlorpromazine clonazepam (adjunct) clozapine cyamemazine flupenthixol fluphenazine haloperidol iloperidone lamotrigine (adjunct) lorazepam (adjunct) loxapine lurasidone |
mesoridazine molindone olanzapine paliperidone perospirone perphenazine pimozide pipothiazine quetiapine risperidone sertindole sulpiride thioridazine thiothixene trifluoperazine valproate (divalproex) (adjunct) ziprasidone zotepine zuclopenthixol |
amisulpride aripiprazole asenapine carbamazepine (adjunct) chlorpromazine clozapine cyamemazine flupenthixol haloperidol iloperidone lamotrigine (adjunct) l-methylfolate (adjunct) loxapine lurasidone mesoridazine molindone olanzapine paliperidone |
perospirone perphenazine pipothiazine quetiapine risperidone sertindole sulpiride thioridazine thiothixene trifluoperazine valproate (divalproex) (adjunct) ziprasidone zotepine zuclopenthixol |
| Schizophrenia | Cataplexy syndrome | Catatonia | Extrapyramidal side effects | |
|---|---|---|---|---|
| amisulpride aripiprazole asenapine carbamazepine (adjunct) chlorpromazine clozapine cyamemazine flupenthixol haloperidol iloperidone lamotrigine (adjunct) l-methylfolate (adjunct) loxapine lurasidone mesoridazine molindone olanzapine paliperidone perospirone |
perphenazine pipothiazine quetiapine risperidone sertindole sulpiride thioridazine thiothixene trifluoperazine valproate (divalproex) (adjunct) ziprasidone zotepine zuclopenthixol Seasonal affective disorder bupropion Sedation-induction hydroxyzine midazolam |
clomipramine imipramine sodium oxybate |
alprazolam chlordiazepoxide clonazepam clorazepate diazepam estazolam flunitrazepam flurazepam loflazepate lorazepam midazolam oxazepam quazepam temazepam triazolam |
benztropine diphenhydramine trihexyphenidyl. Captain of the Ship Project – Schizophrenia Spectrum and Other Psychotic Disorders Assignment |
Ferreira, C. D., de Souza, M. G. D., Fernández-Calvo, B., Machado-de-Sousa, J. P., Cecilio Hallak, J. E., & Torro-Alves, N. (2016). Neurocognitive functions in schizophrenia: A systematic review of the effects of typical and atypical antipsychotic drugs. Psychology & Neuroscience, 9(1), 12–31. doi:10.1037/pne0000045
Note: You will access this article through the Walden Library databases.
Granholm, E., Holden, J., Link, P. C., & McQuaid, J. R. (2014). Randomized clinical trial of cognitive behavioral social skills training for schizophrenia: Improvement in functioning and experiential negative symptoms. Journal of Consulting and Clinical Psychology, 82(6), 1173–1185. doi:10.1037/a0037098
Note: You will access this article through the Walden Library databases.
Required Media
Murphy, L. (2011, July 21). Types of schizophrenia – A day in the life (scary) [Video file]. Retrieved from https://www.youtube.com/watch?v=LWYwckFrksg
Assignment 1: “Captain of the Ship” Project – Schizophrenia Spectrum and Other Psychotic Disorders
In earlier weeks, you were introduced to the concept of the “captain of the ship.” In this Assignment, you become the “captain of the ship” once again as you provide treatment recommendations and identify medical management, community support resources, and follow-up plans for a client with a schizophrenia spectrum/other psychotic disorder. Captain of the Ship Project – Schizophrenia Spectrum and Other Psychotic Disorders Assignment
Learning Objectives
Students will:
- Recommend psychopharmacologic treatments based on therapeutic endpoints for clients with schizophrenia spectrum and other psychotic disorders
- Recommend psychotherapy based on therapeutic endpoints for clients with schizophrenia spectrum and other psychotic disorders
- Identify medical management needs for clients with schizophrenia spectrum and other psychotic disorders
- Identify community support resources for clients with schizophrenia spectrum and other psychotic disorders
- Recommend follow-up plans for clients with schizophrenia spectrum and other psychotic disorders
To prepare for this Assignment:
- Select an adult or older adult client with a schizophrenia spectrum and other psychotic disorder you have seen in your practicum.
In 3–4 pages, write a treatment plan for your client in which you do the following:
- Describe the HPI and clinical impression for the client.
- Recommend psychopharmacologic treatments and describe specific and therapeutic endpoints for your psychopharmacologic agent. (This should relate to HPI and clinical impression.)
- Recommend psychotherapy choices (individual, family, and group) and specific therapeutic endpoints for your choices.
- Identify medical management needs, including primary care needs, specific to this client.
- Identify community support resources (housing, socioeconomic needs, etc.) and community agencies that are available to assist the client. Captain of the Ship Project – Schizophrenia Spectrum and Other Psychotic Disorders Assignment
- Recommend a plan for follow-up intensity and frequency and collaboration with other providers.
By Day 7
Submit your Assignment.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
- Please save your Assignment using the naming convention “WK9Assgn1+last name+first initial.(extension)” as the name.
- Click the Week 9 Assignment 1 Rubric to review the Grading Criteria for the Assignment.
- Click the Week 9 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 “WK9Assgn1+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.
Grading Criteria
To access your rubric:
Week 9 Assignment 1 Rubric
Check Your Assignment Draft for Authenticity
To check your Assignment draft for authenticity:
Submit your Week 9 Assignment 1 draft and review the originality report. v.
Submit Your Assignment by Day 7
To submit your Assignment:
Week 9 Assignment 1
Assignment 2:
Week 9 Practicum Journal: State Practice Agreements
In many states, nurse practitioners are completely autonomous professionals. In other states, however, NPs have a wide range of “restrictive” practice ranging from requirements for a “supervising” physician to requirements for a “collaborative” agreement with a physician.
In this Practicum Journal Assignment, you will examine the requirements of your own state in order to prepare yourself for the realities of practice upon graduation. Captain of the Ship Project – Schizophrenia Spectrum and Other Psychotic Disorders Assignment.
Learning Objectives
Students will:
- Analyze state PMHNP practice agreements
- Analyze physician collaboration issues
- Analyze barriers to PMHNP independent practice
- Create plans for addressing state PMHNP practice issues
**Assigned in Week 9 and submitted in Week 10
To Prepare for this Practicum Journal:
- Review practice agreements in your state.
- Identify at least two physician collaboration issues in your state.
For this Practicum Journal:
- Briefly describe the practice agreements for PMHNPs in your state.
- Explain the two physician collaboration issues that you identified.
- Explain what you think are the barriers to PMHNPs practicing independently in your state.
- Outline a plan for how you might address PMHNP practice issues in your state.
By Day 7 of Week 10
Submit your Practicum Journal.
Assignment 3: Board Vitals
This week you will be responding to twenty Board Vitals questions that cover a broad review of your Nurse Practitioner program courses up to this point. Captain of the Ship Project – Schizophrenia Spectrum and Other Psychotic Disorders Assignment.
These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability.
You can access Board Vitals through the link sent to you in email or by following the link below: Captain of the Ship Project – Schizophrenia Spectrum and Other Psychotic Disorders Assignment.
By Day 7
Complete the Board Vitals questions.
Making Connections
This week, you explored a wide variety of disorders along the schizophrenia spectrum as you became “captain of the ship” once again. You also analyzed issues involved with state practice agreements.
Next week, you will analyze the diagnostic criteria and treatment options of insomnia, hypersomnolence, narcolepsy, sleep apnea, non-rapid eye movement, nightmare disorder, sleep behavior disorder, and other DSM-5 sleep and parasomnic disorders. Captain of the Ship Project – Schizophrenia Spectrum and Other Psychotic Disorders Assignment.
NURS_6670_Week9_Assignment1_Rubric
| Excellent | Good | Fair | Poor | |
|---|---|---|---|---|
| Quality of Work Submitted: The extent of which work meets the assignned criteria and work reflects graduate level critical and analytic thinking. |
Points Range: 27 (27%) – 30 (30%)
Assignment exceeds expectations. All topics are addressed with a minimum of 75% containing exceptional breadth and depth about each of the assignment topics.
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Points Range: 24 (24%) – 26 (26%)
Assignment meets expectations. All topics are addressed with a minimum of 50% containing good breadth and depth about each of the assignment topics.
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Points Range: 21 (21%) – 23 (23%)
Assignment meets most of the expectations. One required topic is either not addressed or inadequately addressed.
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Points Range: 0 (0%) – 20 (20%)
Assignment superficially meets some of the expectations. Two or more required topics are either not addressed or inadequately addressed.
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| Quality of Work Submitted: The purpose of the paper is clear. |
Points Range: 5 (5%) – 5 (5%)
A clear and comprehensive purpose statement is provided which delineates all required criteria.
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Points Range: 4 (4%) – 4 (4%)
Purpose of the assignment is stated, yet is brief and not descriptive.
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Points Range: 3.5 (3.5%) – 3.5 (3.5%)
Purpose of the assignment is vague or off topic.
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Points Range: 0 (0%) – 3 (3%)
No purpose statement was provided.
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| Assimilation and Synthesis of Ideas: The extent to which the work reflects the student’s ability to: Understand and interpret the assignment’s key concepts. |
Points Range: 9 (9%) – 10 (10%)
Demonstrates the ability to critically appraise and intellectually explore key concepts.
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Points Range: 8 (8%) – 8 (8%)
Demonstrates a clear understanding of key concepts.
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Points Range: 7 (7%) – 7 (7%)
Shows some degree of understanding of key concepts.
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Points Range: 0 (0%) – 6 (6%)
Shows a lack of understanding of key concepts, deviates from topics.
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| Assimilation and Synthesis of Ideas: The extent to which the work reflects the student’s ability to:
Apply and integrate material in course rsources (i.e. video, required readings, and textook) and credible outside resources. |
Points Range: 18 (18%) – 20 (20%)
Demonstrates and applies exceptional support of major points and integrates 2 or more credible outside sources, in addition to 2-3 course resources to suppport point of view.
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Points Range: 16 (16%) – 17 (17%)
Integrates specific information from 1 credible outside resource and 2-3 course resources to support major points and point of view.
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Points Range: 14 (14%) – 15 (15%)
Minimally includes and integrates specific information from 2-3 resources to support major points and point of view.
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Points Range: 0 (0%) – 13 (13%)
Includes and integrates specific information from 0 to 1 resoruce to support major points and point of view. Captain of the Ship Project – Schizophrenia Spectrum and Other Psychotic Disorders Assignment
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| Assimilation and Synthesis of Ideas: The extent to which the work reflects the student’s ability to: Synthesize (combines various components or different ideas into a new whole) material in course resources (i.e. video, required readings, textbook) and outside, credible resources by comparing different points of view and highlighting similarities, differences, and connections. |
Points Range: 18 (18%) – 20 (20%)
Synthesizes and justifies (defends, explains, validates, confirms) information gleaned from sources to support major points presented. Applies meaning to the field of advanced nursing practice.
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Points Range: 16 (16%) – 17 (17%)
Summarizes information gleaned from sources to support major points, but does not synthesize.
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Points Range: 14 (14%) – 15 (15%)
Identifies but does not interpret or apply concepts, and/or strategies correctly; ideas unclear and/or underdeveloped.
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Points Range: 0 (0%) – 13 (13%)
Rarely or does not interpret, apply, and synthesize concepts, and/or strategies. Captain of the Ship Project – Schizophrenia Spectrum and Other Psychotic Disorders Assignment
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| Written Expression and Formatting Paragraph and Sentence Structure: Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are clearly structured and carefully focused–neither long and rambling nor short and lacking substance. |
Points Range: 5 (5%) – 5 (5%)
Paragraphs and sentences follow writing standards for structure, flow, continuity and clarity
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Points Range: 4 (4%) – 4 (4%)
Paragraphs and sentences follow writing standards for structure, flow, continuity and clarity 80% of the time.
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Points Range: 3.5 (3.5%) – 3.5 (3.5%)
Paragraphs and sentences follow writing standards for structure, flow, continuity and clarity 60%- 79% of the time.
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Points Range: 0 (0%) – 3 (3%)
Paragraphs and sentences follow writing standards for structure, flow, continuity and clarity < 60% of the time.
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| Written Expression and Formatting English writing standards: Correct grammar, mechanics, and proper punctuation |
Points Range: 5 (5%) – 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors.
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Points Range: 4 (4%) – 4 (4%)
Contains a few (1-2) grammar, spelling, and punctuation errors.
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Points Range: 3.5 (3.5%) – 3.5 (3.5%)
Contains several (3-4) grammar, spelling, and punctuation errors.
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Points Range: 0 (0%) – 3 (3%)
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
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| Written Expression and Formatting The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list. |
Points Range: 5 (5%) – 5 (5%)
Uses correct APA format with no errors
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Points Range: 4 (4%) – 4 (4%)
Contains a few (1-2) APA format errors.
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Points Range: 3.5 (3.5%) – 3.5 (3.5%)
Contains several (3-4) APA format errors.
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Points Range: 0 (0%) – 3 (3%)
Contains many (≥ 5) APA format errors. Captain of the Ship Project – Schizophrenia Spectrum and Other Psychotic Disorders Assignment
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