Question: Advances in genetics and epigenetics have changed the traditional understanding of mood disorders, resulting in new evidence-based practices. In your role as a psychiatric mental health nurse practitioner, it is essential for you to continually educate yourself on new findings and best practices in the field. For this Assignment, you consider best practices for assessing and treating adult and geriatric clients presenting with mood disorders.

Learning Objectives

Students will:

• Assess client factors and history to develop personalized plans of antidepressant therapy for adult and geriatric clients

• Analyze factors that influence pharmacokinetic and pharmacodynamic processes in adult and geriatric clients requiring antidepressant therapy

• Evaluate efficacy of treatment plans

• Analyze ethical and legal implications related to prescribing antidepressant therapy to adult and geriatric clients

Examine Case Study: An Elderly Hispanic Man With Major Depressive Disorder. 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.

1. At each decision point stop to complete the following:

i. Decision #1

• 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?

ii. Decision #2

• 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?

iii. Decision #3

• 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?

2. Also include how ethical considerations might impact your treatment plan and communication with clients.

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.

Review the following medications:

• amitriptyline

• bupropion

• citalopram

• clomipramine

• desipramine

• desvenlafaxine

• doxepin

• duloxetine

• escitalopram

• fluoxetine

• fluvoxamine

• imipramine

• ketamine

• mirtazapine

• nortriptyline

• paroxetine

• selegiline

• sertraline

• trazodone

• venlafaxine

• vilazodone

• vortioxetine

Information related to above question is enclosed below:

Attachment:- Data.rar