Assignment Prompt & Instructions
**files (2)**
– ## NUR650DisWk2response.pdf
– ## NUR650Diss1-7.pdf
**## NUR650DisWk2response.pdf**
Neivis Socorro Garcia
Harriet Needs Surgery
I am located in Miami, Florida. In this case, Harriet is a 51-year-old married woman with a
history of alcohol and cocaine use disorder who has been in remission for the past four years.
She has been regularly attending Alcoholics Anonymous (AA) and Narcotics Anonymous (NA),
and she denies any current cravings. However, she now needs carpal tunnel surgery, and the use
of oxycodone during recovery is concerning because of her past substance use history. This
situation is important to approach carefully to reduce the risk of relapse.
During the first visit, the most important information to collect would include a detailed
substance use history, especially past triggers, relapse patterns, and coping strategies that have
helped her stay sober. It is also important to assess her current emotional state, including any
anxiety about the surgery or fear of relapse. The provider should explore her support system,
including her spouse, AA/NA involvement, and whether she has a sponsor or close support
network. Understanding how she feels about taking pain medication, especially opioids, is also
very important. Screening for depression, anxiety, and relapse risk should be included, since
medical stress can increase vulnerability even in patients who have been stable for years.
The main goal of treatment is to prevent relapse while still managing her pain safely.
According to current guidelines, patients with a history of substance use disorder should be
prescribed the lowest effective dose of opioids for the shortest time possible, along with close
monitoring and the use of non-opioid pain management when possible (Substance Abuse and
Mental Health Services Administration, 2020). Family involvement is also very important. The
goal is to help the family recognize early warning signs of relapse, support Harriet, and
encourage accountability. Open communication and strong coping strategies within the family
can help lower the risk of relapse during this stressful period.
In group therapy, different curative factors can be seen in each phase. In the initial phase,
instillation of hope is important, as Harriet can see others who have gone through similar
situations and remained stable. In the middle phase, universality helps her realize she is not alone
in her fears, which can reduce feelings of isolation. In the termination phase, interpersonal
learning becomes important, as she reflects on what she has learned and how she can continue
applying these skills after treatment.
In Miami, Florida, there are several agencies that can support Harriet. One option is New
Beginnings Recovery Center, which provides support for individuals in recovery and can help
reinforce relapse prevention during recovery from surgery. Another is Jackson Behavioral Health
Hospital, which offers mental health and substance use services, including outpatient care. A
third option is The Recovery Village Miami at Baptist Health, which provides structured
programs focused on relapse prevention and ongoing support.
These agencies were chosen because they offer a combination of mental health care,
substance use support, and counseling services. Having access to these resources can help
Harriet stay stable during recovery and reduce the chances of relapse.
Overall, Harriet’s case shows how important it is to balance pain management with relapse
prevention. With proper support, monitoring, and family involvement, she can go through
surgery safely while maintaining her sobriety.
Arlette Del Pino Vento
Harriet is a 51-year-old woman who has maintained sobriety from alcohol and cocaine for
the past four years, which is a significant strength. The clinical situation becomes more
complicated because the patient needs carpal tunnel surgery which requires postoperative pain
medications that include oxycodone. The first group visit requires information about her relapse
risk and her current coping strategies to be evaluated as the primary data for assessment. The
process requires her to share information about her substance use history and the factors that
trigger her addiction and the methods she used to achieve sobriety. It is also important to
understand how she feels about taking opioid medication, whether she feels confident, anxious,
or unsure, and whether she has a relapse prevention plan in place. Additionally, evaluating her
psychiatric stability, current stressors, support system, and any prior experience with prescribed
opioids is essential. Wakeman et al. (2020) emphasize that identifying both risk and protective
factors is key when managing pain in patients with a history of substance use.
The primary goal in addressing Harriet’s family related concerns is to strengthen her
support system while minimizing relapse risk. U.S. clinical guidelines support involving family
members in a way that promotes recovery without enabling harmful behaviors. In Harriet’s
situation, her spouse can provide emotional support, help monitor medication use if appropriate,
and reinforce healthy coping strategies. At the same time, it is important to maintain clear
boundaries so that Harriet retains responsibility for her recovery. The goal is to improve
communication, reduce stress within the home, and create a supportive environment that
prioritizes sobriety. According to SAMHSA (2021), appropriate family involvement can improve
outcomes and help sustain long-term recovery.
Group therapy can offer Harriet meaningful support throughout each phase of treatment.
The initial phase of the process requires universal healing elements to achieve their maximum
effect. When people who have experienced the same issues as Harriet speak about their battle
with addiction and need for medical help she discovers comfort in their shared experience. The
ability to connect with others creates a calming effect that helps people feel less anxious and
work together. The second phase of the process enables people to acquire knowledge through
their interactions with others. Through his practice sessions Harriet will learn to voice her needs
while receiving constructive criticism on her performance and developing effective stress
management techniques. The current phase enables individuals to develop through collective
activities while they enhance their understanding of themselves. The final phase of the process
requires participants to focus on their achievements while they develop their self-assurance.
Harriet uses her current position to evaluate her achievements while she builds better coping
mechanisms to help her sustain her recovery process. Research studies on group psychotherapy
demonstrate that these therapeutic factors receive strong validation (Yalom & Leszcz, 2020).
I am located in Miami, Florida, and three local agencies that could support Harriet include
Jackson Behavioral Health Hospital, New Hope CORPS, and South Miami Hospital Addiction
Treatment Services. The selected agencies deliver complete healthcare services which treat
patients who suffer from both mental health disorders and substance use disorders. Jackson
Behavioral Health Hospital offers a wide range of outpatient and inpatient services, making it a
strong option if Harriet needs additional support. New Hope CORPS provides its primary focus
to help people recover from addiction while preventing them from relapsing, which fits her long-
term sobriety needs. South Miami Hospital Addiction Treatment Services provides medically
integrated care, which is especially beneficial given her need for coordinated surgical and pain
management.
Overall, Harriet’s case highlights the importance of balancing effective pain management
with relapse prevention. With a thorough assessment, supportive family involvement, group
therapy, and access to local resources, Harriet can safely navigate her recovery while maintaining
her sobriety.
**## NUR650Diss1-7.pdf**
NUR650 Discussions
Submission Instructions:
Your initial post should be at least 500 words, formatted and cited in the current APA style
Provide support for your work from at least 2 academic sources less than 5 years old.
Wk1 Tom’s Parents are Fighting
After studying Module 1: Lecture Materials & Resources, discuss the following:
Tom is a 16-year-old who comes to you to evaluate his lack of attention because his grades are
progressively getting worse. When you ask about stress in his life, he notes that his parents are
always fighting, and this upsets him. He believes that they fight more when they have been
drinking, and he believes that his father is the heavier drinker of the two, but he cannot quantify
either parent's use.
• What information would be most critical for the group leader to collect in the first visit?
• What is the primary goal for group treatment of this patient’s family problem based on
US group therapy best practices?
• Which harm reduction strategies would you recommend?
• Identify your city. Then refer this patient to three support groups near you that promote
positive health outcomes for this patient. What was your rationale for choosing these
three agencies?
W2 Harriet Needs Surgery
After studying Module 2: Lecture Materials & Resources, discuss the following:
Harriet is a 51-year-old married woman with a past history of alcohol and cocaine abuse. She has
been attending AA and NA meetings regularly and does not report urges to drink or use drugs
during the 4 years you have been her psychiatric mental health nurse practitioner. She needs
carpal tunnel surgery and the typical regimen during recovery is oxycodone 15 mg per day.
• What information would be most critical for the group leader to collect in the first visit?
• What is the primary goal for the treatment of this patient’s family problem, based on the
US clinical guidelines?
[https://stu.instructure.com/courses/50346/pages/module-1-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-1-lecture-materials-and-resources)
[https://stu.instructure.com/courses/50346/pages/module-2-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-2-lecture-materials-and-resources)
• Discuss one curative factor the group would observe during the initial, middle and
termination phases in group therapy?
• Identify your city. Then refer this patient to three agencies near you that would support
positive health outcomes for this patient. (These agencies must not have been used in past
discussion posts). What was your rationale for choosing these three agencies?
W3 Motivational Interview with Mary
After studying Module 3: Lecture Materials & Resources, discuss the following:
Mary is 27 years old and has had a history of alcohol dependence for several years. Mary has a
daughter Kylie, aged 3 years, who displays signs of fetal alcohol syndrome. Social work services
have been involved with Mary and Kylie since her birth, culminating in Kylie being looked after
by the local authority as a result of Mary arriving to collect Kylie from the local nursery while
significantly under the influence of alcohol. Mary has demonstrated ambivalence regarding her
ability to control her alcohol use. Mary has referred herself to a local counseling agency as
suggested by the social worker and her PCP.
• Discuss how you might use the principles of motivational interviewing with Mary.
• Provide a detailed overview of how the interview may progress. Include each step of
motivational interviewing in your discussion.
• Describe how a provider would recognize this patient is ready to change. Use principles
of motivational interviewing to support your answer.
W4 Richard is Motivated
After studying Module 4: Lecture Materials & Resources, discuss the following:
Richard is a 62-year-old single man who says that his substance dependence and his bipolar
disorder both emerged in his late teens. He says that he started to drink to “feel better” when his
episodes of depression made it hard for him to interact with his peers. He also states that alcohol
and cocaine are a natural part of his manic episodes. He also notes that coming off the cocaine
and binge drinking contribute to low mood, but he has not responded well to referrals to AA and
past inpatient stays have led to only temporary abstinence. Yet, Richard is now trying to forge a
closer relationship with his adult children, and he says he is especially motivated to get a better
handle on both his bipolar disorder and his substance use. He has been more compliant with his
mood stabilizing and antidepressant medication, and his psychiatric provider would like his dual
diagnoses addressed with psychotherapy.
• What diagnostic information would be most critical to collect in the first visit?
[https://stu.instructure.com/courses/50346/pages/module-3-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-3-lecture-materials-and-resources)
[https://stu.instructure.com/courses/50346/pages/module-4-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-4-lecture-materials-and-resources)
• Which diagnostic measures are recommended by the US clinical guidelines for the
treatment of this patient’s family problem?
• Which evidence based harm reduction strategies would you recommend to treat this
patient?
• Identify your city. Then refer this patient to three agencies near you that would support
positive health outcomes for this patient. (These agencies must not have been used in
past discussion posts). What was your rationale for choosing these three agencies?
W5 Pretty Serious Partying
After studying Module 5: Lecture Materials & Resources, discuss the following:
Jackie is a 31-year-old pregnant patient (2nd child, two different fathers) single mother of a 6-
year-old who is coming for prenatal care since she suspects she is pregnant. She is no longer with
the father of Robby, her firstborn. She indicates "pretty serious partying" with the likely father of
the baby. By pretty serious partying she means 10-12 drinks per occasion, one to two times per
week, plus intermittent methamphetamine use.
• Which clinical information would be most critical for you to collect in the first visit?
• What are the greatest risk factors for substance use disorder for this patient?
• Which harm reduction strategies would you recommend?
• Identify your city. Then refer this patient to three agencies near you that would support
positive health outcomes for this patient. (These agencies must not have been used in
past discussion posts). What was your rationale for choosing these three agencies?
W6 Toneika
After studying Module 6: Lecture Materials & Resources, discuss the following:
Tomeika is a three-year-old girl. She was recently diagnosed with autism spectrum disorder
(ASD).
Tomeika is able to make many vocalizations and is able to say one recognizable word. Tomeika
will say “juice”, which she pronounces as “oos.” Throughout the day, Tomeika cries and falls to
the floor to gain access to food, obtain a favorite toy, or when she wants to be picked up. Her
parents, Mr. and Mrs. Williams, would like for Tomeika to communicate her desires with words,
but do not know how to help her. Tomeika recently began attending an early childhood special
education classroom for learners with ASD in the County Public School System for six hours a
day, four days a week. On Wednesdays, Tomeika and her peers do not go to school. Instead, on
this day, Tomeika’s interventionist, Mrs. Dell, has parent conferences in her students’ homes.
[https://stu.instructure.com/courses/50346/pages/module-5-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-5-lecture-materials-and-resources)
[https://stu.instructure.com/courses/50346/pages/module-6-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-6-lecture-materials-and-resources)
During the conferences, Mrs. Dell discusses educational programming, learner progress, areas of
concern, and also provides training to parents.
• Which diagnostic information would be most critical for you to collect in the first visit?
• What is the primary goal for the treatment of this patient’s family problem based on
current US clinical practice guidelines?
• Which complementary and alternative medication treatments would you recommend?
• Identify your city. Then refer this patient to three agencies near you that would support
positive health outcomes for this patient. (These agencies must not have been used in
past discussion posts). What was your rationale for choosing these three agencies?
W7 Hip Fracture
After studying Module 7: Lecture Materials & Resources, discuss the following:
The patient is a 71-year-old widowed man who is seen regularly in the clinic for health
maintenance and follow-up of his chronic insomnia and anxiety. He has regular prescriptions for
triazolam (Halcion) and clonazepam (Klonopin) for these problems. Recently he has been
reporting frequent episodes of losing his balance and falling, and eight weeks ago was
hospitalized for a hip fracture sustained during one of these falls resulting in hip surgery. On this
visit, he also complains of becoming increasingly confused.
• What information would be most critical for you to collect in the first visit?
• What is the primary goal for the treatment of this patient?
• Identify potential obstacles for change. Which educational approach would the PMHNP
provide to overcome these obstacles?
• How would you teach the patient about the Beers list and Halcion?
• Discuss a medication in detail that could be safely substituted to treat insomnia in
geriatric patients.
[https://stu.instructure.com/courses/50346/pages/module-7-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-7-lecture-materials-and-resources)
**## NUR650Diss1-7.pdf**
NUR650 Discussions
Submission Instructions:
Your initial post should be at least 500 words, formatted and cited in the current APA style
Provide support for your work from at least 2 academic sources less than 5 years old.
Wk1 Tom’s Parents are Fighting
After studying Module 1: Lecture Materials & Resources, discuss the following:
Tom is a 16-year-old who comes to you to evaluate his lack of attention because his grades are
progressively getting worse. When you ask about stress in his life, he notes that his parents are
always fighting, and this upsets him. He believes that they fight more when they have been
drinking, and he believes that his father is the heavier drinker of the two, but he cannot quantify
either parent's use.
• What information would be most critical for the group leader to collect in the first visit?
• What is the primary goal for group treatment of this patient’s family problem based on
US group therapy best practices?
• Which harm reduction strategies would you recommend?
• Identify your city. Then refer this patient to three support groups near you that promote
positive health outcomes for this patient. What was your rationale for choosing these
three agencies?
W2 Harriet Needs Surgery
After studying Module 2: Lecture Materials & Resources, discuss the following:
Harriet is a 51-year-old married woman with a past history of alcohol and cocaine abuse. She has
been attending AA and NA meetings regularly and does not report urges to drink or use drugs
during the 4 years you have been her psychiatric mental health nurse practitioner. She needs
carpal tunnel surgery and the typical regimen during recovery is oxycodone 15 mg per day.
• What information would be most critical for the group leader to collect in the first visit?
• What is the primary goal for the treatment of this patient’s family problem, based on the
US clinical guidelines?
[https://stu.instructure.com/courses/50346/pages/module-1-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-1-lecture-materials-and-resources)
[https://stu.instructure.com/courses/50346/pages/module-2-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-2-lecture-materials-and-resources)
• Discuss one curative factor the group would observe during the initial, middle and
termination phases in group therapy?
• Identify your city. Then refer this patient to three agencies near you that would support
positive health outcomes for this patient. (These agencies must not have been used in past
discussion posts). What was your rationale for choosing these three agencies?
W3 Motivational Interview with Mary
After studying Module 3: Lecture Materials & Resources, discuss the following:
Mary is 27 years old and has had a history of alcohol dependence for several years. Mary has a
daughter Kylie, aged 3 years, who displays signs of fetal alcohol syndrome. Social work services
have been involved with Mary and Kylie since her birth, culminating in Kylie being looked after
by the local authority as a result of Mary arriving to collect Kylie from the local nursery while
significantly under the influence of alcohol. Mary has demonstrated ambivalence regarding her
ability to control her alcohol use. Mary has referred herself to a local counseling agency as
suggested by the social worker and her PCP.
• Discuss how you might use the principles of motivational interviewing with Mary.
• Provide a detailed overview of how the interview may progress. Include each step of
motivational interviewing in your discussion.
• Describe how a provider would recognize this patient is ready to change. Use principles
of motivational interviewing to support your answer.
W4 Richard is Motivated
After studying Module 4: Lecture Materials & Resources, discuss the following:
Richard is a 62-year-old single man who says that his substance dependence and his bipolar
disorder both emerged in his late teens. He says that he started to drink to “feel better” when his
episodes of depression made it hard for him to interact with his peers. He also states that alcohol
and cocaine are a natural part of his manic episodes. He also notes that coming off the cocaine
and binge drinking contribute to low mood, but he has not responded well to referrals to AA and
past inpatient stays have led to only temporary abstinence. Yet, Richard is now trying to forge a
closer relationship with his adult children, and he says he is especially motivated to get a better
handle on both his bipolar disorder and his substance use. He has been more compliant with his
mood stabilizing and antidepressant medication, and his psychiatric provider would like his dual
diagnoses addressed with psychotherapy.
• What diagnostic information would be most critical to collect in the first visit?
[https://stu.instructure.com/courses/50346/pages/module-3-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-3-lecture-materials-and-resources)
[https://stu.instructure.com/courses/50346/pages/module-4-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-4-lecture-materials-and-resources)
• Which diagnostic measures are recommended by the US clinical guidelines for the
treatment of this patient’s family problem?
• Which evidence based harm reduction strategies would you recommend to treat this
patient?
• Identify your city. Then refer this patient to three agencies near you that would support
positive health outcomes for this patient. (These agencies must not have been used in
past discussion posts). What was your rationale for choosing these three agencies?
W5 Pretty Serious Partying
After studying Module 5: Lecture Materials & Resources, discuss the following:
Jackie is a 31-year-old pregnant patient (2nd child, two different fathers) single mother of a 6-
year-old who is coming for prenatal care since she suspects she is pregnant. She is no longer with
the father of Robby, her firstborn. She indicates "pretty serious partying" with the likely father of
the baby. By pretty serious partying she means 10-12 drinks per occasion, one to two times per
week, plus intermittent methamphetamine use.
• Which clinical information would be most critical for you to collect in the first visit?
• What are the greatest risk factors for substance use disorder for this patient?
• Which harm reduction strategies would you recommend?
• Identify your city. Then refer this patient to three agencies near you that would support
positive health outcomes for this patient. (These agencies must not have been used in
past discussion posts). What was your rationale for choosing these three agencies?
W6 Toneika
After studying Module 6: Lecture Materials & Resources, discuss the following:
Tomeika is a three-year-old girl. She was recently diagnosed with autism spectrum disorder
(ASD).
Tomeika is able to make many vocalizations and is able to say one recognizable word. Tomeika
will say “juice”, which she pronounces as “oos.” Throughout the day, Tomeika cries and falls to
the floor to gain access to food, obtain a favorite toy, or when she wants to be picked up. Her
parents, Mr. and Mrs. Williams, would like for Tomeika to communicate her desires with words,
but do not know how to help her. Tomeika recently began attending an early childhood special
education classroom for learners with ASD in the County Public School System for six hours a
day, four days a week. On Wednesdays, Tomeika and her peers do not go to school. Instead, on
this day, Tomeika’s interventionist, Mrs. Dell, has parent conferences in her students’ homes.
[https://stu.instructure.com/courses/50346/pages/module-5-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-5-lecture-materials-and-resources)
[https://stu.instructure.com/courses/50346/pages/module-6-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-6-lecture-materials-and-resources)
During the conferences, Mrs. Dell discusses educational programming, learner progress, areas of
concern, and also provides training to parents.
• Which diagnostic information would be most critical for you to collect in the first visit?
• What is the primary goal for the treatment of this patient’s family problem based on
current US clinical practice guidelines?
• Which complementary and alternative medication treatments would you recommend?
• Identify your city. Then refer this patient to three agencies near you that would support
positive health outcomes for this patient. (These agencies must not have been used in
past discussion posts). What was your rationale for choosing these three agencies?
W7 Hip Fracture
After studying Module 7: Lecture Materials & Resources, discuss the following:
The patient is a 71-year-old widowed man who is seen regularly in the clinic for health
maintenance and follow-up of his chronic insomnia and anxiety. He has regular prescriptions for
triazolam (Halcion) and clonazepam (Klonopin) for these problems. Recently he has been
reporting frequent episodes of losing his balance and falling, and eight weeks ago was
hospitalized for a hip fracture sustained during one of these falls resulting in hip surgery. On this
visit, he also complains of becoming increasingly confused.
• What information would be most critical for you to collect in the first visit?
• What is the primary goal for the treatment of this patient?
• Identify potential obstacles for change. Which educational approach would the PMHNP
provide to overcome these obstacles?
• How would you teach the patient about the Beers list and Halcion?
• Discuss a medication in detail that could be safely substituted to treat insomnia in
geriatric patients.
[https://stu.instructure.com/courses/50346/pages/module-7-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-7-lecture-materials-and-resources)
**## NUR650DisWk2response.pdf**
Neivis Socorro Garcia
Harriet Needs Surgery
I am located in Miami, Florida. In this case, Harriet is a 51-year-old married woman with a
history of alcohol and cocaine use disorder who has been in remission for the past four years.
She has been regularly attending Alcoholics Anonymous (AA) and Narcotics Anonymous (NA),
and she denies any current cravings. However, she now needs carpal tunnel surgery, and the use
of oxycodone during recovery is concerning because of her past substance use history. This
situation is important to approach carefully to reduce the risk of relapse.
During the first visit, the most important information to collect would include a detailed
substance use history, especially past triggers, relapse patterns, and coping strategies that have
helped her stay sober. It is also important to assess her current emotional state, including any
anxiety about the surgery or fear of relapse. The provider should explore her support system,
including her spouse, AA/NA involvement, and whether she has a sponsor or close support
network. Understanding how she feels about taking pain medication, especially opioids, is also
very important. Screening for depression, anxiety, and relapse risk should be included, since
medical stress can increase vulnerability even in patients who have been stable for years.
The main goal of treatment is to prevent relapse while still managing her pain safely.
According to current guidelines, patients with a history of substance use disorder should be
prescribed the lowest effective dose of opioids for the shortest time possible, along with close
monitoring and the use of non-opioid pain management when possible (Substance Abuse and
Mental Health Services Administration, 2020). Family involvement is also very important. The
goal is to help the family recognize early warning signs of relapse, support Harriet, and
encourage accountability. Open communication and strong coping strategies within the family
can help lower the risk of relapse during this stressful period.
In group therapy, different curative factors can be seen in each phase. In the initial phase,
instillation of hope is important, as Harriet can see others who have gone through similar
situations and remained stable. In the middle phase, universality helps her realize she is not alone
in her fears, which can reduce feelings of isolation. In the termination phase, interpersonal
learning becomes important, as she reflects on what she has learned and how she can continue
applying these skills after treatment.
In Miami, Florida, there are several agencies that can support Harriet. One option is New
Beginnings Recovery Center, which provides support for individuals in recovery and can help
reinforce relapse prevention during recovery from surgery. Another is Jackson Behavioral Health
Hospital, which offers mental health and substance use services, including outpatient care. A
third option is The Recovery Village Miami at Baptist Health, which provides structured
programs focused on relapse prevention and ongoing support.
These agencies were chosen because they offer a combination of mental health care,
substance use support, and counseling services. Having access to these resources can help
Harriet stay stable during recovery and reduce the chances of relapse.
Overall, Harriet’s case shows how important it is to balance pain management with relapse
prevention. With proper support, monitoring, and family involvement, she can go through
surgery safely while maintaining her sobriety.
Arlette Del Pino Vento
Harriet is a 51-year-old woman who has maintained sobriety from alcohol and cocaine for
the past four years, which is a significant strength. The clinical situation becomes more
complicated because the patient needs carpal tunnel surgery which requires postoperative pain
medications that include oxycodone. The first group visit requires information about her relapse
risk and her current coping strategies to be evaluated as the primary data for assessment. The
process requires her to share information about her substance use history and the factors that
trigger her addiction and the methods she used to achieve sobriety. It is also important to
understand how she feels about taking opioid medication, whether she feels confident, anxious,
or unsure, and whether she has a relapse prevention plan in place. Additionally, evaluating her
psychiatric stability, current stressors, support system, and any prior experience with prescribed
opioids is essential. Wakeman et al. (2020) emphasize that identifying both risk and protective
factors is key when managing pain in patients with a history of substance use.
The primary goal in addressing Harriet’s family related concerns is to strengthen her
support system while minimizing relapse risk. U.S. clinical guidelines support involving family
members in a way that promotes recovery without enabling harmful behaviors. In Harriet’s
situation, her spouse can provide emotional support, help monitor medication use if appropriate,
and reinforce healthy coping strategies. At the same time, it is important to maintain clear
boundaries so that Harriet retains responsibility for her recovery. The goal is to improve
communication, reduce stress within the home, and create a supportive environment that
prioritizes sobriety. According to SAMHSA (2021), appropriate family involvement can improve
outcomes and help sustain long-term recovery.
Group therapy can offer Harriet meaningful support throughout each phase of treatment.
The initial phase of the process requires universal healing elements to achieve their maximum
effect. When people who have experienced the same issues as Harriet speak about their battle
with addiction and need for medical help she discovers comfort in their shared experience. The
ability to connect with others creates a calming effect that helps people feel less anxious and
work together. The second phase of the process enables people to acquire knowledge through
their interactions with others. Through his practice sessions Harriet will learn to voice her needs
while receiving constructive criticism on her performance and developing effective stress
management techniques. The current phase enables individuals to develop through collective
activities while they enhance their understanding of themselves. The final phase of the process
requires participants to focus on their achievements while they develop their self-assurance.
Harriet uses her current position to evaluate her achievements while she builds better coping
mechanisms to help her sustain her recovery process. Research studies on group psychotherapy
demonstrate that these therapeutic factors receive strong validation (Yalom & Leszcz, 2020).
I am located in Miami, Florida, and three local agencies that could support Harriet include
Jackson Behavioral Health Hospital, New Hope CORPS, and South Miami Hospital Addiction
Treatment Services. The selected agencies deliver complete healthcare services which treat
patients who suffer from both mental health disorders and substance use disorders. Jackson
Behavioral Health Hospital offers a wide range of outpatient and inpatient services, making it a
strong option if Harriet needs additional support. New Hope CORPS provides its primary focus
to help people recover from addiction while preventing them from relapsing, which fits her long-
term sobriety needs. South Miami Hospital Addiction Treatment Services provides medically
integrated care, which is especially beneficial given her need for coordinated surgical and pain
management.
Overall, Harriet’s case highlights the importance of balancing effective pain management
with relapse prevention. With a thorough assessment, supportive family involvement, group
therapy, and access to local resources, Harriet can safely navigate her recovery while maintaining
her sobriety.
**## NUR650Diss1-7.pdf**
NUR650 Discussions
Submission Instructions:
Your initial post should be at least 500 words, formatted and cited in the current APA style
Provide support for your work from at least 2 academic sources less than 5 years old.
Wk1 Tom’s Parents are Fighting
After studying Module 1: Lecture Materials & Resources, discuss the following:
Tom is a 16-year-old who comes to you to evaluate his lack of attention because his grades are
progressively getting worse. When you ask about stress in his life, he notes that his parents are
always fighting, and this upsets him. He believes that they fight more when they have been
drinking, and he believes that his father is the heavier drinker of the two, but he cannot quantify
either parent's use.
• What information would be most critical for the group leader to collect in the first visit?
• What is the primary goal for group treatment of this patient’s family problem based on
US group therapy best practices?
• Which harm reduction strategies would you recommend?
• Identify your city. Then refer this patient to three support groups near you that promote
positive health outcomes for this patient. What was your rationale for choosing these
three agencies?
W2 Harriet Needs Surgery
After studying Module 2: Lecture Materials & Resources, discuss the following:
Harriet is a 51-year-old married woman with a past history of alcohol and cocaine abuse. She has
been attending AA and NA meetings regularly and does not report urges to drink or use drugs
during the 4 years you have been her psychiatric mental health nurse practitioner. She needs
carpal tunnel surgery and the typical regimen during recovery is oxycodone 15 mg per day.
• What information would be most critical for the group leader to collect in the first visit?
• What is the primary goal for the treatment of this patient’s family problem, based on the
US clinical guidelines?
[https://stu.instructure.com/courses/50346/pages/module-1-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-1-lecture-materials-and-resources)
[https://stu.instructure.com/courses/50346/pages/module-2-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-2-lecture-materials-and-resources)
• Discuss one curative factor the group would observe during the initial, middle and
termination phases in group therapy?
• Identify your city. Then refer this patient to three agencies near you that would support
positive health outcomes for this patient. (These agencies must not have been used in past
discussion posts). What was your rationale for choosing these three agencies?
W3 Motivational Interview with Mary
After studying Module 3: Lecture Materials & Resources, discuss the following:
Mary is 27 years old and has had a history of alcohol dependence for several years. Mary has a
daughter Kylie, aged 3 years, who displays signs of fetal alcohol syndrome. Social work services
have been involved with Mary and Kylie since her birth, culminating in Kylie being looked after
by the local authority as a result of Mary arriving to collect Kylie from the local nursery while
significantly under the influence of alcohol. Mary has demonstrated ambivalence regarding her
ability to control her alcohol use. Mary has referred herself to a local counseling agency as
suggested by the social worker and her PCP.
• Discuss how you might use the principles of motivational interviewing with Mary.
• Provide a detailed overview of how the interview may progress. Include each step of
motivational interviewing in your discussion.
• Describe how a provider would recognize this patient is ready to change. Use principles
of motivational interviewing to support your answer.
W4 Richard is Motivated
After studying Module 4: Lecture Materials & Resources, discuss the following:
Richard is a 62-year-old single man who says that his substance dependence and his bipolar
disorder both emerged in his late teens. He says that he started to drink to “feel better” when his
episodes of depression made it hard for him to interact with his peers. He also states that alcohol
and cocaine are a natural part of his manic episodes. He also notes that coming off the cocaine
and binge drinking contribute to low mood, but he has not responded well to referrals to AA and
past inpatient stays have led to only temporary abstinence. Yet, Richard is now trying to forge a
closer relationship with his adult children, and he says he is especially motivated to get a better
handle on both his bipolar disorder and his substance use. He has been more compliant with his
mood stabilizing and antidepressant medication, and his psychiatric provider would like his dual
diagnoses addressed with psychotherapy.
• What diagnostic information would be most critical to collect in the first visit?
[https://stu.instructure.com/courses/50346/pages/module-3-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-3-lecture-materials-and-resources)
[https://stu.instructure.com/courses/50346/pages/module-4-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-4-lecture-materials-and-resources)
• Which diagnostic measures are recommended by the US clinical guidelines for the
treatment of this patient’s family problem?
• Which evidence based harm reduction strategies would you recommend to treat this
patient?
• Identify your city. Then refer this patient to three agencies near you that would support
positive health outcomes for this patient. (These agencies must not have been used in
past discussion posts). What was your rationale for choosing these three agencies?
W5 Pretty Serious Partying
After studying Module 5: Lecture Materials & Resources, discuss the following:
Jackie is a 31-year-old pregnant patient (2nd child, two different fathers) single mother of a 6-
year-old who is coming for prenatal care since she suspects she is pregnant. She is no longer with
the father of Robby, her firstborn. She indicates "pretty serious partying" with the likely father of
the baby. By pretty serious partying she means 10-12 drinks per occasion, one to two times per
week, plus intermittent methamphetamine use.
• Which clinical information would be most critical for you to collect in the first visit?
• What are the greatest risk factors for substance use disorder for this patient?
• Which harm reduction strategies would you recommend?
• Identify your city. Then refer this patient to three agencies near you that would support
positive health outcomes for this patient. (These agencies must not have been used in
past discussion posts). What was your rationale for choosing these three agencies?
W6 Toneika
After studying Module 6: Lecture Materials & Resources, discuss the following:
Tomeika is a three-year-old girl. She was recently diagnosed with autism spectrum disorder
(ASD).
Tomeika is able to make many vocalizations and is able to say one recognizable word. Tomeika
will say “juice”, which she pronounces as “oos.” Throughout the day, Tomeika cries and falls to
the floor to gain access to food, obtain a favorite toy, or when she wants to be picked up. Her
parents, Mr. and Mrs. Williams, would like for Tomeika to communicate her desires with words,
but do not know how to help her. Tomeika recently began attending an early childhood special
education classroom for learners with ASD in the County Public School System for six hours a
day, four days a week. On Wednesdays, Tomeika and her peers do not go to school. Instead, on
this day, Tomeika’s interventionist, Mrs. Dell, has parent conferences in her students’ homes.
[https://stu.instructure.com/courses/50346/pages/module-5-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-5-lecture-materials-and-resources)
[https://stu.instructure.com/courses/50346/pages/module-6-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-6-lecture-materials-and-resources)
During the conferences, Mrs. Dell discusses educational programming, learner progress, areas of
concern, and also provides training to parents.
• Which diagnostic information would be most critical for you to collect in the first visit?
• What is the primary goal for the treatment of this patient’s family problem based on
current US clinical practice guidelines?
• Which complementary and alternative medication treatments would you recommend?
• Identify your city. Then refer this patient to three agencies near you that would support
positive health outcomes for this patient. (These agencies must not have been used in
past discussion posts). What was your rationale for choosing these three agencies?
W7 Hip Fracture
After studying Module 7: Lecture Materials & Resources, discuss the following:
The patient is a 71-year-old widowed man who is seen regularly in the clinic for health
maintenance and follow-up of his chronic insomnia and anxiety. He has regular prescriptions for
triazolam (Halcion) and clonazepam (Klonopin) for these problems. Recently he has been
reporting frequent episodes of losing his balance and falling, and eight weeks ago was
hospitalized for a hip fracture sustained during one of these falls resulting in hip surgery. On this
visit, he also complains of becoming increasingly confused.
• What information would be most critical for you to collect in the first visit?
• What is the primary goal for the treatment of this patient?
• Identify potential obstacles for change. Which educational approach would the PMHNP
provide to overcome these obstacles?
• How would you teach the patient about the Beers list and Halcion?
• Discuss a medication in detail that could be safely substituted to treat insomnia in
geriatric patients.
[https://stu.instructure.com/courses/50346/pages/module-7-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-7-lecture-materials-and-resources)
**## NUR650DisWk2response.pdf**
Neivis Socorro Garcia
Harriet Needs Surgery
I am located in Miami, Florida. In this case, Harriet is a 51-year-old married woman with a
history of alcohol and cocaine use disorder who has been in remission for the past four years.
She has been regularly attending Alcoholics Anonymous (AA) and Narcotics Anonymous (NA),
and she denies any current cravings. However, she now needs carpal tunnel surgery, and the use
of oxycodone during recovery is concerning because of her past substance use history. This
situation is important to approach carefully to reduce the risk of relapse.
During the first visit, the most important information to collect would include a detailed
substance use history, especially past triggers, relapse patterns, and coping strategies that have
helped her stay sober. It is also important to assess her current emotional state, including any
anxiety about the surgery or fear of relapse. The provider should explore her support system,
including her spouse, AA/NA involvement, and whether she has a sponsor or close support
network. Understanding how she feels about taking pain medication, especially opioids, is also
very important. Screening for depression, anxiety, and relapse risk should be included, since
medical stress can increase vulnerability even in patients who have been stable for years.
The main goal of treatment is to prevent relapse while still managing her pain safely.
According to current guidelines, patients with a history of substance use disorder should be
prescribed the lowest effective dose of opioids for the shortest time possible, along with close
monitoring and the use of non-opioid pain management when possible (Substance Abuse and
Mental Health Services Administration, 2020). Family involvement is also very important. The
goal is to help the family recognize early warning signs of relapse, support Harriet, and
encourage accountability. Open communication and strong coping strategies within the family
can help lower the risk of relapse during this stressful period.
In group therapy, different curative factors can be seen in each phase. In the initial phase,
instillation of hope is important, as Harriet can see others who have gone through similar
situations and remained stable. In the middle phase, universality helps her realize she is not alone
in her fears, which can reduce feelings of isolation. In the termination phase, interpersonal
learning becomes important, as she reflects on what she has learned and how she can continue
applying these skills after treatment.
In Miami, Florida, there are several agencies that can support Harriet. One option is New
Beginnings Recovery Center, which provides support for individuals in recovery and can help
reinforce relapse prevention during recovery from surgery. Another is Jackson Behavioral Health
Hospital, which offers mental health and substance use services, including outpatient care. A
third option is The Recovery Village Miami at Baptist Health, which provides structured
programs focused on relapse prevention and ongoing support.
These agencies were chosen because they offer a combination of mental health care,
substance use support, and counseling services. Having access to these resources can help
Harriet stay stable during recovery and reduce the chances of relapse.
Overall, Harriet’s case shows how important it is to balance pain management with relapse
prevention. With proper support, monitoring, and family involvement, she can go through
surgery safely while maintaining her sobriety.
Arlette Del Pino Vento
Harriet is a 51-year-old woman who has maintained sobriety from alcohol and cocaine for
the past four years, which is a significant strength. The clinical situation becomes more
complicated because the patient needs carpal tunnel surgery which requires postoperative pain
medications that include oxycodone. The first group visit requires information about her relapse
risk and her current coping strategies to be evaluated as the primary data for assessment. The
process requires her to share information about her substance use history and the factors that
trigger her addiction and the methods she used to achieve sobriety. It is also important to
understand how she feels about taking opioid medication, whether she feels confident, anxious,
or unsure, and whether she has a relapse prevention plan in place. Additionally, evaluating her
psychiatric stability, current stressors, support system, and any prior experience with prescribed
opioids is essential. Wakeman et al. (2020) emphasize that identifying both risk and protective
factors is key when managing pain in patients with a history of substance use.
The primary goal in addressing Harriet’s family related concerns is to strengthen her
support system while minimizing relapse risk. U.S. clinical guidelines support involving family
members in a way that promotes recovery without enabling harmful behaviors. In Harriet’s
situation, her spouse can provide emotional support, help monitor medication use if appropriate,
and reinforce healthy coping strategies. At the same time, it is important to maintain clear
boundaries so that Harriet retains responsibility for her recovery. The goal is to improve
communication, reduce stress within the home, and create a supportive environment that
prioritizes sobriety. According to SAMHSA (2021), appropriate family involvement can improve
outcomes and help sustain long-term recovery.
Group therapy can offer Harriet meaningful support throughout each phase of treatment.
The initial phase of the process requires universal healing elements to achieve their maximum
effect. When people who have experienced the same issues as Harriet speak about their battle
with addiction and need for medical help she discovers comfort in their shared experience. The
ability to connect with others creates a calming effect that helps people feel less anxious and
work together. The second phase of the process enables people to acquire knowledge through
their interactions with others. Through his practice sessions Harriet will learn to voice her needs
while receiving constructive criticism on her performance and developing effective stress
management techniques. The current phase enables individuals to develop through collective
activities while they enhance their understanding of themselves. The final phase of the process
requires participants to focus on their achievements while they develop their self-assurance.
Harriet uses her current position to evaluate her achievements while she builds better coping
mechanisms to help her sustain her recovery process. Research studies on group psychotherapy
demonstrate that these therapeutic factors receive strong validation (Yalom & Leszcz, 2020).
I am located in Miami, Florida, and three local agencies that could support Harriet include
Jackson Behavioral Health Hospital, New Hope CORPS, and South Miami Hospital Addiction
Treatment Services. The selected agencies deliver complete healthcare services which treat
patients who suffer from both mental health disorders and substance use disorders. Jackson
Behavioral Health Hospital offers a wide range of outpatient and inpatient services, making it a
strong option if Harriet needs additional support. New Hope CORPS provides its primary focus
to help people recover from addiction while preventing them from relapsing, which fits her long-
term sobriety needs. South Miami Hospital Addiction Treatment Services provides medically
integrated care, which is especially beneficial given her need for coordinated surgical and pain
management.
Overall, Harriet’s case highlights the importance of balancing effective pain management
with relapse prevention. With a thorough assessment, supportive family involvement, group
therapy, and access to local resources, Harriet can safely navigate her recovery while maintaining
her sobriety.
**## NUR650Diss1-7.pdf**
NUR650 Discussions
Submission Instructions:
Your initial post should be at least 500 words, formatted and cited in the current APA style
Provide support for your work from at least 2 academic sources less than 5 years old.
Wk1 Tom’s Parents are Fighting
After studying Module 1: Lecture Materials & Resources, discuss the following:
Tom is a 16-year-old who comes to you to evaluate his lack of attention because his grades are
progressively getting worse. When you ask about stress in his life, he notes that his parents are
always fighting, and this upsets him. He believes that they fight more when they have been
drinking, and he believes that his father is the heavier drinker of the two, but he cannot quantify
either parent's use.
• What information would be most critical for the group leader to collect in the first visit?
• What is the primary goal for group treatment of this patient’s family problem based on
US group therapy best practices?
• Which harm reduction strategies would you recommend?
• Identify your city. Then refer this patient to three support groups near you that promote
positive health outcomes for this patient. What was your rationale for choosing these
three agencies?
W2 Harriet Needs Surgery
After studying Module 2: Lecture Materials & Resources, discuss the following:
Harriet is a 51-year-old married woman with a past history of alcohol and cocaine abuse. She has
been attending AA and NA meetings regularly and does not report urges to drink or use drugs
during the 4 years you have been her psychiatric mental health nurse practitioner. She needs
carpal tunnel surgery and the typical regimen during recovery is oxycodone 15 mg per day.
• What information would be most critical for the group leader to collect in the first visit?
• What is the primary goal for the treatment of this patient’s family problem, based on the
US clinical guidelines?
[https://stu.instructure.com/courses/50346/pages/module-1-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-1-lecture-materials-and-resources)
[https://stu.instructure.com/courses/50346/pages/module-2-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-2-lecture-materials-and-resources)
• Discuss one curative factor the group would observe during the initial, middle and
termination phases in group therapy?
• Identify your city. Then refer this patient to three agencies near you that would support
positive health outcomes for this patient. (These agencies must not have been used in past
discussion posts). What was your rationale for choosing these three agencies?
W3 Motivational Interview with Mary
After studying Module 3: Lecture Materials & Resources, discuss the following:
Mary is 27 years old and has had a history of alcohol dependence for several years. Mary has a
daughter Kylie, aged 3 years, who displays signs of fetal alcohol syndrome. Social work services
have been involved with Mary and Kylie since her birth, culminating in Kylie being looked after
by the local authority as a result of Mary arriving to collect Kylie from the local nursery while
significantly under the influence of alcohol. Mary has demonstrated ambivalence regarding her
ability to control her alcohol use. Mary has referred herself to a local counseling agency as
suggested by the social worker and her PCP.
• Discuss how you might use the principles of motivational interviewing with Mary.
• Provide a detailed overview of how the interview may progress. Include each step of
motivational interviewing in your discussion.
• Describe how a provider would recognize this patient is ready to change. Use principles
of motivational interviewing to support your answer.
W4 Richard is Motivated
After studying Module 4: Lecture Materials & Resources, discuss the following:
Richard is a 62-year-old single man who says that his substance dependence and his bipolar
disorder both emerged in his late teens. He says that he started to drink to “feel better” when his
episodes of depression made it hard for him to interact with his peers. He also states that alcohol
and cocaine are a natural part of his manic episodes. He also notes that coming off the cocaine
and binge drinking contribute to low mood, but he has not responded well to referrals to AA and
past inpatient stays have led to only temporary abstinence. Yet, Richard is now trying to forge a
closer relationship with his adult children, and he says he is especially motivated to get a better
handle on both his bipolar disorder and his substance use. He has been more compliant with his
mood stabilizing and antidepressant medication, and his psychiatric provider would like his dual
diagnoses addressed with psychotherapy.
• What diagnostic information would be most critical to collect in the first visit?
[https://stu.instructure.com/courses/50346/pages/module-3-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-3-lecture-materials-and-resources)
[https://stu.instructure.com/courses/50346/pages/module-4-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-4-lecture-materials-and-resources)
• Which diagnostic measures are recommended by the US clinical guidelines for the
treatment of this patient’s family problem?
• Which evidence based harm reduction strategies would you recommend to treat this
patient?
• Identify your city. Then refer this patient to three agencies near you that would support
positive health outcomes for this patient. (These agencies must not have been used in
past discussion posts). What was your rationale for choosing these three agencies?
W5 Pretty Serious Partying
After studying Module 5: Lecture Materials & Resources, discuss the following:
Jackie is a 31-year-old pregnant patient (2nd child, two different fathers) single mother of a 6-
year-old who is coming for prenatal care since she suspects she is pregnant. She is no longer with
the father of Robby, her firstborn. She indicates "pretty serious partying" with the likely father of
the baby. By pretty serious partying she means 10-12 drinks per occasion, one to two times per
week, plus intermittent methamphetamine use.
• Which clinical information would be most critical for you to collect in the first visit?
• What are the greatest risk factors for substance use disorder for this patient?
• Which harm reduction strategies would you recommend?
• Identify your city. Then refer this patient to three agencies near you that would support
positive health outcomes for this patient. (These agencies must not have been used in
past discussion posts). What was your rationale for choosing these three agencies?
W6 Toneika
After studying Module 6: Lecture Materials & Resources, discuss the following:
Tomeika is a three-year-old girl. She was recently diagnosed with autism spectrum disorder
(ASD).
Tomeika is able to make many vocalizations and is able to say one recognizable word. Tomeika
will say “juice”, which she pronounces as “oos.” Throughout the day, Tomeika cries and falls to
the floor to gain access to food, obtain a favorite toy, or when she wants to be picked up. Her
parents, Mr. and Mrs. Williams, would like for Tomeika to communicate her desires with words,
but do not know how to help her. Tomeika recently began attending an early childhood special
education classroom for learners with ASD in the County Public School System for six hours a
day, four days a week. On Wednesdays, Tomeika and her peers do not go to school. Instead, on
this day, Tomeika’s interventionist, Mrs. Dell, has parent conferences in her students’ homes.
[https://stu.instructure.com/courses/50346/pages/module-5-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-5-lecture-materials-and-resources)
[https://stu.instructure.com/courses/50346/pages/module-6-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-6-lecture-materials-and-resources)
During the conferences, Mrs. Dell discusses educational programming, learner progress, areas of
concern, and also provides training to parents.
• Which diagnostic information would be most critical for you to collect in the first visit?
• What is the primary goal for the treatment of this patient’s family problem based on
current US clinical practice guidelines?
• Which complementary and alternative medication treatments would you recommend?
• Identify your city. Then refer this patient to three agencies near you that would support
positive health outcomes for this patient. (These agencies must not have been used in
past discussion posts). What was your rationale for choosing these three agencies?
W7 Hip Fracture
After studying Module 7: Lecture Materials & Resources, discuss the following:
The patient is a 71-year-old widowed man who is seen regularly in the clinic for health
maintenance and follow-up of his chronic insomnia and anxiety. He has regular prescriptions for
triazolam (Halcion) and clonazepam (Klonopin) for these problems. Recently he has been
reporting frequent episodes of losing his balance and falling, and eight weeks ago was
hospitalized for a hip fracture sustained during one of these falls resulting in hip surgery. On this
visit, he also complains of becoming increasingly confused.
• What information would be most critical for you to collect in the first visit?
• What is the primary goal for the treatment of this patient?
• Identify potential obstacles for change. Which educational approach would the PMHNP
provide to overcome these obstacles?
• How would you teach the patient about the Beers list and Halcion?
• Discuss a medication in detail that could be safely substituted to treat insomnia in
geriatric patients.
[https://stu.instructure.com/courses/50346/pages/module-7-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-7-lecture-materials-and-resources)