NURS 6650 Assignments – Psychotherapy with Groups and Families

NURS 6650 Assignments – Psychotherapy with Groups and Families NURS 6650 Assignments – Psychotherapy with Groups and Families NURS 6650 Week 2 Assignment 1 – Hernandez Family Assessment ? The purpose of this paper is to complete a comprehensive assessment of the Hernandez family by addressing all information possible from the videos presented in this week’s module. The family consisted of 40 -year-old John M, and his wife Mary M., who is 32 years old, and they have no children. The clients were seen in a mental crisis center. Initially, Mr. John had been voluntarily admitted to the unit due passive suicidal thoughts, depression, and alcohol dependence. Mr. John had been recently fired from his job due to showing at work drunk. Couple therapy was recommended to speed up his recovery and maintain sobriety. Permalink: https://nursingpaperessays.com/ nurs-6650-assign…ups-and-families / In the session, Mr. John self-reported mood as depressed, and he acknowledged his drinking problem disrupting his life, and he was prepared to fully participate in the recovery for the sake of his well-being and his marriage. On the hand, his wife Mary, appeared anxious, and frustrated. She blamed the husband for all the misery of the family. She was much worried about their future as the husband had lost his job. However, she was willing to support him in recovery. Psychiatric History: Mr. John has battling depression for six years, and his PCP prescribed antidepressant (Zoloft) last year but he abruptly stopped taking them as he felt that the medication was affecting his sexuality. He did not follow up with his PCP. He self-medicates with alcohol. His wife reported history of anxiety and occasional panic attacks, she was taking fluoxetine 40mg daily. The medication was prescribed by PCP. Psychiatric Hospitalization : It was the first time for Mr. John to hospitalized in mental facility. His wife reported no history of psychiatric hospitalization. Medical History : They both denied any medical history Psychosocial History : They both said they smoked marijuana occasionally. The wife works as cashier in a local gas station. They live in a one- bedroom apartment. Differential Diagnosis: Major Depression Disorder F 32 Mr. John presented with depressed mood and reported history of loss of interest in pleasurable activities, sleep disturbance and suicidal thoughts lasting more than 2 weeks. In addition, to meet the diagnostic criteria the symptoms had caused clinically significant distress or impairment in social, occupational, or other important areas of functioning( American Psychiatric Association, 2013). NURS 6650 Assignments – Psychotherapy with Groups and Families Alcohol Use disorder AUD To be diagnosed with an AUD, individuals must meet certain diagnostic criteria. Some of these criteria include problems controlling intake of alcohol, continued use of alcohol despite problems resulting from drinking, development of a tolerance ( Grant& Saha, 2015). Generalized Anxiety Disorder : Ms. Mary exhibited some of the signs of generalized anxiety. Diagnostic criteria symptoms include excessive anxiety and worry as well as restlessness, fatigue, irritability, tension, and sleep problems (Watson& Greenberg, 2017) Ethical and Ethical Implications of Counselling the Couple Family members often experience resentment about past substance abuse and fear and distrust about the possible return of substance abuse in the future (O’ Farrell& Fals-Stewart, 2013)In the case of John and Mary, there is a higher probability that there will be uncertainty and distrust during the recovery. It may be unethical to tell directly his wife that her anxiety and blame towards her husband may demoralize him and impede the recovery. However, it may be beneficial as feelings experienced by the substance abuser and the family often lead to an atmosphere of tension and unhappiness in couple and family relationships( O’Farrell & Fals-Stewart, 2013). References American Psychiatric Association. (2013). Major Depressive Disorder. Retrieved from https://images.pearsonclinical.com/images/assets/basc-3/basc3resources/DSM5_DiagnosticCriteria_MajorDepressiveDisorder.pdf Frisch, N. C., & Frisch, L. E. (2011). Psychiatric mental health nursing (4th ed.). Clifton Park, NY: Delmar Pub. Grant, B., & Saha, T. (2015). Epidemiology of DSM-5 Alcohol Use Disorder Results From the National Epidemiologic Survey on Alcohol and Related Conditions III. Jama Psychiatry , 72 (8). Retrieved from https://jamanetwork.com/journals/jamapsychiatry/fullarticle/2300494 Nichols, M. (2013). The Essentials of Family Therapy (6th ed.). United States: Pearson Education. O’Farrell, T. J., & Fals-Stewart, W. (2013). Behavioral Couples Therapy for Alcoholism and Other Drug Abuse. Alcoholism Treatment Quarterly , 26 (1-2), 195-219. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3215582/ Watson, J. C., & Greenberg, L. S. (2017). Emotion-focused therapy formulation of generalized anxiety disorder. American Psychology Association , 54 (4), 17-40. Retrieved from https://eds-b-ebscohost-com.ezp.waldenulibrary.org/eds/pdfviewer/pdfviewer?vid=9&sid=0ff11f46-f73e-4f63-8578-ad65a99c45c2%40pdc-v-sessmgr05 Nurs 6650 Week 2 Assignment. NURS 6650 Week 4 Assignment 2 The purpose of this week’s journal entry is to explore the nursing a n d counseling theori es that govern my practicum experience, develop goa l s and objectives for my practicum experience and present a timeline for practicum activit ies . As a future advanced practice nurse, it is important that you are able to connect your classroom experience to your practicum experience. By applying the concepts you study in the classroom to clinical settings, you enhance your professional competency. Each week, you complete an Assignment that prompts you to reflect on your practicum experiences and relate them to the material presented in the classroom. This week, you begin documenting your practicum experiences in your Practicum Journal. Note: Be sure to use the Practicum Journal Template, located in this week’s Learning Resources. Learning Objectives Students will: Analyze nursing and counseling theories to guide practice in psychotherapy* Summarize goals and objectives for personal practicum experiences* Produce timelines for practicum activities* * The Assignment related to this Learning Objective is introduced this week and submitted in Week 3. In preparation for this course’s practicum experience, address the following in your Practicum Journal: Select one nursing theory and one counseling theory to best guide your practice in psychotherapy. Note: For guidance on nursing and counseling theories, refer to this week’s Learning Resources. Explain why you selected these theories. Support your approach with evidence-based literature. Develop at least three goals and at least three objectives for the practicum experience in this course. Create a timeline of practicum activities based on your practicum requirements. NURS 6650 Assignments – Psychotherapy with Groups and Families NURS 6650 Week 4 Assignment 3 ? The purpose of this journal entry is to discuss two clients seen in therapy, develop a diagnosis , and explain the legal and ethical aspects of counseling these clients. Week 2 Journal Entry Learning Objectives Students will: Apply documentation skills to examine family therapy sessions * Develop diagnoses for clients receiving family psychotherapy * Analyze legal and ethical implications of counseling clients with psychiatric disorders * * The Assignment related to this Learning Objective is introduced this week and submitted in Week 3. Select two clients you observed or counseled this week during a family therapy session. Note: The two clients you select must have attended the same family session. Then, address in your Practicum Journal the following: Using the Group Therapy Progress Note in this week’s Learning Resources, document the family session. Describe (without violating HIPAA regulations) each client, and identify any pertinent history or medical information, including prescribed medications. Using the Diagnostic and Statistical Manual of Mental Health Disorders, Fifth Edition (DSM-5), explain and justify your diagnosis for each client. Explain any legal and/or ethical implications related to counseling each client. NURS 6650 Psychotherapy With Groups and Families Week 4 Assignment 4 Practicum – Assessing Client Families Learning Objectives Students will: Assess client families presenting for psychotherapy Develop genograms for client families presenting for psychotherapy To prepare: Select a client family that you have observed or counseled at your practicum site. Review pages 137–142 of Wheeler (2014) and the Hernandez Family Genogram video in this week’s Learning Resources. Reflect on elements of writing a comprehensive client assessment and creating a genogram for the client you selected. The Assignment Part 1: Comprehensive Client Family Assessment Create a comprehensive client assessment for your selected client family that addresses (without violating HIPAA regulations) the following: Demographic information Presenting problem History or present illness Past psychiatric history Medical history Substance use history Developmental history Family psychiatric history Psychosocial history History of abuse and/or trauma Review of systems Physical assessment Mental status exam Differential diagnosis Case formulation Treatment plan Part 2: Family Genogram Develop a genogram for the client family you selected. The genogram should extend back at least three generations (parents, grandparents, and great grandparents). NURS 6650 Assignments – Psychotherapy with Groups and Families NURS 6650 Psychotherapy With Groups and Families Week 6 Assignment Applying Current Literature to Clinical Practice Psychiatric mental health nursing practice is one of the newest disciplines to be licensed to provide psychotherapy As such, the majority of psychotherapy research is centered on other disciplines such as psychology, social work, marriage/family therapy, art therapy, psychiatry, and mental health counseling. This makes it essential for you to be able to translate current literature from other disciplines into your own clinical practice. For this Assignment, you practice this skill by examining literature on group work and group therapy and considering its applicability to your own clients. Learning Objectives Students will: Evaluate the application of current literature to clinical practice To prepare: Review this week’s Learning Resources and reflect on the insights they provide on group work and group therapy. Select one of the articles from the Learning Resources to evaluate for this Assignment. Note: In nursing practice, it is not uncommon to review current literature and share findings with your colleagues. Approach this Assignment as though you were presenting the information to your colleagues. The Assignment In a 5- to 10-slide PowerPoint presentation, address the following: Provide an overview of the article you selected, including answers to the following questions: What type of group was discussed? Who were the participants in the group? Why were they selected? What was the setting of the group? How often did the group meet? What was the duration of the group therapy? What curative factors might be important for this group and why? What “exclusion criteria” did the authors mention? Explain the findings/outcomes of the study in the article. Include whether this will translate into practice with your own client groups. If so, how? If not, why? Explain whether the limitations of the study might impact your ability to use the findings/outcomes presented in the article. Note: The presentation should be 5–10 slides, not including the title and reference slides. Include presenter notes (no more than a half page per slide) and use tables and/or diagrams where appropriate. Be sure to support your work with specific citations from the article you selected. Support your presentation with evidence-based literature. 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 “WK6Assgn+last name+first initial.(extension)” as the name. Click the Week 6 Assignment Rubric to review the Grading Criteria for the Assignment. Click the Week 6 Assignment 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 “WK6Assgn+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. NURS 6650 Assignments – Psychotherapy with Groups and Families NURS 6650 Psychotherapy With Groups and Families Week 7 Assignment 1 Group Processes and Stages of Formation In your role, you must understand group processes and stages of formation, as this will help you develop groups and determine an individual’s appropriateness for group therapy. Whether you are at the beginning stages of group formation or facilitating a session for a developed group, it is important to consider factors that may influence individual client progress. For this Assignment, as you examine the video Group Therapy: A Live Demonstration in this week’s Learning Resources, consider the group’s processes, stages of formation, and other factors that might impact the effectiveness of group therapy for clients. Learning Objectives Students will: Analyze group processes and stages of formation Analyze curative factors of groups Analyze the impact of curative factors on client progress Recommend strategies for managing intragroup conflict To prepare: Review this week’s Learning Resources and reflect on the insights they provide on group processes. View the media, Group Therapy: A Live Demonstration, and consider the group dynamics. The Assignment In a 2- to 3-page paper, address the following: Explain the group’s processes and stage of formation. Explain curative factors that occurred in the group. Include how these factors might impact client progress. Explain intragroup conflict that occurred and recommend strategies for managing the conflict. Support your recommendations with evidence-based literature. NURS 6650 Assignments – Psychotherapy with Groups and Families Week 7 Assignment 2 Practicum – Assessing Client Family Progress Learning Objectives Students will: Create progress notes Create privileged notes Justify the inclusion or exclusion of information in progress and privileged notes Evaluate preceptor notes To prepare: Reflect on the client family you selected for the Week 3 Practicum Assignment. The Assignment Part 1: Progress Note Using the client family from your Week 3 Practicum Assignment, address in a progress note (without violating HIPAA regulations) the following: Treatment modality used and efficacy of approach Progress and/or lack of progress toward the mutually agreed-upon client goals (reference the treatment plan for progress toward goals) Modification(s) of the treatment plan that were made based on progress/lack of progress Clinical impressions regarding diagnosis and or symptoms Relevant psychosocial information or changes from original assessment (e.g., marriage, separation/divorce, new relationships, move to a new house/apartment, change of job) Safety issues Clinical emergencies/actions taken Medications used by the patient, even if the nurse psychotherapist was not the one prescribing them Treatment compliance/lack of compliance Clinical consultations Collaboration with other professionals (e.g., phone consultations with physicians, psychiatrists, marriage/family therapists) The therapist’s recommendations, including whether the client agreed to the recommendations Referrals made/reasons for making referrals Termination/issues that are relevant to the termination process (e.g., client informed of loss of insurance or refusal of insurance company to pay for continued sessions) Issues related to consent and/or informed consent for treatment Information concerning child abuse and/or elder or dependent adult abuse, including documentation as to where the abuse was reported Information reflecting the therapist’s exercise of clinical judgment Note: Be sure to exclude any information that should not be found in a discoverable progress note. Part 2: Privileged Note Based on this week’s readings, prepare a privileged psychotherapy note that you would use to document your impressions of therapeutic progress/therapy sessions for your client family from the Week 3 Practicum Assignment. In your progress note, address the following: Include items that you would not typically include in a note as part of the clinical record. Explain why the items you included in the privileged note would not be included in the client family’s progress note. Explain whether your preceptor uses privileged notes. If so, describe the type of information he or she might include. If not, explain why. 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 “WK7Assgn2+last name+first initial.(extension)” as the name. Click the Week 7 Assignment 2 Rubric to review the Grading Criteria for the Assignment. Click the Week 7 Assignment 2 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 “WK7Assgn2+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. NURS 6650 Assignments – Psychotherapy with Groups and Families NURS 6650 Psychotherapy With Groups and Families Week 7 Assignment 3 Week 5 Journal Entry Learning Objectives Students will: Develop effective documentation skills for family therapy sessions * Develop diagnoses for clients receiving family psychotherapy * Evaluate the efficacy of solution-focused therapy and cognitive behavioral therapy for families * Analyze legal and ethical implications of counseling clients with psychiatric disorders * * The Assignment related to this Learning Objective is introduced this week and submitted in Week 7. Select two clients you observed or counseled this week during a family therapy session. Note: The two clients you select must have attended the same family session. Do not select the same family you selected for Week 2. Then, address in your Practicum Journal the following: Using the Group Therapy Progress Note in this week’s Learning Resources, document the family session. Describe each client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications. Using the DSM-5, explain and justify your diagnosis for each client. Explain whether solution-focused or cognitive behavioral therapy would be more effective with this family. Include expected outcomes based on these therapeutic approaches. Explain any legal and/or ethical implications related to counseling each client. Support your approach with evidence-based literature. Week 9 Assignment – Psychotherapeutic Approaches to Group Therapy for Addiction When selecting a psychotherapeutic approach for a client, you must consider the unique needs and characteristics of that particular client. The same is true when selecting a psychotherapeutic approach for groups. Not every approach is appropriate for every group, and the group’s unique needs and characteristics must be considered. For this Assignment, you examine psychotherapeutic approaches to group therapy for addiction. Learning Objectives Students will: Evaluate psychotherapeutic approaches to group therapy for addiction To prepare: Review this week’s Learning Resources and reflect on the insights they provide on group therapy for addiction. View the media, Levy Family: Sessions 1-7, and consider the psychotherapeutic approaches being used. The Assignment In a 2- to 3-page paper, address the following: Identify the psychotherapeutic approach that the group facilitator is using, and explain why she might be using this approach. Determine whether or not you would use the same psychotherapeutic approach if you were the counselor facilitating this group, and justify your decision. Identify an alternative approach to group therapy for addiction, and explain why it is an appropriate option. Support your position with evidence-based literature. Note: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The sample paper provided by the Writing Center provides examples of those required elements (available at http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting. 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 “WK9Assgn+last name+first initial.(extension)” as the name. Click the Week 9 Assignment Rubric to review the Grading Criteria for the Assignment. Click the Week 9 Assignment 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 “WK9Assgn+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. NURS 6650 Assignments – Psychotherapy with Groups and Families Click on the Submit button to complete your submission. Week 10 Assignment 1 Practicum – Client Termination Summary Although termination is an inevitable part of the therapeutic process, it is often difficult for clients. However, by discussing termination throughout therapy, you can better prepare your clients for life without you. Once a client has achieved his or her therapeutic goals, termination sessions should be held and documented in a client termination summary. For this Assignment, you have the opportunity to practice writing a termination summary for a client with whom you have worked during your practicum experience. Learning Objectives Students will: Develop client termination summaries To prepare: For guidance on writing a client termination summary, review pages 693–712 of Wheeler (2014) in this week’s Learning Resources. Identify a client who may be ready to terminate therapy. The Assignment Identifying information of client (e.g., hypothetical name and age) Date the client initially contacted therapist, date therapy began, duration of therapy, and date therapy will end Total number of sessions, including number of missed sessions Whether termination was planned or unplanned Presenting problem Major psychosocial issues Types of services rendered (e.g., individual, couple/family therapy, group therapy) Overview of treatment process Goal status (goals met, partially met, unmet) Treatment limitations (if any) Remaining difficulties and/or concerns Recommendations Follow-up plan (if indicated) Instructions for future contact Signatures With the client you selected in mind, address in a client termination summary (without violating HIPAA regulations) the following: 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 “WK10Assgn1+last name+first initial.(extension)” as the name. Click the Week 10 Assignment 1 Rubric to review the Grading Criteria for the Assignment. Click the Week 10 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 “WK10Assgn1+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. NURS 6650 Psychotherapy With Groups and Families Week 10 Assignment 2 Week 10 Journal Entry Learning Objectives Students will: Develop effective documentation skills to examine group therapy sessions with children and adolescents * Develop diagnoses for child and adolescent clients receiving group psychotherapy * Analyze legal and ethical implications of counseling child and adolescent clients with psychiatric disorders * Select two clients you observed or counseled this week during a group therapy session for children and adolescents. Note: The two clients you select must have attended the same group session. If you select the same group you selected for the Week 8 or Week 9 Journal Entries, you must select different clients. Then, address in your Practicum Journal the following: Using the Group Therapy Progress Note in this week’s Learning Resources, document the group session. Describe each client (without violating HIPAA regulations), and identify any pertinent history or medical information, including prescribed medications. Using the DSM-5, explain and justify your diagnosis for each client. Explain any legal and/or ethical implications related to counseling each client. Support your approach with evidence-based literature. 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 “WK10Assgn2+last name+first initial.(extension)” as the name. Click the Week 10 Assignment 2 Rubric to review the Grading Criteria for the Assignment. Click the Week 10 Assignment 2 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 “WK10Assgn2+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. NURS 6650 Assignments – Psychotherapy with Groups and Families Week 10 Assignment 3 – Practicum – Week 8 Journal Entry Learning Objectives Students will: Develop effective documentation skills for group therapy sessions * Develop diagnoses for clients receiving group psychotherapy * Evaluate the efficacy of cognitive behavioral therapy for groups * Analyze legal and ethical implications of counseling clients with psychiatric disorders * * The Assignment related to this Learning Objective is introduced this week and submitted in Week 10. Select two clients you observed or counseled this week during a group therapy session. Note: The two clients you select must have attended the same group session. Then, in your Practicum Journal, address the following: Using the Group Therapy Progress Note in this week’s Learning Resources, document the group session. Describe each client (without violating HIPAA regulations), and identify any pertinent history or medical information, including prescribed medications. Using the DSM-5, explain and justify your diagnosis for each client. Explain whether cognitive behavioral therapy would be effective with this group. Include expected outcomes based on this therapeutic approach. Explain any legal and/or ethical implications related to counseling each client. Support your approach with evidence-based literature. Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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