Posts in category: Nursing Papers

Week 6 Assignment
Practicum Experience – Episodic SOAP Note #2
After completing this week’s Practicum Experience, reflect
on a patient who presented with abdominal pain. Describe the patient’s personal
and medical history, drug therapy and treatments, and follow-up care.
All SOAP notes must be signed and each page must be
initialed by your preceptor. When you submit your SOAP Notes, you should
include the complete SOAP Note as a Word document and pdf/images of each page
that is initialed and signed by your preceptor. You must submit your SOAP Notes
using SAFE ASSIGN.
Please Note: Electronic signatures are not accepted. If both
files are not received by the due date, faculty will deduct points per the
Walden Late Policies.
By Day 7 of Week 6
This Assignment is due. You will submit two files for the
Week 6 Episodic SOAP Note #2, including a Word document and pdf/images of each
page that is initialed and signed by your preceptor by Day 7 of Week 6.

AssgnWK6_nurs6640.docx (19.23 KB)

NURS6640 week 6 assignment latest 2018 Week 6 Assignment 1: Assessing Clients With Addictive Disorders NURS6640 week 6 assignment latest 2018 Week 6 Assignment 1: Assessing Clients With Addictive Disorders
Addictive disorders can be particularly challenging for
clients. Not only do these disorders typically interfere with a client’s
ability to function in daily life, but they also often manifest as negative and
sometimes criminal behaviors. Sometime clients with addictive disorders also
suffer from other mental health issues, creating even greater struggles for
them to overcome. In your role, you have the opportunity to help clients
address their addictions and improve outcomes for both the clients and their
families. For this Assignment, as you examine the Levy Family video in this
week’s Learning Resources, consider how you might assess and treat clients
presenting with addiction.
Learning Objectives
Students will:
Assess clients presenting with addictive disorders
Analyze therapeutic approaches for treating clients with
addictive disorders
Evaluate outcomes for clients with addictive disorders
To prepare:
Review this week’s Learning Resources and consider the
insights they provide.
Review the Levy Family video Episodes 1 through 5.
The Assignment
In a 2- to 3-page paper, address the following:
After watching Episode 1, describe:
What is Mr. Levy’s perception of the problem?
What is Mrs. Levy’s perception of the problem?
What can be some of the implications of the problem on the
family as a whole?
After watching Episode 2, describe:
What did you think of Mr. Levy’s social worker’s ideas?
What were your thoughts of her supervisor’s questions about
her suggested therapies and his advice to Mr. Levy’s supervisor?
After watching Episode 3, discuss the following:
What were your thoughts about the way Mr. Levy’s therapist
responded to what Mr. Levy had to say?
What were your impressions of how the therapist worked with
Mr. Levy? What did you think about the therapy session as a whole?
Informed by your knowledge of pathophysiology, explain the
physiology of deep breathing (a common technique that we use in helping clients
to manage anxiety). Explain how changing breathing mechanics can alter blood
chemistry.
Describe the therapeutic approach his therapist selected.
Would you use exposure therapy with Mr. Levy? Why or why not? What evidence
exists to support the use of exposure therapy (or the therapeutic approach you
would consider if you disagree with exposure therapy)?
In Episode 4, Mr. Levy tells a very difficult story about
Kurt, his platoon officer.
Discuss how you would have responded to this revelation.
Describe how this information would inform your therapeutic
approach. What would you say/do next?
In Episode 5, Mr. Levy’s therapist is having issues with his
story.
Imagine that you were providing supervision to this
therapist, how would you respond to her concerns?
Support your approach 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 at the Walden Writing Center provides an example 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
“WK6Assgn+last name+first initial.(extension)” as the name.
Click the Week 6 Assignment Rubricto review the Grading
Criteria for the Assignment.
Click the Week 6 Assignmentlink. 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.

NURS6640_Week_5_Discussion.docx (104.63 KB)

Walden NURS6640 Week 5 Discussion Latest 2019 March NURS6640 Psychotherapy With Individuals Week 5 Discussion Posttraumatic Stress Disorder
It is estimated that more than 6% of the U.S. population will experience
posttraumatic stress disorder (PTSD) in their lifetime (National Center for
PTSD, 2010). This debilitating disorder often interferes with an individual’s
ability to function in daily life. Common symptoms of anxiousness and
depression frequently lead to substance abuse issues and even physical
ailments. For this Discussion, as you examine the Thompson Family Case Study in
this week’s Learning Resources, consider how you might assess and treat clients
presenting with PTSD.

NURS6640 Psychotherapy With Individuals
Week 3 Assignment 1
Applying
Current Literature to Clinical Practice
Literature
in psychotherapy differs from other areas of clinical practice. Generally,
there are no clinical trials in psychotherapy because it is often neither appropriate
nor ethical to have controls in psychotherapy research. This sometimes makes it
more difficult to translate research findings into practice. In your role,
however, you must be able to synthesize current literature and apply it to your
own clients. For this Assignment, you begin practicing this skill by examining
current literature on psychodynamic therapy and considering how it might
translate into your own clinical practice.
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.
Select one
of the psychodynamic therapy 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.
What
population is under consideration?
What was
the specific intervention that was used? Is this a new intervention or one that
was already used?
What were
the author’s claims?
Explain the
findings/outcomes of the study in the article. Include whether this will
translate into practice with your own clients. 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. Support your position with
evidence-based literature.
Note: The
presentation should be 5–10 slides, not including the title and reference
slides. Include presenter notes (no more than ½ 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 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 “WK3Assgn1+last name+first
initial.(extension)” as the name.
Click the
Week 3 Assignment 1 Rubric to review the Grading Criteria for the Assignment.
Click the
Week 3 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 “WK3Assgn1+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.
NURS6640 Psychotherapy With Individuals
Week 3 Assignment 2
Practicum –
Assessing Clients
Learning
Objectives
Students
will:
Assess
clients presenting for psychotherapy
Develop
genograms for clients presenting for psychotherapy
To prepare:
Select a
client whom you have observed or counseled at your practicum site.
Review
pages 137–142 of the Wheeler text 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
With this
client in mind, address the following in a Comprehensive ClientAssessment
(without violating HIPAA regulations):
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/trauma
Review of
systems
Physical
assessment
Mental
status exam
Differential
diagnosis
Case
formulation
Treatment
plan
Part 2:
Family Genogram
Prepare a
genogram for the client you selected. The genogram should extend back by at
least three generations (great grandparents, grandparents, and parents).
By Day 7 of
Week 3
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 “WK3Assgn2+last name+first
initial.(extension)” as the name.
Click the
Week 3 Assignment 2 Rubric to review the Grading Criteria for the Assignment.
Click the
Week 3 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 “WK3Assgn2+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.
NURS6640 Psychotherapy With Individuals
Week 4 Assignment 1
Cognitive
Behavioral Theory Versus Rational Emotive Behavioral Theory
While
cognitive behavioral therapy (CBT) and rational emotive behavioral therapy
(REBT) have many similarities, they are distinctly different therapeutic
approaches. When assessing clients and selecting one of these therapies, you
must recognize the importance of not only selecting the one that is best for
the client, but also the approach that most aligns to your own skill set. For
this Assignment, as you examine the similarities and differences between CBT
and REBT, consider which therapeutic approach you might use with your clients.
Learning
Objectives
Students
will:
Compare
cognitive behavioral therapy and rational emotive behavioral therapy
Recommend
cognitive behavioral therapies for clients
To prepare:
Review the
media in this week’s Learning Resources.
Reflect on
the various forms of cognitive behavioral therapy.
The
Assignment
In a 1- to
2-page paper, address the following:
Briefly
describe how cognitive behavioral therapy (CBT) and rational emotive behavioral
therapy (REBT) are similar.
Explain at
least three differences between CBT and REBT. Include how these differences
might impact your practice as a mental health counselor.
Explain
which version of cognitive behavioral therapy you might use with clients and
why. Support your approach 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 at the Walden
Writing Center provides an example 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 “WK4Assgn1+last name+first
initial.(extension)” as the name.
Click the
Week 4 Assignment 1 Rubric to review the Grading Criteria for the Assignment.
Click the
Week 4 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 “WK4Assgn1+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.
NURS6640 Psychotherapy With Individuals
Week 4 Assignment 2
Practicum –
Week 1 Journal Entry and Journal Submission
Learning
Objectives
Students
will:
Analyze
nursing and counseling theories to guide practice in psychotherapy
Develop
goals and objectives for personal practicum experiences
Create
timelines for practicum activities
Develop
diagnoses for clients receiving psychotherapy
Analyze
legal and ethical implications of counseling clients with psychiatric disorders
Develop
diagnoses for clients receiving psychotherapy
Evaluate
the efficacy of cognitive behavioral therapy for clients
Analyze
legal and ethical implications of counseling clients with psychiatric disorders
The
Learning Objectives are related to the Practicum Journal Assignments presented
in Weeks 1, 2, and 4.
Week 4
Journal Entry
Select a
client that you observed or counseled this week. Then, address the following in
your Practicum Journal:
Describe
the 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 this client.
Explain
whether cognitive behavioral therapy would be effective with this client.
Include expected outcomes based on this therapeutic approach. Support your
approach with evidence-based literature.
Explain any
legal and/or ethical implications related to counseling this client.
Note: Be
sure to use the Practicum Journal Template, located in the Learning Resources.
By Day 7
Submit your
Practicum Journal entries for Weeks 1, 2, and 4. Refer to the weekly instructions
for additional guidance.
Submission
To submit
your completed Assignment for review and grading, do the following:
Please save
your Assignments using the following naming convention:
“WK4Journal1+lastname+firstinitial,”
“WK4Journal2+lastname+firstinitial,” and“WK4Journal4+lastname+firstinitial.”
Click the
Week 4 Assignment 2 link.
Next, from
the Attach File area, click on the Browse My Computer button. Find the document
you saved as “WK4Journal1+last name+first initial.(extension)” and click Open.
Repeat for each of the Practicum Journal submissions.
Click on
the Submit button to complete your submission.
NURS6640 Psychotherapy With Individuals
Week 6 Assignment
Assessing
Clients With Addictive Disorders
Addictive
disorders can be particularly challenging for clients. Not only do these
disorders typically interfere with a client’s ability to function in daily
life, but they also often manifest as negative and sometimes criminal
behaviors. Sometime clients with addictive disorders also suffer from other
mental health issues, creating even greater struggles for them to overcome. In
your role, you have the opportunity to help clients address their addictions
and improve outcomes for both the clients and their families. For this
Assignment, as you examine the Levy Family video in this week’s Learning
Resources, consider how you might assess and treat clients presenting with
addiction.
Learning
Objectives
Students
will:
Assess
clients presenting with addictive disorders
Analyze
therapeutic approaches for treating clients with addictive disorders
Evaluate
outcomes for clients with addictive disorders
To prepare:
Review this
week’s Learning Resources and consider the insights they provide.
Review the
Levy Family video Episodes 1 through 5.
The
Assignment
In a 2- to
3-page paper, address the following:
After
watching Episode 1, describe:
What is Mr.
Levy’s perception of the problem?
What is
Mrs. Levy’s perception of the problem?
What can be
some of the implications of the problem on the family as a whole?
After
watching Episode 2, describe:
What did
you think of Mr. Levy’s social worker’s ideas?
What were
your thoughts of her supervisor’s questions about her suggested therapies and
his advice to Mr. Levy’s supervisor?
After
watching Episode 3, discuss the following:
What were
your thoughts about the way Mr. Levy’s therapist responded to what Mr. Levy had
to say?
What were
your impressions of how the therapist worked with Mr. Levy? What did you think
about the therapy session as a whole?
Informed by
your knowledge of pathophysiology, explain the physiology of deep breathing (a
common technique that we use in helping clients to manage anxiety). Explain how
changing breathing mechanics can alter blood chemistry.
Describe
the therapeutic approach his therapist selected. Would you use exposure therapy
with Mr. Levy? Why or why not? What evidence exists to support the use of
exposure therapy (or the therapeutic approach you would consider if you
disagree with exposure therapy)?
In Episode
4, Mr. Levy tells a very difficult story about Kurt, his platoon officer.
Discuss how
you would have responded to this revelation.
Describe
how this information would inform your therapeutic approach. What would you
say/do next?
In Episode
5, Mr. Levy’s therapist is having issues with his story.
Imagine
that you were providing supervision to this therapist, how would you respond to
her concerns?
Support
your approach 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 at the Walden
Writing Center provides an example 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 “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.
NURS6640 Psychotherapy With Individuals
Week 7 Assignment 1
Supportive
Psychotherapy Versus Interpersonal Psychotherapy
Although
supportive psychotherapy and interpersonal psychotherapy share some
similarities, these therapeutic approaches have many differences. When
assessing clients and selecting therapies, it is important to recognize these
differences and how they may impact your clients. For this Assignment, as you
compare supportive and interpersonal psychotherapy, consider which therapeutic
approach you might use with your clients.
Learning
Objectives
Students
will:
Compare
supportive psychotherapy and interpersonal psychotherapy
Recommend
therapeutic approaches for clients presenting for psychotherapy
To prepare:
Review the
media in this week’s Learning Resources.
Reflect on
supportive and interpersonal psychotherapeutic approaches.
The
Assignment
In a 1- to
2-page paper, address the following:
Briefly
describe how supportive and interpersonal psychotherapies are similar.
Explain at
least three differences between these therapies. Include how these differences
might impact your practice as a mental health counselor.
Explain
which therapeutic approach you might use with clients and why. Support your
approach 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 at the Walden
Writing Center provides an example of those required elements (available at
http://academicguides.waldenu.edu/writingcenter/templates ). 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 “WK7Assgn1+last name+first
initial.(extension)” as the name.
Click the
Week 7 Assignment Rubric to review the Grading Criteria for the Assignment.
Click the
Week 7 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 “WK7Assgn1+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.
NURS6640 Psychotherapy With Individuals
Week 7 Assignment 2
Practicum –
Assessing Client Progress
Learning
Objectives
Students
will:
Assess
progress for clients receiving psychotherapy
Differentiate
progress notes from privileged notes
Analyze
preceptor’s use of privileged notes
To prepare:
Reflect on
the client you selected for the Week 3 Practicum Assignment.
Review the
Cameron and Turtle-Song (2002) article in this week’s Learning Resources for
guidance on writing case notes using the SOAP format.
The
Assignment
Part 1:
Progress Note
Using the
client from your Week 3 Assignment, address the following in a progress note
(without violating HIPAA regulations):
Treatment
modality used and efficacy of approach
Progress
and/or lack of progress toward the mutually agreed-upon client goals (reference
the Treatment plan—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 (i.e., marriage,
separation/divorce, new relationships, move to a new house/apartment, change of
job, etc.)
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 (i.e., phone consultations with physicians,
psychiatrists, marriage/family therapists, etc.)
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 (i.e., 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 from the Week 3 Practicum Assignment.
The
privileged note should 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’s progress note.
Explain
whether your preceptor uses privileged notes, and if so, describe the type of
information he or she might include. If not, explain why.
By Day 7
Submit your
Assignment.
Submission
To submit
your completed Assignment for review and grading, do the following:
Please save
your Assignment using the following naming convention:
“WK7Assgn2+lastname+first initial”.
Click the
Week 7 Assignment 2 link.
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
you are submitting multiple files, repeat until all files are attached.
Click on
the Submit button to complete your submission.
NURS6640 Psychotherapy With Individuals
Week 7 Assignment 3
Practicum –
Week 5 and Week 6 Journal Submission
Learning
Objectives
Students
will:
Develop
diagnoses for clients receiving psychotherapy*
Evaluate
the efficacy of therapeutic approaches for clients*
Analyze
legal and ethical implications of counseling clients with psychiatric
disorders*
By Day 7
Submit your
Journal Entries for Week 5 and Week 6. Refer to Week 5 and Week 6 for additional
guidance.
Submission
To submit
your completed Assignment for review and grading, do the following:
Please save
your Assignments using the following naming convention: WK7Journal1+lastname+first
initial,” and “WK7Journal2+lastname+firstinitial.”
Click the
Week 7 Assignment 3 link.
Next, from
the Attach File area, click on the Browse My Computer button. Find the document
you saved as “WK7Assgn3+last name+first initial.(extension)” and click Open.
Repeat for each of the Practicum Journal submissions. If you are submitting
multiple files, repeat until all files are attached.
Click on
the Submit button to complete your submission.
NURS6640 Psychotherapy With Individuals
Week 10 Assignment 1
Practicum –
Client Termination Summary
Learning
Objectives
Students
will:
Develop
client termination summaries
To prepare:
For
guidance on writing a Client Termination Summary, review pages 693–712 of the
Wheeler text in this week’s Learning Resources.
Identify a
client who may be ready to complete therapy.
The
Assignment
With the
client you selected in mind, address the following in a client termination
summary (without violating HIPAA regulations):
Identifying
information of client (i.e., hypothetical name, age, etc.)
Date
initially contacted therapist, date therapy began, duration of therapy, and
date therapy will end
Total
number of sessions, including number of missed sessions
Termination
planned or unplanned
Presenting
problem
Major psychosocial
issues
Types of
services rendered (i.e., individual, couple/family therapy, group therapy,
etc.)
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
By Day 7
Submit your
Assignment.
Submission
To submit
your completed Assignment for review and grading, do the following:
Please save
your Assignment using the following naming convention:
“WK10Assgn1+lastname+first initial”.
Click the
Week 10 Assignment 1 link.
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 you are submitting multiple files, repeat until all files are attached.
Click on
the Submit button to complete your submission.
NURS6640 Psychotherapy With Individuals
Week 10 Assignment 2
Practicum –
Week 8 Journal Entry
Students will:
Develop
diagnoses for clients receiving psychotherapy
Evaluate
the efficacy of existential-humanistic therapy for clients
Analyze
legal and ethical implications of counseling clients with psychiatric disorders
Analyze
clinical supervision experiences
Analyze how
nursing and counseling theories guided personal practice in psychotherapy
Analyze
goals and objectives for personal practicum experiences
Analyze the
impact of psychotherapy on social change
The
Learning Objectives are related to the Practicum Journal Assignments presented
in Weeks 8, 9, and 10.
Week 10
Journal Entry
Reflect on
your overall practicum experience in this course. Then, address the following
in your Practicum Journal:
Explain
whether your therapeutic theory has changed as a result of your practicum
experiences. Recall the theories you selected in Week 1.
Explain how
you integrated the therapeutic approaches from this course in your clinical
practice. Include how this helped you achieve the goals and objectives you
developed in Week 1.
Explain how
you might impact social change through your work with clients who have mental
health issues.
Support
your approach with evidence-based literature.
Note: Be
sure to use the Practicum Journal Template, located in the Learning Resources.
By Day 7
Submit your
Practicum Journal entries for Weeks 8, 9, and 10. Refer to the weekly
instructions for additional guidance.
Submission
To submit
your completed Assignment for review and grading, do the following:
Please save
your Assignments using the following naming convention:
“WK10Journal1+lastname+first initial,” “WK10Journal2+lastname+first initial,”
and “WK10Journal3+lastname+first initial.”
Click the
Week 10 Assignment 2 link.
Next, from
the Attach File area, click on the Browse My Computer button. Find the document
you saved as “WK10Journal1+last name+first initial.(extension)” and click Open.
Repeat for each of the Practicum Journal submissions.
Click on
the Submit button to complete your submission.

Week_10_Assignment_2.docx (47.1 KB)

Walden NURS6640 Week 10 Assignment 2 Latest 2019 March NURS6640 Psychotherapy With Individuals Week 10 Assignment 2 Practicum – Week 8 Journal Entry
Practicum – Week 8 Journal Entry
Students will:
Develop
diagnoses for clients receiving psychotherapy
Evaluate
the efficacy of existential-humanistic therapy for clients
Analyze
legal and ethical implications of counseling clients with psychiatric disorders
Analyze
clinical supervision experiences
Analyze how
nursing and counseling theories guided personal practice in psychotherapy
Analyze
goals and objectives for personal practicum experiences
Analyze the
impact of psychotherapy on social change
The
Learning Objectives are related to the Practicum Journal Assignments presented
in Weeks 8, 9, and 10.
Week 10
Journal Entry
Reflect on
your overall practicum experience in this course. Then, address the following
in your Practicum Journal:
Explain
whether your therapeutic theory has changed as a result of your practicum
experiences. Recall the theories you selected in Week 1.
Explain how
you integrated the therapeutic approaches from this course in your clinical
practice. Include how this helped you achieve the goals and objectives you
developed in Week 1.
Explain how
you might impact social change through your work with clients who have mental
health issues.
Support
your approach with evidence-based literature.
Note: Be
sure to use the Practicum Journal Template, located in the Learning Resources.
By Day 7
Submit your
Practicum Journal entries for Weeks 8, 9, and 10. Refer to the weekly
instructions for additional guidance.
Submission
To submit
your completed Assignment for review and grading, do the following:
Please save
your Assignments using the following naming convention:
“WK10Journal1+lastname+first initial,” “WK10Journal2+lastname+first initial,”
and “WK10Journal3+lastname+first initial.”
Click the
Week 10 Assignment 2 link.
Next, from
the Attach File area, click on the Browse My Computer button. Find the document
you saved as “WK10Journal1+last name+first initial.(extension)” and click Open.
Repeat for each of the Practicum Journal submissions.
Click on the Submit button to complete your submission.

Learning Objectives

Students will:

• Develop client termination summaries

To prepare:

• For guidance on writing a Client Termination Summary, review pages 693–712 of the Wheeler text in this week’s Learning Resources.
• Identify a client who may be ready to complete therapy.

The Assignment

With the client you selected in mind, address the following in a client termination summary (without violating HIPAA regulations):

• Identifying information of client (i.e., hypothetical name, age, etc.)
• Date initially contacted therapist, date therapy began, duration of therapy, and date therapy will end
• Total number of sessions, including number of missed sessions
• Termination planned or unplanned
• Presenting problem
• Major psychosocial issues
• Types of services rendered (i.e., individual, couple/family therapy, group therapy, etc.)
• 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

By Day 7

ADDITIONAL INSTRUCTIONS FOR THE CLASS

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• Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

• Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

• APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

• Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

• LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score. NURS6640 Week 10 Assignment 1

• Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading. NURS6640 Week 10 Assignment 1

• Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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Wladen_NURS6630N_Week_6_Midterm_Exam.docx (41.26 KB)

• Question
1
A
noncompliant patient states, “Why do you want me to put this poison in my
body?” Identify the best response made by the psychiatric-mental health nurse
practitioner (PMHNP).
• Question
2
Ms. Hill is currently being treated for schizophrenia but
has stopped taking her medications due to some side effects she claims she was
experiencing. She presents to the clinic today with worsening symptoms. She is
experiencing anhedonia, agitation, attentional impairment, and affective
blunting. Which one of the symptoms mentioned is considered a positive symptom
of schizophrenia?
• Question
3
Which
statement about neurotransmitters and medications is true?
• Question
4
When an
unstable patient asks why it is necessary to add medications to his current
regimen, the PMHNP’s best response would be:
• Question
5
During
gene expression, what must occur prior to a gene being expressed?
• Question
6
While
genes have potential to modify behavior, behavior can also modify genes. How do
genes impact this process?
• Question
7
Though
medications have the ability to target neurotransmitter release into the
synapse by the presynaptic neuron it is not always necessary. The PMHNP
understands that this is because:
• Question
8
Why is
the cytochrome P450 enzyme system of significance to the PMHNP?
• Question
9
It is
important for the PMHNP to recognize differences in pharmacokinetics to safely
prescribe and monitor medications. Which of the following statements does the
competent PMHNP identify as true?
• Question
10 As it relates to G-protein
linked receptors, what does the PMHNP understand about medications that are
used in practice?
• Question
11
The
PMHNP is considering prescribing a 49-year-old male clozapine (Clozaril) to
treat his schizophrenia and suicidal ideations. The PMHNP is aware that which
factor may impact the dose needed to effectively treat his condition:
• Question
12
A
patient is diagnosed with bipolar disorder and is currently taking
carbamazepine (Tegretol), aripiprazole (Abilify), and melatonin. The PMHNP has
just written an order to discontinue the carbamazepine (Tegretol) for
drug-induced thrombocytopenia. The PMHNP is aware that his next best action is
to:
• Question
13
A
patient recently transferred following a suicide attempt has a history of
schizophrenia, depression, and fibromyalgia. He is currently taking
Amitriptyline (Elavil), Lisinopril, aspirin, and fluoxetine (Prozac). When
assessing the psychiatric medications and the reason for admission, what would
be the best course of action for the PMHNP with this client?
• Question
14
A
patient with schizophrenia is given an inverse agonist that acts on the
receptor 5HT and neurotransmitter serotonin. What is the rationale for
prescribing a medication such as this?
• Question
15
The
PMHNP is caring for four patients. Which patient statement indicates that
benzodiazepines would be beneficial?
• Question
16
Ms.
Harlow is a 42-year-old patient who is prescribed a drug that acts on
ionotropic receptors. She is curious about the effects of the drug and how it
will act on her symptoms. Which statement made by the PMHNP demonstrates proper
understanding of Ms. Harlow’s prescription?
• Question
17
A
patient is seeking pharmacological treatment for smoking cessation. Which drug
class does the PMHNP prescribe to the patient?
• Question
18
The
PMHNP is caring for a new patient who has been transferred from another office.
When meeting with the new patient, the patient reports, “I feel like I am
improving with the stabilizers.” The PMHNP immediately recognizes that the
patient is describing which kind of drug?
• Question
19
A
patient presents with frequent episodes of mania. Which statement describes an
appropriate treatment approach for this patient?
• Question
20
What
characteristics do the nicotinic, cholinergic, serotonin 3, and glycine
receptors all have in common?
• Question
21
Which
statement made by the patient suggests the patient will need to be treated with
antipsychotics that target paranoid psychosis?
• Question
22
Mr.
McCullin is 64 years old with Parkinson’s disease. The PMHNP caring for Mr.
McCullin wants to start him on a dopamine agonist to help manage and treat his
condition. The PHMNP selects this agent because of which action it has on
patients like Mr. McCullin?
• Question
23
Mrs.
Trevor is a 44-year-old patient who does not have a diagnosis of schizophrenia
but occasionally reports symptoms of psychosis, followed by severe fatigue.
Mrs. Trevor inquires about the use of amphetamines to help with her energy
levels. Which response made by the PMHNP is most appropriate?
• Question
24
The
PMHNP is caring for a patient with schizophrenia and is considering a variety
of treatment approaches. The PHMNP selects a viable treatment that is
consistent with the “dopamine hypothesis of schizophrenia.” What action does
the PMHNP anticipate this treatment having on the patient?
• Question
25
A
patient is diagnosed with schizophrenia. What increases the patient’s potential
to mediate the cognitive symptoms of the disease?
• Question
26
What is
accurate about the clinical description of psychosis?
• Question
27
The
PMNHP is assessing a 29-year-old client who takes antipsychotics that block D2
receptors. This client has begun to develop a common side effect of this
medication. What is this side effect?
• Question
28
The
PMHNP is caring for a patient who is taking antipsychotics heard the
psychiatrist tell the patient that the patient would be placed on a different
antipsychotic agent called an atypical antipsychotic. What neurotransmitters
will this new medication work on?
• Question
29
Which
statement made by the PMHNP exemplifies correct teaching of physiological
effects in the body?
• Question
30
Mrs.
Schwartzman is a 52-year-old patient with schizophrenia and no established
history of depression. When meeting with the PMHNP, she presents with apathy
and withdrawn social behavior, and she reports a loss of joy from enjoyable
activities. What does the PMHNP infer from this encounter with the patient?
• Question
31
Mrs.
Schwartzman is a 52-year-old client with schizophrenia and no established
history of depression. When meeting with the PMHNP, she presents with apathy
and withdrawn social behavior, and she reports a loss of joy from enjoyable
activities since starting her new medication. What does the PMHNP infer from
this encounter with the client?
• Question
32
The
student inquires about antipsychotic medications. Which response by the PMHNP
describes the factors that contribute to reduced risk of extrapyramidal symptoms
(EPS) for patients who take antipsychotics?
• Question
33
Mr.
Gordon is a middle-aged patient who is taking antipsychotics. When meeting with
the PMHNP, he reports positive responses to the medication, stating, “I really
feel as though the effects of my depression are going away.” Which receptor
action in antipsychotic medications is believed to be the most beneficial in
producing the effects described by Mr. Gordon?
• Question
34
Mr.
Gordon is a middle-aged client who was started on antidepressant monotherapy
for depression. After beginning this
medication, the PMHNP noticed that this client seemed to swing into a hypomanic
episode. What can the PMHNP infer from this behavior change?
• Question
35
Ms.
Ryerson is a 28-year-old patient with a mood disorder. She recently requested
to transfer to a new PMHNP, after not getting along well with her previous
provider. The new PHMNP is reviewing Ms. Ryerson’s medical chart prior to their
first appointment. Upon review, the PMHNP sees that the former provider last
documented “patient had rapid poop out.” What does the PMHNP infer about the
patient’s prescription based on this documentation?
• Question
36
The
PMHNP recognizes that which patient would be contraindicated for antidepressant
monotherapy?
• Question
37
The
PMHNP spends a session with a client and notices behaviors correlating with a
potential manic episode. All of the following are possible manic symptoms the
PMHNP could observe except:
• Question
38
The
PMHNP is caring for a patient with the s genotype of SERT. What does the PMHNP
understand regarding this patient’s response to selective serotonin reuptake
inhibitor (SSRI)/SNRI treatment?
• Question
39
Ms.
Boeckh is a 42-year-old patient with major depression. The PMHNP understands
that which action of norepinephrine will affect Ms. Boeckh’s serotonin levels?
• Question
40
Ms.
Boeckh is a 42-year-old client who is taking an antidepressant therapy. The
PMHNP understands that this medication can have substantial food interactions
that can cause Ms. Boeckh to develop a hypertensive crisis. Which
antidepressant class is Ms. Boeckh’s medication in?
• Question
41
The
PMHNP is assessing a patient in the psychiatric emergency room. The patient
tells the PMHNP that he does not understand why his depression has not lifted
after being on four different antidepressants over the course of a year. Which
of the following symptoms can be residual symptoms for patients who do not
achieve remission with major depressive disorder?
• Question
42
Fluoxetine
(Prozac) has been prescribed for a patient. Which of the following statements
is true regarding the action of this medication?
• Question
43
Fluoxetine
(Prozac) has been prescribed for a client with depression. Which of the
following statements is true regarding the action of this medication?
• Question
44
The
nurse education knows that teaching was effective when one of the students
compares fluvoxamine to sertraline and notes which of the following
similarities?
• Question
45
A 45
year old female client with allergic rhinitis and normal blood pressure has had
no reduction in depressive symptoms after trying bupropion, paroxetine, and
venlafaxine. What precautions are needed when considering phenelzine in
treating her depression?
• Question
46
A
51-year-old female patient presents with symptoms of depression, including lack
of motivation and difficulty sleeping. What risk factors would increase her
vulnerability for a diagnosis of depression?
• Question
47
A nurse
overhears that a patient has failed single therapy with an SSRI and SNRI. She
also learns that the patient has been on dual SSRI/SNRI therapy without
adequate symptom control. She approaches the PMHNP and asks what the next
treatment option could be in this seemingly treatment-resistant patient. The
PMHNP tells the nurse she will treat the patient with the following regimen:
• Question
48
A nurse
overhears that a client has failed monotherapy with an SSRI and an SNRI. She
also learns that the client has failed dual SSRI + SNRI therapy. The nurse
approaches the PMHNP and asks what treatment options should be considered in
this treatment resistant client. The PMHNP tells the nurse that she will treat
the client with the following regimen.
• Question
49
A
patient is prescribed fluoxetine but is concerned about the side effects. Which
statement demonstrates accurate patient teaching when discussing the side
effects associated with fluoxetine?
• Question
50
A
client is prescribed fluoxetine but is concerned about side effects. Which
statement demonstrates accurate client teaching when discussing the side
effects associated with fluoxetine?
• Question
51
A
25-year-old female patient is being prescribed milnacipran to treat
fibromyalgia, and expresses concern regarding “how she will feel and look” from
taking the medicine. Which statement correctly describes the side effects as a
result of taking this medication?
• Question
52
Mr.
Ruby is a 33-year-old single father who is requesting pharmacological
intervention to treat his fibromyalgia. The PMHNP sees in the medical chart
that he has a recent diagnosis of arrhythmia and a BMI of 29. During his
assessment, the PMHNP learns that Mr. Ruby works 40–50 hours a week as a
contractor and “manages his stress” by smoking 3–4 cigarettes a day and having
8–10 drinks of alcohol each week. Why would duloxetine be contraindicated for
Mr. Ruby?
• Question
53
A
patient is prescribed sertraline to treat panic disorder. Knowing that
sertraline can initially cause anxiety or insomnia, what should the PMHNP do?
• Question
54
A
patient is prescribed 50 mg of desvenlafaxine to take every other day for major
depressive disorder. What does the PMHNP understand about this patient?
• Question
55
The
PMHNP understands that which mechanism contributes to a worse tolerability
profile for patients taking tricyclic antidepressants (TCAs)?
.
• Question
56
A
patient who was prescribed an MAO inhibitor is learning about dietary
modifications. Which statement made by the PMHNP demonstrates proper teaching
of the food-drug interactions for MAO inhibitors?
• Question
57
A
patient who is prescribed MAO inhibitors asks about whether he can continue
taking pseudoephedrine to relieve his congestion. Which response by the PMHNP
indicates proper understanding of drug-drug interactions?
• Question
58
Ms.
Skidmore presents for a follow-up appointment after being prescribed phenelzine
(Nardil), and reports “I take my 45 mg pill, three times a day, just like I’m
supposed to.” What does the PMHNP understand about this patient?
• Question
59
The
PMHNP is caring for several patients who present with various symptoms and
health issues. For which patient does the PMHNP prescribe pregabalin (Lyrica)?
• Question
60
Mr.
Gutier is 72 years old with anxiety and depressive symptoms. His PMHNP is
prescribing lorazepam (Ativan). What does the PMHNP understand regarding this
prescription?
• Question
61
A
patient is being prescribed a sedating antidepressant, but is concerned about
weight gain. Which medication is most likely to be prescribed to addresses the
patient’s concerns?
• Question
62
A
patient who was diagnosed with bipolar disorder without mania, asks the PMHNP
why he is being prescribed a mood stabilizer. What is the appropriate response?
• Question
63
A
client who was diagnosed with bipolar disorder without mania, asks the PMHNP why
he is being prescribed a mood stabilizer. What is the appropriate
response?
• Question
64
The
PMHNP is assessing a client in the emergency room. The client shares that he
has been on lithium for many years. What blood test does the PMHNP order?
• Question
65
A
nursing student is seeking clarification on the use of anticonvulsants to treat
depression and is unclear about most effective outcomes. Which of the following
agents does the PMHNP convey as having uncertain outcomes?
• Question
66
A
nursing student is seeking clarification on the use of anticonvulsants to treat
bipolar depression and is unclear about which anticonvulsants have the most
effective outcomes in treating bipolar depression. Which of the following
anticonvulsants is NOT used for treating bipolar depression?
• Question
67
The
PMHNP is meeting with a new mother who would like to begin taking medication
again to treat her bipolar depression; she is breastfeeding her 2-month old
daughter. The PMHNP recognizes that
which of the following medications is contraindicated for this patient?
• Question
68
The
PMHNP is meeting with a new mother who would like to begin taking medication
again to treat her bipolar depression; she is breastfeeding her 2-month old
daughter. The PMHNP recognizes that
which of the following medications is contraindicated for this client?
• Question
69
A
patient was diagnosed with GAD 4 weeks ago and was placed on Clonazepam
(klonopin) twice a day and citalopram (citalopram (celexa)) once daily. When he
asks the PMHNP why it is necessary to wean him off of the Clonazepam (klonopin)
the best response is:
• Question
70
During
assessment a patient states “Why are you asking me about my heart, I am here
for my head”, the PMHNP’s best response is:
• Question
71
There
are a number of endocrine reactions that accompany fear. A quick boost of
cortisol may enhance survival when encountering a real but short-term threat.
However, chronic elevations in cortisol can lead to increased medical
comorbidities. Which of the following medical conditions may be related to
these persistent cortisol elevations?
• Question
72
The
PMHNP understands that the potential of alcohol abuse in the anxious client is
higher for the following reasons:
• Question
73
After
ordering flumazenil (Rumazicon) the PMHNP cautions the staff to monitor for which
possible effect?
• Question
74
The
PMHNP evaluates the patient for “fear conditioning” when he asks:
• Question
75
A
patient diagnosed with PTSD is prescribed propranolol (Inderal) and the PMHNP
understands that he was prescribed this medication for what purpose:
• Question
76
When
completing this exam, did you comply with Walden University’s Code of Conduct
including the expectations for academic integrity?