NURS 6650 Weekly Discussions and Assignments

NURS 6650 Weekly Discussions and Assignments

NURS 6650 Weekly Discussions and Assignments

NURS 6650 Week 1 Assignment

Practice Guidelines for APRNs in the state of New Hampshire

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Assignment: State Regulations for Advanced Practice Nurses

Although your roles and responsibilities may differ based on your practice setting (think emergency department versus inpatient hospital setting or outpatient specialty medicine clinic), they may also vary depending on the state in which you practice. Because each state has its own laws and regulations that determine the scope of practice for advanced practice nurses, it is your responsibility to understand your own state’s guidelines. This Assignment involves locating the Nurse Practice Act for your state and reviewing practice guidelines, licensing requirements, and the certification process.

To prepare  for NURS 6650 Weekly Discussions and Assignments:

Locate the Nurse Practice Act for your state, as well as any other state legislation that outlines practice for Advanced Practice Registered Nurses (APRNs). Reflect on the definition and scope of practice of the APRN according to your state.

Consider which state board is responsible for licensure of APRNs. Determine whether your state requires nursing board approval, board of medicine approval, or joint board approval for APRN practice.

Consider the DEA (Drug Enforcement Administration) Drug Schedule categories approved for APRN prescribing. Think about how this might impact your clinical practice.

Research the national certifying board options and application processes for the Adult Geriatric Acute Care Nurse Practitioner. Think about which exams are recognized by your state board and which board options best suit your professional needs.

To Complete this NURS 6650 Weekly Discussions and Assignments:

Address the following in a 1- to 2-page paper:

Explain the definition and scope of practice for APRNs according to the Nurse Practice Act in your state.

Identify the state board that is responsible for licensure of APRNs.

Identify the DEA Drug Schedule categories approved for APRN prescribing in your state. Explain whether this might impact your clinical practice, and if so, explain how.

Identify which national certifying board options are recognized by your state board. Explain which options best suit your professional needs and why. Describe the application processes for these options.

By Day 7

NURS 6650 Weekly Discussions and Assignments

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.

A family’s patterns of behavior influences [sic] the individual and therefore may need to be a part of the treatment plan. In marriage and family therapy, the unit of treatment isn’t just the person – even if only a single person is interviewed – it is the set of relationships in which the person is imbedded.

—American Association of Marriage and Family Therapy, “About Marriage and Family Therapists”

When issues arise within a family unit, the family often presents with one member identified as the “problem.” However, you will frequently find that the issue is not necessarily the “problem client,” but rather dysfunctional family patterns and relationships. To better understand such patterns and relationships and develop a family treatment plan, it is essential that the practitioner appropriately assess all family members. This requires you to have a strong foundation in family assessment and therapy.

This week, as you explore family assessment and therapy, you assess client families presenting for psychotherapy. You also develop diagnoses for clients receiving psychotherapy and consider the legal and ethical implications of counseling these clients. NURS 6650 Weekly Discussions and Assignments

Assignment 1: Hernandez Family Assessment

Assessment is as essential to family therapy as it is to individual therapy. Although families often present with one person identified as the “problem,” the assessment process will help you better understand family roles and determine whether the identified problem client is in fact the root of the family’s issues. As you examine the Hernandez Family: Sessions 1-6 videos in this week’s Learning Resources, consider how you might assess and treat the client family.

Learning Objectives

Students will:

• Assess client families presenting for psychotherapy

To prepare:

• Review this week’s Learning Resources and reflect on the insights they provide on family assessment.
• View the Hernandez Family: Sessions 1-6 videos, and consider how you might assess the family in the case study.

Note: For guidance on writing a comprehensive client assessment, refer to pages 137–142 of Wheeler (2014) in this week’s Learning Resources.

The Assignment

Address in a comprehensive client assessment of the Hernandez family 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

Note: Any item you are unable to address from the video should be marked “needs to be added to” as you would in an actual comprehensive client assessment

By Day 7

Submit your Assignment.

NURS 6650 Week 3 Discussion – Clinical Supervision

Clinical supervision is an essential component of your development as a psychiatric mental health nurse practitioner. It provides an opportunity for professional collaboration as you share experiences with and gain insights from colleagues. For this clinical supervision Discussion, consider a client family whom you do not think is adequately progressing according to expected clinical outcomes.

Learning Objectives

Students will:

Assess client families presenting for psychotherapy

Evaluate the effectiveness of therapeutic approaches for client families receiving psychotherapy

Apply narrative family therapy concepts to client families with impaired family functioning

To prepare:

Review this week’s media and consider the insights provided on family therapy.

Reflect on the client families you are currently counseling at your practicum site.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the Post to Discussion Question link and then select Create Thread to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking Submit!

Note about Uploading Media: Refer to the Kaltura Media Uploader instructions document located in the menu bar. This provides guidance on how to upload media for the clinical supervision Discussions. NURS 6650 Weekly Discussion Essays

By Day 3

Post a 3- to 5-minute Kaltura video in which you do the following:

Describe a client family you are counseling that you do not think is adequately progressing according to expected clinical outcomes.

Note: Do not use the client family members’ actual names.

Explain your therapeutic approach with the client family, including the perceived effectiveness of your approach.

Identify any additional information about this client family that may potentially impact expected outcomes.

Note: Nurse practitioners must have strong oral communication skills. This Discussion is designed to help you hone these skills. When filming your Kaltura video, be sure to dress and speak in a professional manner.

View a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues by providing feedback on each colleague’s therapeutic approach based on a narrative family therapeutic perspective. Support your feedback with evidence-based literature and/or your own experiences with clients.

NURS 6650 Week 4 Assignment 1 – Structural Versus Strategic Family Therapies

Although structural therapy and strategic therapy are both used in family therapy, these therapeutic approaches have many differences in theory and application. As you assess families and develop treatment plans, you must consider these differences and their potential impact on clients. For this Assignment, as you compare structural and strategic family therapy, consider which therapeutic approach you might use with your own client families.

Learning Objectives

Students will:

Compare structural family therapy to strategic family therapy

Create structural family maps

Justify recommendations for family therapy

To prepare:

Review this week’s Learning Resources and reflect on the insights they provide on structural and strategic family therapies.

Refer to Gerlach (2015) in this week’s Learning Resources for guidance on creating a structural family map.

The Assignment

In a 2- to 3-page paper, address the following:

Summarize the key points of both structural family therapy and strategic family therapy.

Compare structural family therapy to strategic family therapy, noting the strengths and weaknesses of each.

Provide an example of a family in your practicum using a structural family map. Note: Be sure to maintain HIPAA regulations.

Recommend a specific therapy for the family, and justify your choice using the Learning Resources.

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 “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.

NURS 6650 Weekly Discussions and Assignments

NURS 6650 Week 4 Assignment 2 – Week 1 Journal Entry

The purpose of this week’s journal entry is to explore the nursing and counseling theories that govern my practicum experience, develop goals and objectives for my practicum experience and present a timeline for practicum activities.

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 Week 4 Assignment 3 – Week 2 Journal Entry

?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.

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 Week 4 Assignment 4 – Client Family Assessment

?The purpose of this practicum assignment is to present a comprehensive family assessment and genogram for a family seen in the clinical setting.

Practicum – Assessing Client Families

Learning Objectives

Students will:

Assess client families presenting for psychotherapy

Develop genograms for client families presenting for psychotherapy. NURS 6650 Weekly Discussions and Assignments

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. NURS 6650 Weekly Discussions and Assignments

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 Weekly Discussions and Assignments

NURS 6650 Week 5 Discussion – Cognitive Behavioral Therapy: Family Settings Versus Individual Settings

Whether used with individuals or families, the goal of cognitive behavioral therapy (CBT) is to modify client behavior. Although CBT for families is similar to CBT for individuals, there are significant differences in their applications. As you develop treatment plans, it is important that you recognize these differences and how they may impact your therapeutic approach with families. For this Discussion, as you compare the use of CBT for families and individuals, consider challenges of applying this therapeutic approach to your own client families.

Learning Objectives

Students will:

Compare the use of cognitive behavioral therapy for families to cognitive behavioral therapy for individuals

Analyze challenges of using cognitive behavioral therapy for families

Recommend effective cognitive behavioral therapy strategies for families.

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To prepare:

Review the media, Johnson Family Session 3, in this week’s Learning Resources and consider the insights provided on CBT in family therapy.

Reflect on your practicum experiences with CBT in family and individual settings.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the Post to Discussion Question link and then select Create Thread to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking Submit!

By Day 3

Post an explanation of how the use of CBT in families compares to CBT in individual settings. Provide specific examples from your own practicum experiences. Then, explain challenges counselors might encounter when using CBT in the family setting. Support your position with specific examples from this week’s media.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues by recommending CBT strategies to overcome the challenges your colleagues have identified. Support your recommendations with evidence-based literature and/or your own experiences with clients.

NURS 6650 Week 6 Assignment 1 – 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. NURS 6650 Weekly Discussions and Assignments

Click on the Submit button to complete your submission.

NURS 6650 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. NURS 6650 Weekly Discussions and Assignments

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 Week 7 Assignment 2 – Assessing Client Family Progress

?The purpose of this practicum assignment is to further assess the client presented in the week four assessment, differentiating between progress notes and privileged notes, and analyze the preceptor’s use of privileged notes.

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. NURS 6650 Weekly Discussions and Assignments

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. NURS 6650 Weekly Discussions and Assignments

Click on the Submit button to complete your submission.

NURS 6650 Week 7 Assignment 3 – Week 5 Journal Entry

?The purpose of this journal entry is to discuss a family seen in the therapy setting, explain and justify the diagnosis, to determine which form of therapy, solution focused or cognitive behavioral, would be more effective for this family, and elaborate on one legal and one ethical implication of providing counseling for this family. NURS 6650 Weekly Discussions and Assignments

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. NURS 6650 Weekly Discussions and Assignments

NURS 6650 Week 8 Discussion – Cognitive Behavioral Therapy: Group Settings Versus Family Settings

As you might recall from Week 5, there are significant differences in the applications of cognitive behavior therapy (CBT) for families and individuals. The same is true for CBT in group settings and CBT in family settings. In your role, it is essential to understand these differences to appropriately apply this therapeutic approach across multiple settings. For this Discussion, as you compare the use of CBT in group settings and family settings, consider challenges of using this approach with your own groups. NURS 6650 Weekly Discussion Essays

Learning Objectives

Students will:

Compare the use of cognitive behavioral therapy for groups to cognitive behavioral therapy for families

Analyze challenges of using cognitive behavioral therapy for groups

Recommend effective strategies in cognitive behavioral therapy for groups

To prepare:

Reflect on your practicum experiences with CBT in group and family settings.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the Post to Discussion Question link and then select Create Thread to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking Submit!

By Day 3

Post an explanation of how the use of CBT in groups compares to its use in family settings. Provide specific examples from your own practicum experiences. Then, explain at least two challenges counselors might encounter when using CBT in the group setting. Support your response with specific examples from this week’s media.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues by recommending strategies to overcome the challenges your colleagues have identified. Support your recommendation with evidence-based literature and/or your own experiences with clients.

NURS 6650 Week 9 Assignment 1 – Approaches to Group Therapy for Addiction

?Group therapy of clients with substance addiction begins with the development of a plan for the therapeutic approach that will be most appropriate for the entire group. The therapist should be aware that not all theories work for all clients in the group and should be flexible. The purpose of this paper is to evaluate therapy session videos by identifying the therapeutic approach, discuss if this approach would be utilized in personal practice and to identify an alternative approach for the treatment of clients with addictions.

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 Weekly Discussions and Assignments

Click on the Submit button to complete your submission.

NURS 6650 Week 10 Discussion – Clinical Supervision

In Week 3, you collaborated with colleagues as you participated in your first clinical supervision. This week, you have the opportunity to continue your collaboration as you reflect on and discuss your experiences with counseling children and adolescents in group settings. Psychotherapy with these clients is often more complex than psychotherapy with the general adult population. Personal reflection and discussion with colleagues are essential to your development and success as a psychiatric mental health nurse practitioner. For this clinical supervision, consider a child or adolescent client you are counseling who you do not think is adequately progressing according to expected clinical outcomes.

Learning Objectives

Students will:

Assess clients presenting for child and adolescent group psychotherapy

Evaluate the effectiveness of therapeutic approaches for clients receiving child and adolescent group psychotherapy

To prepare:

Review this week’s media and consider the insights provided on group therapy with children and adolescents.

Reflect on a child and adolescent group that you are currently counseling at your practicum site.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the Post to Discussion Question link and then select Create Thread to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking Submit!

Note about Uploading Media: Refer to the Kaltura Media Uploader instructions document located in the menu bar. It provides guidance on how to upload media for the Clinical Supervision Discussions.

By Day 3

Post a 3- to 5-minute Kaltura video that addresses the following:

Describe a child and adolescent group you are counseling.

Describe a client from the group who you do not think is adequately progressing according to expected clinical outcomes. Note: Do not use the client’s actual name.

Explain your therapeutic approach with the group, including your perceived effectiveness of your approach with the client you identified.

Identify any additional information about this group and/or client that may potentially impact expected outcomes.

Note: Nurse practitioners must have strong oral communication skills. This Discussion is designed to help you hone these skills. When filming your Kaltura video, be sure to dress and speak in a professional manner.

View a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues by providing constructive feedback concerning their presentations of their client groups and by recommending alternative therapeutic approaches that may be used with the groups. Support your feedback with evidence-based literature and/or your own experiences with clients.

NURS 6650 Weekly Discussions and Assignments

NURS 6650 Week 10 Assignment 1 Practicum – Client Termination Summary

?The purpose of this journal entry is to present a termination summary for a client seen in the clinical setting of group therapy that has improved significantly and is no longer appropriate for services.

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. NURS 6650 Weekly Discussions and Assignments

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. NURS 6650 Weekly Discussions and Assignments

Click on the Submit button to complete your submission.

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NURS 6650 Week 10 Assignment 2 – Journal Entry

?The purpose of this journal is to discuss clients in a group observed during practicum by describing the group, explaining and justifying the diagnosis and identifying one legal and one ethical implication for providing counseling for these clients.

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 Week 10 Assignment 3 – Week 8 Journal Entry

The purpose of this journal entry is to discuss a group therapy session observed during practicum by describing the client base, justifying the diagnosis of the group, discussing the therapeutic approach and indicating one legal and one ethical implication of counseling this group. 

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. NURS 6650 Weekly Discussions and Assignments

Support your approach with evidence-based literature.

NURS 6650 Week 11 Discussion – Group Therapy with Older Adults

As the population continues to age, more and more older adults will require therapy for various mental health issues. While the group setting offers many benefits and makes therapy more accessible to those in need of services, this therapeutic approach may not be effective for all clients. For this Discussion, as you examine your own practicum experiences with older adults in group therapy settings, consider strategies to improve the effectiveness of your sessions.

Learning Objectives

Students will:

Analyze group therapy sessions with older adults

Recommend strategies for improving the effectiveness of group therapy sessions for older adults

To prepare:

Review this week’s Learning Resources, and consider the insights provided on group therapy with older adults.

Reflect on your practicum experiences with older adults in group therapy settings.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the Post to Discussion Question link and then select Create Thread to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking Submit!

By Day 3

Post a description of a group therapy session with older adults, including the stage of the group, any resistances or issues that were present, and therapeutic techniques used by the facilitator. Explain any challenges that may occur when working with this group. Support your recommendations with evidence-based literature.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues by recommending strategies for improving the effectiveness of their group therapy sessions. Support your recommendations with evidence-based literature and your own experiences with clients.