NURS6650 week 7

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NURS6650 week 7

Week 7

Assignment 1: Group
Processes and Stages of Formation

In your role, you must
understand group processes and stages of formation, as this will help you
develop groups and determine an individual’s appropriateness for group therapy.
Whether you are at the beginning stages of group formation or facilitating a
session for a developed group, it is important to consider factors that may
influence individual client progress. For this Assignment, as you examine the
video Group Therapy: A Live Demonstration in this week’s
Learning Resources, consider the group’s processes, stages of formation, and
other factors that might impact the effectiveness of group therapy for clients.

Learning Objectives

Students will:

Analyze group processes
and stages of formation

Analyze curative factors
of groups

Analyze the impact of
curative factors on client progress

Recommend strategies for
managing intragroup conflict

To prepare:

Review this week’s
Learning Resources and reflect on the insights they provide on group processes.

View the media, Group
Therapy: A Live Demonstration, and consider the group dynamics.

The Assignment

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

Explain the group’s
processes and stage of formation.

Explain curative factors
that occurred in the group. Include how these factors might impact client

Explain intragroup
conflict that occurred and recommend strategies for managing the conflict.
Support your recommendations 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 Walden Writing Center provides
examples of those required elements (available at All papers submitted must use this


Assignment 2:
Practicum – Assessing Client Family Progress

Learning Objectives

Students will:

Create progress notes

Create privileged notes

Justify the inclusion or
exclusion of information in progress and privileged notes

Evaluate preceptor notes

To prepare:

Reflect on the client
family you selected for the Week 3 Practicum Assignment.

The Assignment

Part 1: Progress Note

Using the client family
from your Week 3 Practicum Assignment, address in a progress note (without
violating HIPAA regulations) the following:

Treatment modality used
and efficacy of approach

Progress and/or lack of
progress toward the mutually agreed-upon client goals (reference the treatment
plan for progress toward goals)

Modification(s) of the
treatment plan that were made based on progress/lack of progress

Clinical impressions
regarding diagnosis and or symptoms

Relevant psychosocial
information or changes from original assessment (e.g., marriage,
separation/divorce, new relationships, move to a new house/apartment, change of

Safety issues

emergencies/actions taken

Medications used by the
patient, even if the nurse psychotherapist was not the one prescribing them

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.

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