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Question

NURS6650 Psychotherapy With Groups and Families

Week 2 Assignment

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.

Submission
and Grading Information

To submit
your completed Assignment for review and grading, do the following:

Please save
your Assignment using the naming convention “WK2Assgn+last name+first
initial.(extension)” as the name.

Click the
Week 2 Assignment Rubric to review the Grading Criteria for the Assignment.

Click the
Week 2 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 “WK2Assgn+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.

NURS6650 Psychotherapy With Groups and Families

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 Walden
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.

NURS6650 Psychotherapy With Groups and Families

Week 4 Assignment 2

Week 1
Journal Entry

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.

NURS6650 Psychotherapy With Groups and Families

Week 4 Assignment 3

Week 2
Journal Entry

Learning
Objectives

Students
will:

Apply
documentation skills to examine family therapy sessions *

Develop
diagnoses for clients receiving family psychotherapy *

Analyze
legal and ethical implications of counseling clients with psychiatric disorders
*

* The
Assignment related to this Learning Objective is introduced this week and
submitted in Week 3.

Select two
clients you observed or counseled this week during a family therapy session.
Note: The two clients you select must have attended the same family session.

Then,
address in your Practicum Journal the following:

Using the
Group Therapy Progress Note in this week’s Learning Resources, document the
family session.

Describe
(without violating HIPAA regulations) each client, and identify any pertinent
history or medical information, including prescribed medications.

Using the
Diagnostic and Statistical Manual of Mental Health Disorders, Fifth Edition
(DSM-5), explain and justify your diagnosis for each client.

Explain any
legal and/or ethical implications related to counseling each client.

NURS6650 Psychotherapy With Groups and Families

Week 4 Assignment 4

Practicum –
Assessing Client Families

Learning
Objectives

Students
will:

Assess
client families presenting for psychotherapy

Develop
genograms for client families presenting for psychotherapy

To prepare:

Select a
client family that you have observed or counseled at your practicum site.

Review
pages 137–142 of Wheeler (2014) and the Hernandez Family Genogram video in this
week’s Learning Resources.

Reflect on
elements of writing a comprehensive client assessment and creating a genogram
for the client you selected.

The
Assignment

Part 1:
Comprehensive Client Family Assessment

Create a
comprehensive client assessment for your selected client family that addresses
(without violating HIPAA regulations) the following:

Demographic
information

Presenting
problem

History or
present illness

Past
psychiatric history

Medical
history

Substance
use history

Developmental
history

Family
psychiatric history

Psychosocial
history

History of
abuse and/or trauma

Review of
systems

Physical
assessment

Mental
status exam

Differential
diagnosis

Case
formulation

Treatment
plan

Part 2:
Family Genogram

Develop a
genogram for the client family you selected. The genogram should extend back at
least three generations (parents, grandparents, and great grandparents).

NURS6650 Psychotherapy With Groups and Families

Week 6 Assignment

Applying
Current Literature to Clinical Practice

Psychiatric
mental health nursing practice is one of the newest disciplines to be licensed
to provide psychotherapy As such, the majority of psychotherapy research is
centered on other disciplines such as psychology, social work, marriage/family
therapy, art therapy, psychiatry, and mental health counseling. This makes it
essential for you to be able to translate current literature from other
disciplines into your own clinical practice. For this Assignment, you practice
this skill by examining literature on group work and group therapy and
considering its applicability to your own clients.

Learning
Objectives

Students
will:

Evaluate
the application of current literature to clinical practice

To prepare:

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

Select one
of the articles from the Learning Resources to evaluate for this Assignment.

Note: In
nursing practice, it is not uncommon to review current literature and share
findings with your colleagues. Approach this Assignment as though you were
presenting the information to your colleagues.

The
Assignment

In a 5- to
10-slide PowerPoint presentation, address the following:

Provide an
overview of the article you selected, including answers to the following
questions:

What type
of group was discussed?

Who were
the participants in the group? Why were they selected?

What was
the setting of the group?

How often
did the group meet?

What was
the duration of the group therapy?

What
curative factors might be important for this group and why?

What
“exclusion criteria” did the authors mention?

Explain the
findings/outcomes of the study in the article. Include whether this will
translate into practice with your own client groups. If so, how? If not, why?

Explain
whether the limitations of the study might impact your ability to use the
findings/outcomes presented in the article.

Note: The
presentation should be 5–10 slides, not including the title and reference
slides. Include presenter notes (no more than a half page per slide) and use
tables and/or diagrams where appropriate. Be sure to support your work with
specific citations from the article you selected. Support your presentation with
evidence-based literature.

By Day 7

Submit your
Assignment.

Submission
and Grading Information

To submit
your completed Assignment for review and grading, do the following:

Please save
your Assignment using the naming convention “WK6Assgn+last name+first
initial.(extension)” as the name.

Click the
Week 6 Assignment Rubric to review the Grading Criteria for the Assignment.

Click the
Week 6 Assignment link. You will also be able to “View Rubric” for grading
criteria from this area.

Next, from
the Attach File area, click on the Browse My Computer button. Find the document
you saved as “WK6Assgn+last name+first initial.(extension)” and click Open.

If
applicable: From the Plagiarism Tools area, click the checkbox for I agree to
submit my paper(s) to the Global Reference Database.

Click on
the Submit button to complete your submission.

NURS6650 Psychotherapy With Groups and Families

Week 7 Assignment 1

Group
Processes and Stages of Formation

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

Learning
Objectives

Students
will:

Analyze
group processes and stages of formation

Analyze
curative factors of groups

Analyze the
impact of curative factors on client progress

Recommend
strategies for managing intragroup conflict

To prepare:

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

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

The
Assignment

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

Explain the
group’s processes and stage of formation.

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

Explain
intragroup conflict that occurred and recommend strategies for managing the
conflict. Support your recommendations with evidence-based literature.

NURS6650 Psychotherapy With Groups and Families

Week 7 Assignment 2

Practicum –
Assessing Client Family Progress

Learning
Objectives

Students
will:

Create
progress notes

Create
privileged notes

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

Evaluate
preceptor notes

To prepare:

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

The
Assignment

Part 1:
Progress Note

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

Treatment
modality used and efficacy of approach

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

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

Clinical
impressions regarding diagnosis and or symptoms

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

Safety
issues

Clinical
emergencies/actions taken

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

Treatment
compliance/lack of compliance

Clinical
consultations

Collaboration
with other professionals (e.g., phone consultations with physicians,
psychiatrists, marriage/family therapists)

The
therapist’s recommendations, including whether the client agreed to the
recommendations

Referrals
made/reasons for making referrals

Termination/issues
that are relevant to the termination process (e.g., client informed of loss of
insurance or refusal of insurance company to pay for continued sessions)

Issues
related to consent and/or informed consent for treatment

Information
concerning child abuse and/or elder or dependent adult abuse, including
documentation as to where the abuse was reported

Information
reflecting the therapist’s exercise of clinical judgment

Note: Be
sure to exclude any information that should not be found in a discoverable
progress note.

Part 2:
Privileged Note

Based on
this week’s readings, prepare a privileged psychotherapy note that you would
use to document your impressions of therapeutic progress/therapy sessions for
your client family from the Week 3 Practicum Assignment.

In your
progress note, address the following:

Include
items that you would not typically include in a note as part of the clinical
record.

Explain why
the items you included in the privileged note would not be included in the
client family’s progress note.

Explain
whether your preceptor uses privileged notes. If so, describe the type of information
he or she might include. If not, explain why.

By Day 7

Submit your
Assignment.

Submission
and Grading Information

To submit
your completed Assignment for review and grading, do the following:

Please save
your Assignment using the naming convention “WK7Assgn2+last name+first
initial.(extension)” as the name.

Click the
Week 7 Assignment 2 Rubric to review the Grading Criteria for the Assignment.

Click the
Week 7 Assignment 2 link. You will also be able to “View Rubric” for grading
criteria from this area.

Next, from
the Attach File area, click on the Browse My Computer button. Find the document
you saved as “WK7Assgn2+last name+first initial.(extension)” and click Open.

If
applicable: From the Plagiarism Tools area, click the checkbox for I agree to
submit my paper(s) to the Global Reference Database.

Click on
the Submit button to complete your submission.

NURS6650 Psychotherapy With Groups and Families

Week 7 Assignment 3

Week 5
Journal Entry

Learning
Objectives

Students
will:

Develop
effective documentation skills for family therapy sessions *

Develop
diagnoses for clients receiving family psychotherapy *

Evaluate
the efficacy of solution-focused therapy and cognitive behavioral therapy for
families *

Analyze
legal and ethical implications of counseling clients with psychiatric disorders
*

* The
Assignment related to this Learning Objective is introduced this week and
submitted in Week 7.

Select two
clients you observed or counseled this week during a family therapy session.
Note: The two clients you select must have attended the same family session. Do
not select the same family you selected for Week 2.

Then,
address in your Practicum Journal the following:

Using the
Group Therapy Progress Note in this week’s Learning Resources, document the
family session.

Describe
each client (without violating HIPAA regulations) and identify any pertinent
history or medical information, including prescribed medications.

Using the
DSM-5, explain and justify your diagnosis for each client.

Explain
whether solution-focused or cognitive behavioral therapy would be more
effective with this family. Include expected outcomes based on these
therapeutic approaches.

Explain any
legal and/or ethical implications related to counseling each client.

Support
your approach with evidence-based literature.

NURS6650 Psychotherapy With Groups and Families

Week 9 Assignment

Psychotherapeutic
Approaches to Group Therapy for Addiction

When
selecting a psychotherapeutic approach for a client, you must consider the
unique needs and characteristics of that particular client. The same is true
when selecting a psychotherapeutic approach for groups. Not every approach is
appropriate for every group, and the group’s unique needs and characteristics
must be considered. For this Assignment, you examine psychotherapeutic
approaches to group therapy for addiction.

Learning
Objectives

Students
will:

Evaluate
psychotherapeutic approaches to group therapy for addiction

To prepare:

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

View the
media, Levy Family: Sessions 1-7, and consider the psychotherapeutic approaches
being used.

The
Assignment

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

Identify
the psychotherapeutic approach that the group facilitator is using, and explain
why she might be using this approach.

Determine
whether or not you would use the same psychotherapeutic approach if you were
the counselor facilitating this group, and justify your decision.

Identify an
alternative approach to group therapy for addiction, and explain why it is an
appropriate option.

Support
your position with evidence-based literature.

Note: The
School of Nursing requires that all papers submitted include a title page,
introduction, summary, and references. The sample paper provided by the Walden
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.

Click on
the Submit button to complete your submission.

NURS6650 Psychotherapy With Groups and Families

Week 10 Assignment 1

Practicum –
Client Termination Summary

Although
termination is an inevitable part of the therapeutic process, it is often
difficult for clients. However, by discussing termination throughout therapy,
you can better prepare your clients for life without you. Once a client has
achieved his or her therapeutic goals, termination sessions should be held and
documented in a client termination summary. For this Assignment, you have the opportunity
to practice writing a termination summary for a client with whom you have
worked during your practicum experience.

Learning
Objectives

Students
will:

Develop
client termination summaries

To prepare:

For
guidance on writing a client termination summary, review pages 693–712 of
Wheeler (2014) in this week’s Learning Resources.

Identify a
client who may be ready to terminate therapy.

The
Assignment

Identifying
information of client (e.g., hypothetical name and age)

Date the
client initially contacted therapist, date therapy began, duration of therapy,
and date therapy will end

Total
number of sessions, including number of missed sessions

Whether
termination was planned or unplanned

Presenting
problem

Major
psychosocial issues

Types of
services rendered (e.g., individual, couple/family therapy, group therapy)

Overview of
treatment process

Goal status
(goals met, partially met, unmet)

Treatment
limitations (if any)

Remaining
difficulties and/or concerns

Recommendations

Follow-up
plan (if indicated)

Instructions
for future contact

Signatures

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

By Day 7

Submit your
Assignment.

Submission
and Grading Information

To submit
your completed Assignment for review and grading, do the following:

Please save
your Assignment using the naming convention “WK10Assgn1+last name+first
initial.(extension)” as the name.

Click the
Week 10 Assignment 1 Rubric to review the Grading Criteria for the Assignment.

Click the
Week 10 Assignment 1 link. You will also be able to “View Rubric” for grading
criteria from this area.

Next, from
the Attach File area, click on the Browse My Computer button. Find the document
you saved as “WK10Assgn1+last name+first initial.(extension)” and click Open.

If
applicable: From the Plagiarism Tools area, click the checkbox for I agree to
submit my paper(s) to the Global Reference Database.

Click on
the Submit button to complete your submission.

NURS6650 Psychotherapy With Groups and Families

Week 10 Assignment 2

Week 10
Journal Entry

Learning
Objectives

Students
will:

Develop
effective documentation skills to examine group therapy sessions with children
and adolescents *

Develop
diagnoses for child and adolescent clients receiving group psychotherapy *

Analyze
legal and ethical implications of counseling child and adolescent clients with
psychiatric disorders *

Select two
clients you observed or counseled this week during a group therapy session for
children and adolescents. Note: The two clients you select must have attended
the same group session. If you select the same group you selected for the Week
8 or Week 9 Journal Entries, you must select different clients.

Then,
address in your Practicum Journal the following:

Using the
Group Therapy Progress Note in this week’s Learning Resources, document the
group session.

Describe
each client (without violating HIPAA regulations), and identify any pertinent
history or medical information, including prescribed medications.

Using the
DSM-5, explain and justify your diagnosis for each client.

Explain any
legal and/or ethical implications related to counseling each client.

Support
your approach with evidence-based literature.

By Day 7

Submit your
Assignment.

Submission
and Grading Information

To submit
your completed Assignment for review and grading, do the following:

Please save
your Assignment using the naming convention “WK10Assgn2+last name+first
initial.(extension)” as the name.

Click the
Week 10 Assignment 2 Rubric to review the Grading Criteria for the Assignment.

Click the
Week 10 Assignment 2 link. You will also be able to “View Rubric” for grading
criteria from this area.

Next, from
the Attach File area, click on the Browse My Computer button. Find the document
you saved as “WK10Assgn2+last name+first initial.(extension)” and click Open.

If
applicable: From the Plagiarism Tools area, click the checkbox for I agree to
submit my paper(s) to the Global Reference Database.

Click on
the Submit button to complete your submission.

NURS6650 Psychotherapy With Groups and Families

Week 10 Assignment 3

Practicum –
Week 8 Journal Entry

Learning
Objectives

Students
will:

Develop
effective documentation skills for group therapy sessions *

Develop
diagnoses for clients receiving group psychotherapy *

Evaluate
the efficacy of cognitive behavioral therapy for groups *

Analyze
legal and ethical implications of counseling clients with psychiatric disorders
*

* The
Assignment related to this Learning Objective is introduced this week and submitted
in Week 10.

Select two
clients you observed or counseled this week during a group therapy session.
Note: The two clients you select must have attended the same group session.

Then, in
your Practicum Journal, address the following:

Using the
Group Therapy Progress Note in this week’s Learning Resources, document the
group session.

Describe
each client (without violating HIPAA regulations), and identify any pertinent
history or medical information, including prescribed medications.

Using the
DSM-5, explain and justify your diagnosis for each client.

Explain
whether cognitive behavioral therapy would be effective with this group.
Include expected outcomes based on this therapeutic approach.

Explain any
legal and/or ethical implications related to counseling each client.

Support
your approach with evidence-based literature.

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