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Psychiatric Nursing essay assignment paper

Advances in genetics and epigenetics have changed the traditional understanding of mood disorders, resulting in new evidence-based practices. In your role as a psychiatric mental health nurse practitioner, it is essential for you to continually educate yourself on new findings and best practices in the field. For this Assignment, you consider best practices for assessing and treating adult and geriatric clients presenting with mood disorders. Psychiatric Nursing essay assignment paper

Learning Objectives

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Students will:

Assess client factors and history to develop personalized plans of antidepressant therapy for adult and geriatric clients

Analyze factors that influence pharmacokinetic and pharmacodynamic processes in adult and geriatric clients requiring antidepressant therapy

Evaluate efficacy of treatment plans

Analyze ethical and legal implications related to prescribing antidepressant therapy to adult and geriatric clients. Psychiatric Nursing essay assignment paper

Examine
Case Study: An Elderly Hispanic Man With Major Depressive Disorder
. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

At each decision point stop to complete the following:

Decision #1

Which decision did you select?

Why did you select this decision? Support your response with evidence and references to the Learning Resources.

What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?

Decision #2

Why did you select this decision? Support your response with evidence and references to the Learning Resources.

What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?

Decision #3

Why did you select this decision? Support your response with evidence and references to the Learning Resources. Psychiatric Nursing essay assignment paper.

What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?

Also include how ethical considerations might impact your treatment plan and communication with clients.

Note:

Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement.

 

Review the following medications:

amitriptyline

bupropion

citalopram

clomipramine

desipramine

desvenlafaxine

doxepin

duloxetine

escitalopram

fluoxetine

fluvoxamine

imipramine

ketamine

mirtazapine

nortriptyline

paroxetine

selegiline

sertraline

trazodone

venlafaxine

vilazodone

vortioxetine

you can edit my work bellow, add more information  , and use same medication therapy. Plagiarism must be less than 15 %

Introduction

Improving depression care for depressed older men is a public health priority because older men are less likely than older women to receive depression treatment and are also more likely to commit suicide .Depressive disorder causes a continuous feeling of worthlessness , hopelessness and unhappiness to the victim and loss of interest in what they used to enjoy doing, also call major depressive disorder (MDD) or clinical depression (Unützer & Park, 2012).
3 Depression is one of the most common mental health problem leading to disabling in older men (Unützer & Park, 2012).
A Late-life depression (LLD), is referring to depression that recurs in old age (having begun earlier in life) and again late in life; this negatively affect patients cognitive impairment, functional impairment, and development of Alzheimer’s disease and vascular dementia (Diniz & Reynolds, 2014).

3 Late-life depression (LLD is associated with burden of medical illnesses (especially cardiovascular and cerebrovascular) and risk of death.
Patients assessment for depression should be using a standard rating scale, and initiate effective treatment such as antidepressant medications or evidence-based psychotherapies and psychiatric follow up.
Electroconvulsive therapy (ECT) (Unützer & Park, 2012) can be an alternative for patients who are not improving.
Antidepressants reduce the consequences of depression.
3 It is important to note that depressed adults may be at increased risk for antidepressant adverse effects.
(Diniz & Reynolds, C.
F. (2014).
3 This week paper focuses the identifying and trPsychiatric Nursing essay assignment papereatment of late-life depression of an Elderly Hispanic Man with history of Major Depressive Disorder (MDD) 

Decision #1

1 Will start with Zoloft 25 mg orally daily

Reason for the Selection:

3 Assessment tool used is Montgomery–Åsberg Depression Rating Scale (MADRS), patient score 52, which is an indication of severe depression.
When choosing an antidepressant my treatment option is based on the best side effect profile and lowest risk of drug-drug interactions Wiese, (2011).
Wellbutrin is an antidepressant, but can cause seizures and Effexor may increase blood pressure Wiese, (2011).
Zoloft is one of the most effective and safest medication for the treatment of severe depression in adults (Flint & Rifat, 2013.
My best option is Zoloft 25mg which is best choice because of harmless to the elder (Flint & Rifat, 2013).
Antidepressant use in the elderly are thought to be due to changes in hepatic metabolism with aging, concurrent medical conditions, and drug-drug interactions (Wiese, B.
2011).
3 (Flint & Rifat, 2013).

Expected Results

The patient should be able to improve within two weeks. Some signs should might be am improve in his work, exercise, hobbies, intellectual pursuits, as well improve sleep.
3When using Zoloft, the level of awareness should improve.
It must be noted that the patient is back on track with motivation to follow his normal activities and relate well with associates (Flint & Rifat, 2013).

1 Differences between Expected Results and Actual Results

3 Expected outcome after the use of Zoloft 25mg is the patient will see improvement in his mental capability and importantly that there was no side effect of the medication.
The patient revisited after four weeks on his follow up appointment and reported of a decrease in the symptoms, but with a complain of sexual dysfunction and insomnia.
The difference in the expected result and the outcome may be reason out that the body of the patient is trying to adjust to the medication while solving the problem of MDD (National Alliance on Mental Illness, 2017).

1 Decision Point Two

Selected Decision:
1 Augmenting agent such as Wellbutrin XL 100 mg in morning

Reason for Selection

3 The added augmenting agent such as Wellbutrin XL150mg in morning was because the patient has some complain of having decrease sex drive, impotence, or difficulty in having an orgasm and sleep problem (insomnia).
Bupropion is an antidepressant with excellent tolerability in elderly person improve depression, insomnia, somatic symptoms, work functioning, and certain quality-of-life measures in elderly depressed subjects with medical disorders (American Psychiatric Association, 2013).
Though, patient verbalized decrease in the depression symptoms because of using Zoloft, but because of decrease sex drive and insomnia, Zoloft will be decrease to 12.5mg orally every day and continue to watch for side effects, like suicidal tendency in the elderly, and complain about ejaculatory and sexual dysfunction (American Psychiatric Association, 2013).

Expected Results

3 With the combination of using Wellbutrin and Zoloft, it is still expected to see the patient to continue to experience reduction in depression symptom.
The therapeutic effect should be observable which will motivate and encourage the patient.

1 Differences between Expected Results and Actual Results

3 The expected outcome after four weeks visitation is that the therapeutic effect of the medication will be clear and no more report of adverse reaction, that shows patient is tolerating the medications as agree.
The actual result was that the patient report that there was more reduction in the MDD symptom and improved in the side effect which is insomnia and sexual dysfunction.

Decision Selected. Psychiatric Nursing essay assignment paper

1 Decision Point Three

3 Selected Decision I will discontinue Zoloft 12.5mg orally daily and increase the dosage of Wellbutrin to 150mg XL every morning.

1 Reason for Selection

3 The desire result was not obtained in the second stage though the patient observe reduction in the symptom of MDD, but the resulting side effect is not reducing or eliminated.
Wellbutrin XL can help to reduce depression and remove most of the side effect of Zoloft (Mangoni, & Jackson, 2004), also this will help attain therapeutic effect with his symptoms until his next appointment to evaluate response to therapy (Mangoni, & Jackson, 2004).
The patient will have to be monitor closely because of the medication adjustment side effect, the suicidal tendency (Mangoni, & Jackson, 2004).

Expected Results

3 At this point the patient is anticipated to experience close to zero symptom of major depressive disorder without any side effect, the sleeping problem or insomnia, sexual dysfunction.
He is also expected to have good interaction with neighbor and friends.  Psychiatric Nursing essay assignment paper

1 Differences between Expected Results and Actual Results

Wellbutrin 150mg XL, there is a solution in the treatment of the patient with MDD, (Laureate Education, 2016).
3 When the medication is working well with no side effect, patient will continue with Wellbutrin XL 150mg orally daily dose and will be re-evaluated during the next appointment, medication can be increase if there is a reduction in symptoms to achieved desired maximum therapeutic effect.
The actual result from the patient is that the medication is achieving the therapeutic effect that is nePsychiatric Nursing essay assignment papereded by the patient (Mangoni, & Jackson, 2004).

1 Impact of Ethical Considerations on Treatment Plan 

3 Ethical Considerations on treatment plan of a psychiatry patients can be complicated which can arise from plan therapy.
Addressing the side effects of medications should be the most important in the plan of this therapy which include suicidal tendencies, dosage adjustment and close monitoring for effects (Flint & Rifat, 2013.
Some drugs can cause patients to have suicidal tendencies (Flint & Rifat, 2013.
Ethically there are sometimes practitioner are being influence by the health insurance of the patient, that is it easier to have a claim for drug treatment than physical therapy, therefore the health professional will choose to go the route of drug treatment.
In all consideration the beneficence and no maleficence principles must be observe, the best treatment and best drug that sooth the patient must be administered.

Conclusion

When treating patients, we must understand that some drugs are good for a patient but the side effect on the patient might be grave. A careful treatment and monitoring of patients is important for total healing (NAMI National Alliance on Mental Illness, 2017). Psychiatric Nursing essay assignment paper

References

4 American Psychiatric Association.
(2013).
3 Diagnostic and statistical manual of mental

disorders (5th ed.). Washington, DC: Author. Note:
3 Retrieved from Walden Library databases.

Diniz, B.
3 S., & Reynolds, C.
F. (2014).
3 Major Depressive Disorder in Older Adults:

Benefits and Hazards of Prolonged Treatment.
Drugs & Aging, 31(9), 661–669.
http://doi.org/10.1007/s40266-014-0196-y

Flint, A.
3 J., & Rifat, S.
L. (2013).
5 The effect of sequential antidepressant treatment on

geriatric depression.
3 Journal of affective disorders, 36(3), 95-105.

Laureate Education. (2016g). Case study:
1 An elderly Hispanic man with major depressive

disorder [Interactive media file]. Baltimore, MD: Author.Psychiatric Nursing essay assignment paper

Mangoni, A.
3 A., & Jackson, S.
H. D. (2004).
3 Age-related changes in pharmacokinetics and

pharmacodynamics:
3 basic principles and practical applications.
British Journal of Clinical Pharmacology, 57(1), 6–14.
Retrieved from:
3https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1884408/

6 National Alliance on Mental Illness.
(2017).
3 What Is Sertraline and What Does It

Treat? Retrieved from:
7 https://www.nami.org/learn-more/treatment/mental-health-medications/sertraline-(Zoloft)

Unützer, J., & Park, M. (2012).
3 Older Adults with Severe, Treatment-Resistant

Psychiatric Nursing essay assignment paper

Mid-range Theories – Nursing Essay Assignment Papers

Search current nursing journals for examples of the development, analysis, or use of mid-range theories in the discipline of nursing. Debate trends in the development and use of mid-range theories in nursing research with colleagues. Mid-range Theories – Nursing Essay Assignment Papers.

Mid-range Theories

Introduction

Fig. 17: Nursing Theorists

Middle range, or mid-range, nursing theories lie between the most abstract theories, such as grand nursing theories, models, or conceptual frameworks, and more circumscribed, concrete theories, such as practice theories. Compared to grand theories, mid-range theories are more specific, have fewer concepts, and encompass a more limited aspect of the real world. Concepts are relatively concrete and can be operationally defined.

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Nursing has appeared to recognize mid-range theory as the latest step in knowledge development, and there is broad acceptance of the need to develop mid-range theories to support nursing practice. Mid-range theories are also increasingly used in nursing research studies. Many researchers prefer to work with mid-range theories rather than grand theories or conceptual frameworks because they provide a better basis for generating testable hypotheses and addressing particular client populations. A review of nursing research journals and dissertation abstracts indicates that nursing research is currently being used in the development and testing of a number of mid-range theories, and mid-range theories are frequently being used as frameworks for investigation. Mid-range Theories – Nursing Essay Assignment Papers.

Students will consider the relationship between nursing knowledge and nursing practice, with emphasis on the relationship of mid-range theories to aspects of nursing practice, research, education, and administration. Mid-range Theories – Nursing Essay Assignment Papers.

Several methods for development of mid-range theories have been identified in the nursing literature. Mid-range theories emerge from combining research and practice and building on the work of others. Sources used to generate mid-range theory include literature reviews, qualitative research, field studies, conceptual models, nursing practice, clinical practice guidelines, theories from other disciplines, and statistical analysis of empirical data. Liehr and Smith identified five approaches for mid-range theory generation. The purpose of this module is to examine the purposes, characteristics, and concepts of mid-range theory and to describe the source and development process of mid-range theories from these five approaches.

Outcomes

Upon completion of the module, students will be able to:

understand the purposes of mid-range theories.

discuss the characteristics and concepts of mid-range theories.

describe the sources and development of mid-range theories.

develop a concept of interest into a preliminary mid-range theory.

Topics Index

The following topics are covered in this module.

Purposes of Mid-range Theory

Characteristics of Mid-range Theory

Concepts and Relationships for Mid-range Theories

Theories from Research and Practice

Theories from a Grand Theory

Combining Theories

Theories from Non-Nursing Disciplines

Theories from Practice Guidelines

These topics are designed to direct your readings, assist you in the development of assignments, and prepare you for module discussions.
  

1. Purposes of Mid-range Theory

Nursing theories vary in scope, or the level of abstraction. Theories that are broader in scope are called
grand range theories
. These theories are abstract and give broad perspective to the goals and structures of nursing practice. They are not testable, rather, they are viewed as knowledge-generated models from which hypotheses can be derived and tested, and they are useful as a theoretical framework for the development of mid-range theories. 
Middle range theories
 are limited in scope and contain a limited number of variables; they involve abstractions that are close enough to observed data to be incorporated in propositions that permit empirical testing. Thus, they can easily be taken to the operational level. They are theories that describe, explain, and predict phenomena of concern to nursing as well as prescribe actions in response to those phenomena. Mid-range Theories – Nursing Essay Assignment Papers.

Both grand and mid-range theories are important for knowledge development in the discipline of nursing. Grand theories are important to provide a larger picture of the phenomena. However, a deeper understanding about the relationships among those phenomena is provided by mid-range theories. Thus, the discipline of nursing has been concentrating its efforts in developing more mid-range theories, which are able to direct research and practice as well as strengthen the linkage among areas of theory, research, and practice.

Mid-range theories were first suggested in the discipline of sociology in the 1960s, and were introduced to nursing in 1974. At that time, mid-range theories were useful for emerging disciplines because they were more readily operationalized and addressed through research than grand theories. However, more than fifteen years elapsed before there was a collaborative call for mid-range theory development in nursing.

Development of mid-range theories is supported by the frequent critique of the abstract nature of grand theories and the difficulty of their application to practice and research. The purpose of mid-range theories is to describe, explain, or predict phenomena, and unlike grand theory, they must be explicit and testable. Therefore, they are easier to apply in practice situations and as frameworks for research studies. In addition, mid-range theories have the potential to guide nursing interventions and change conditions of a situation to enhance nursing care. A major role of mid-range theory is to define or refine the substantive component of nursing science and practice.

Each mid-range theory addresses relatively concrete and specific phenomena by stating what the phenomena are, why they occur, and how they occur. In addition, mid-range theories can provide structure for the interpretation of behavior, situations, and events. They support understanding of the connections between diagnosis and outcomes, and understanding of the connections between interventions and outcomes. Mid-range Theories – Nursing Essay Assignment Papers.

Overall, mid-range theories:

are more useful in research than grand theories because of their low level of abstraction and ease of operationalization

tend to support prediction better than grand theories due to circumscribed range and specificity of the concepts

are more likely to be adopted in practice because their relative simplicity eases the process of developing interventions for identified health problems.

Like theory in general, mid-range theory has three functions in nursing knowledge development:

Mid-range theories are used as theoretical frameworks for research studies.

Mid-range theories are open to use in practice and should be tested by research.

Mid-range theories can be the scientific end product that expresses nursing knowledge.

2. Characteristic of Mid-range Theory

Several characteristics identify nursing theories as mid-range. First, the principal ideas of mid-range theories are relatively simple, straightforward, and general, Second, mid-range theories consider a limited number of variables or concepts; they have a particular focus and consider a limited aspect of reality. In addition, they are receptive to empirical testing and can be consolidated into more wide-ranging theories. Third, mid-range theories focus primarily on client problems and outcomes, as well as the effects of nursing interventions on client outcomes. Finally, mid-range theories are specific to nursing and may specify an area of practice, age range of the client, nursing actions or interventions, and proposed outcomes. Mid-range Theories – Nursing Essay Assignment Papers.

The more frequently cited mid-range theories tend to be those that are clearly stated, easy to understand, internally consistent, and coherent. They deal with current nursing perspectives and address socially relevant topics that solve meaningful and persistent problems. Overall, mid-range theories for nursing combine proposed relationships between specific, well-defined concepts with the ability to measure or objectively code concepts. Therefore, mid-range theories contain concepts and statements from which hypotheses may be logically derived and empirically tested, and easily adopted to guide nursing practice. Mid-range Theories – Nursing Essay Assignment Papers.

The characteristics of middle range nursing theory are:

not comprehensive, but not narrowly focused

some generalizations across settings and specialties

limited number of concepts

clearly stated propositions

may generate testable hypotheses.

3. Concepts and Relationships for Mid-range Theories

Mid-range theories consist of two or more concepts and a specified relationship between the concepts. They address concepts that are toward the middle of the continuum with the metaparadigm concepts (nursing, person, health, and environment) at one end and specific concrete actions or events (i.e., medications, preoperative teaching, and electrolyte management) at the other. The concepts should be discrete, observable, and sufficiently abstract to be applied across multiple settings and used with clients with differing problems. Examples from the nursing literature include theories describing health promotion, comfort, coping, resilience, uncertainty, pain, grief, fatigue, self-care, adaptation, self-transcendence, and transitions. Mid-range Theories – Nursing Essay Assignment Papers.

Mid-range theories link discrete and observable phenomena or concepts in relationship statements. In mid-range theory, relationships are explicitly stated and, preferably, they are unidirectional. Relationships can be of several types. The most common are causal relationships that state a change in the value of one variable or concept is associated with a change in the value of another variable or concept.

4. Theories from Research and Practice

The current emphasis of nursing theory development focuses on efforts to construct, test, refine, and evaluate mid-range theories. To help advance the discipline, nurses are encouraged to write and publish articles that describe mid-range theories and report research studies in which a mid-range theory was used. This process of mid-range theory generation and refinement may further develop the discipline’s knowledge base. Therefore, nurses in all settings need to strive to learn about existing or emerging mid-range theories, or seek to develop and describe theories that will explain phenomena they observe in practice. Mid-range Theories – Nursing Essay Assignment Papers.

Nursing has the knowledge, skills, manpower, and resources to move beyond delineation of conceptual models and domain concepts to emphasize development and application of mid-range theory. Mid-range theory holds much promise for the evolution of the discipline’s science and practice. But, as Liehr and Smith point out, the challenge is developing mid-range theories that are empirically sound, coherent, meaningful, useful, and illuminating.

In order to develop mid-range theories, one needs to be aware of the sources for the process of mid-range theory development. Liehr and Smith (1999) identified five approaches for mid-range theory generation. The five approaches are:

Induction through research and practice.

Deduction from research and practice or application of grand theories.

Combination of existing nursing and non-nursing mid-range theories.

Derivation from theories of other disciplines that relate to nursing.

Derivation from practice guidelines and standards rooted in research.

This module is an overview of the five approaches for mid-range theory generation.

One of the most common sources for development of mid-range theories is nursing research or nursing practice. Qualitative research methods are frequently noted as sources for mid-range theory development. Variations in the idea of mid-range theory development from research are fairly common. Theorists often combine qualitative research with literature review, concept analysis, concept synthesis, and other techniques in the process of developing a mid-range theory. For example, Eakes, Burke, and Hainsworth developed the mid-range theory 
Theory of Chronic Sorrow
 from an extensive review of the literature, and data gathered through ten qualitative research studies. Mid-range Theories – Nursing Essay Assignment Papers.

Identification of mid-range theories and models derived primarily from practice is more difficult. One example is the 
Theory of Unpleasant Symptoms
, which was reportedly developed by integrating existing practice and research information about a variety of symptoms. Some models that describe areas of specialty nursing practice were developed from combination of practice and another source, typically research or practice standards.

5. Theories from a Grand Theory

Many nursing theorists and scholars found grand theories difficult to apply in research and practice and suggested the development of mid-range theories derived from the grand theories. During the past decade or so, a number of theories developed from grand theories have been published in nursing literature. Several mid-range theories were developed from Roy’s Adaptation Model. One example is Whittemore and Roy’s concept syntheses to integrate concepts and assumptions in order to theoretically describe “adapting to diabetes mellitus” (Whittemore & Roy, 2002, p. 311-317).  Mid-range Theories – Nursing Essay Assignment Papers.

Exemplar of a mid-range theory derived from a grand theory:

Jirovec, Jenkins, Isenberg, and Baiardi  (1999) detailed their work substructing 
The
 
Urine Control Theory
from Roy’s Adaptation Model. In this case, the theory was used as a framework for addressing problems of urine control.

Theory development process
: To develop the Theory of Urine Control, the theorists first described elements of Roy’s Adaptation Model (input stimuli, coping mechanism and adaptive modes), then inserted the variables affecting urinary tract functioning into each of the elements. For example, bladder distention was identified as a component of “focal stimuli”, accessible facilities were seen as “contextual stimuli,” and socialization of sanitary habits was described as “residual stimuli” (Figure 2). Mid-range Theories – Nursing Essay Assignment Papers.

Following development of the model, a research program was developed to decrease incontinence in 119 elders. The intervention was to manipulate contextual stimuli to compensate for the elder’s memory impairment. Variables were measured in the study and several relationships outlined. For example, the researchers looked at the relationship between urine control and mobility, and urine control and accessible facilities by manipulating elements of the residents’ environment to improve accessibility. They determined that cognitive abilities may be compensated for by changes in contextual stimuli. Also, when cognitive ability or mobility is decreased, environmental manipulations can be increased to compensate. It was noted that the derived mid-range theory supported Roy’s work. Mid-range Theories – Nursing Essay Assignment Papers.

Fig. 18: Conceptual Model of Urine Control.

6. Combining Theories

Combining concepts or elements of multiple theories is very common in mid-range theory development. In many cases found in recent literature, the author(s) of a mid-range theory reported that they derived their theory from both nursing and non-nursing theories. For example, Ulbrich developed the 
Theory of Exercise
 
as Self-Care
 through “triangulation of Orem’s self-care deficit theory of nursing, the trans-theoretical model of exercise, behavior, and characteristics of a population at risk for cardiovascular disease” (Ulbrich,1999, p. 65-70).

Exemplar of a mid-range theory combining existing nursing and non-nursing theories:

Dunn provided an excellent example of combining existing nursing and non-nursing theories in development of a mid-range 
Theory of Adaptation to Chronic
 
Pain
. The theorist’s intention was to describe coping and pain control in elders with the purpose of maintaining their quality of life and functional ability.

Theory development process
: Dunn wrote that the first step in developing her theory was to review and synthesize the theoretical knowledge related to pain in elders, coping with pain, religious coping, and spirituality. She reported identification of three theoretical models that addressed concepts related to pain and coping in elders. There were: Melzak & Wall’s gate control theory of pain, Lazarus & Folman’s stress and coping theory, and Wallace, Benson, and Wilson relaxation response. To ensure that the final model was applicable to nursing, Dunn selected the Roy Adaptation Model to guide the theory development process. Mid-range Theories – Nursing Essay Assignment Papers.

Dunn reports that the second step is to define assumptions for the theory that are based on assumptions from the four models. To lay the theoretical foundation, Dunn took concepts, relational statements, and propositions from the existing theories, and arranged them into a diagram to represent the theoretical and operational systems. Finally, the concepts from the Adaptation to Chronic Pain model were linked to empirical indicators to provide a logical and consistent connection.

7. Theories from Non-Nursing Disciplines

A significant number of mid-range nursing theories are developed from one-or-more non-nursing theories. Non-nursing theories, including those from the behavioral sciences, sociology, and physiology, appear to be the most common source for theory development. For example, Kolcaba’s 
Theory of Comfort
 was reportedly derived from a review of literature from medicine, psychiatry, ergonomics, and psychology, as well as from nursing literature and history. Benner explained that the Dreyfus model of skill acquisition, developed by a mathematician and a philosopher, was the primary source for her work. Mishel and Clayton’s 
Uncertainty in Illness
 
Theory
 incorporated elements of chaos theory. In addition, several mid-range nursing theories have been derived from theories or models of behavioral change. Frequently cited are: Becker’s 
Health Belief Model
, Pender’s 
Health
 
Promotion Model
, and Bandura’s 
Social Learning and Social Cognitive Theory
. Mid-range Theories – Nursing Essay Assignment Papers.

8. Theories from Practice Guidelines

Practice guidelines or standards of care appear to be the least common source for the development of mid-range theories, as only a few examples could be found. In one example, the Public Health Nursing Practice Model was developed by “melding of nationally recognized components” (Smith & Bazini-Barakat, 2003, p. 44) of public health nursing practice (PHN). The identified components were the Standards of PHN practice, the 10 Essential Services of Public Health, Healthy People 2010’s 10 Leading Health Indicators, and Minnesota’s Public Health Interventions Model.

Another example is Ruland and Moore’s use of the standards of care to develop the 
Theory of the Peaceful End of Life 
from standards of care for terminally ill patients. In this work, the theorists observed the relational statements of the standards needed to be more specifically defined to make them applicable for empirical testing. Because the standards were too specific, they were too detailed to illustrate the major themes succinctly. Mid-range Theories – Nursing Essay Assignment Papers.

The first step in Ruland and Moore’s theory development process was to define the theory’s assumptions based on the standards of care. The second step was to perform a “statement synthesis,” whereby they developed five outcome criteria that contributed to a peaceful end of life (not being in pain, experiencing comfort, experiencing dignity and respect, being at peace and closeness to significant others or another caring person). In the third step, conceptual definitions for each of the outcome indicators were determined, and the fourth step involved defining relational statements between the outcome indicators and the nursing interventions. In this step, all the process criteria from the standard were examined and combined into “prescriptors” to facilitate the desired outcome. The process of theory synthesis was then used to combine the relational statements into an integrated structure or theory. The final step was to draw a diagram of the relationships as a model (Figure 3). Mid-range Theories – Nursing Essay Assignment Papers.

Fig. 19: Theory of Peaceful End of Life: Relationships Between the Concepts of the Theory.

Mid-range Theories – Nursing Essay Assignment Papers Assignments

Post a response to the following question and respond to one of your classmate’s postings for each question. Your initial response and responses to others should be 100-200 words. Respond to your classmate’s requests for feedback. In addition, follow the guidelines provided in the Grading Rubric for Online Discussions-500 Level.

 

Module IX

 

Readings

Chinn & Kramer, Review Chapters 2, 7

Walker & Avant, Review Chapters 1, 2

Chinn, P. L. (1997). 
Why middle range theory?
 
Advances in Nursing Science,
 
19
(3), viii.

Kolcaba, K. (2001). 
Evolution of the middle range theory of comfort for outcomes research
. 
Nursing Outlook, 49
, 86-92.

Liehr, P., & Smith, M. J. (1999). 
Middle range theory: Spinning research and practice to create knowledge for the new millennium
. 
Advances in Nursing Science, 21
, 81-91.

Ruland, C. M., & Moore, S. M. (1998). 
Theory construction based on standards of care: A proposed theory of the peaceful end of life
.
Nursing Outlook, 46
, 169-175.

Discussion 1

.

Review one of the studies obtained from the reading list provided in the reading section of the module. Describe the theoretical framework in the study. Post your description and discuss your findings with your colleagues. Mid-range Theories – Nursing Essay Assignment Papers.

Module IX: Discussion 1

Discussion 2

Search current nursing journals for examples of the development, analysis, or use of mid-range theories in the discipline of nursing. Debate trends in the development and use of mid-range theories in nursing research with colleagues. Mid-range Theories – Nursing Essay Assignment Papers.

Module IX: Discussion 2

 

Discussion posts should follow criteria for the Rubric for Online Discussions.

NSG6999 Graduate Project in Nursing SU01 Discussions and Essay Assignment Papers & Exams

Week 1 Discussion

To complete this
week
, after reading chapter one in Melnyk and reviewing the lectures you need to consider the topic of interest to you. List a ONE to two-word topic that you want to explore further and why you are interested in this topic. This topic encompasses the question that you have been generating throughout your program.

As an example I may choose the topic of depression, as I am interested in all of the depression I am seeing in the primary care office. Next week I will explore the background of this topic and this will lead to my PICOT question.

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As you work on your capstone project proposal, you will want to share your progress with your peers and instructor and seek or provide guidance or share insights. 
By the due date assigned
, go to the 
Discussion Area
 and post responses to the discussion question. All responses should be posted to the appropriate topic in this Discussion Area. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University online library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources. NSG6999 Graduate Project in Nursing SU01 Discussions and Essay Assignment Papers & Exams.

Supporting one—Challenging one.

By the end of the week, comment on the responses of at least two other students by supporting a minimum of one post and challenging a minimum of one post. You will want to focus on their point of view, asking pertinent questions, adding to the responses by including information from other sources, and respectfully challenging a point of view, supported by references to other sources. Be objective, clear, and concise. Always use constructive language. All comments should be posted to the appropriate topic in this 
Discussion Area. 
Please only start a new thread with your original post. Hit reply to respond to a peer. NSG6999 Graduate Project in Nursing SU01 Discussions and Essay Assignment Papers & Exams.

Week 2 Discussion

 

Post your background question and your strategy for getting a comprehensive understanding of the clinical issue. As you work on your capstone project proposal, you will want to share your progress with your peers and instructor and seek or provide guidance or share insights. 
By the due date assigned
, go to the 
Discussion Area
 and post responses to the discussion question. All responses should be posted to the appropriate topic in this 
Discussion Area
. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University online library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources.

Supporting one—Challenging one.

By the end of the week
 
comment on the responses of at least two other students by 
supporting a minimum of one post and challenging a minimum of one post.
  You will want to focus on their point of view, asking pertinent questions, adding to the responses by including information from other sources, and respectfully challenging a point of view, supported by references to other sources. Be objective, clear, and concise. Always use constructive language. All comments should be posted to the appropriate topic in this 
Discussion Area
. Please only start a new thread with your original post. Hit reply to respond to a peer. NSG6999 Graduate Project in Nursing SU01 Discussions and Essay Assignment Papers & Exams.

0

0

Week 3 Discussion

 

State your PICOT question.

Indicate in parentheses after each segment, what part of PICOT the preceding words represent.

For example: In patients recently discharged from the hospital following care for heart failure (P), do hand-off calls by the nurse to the primary care provider using the SBAR format (situation, background, assessment, recommendation) (I) compared to no calls (C) decrease readmission rates (O) over a one year period (T).

Provide feedback to your classmates that focuses on:

The use of correct PICOT format for the question to guide the literature search.

Does the question reflect a clinical issue and one appropriate for an evidence-based practice project?

Provide feedback to your classmates that focuses on:

The use of correct PICOT format for the question to guide the literature search.

Does the question reflect a clinical issue and one appropriate for an evidence-based practice project?

Support a minimum of one and challenge a minimum of one.

As you work on your capstone project proposal, you will want to share your progress with your peers and instructor and seek or provide guidance or share insights. 
By
 
the due date assigned
, go to the 
Discussion Area
 and post responses to the discussion question. All responses should be posted to the appropriate topic in this 
Discussion Area
. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University online library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources. NSG6999 Graduate Project in Nursing SU01 Discussions and Essay Assignment Papers & Exams.

Supporting one—Challenging one.

By
 
the due date assigned
 comment on the responses of at least two other students by 
supporting a minimum of one post and challenging a minimum of one post.
  You will want to focus on their point of view, asking pertinent questions, adding to the responses by including information from other sources, and respectfully challenging a point of view, supported by references to other sources. Be objective, clear, and concise. Always use constructive language. All comments should be posted to the appropriate topic in this 
Discussion Area
. Please only start a new thread with your original post. Hit reply to respond to a peer.

Week 4 Discussion

 

Using the following table—search the 5 databases based on your PICOT Question—under findings note the number of relevant articles found—you may not find something in every database. Under features discuss what you liked about that database. ON the discussion board summarize your search—attach your chart for those that would like to see your search. You may not find what you are looking for in every search—and that is OK—but you must search every database to see what may be out there. NSG6999 Graduate Project in Nursing SU01 Discussions and Essay Assignment Papers & Exams.

Exploring the Literature

Picot Question: 

 Research Tool

 Search Tips

 Search Terms &  Limits

 Findings

 Features

CINAHL

CINAHL is an 
SU subscription-only
resource that offers full text access to 336 scholarly journals and indexes over 3,000 journals from the fields of nursing and allied health. Indexed journals do not provide access to 
full-text
. Just because it is indexed in does not mean the library has full-text access to the journal. SU can always request articles for students via Interlibrary Loan, but the service is not instantaneous

Look at the Major Subject Heading in the Full Record

Use the Limits Feature:

Example: Publication Type=Systematic Review

Try the CINAHL Heading search:

 

Keyword search:

Limits:

CINAHL Heading search:

Limits:

PubMed

PubMed is a free health science citation & abstracts index from the National Center for Biotechnology Information at the U.S. National Library of Medicine.

 

Look at MeSH Terms in Full Record

Use the Limits Feature:

Examples: Article Type=Meta-Analysis; Age=All Adult

Look for the open access Free articles!

 

Keyword search:

Limits:

 

MESH search:

Limits:

 

Cochrane Library

Cochrane Library provides access to the Cochrane Library of Systematic Reviews. Full text of reviews are subscription only. Index summaries are a public resource. Indexed journals do not provide access to full-text. Just because it is indexed in does not mean the library has 
full-text
access to the journal. SU can always request articles for students via Interlibrary Loan, but the service is not instantaneous

Use the Simple Search and the Advance Search Features

Allows you to search with MeSH Terms

Check out the New Reviews

 Browse reviews by topic

Keyword search:

 

Limits:

MESH search:

Limits:

 

Dynamed

 

Use the Simple Search and the Advance Search Features

Allows you to search with MeSH Terms

Check out the New Reviews

Browse reviews by topic

Keyword search:

 

Also browse by:

 

TRIP Database

TRIP is a clinical search engine to locate publicly available clinical evidence.

 

Limit to:

Systematic Reviews

Guidelines-US

 

Keyword search:

Limits
:

SU Library Search

Library Search is setup just like an EBSCO

The Library even has a specialized PICOT search setup in Library Search—must go to Advance search to get to PICOT option

 

Other Databases:

As you work on your capstone project proposal, you will want to share your progress with your peers and instructor and seek or provide guidance or share insights. 
By the due date assigned
, go to the 
Discussion Area
 and post responses to the discussion question. All responses should be posted to the appropriate topic in this 
Discussion Area
. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University online library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources. Be sure to spend some time in Library Search it is setup just like an EBSCO database and gives you the experience of learning how to navigates databases, and provides you with a larger pool of information within which to search. NSG6999 Graduate Project in Nursing SU01 Discussions and Essay Assignment Papers & Exams.

Supporting one—Challenging one.

By the end of the week, comment on the responses of at least two other students by 
supporting a minimum of one post and challenging a minimum of one post.
 You will want to focus on their point of view, asking pertinent questions, adding to the responses by including information from other sources, and respectfully challenging a point of view, supported by references to other sources. Be objective, clear, and concise. Always use constructive language. All comments should be posted to the appropriate topic in this 
Discussion Area
. Please only start a new thread with your original post. Hit reply to respond to a peer.

0

0

Week 5 Discussion

 

We will be reviewing a “keeper study” this week—evaluate an article by working through the following 7 question

Again, keeper studies can be identified using handy Rapid Critical Appraisal checklists consisting of a set of simple but important questions. Below are sample questions developed for use with quantitative studies that are applicable to most appraisal situations (it’s important to note that qualitative evidence, if it’s relevant to the clinical question, should not be dismissed):

Why was the study done?
 Make sure the study is directly relevant to the clinical question.

What is the sample size?
 Size can and should vary according to the nature of the study. Since determining a valid minimum sample size in a single study can be difficult, taking into account multiple studies is beneficial.The answer to this question alone should not remove a study from the appraisal process.

Are instruments of the variables in the study clearly defined and reliable?
Make sure the variables were consistently applied throughout the study and that they measured what the researchers said they were going to measure.

How was the data analyzed?
Make sure that any statistics are relevant to the clinical question.

Were there any unusual events during the study?
 If the sample size changed, for example, determine whether that has ramifications if you wish to replicate the study.

How do the results fit in with previous research in this area?
 Make sure the study builds on other studies of a similar nature.

What are the implications of the research for clinical practice? 
Ask whether the study addresses a relevant and important clinical issue. NSG6999 Graduate Project in Nursing SU01 Discussions and Essay Assignment Papers & Exams.

As you work on your capstone project proposal, you will want to share your progress with your peers and instructor and seek or provide guidance or share insights. 
By
 
the due date assigned
, go to the 
Discussion Area
 and post responses to the discussion question. All responses should be posted to the appropriate topic in this 
Discussion Area
. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University online library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources.

Supporting one—Challenging one.

By the end of the week, comment on the responses of at least two other students by 
supporting a minimum of one post and challenging a minimum of one post.
  You will want to focus on their point of view, asking pertinent questions, adding to the responses by including information from other sources, and respectfully challenging a point of view, supported by references to other sources. Be objective, clear, and concise. Always use constructive language. All comments should be posted to the appropriate topic in this 
Discussion Area
. Please only start a new thread with your original post. Hit reply to respond to a peer. NSG6999 Graduate Project in Nursing SU01 Discussions and Essay Assignment Papers & Exams.

Week 6 Discussion

 

On the discussion board, using a minimum of two articles that are supporting your PICOT question, submit one paragraph synthesizing the research into clear, concise statements 
without separately 
reviewing each of the studies in the paragraph—but by paraphrasing and synthesizing the work that was done.

As you work on your capstone project proposal, you will want to share your progress with your peers and instructor and seek or provide guidance or share insights. 
By
 
due date assigned 
, go to the 
Discussion Area
 and post responses to the discussion question. All responses should be posted to the appropriate topic in this
 Discussion Area
. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University online library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources. NSG6999 Graduate Project in Nursing SU01 Discussions and Essay Assignment Papers & Exams.

Supporting one—Challenging one.

By the end of the week, comment on the responses of at least two other students by 
supporting a minimum of one post and challenging a minimum of one post.
  You will want to focus on their point of view, asking pertinent questions, adding to the responses by including information from other sources, and respectfully challenging a point of view, supported by references to other sources. Be objective, clear, and concise. Always use constructive language. All comments should be posted to the appropriate topic in this 
Discussion Area
. Please only start a new thread with your original post. Hit reply to respond to a peer.

Week 7 Discussion

 

This week you will be creating an Implementation Plan that will be attached to your final EBP.  For the discussion board this week—outline your implementation steps 1-2-3.

As you work on your capstone project proposal, you will want to share your progress with your peers and instructor and seek or provide guidance or share insights. 
By
 
the due date assigned
, go to the 
Discussion Area
 and post responses to the discussion question. All responses should be posted to the appropriate topic in this 
Discussion Area
. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University online library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources. NSG6999 Graduate Project in Nursing SU01 Discussions and Essay Assignment Papers & Exams.

Supporting one—Challenging one.

By the end of the week , comment on the responses of at least two other students by 
supporting a minimum of one post and challenging a minimum of one post.
  You will want to focus on their point of view, asking pertinent questions, adding to the responses by including information from other sources, and respectfully challenging a point of view, supported by references to other sources. Be objective, clear, and concise. Always use constructive language. All comments should be posted to the appropriate topic in this 
Discussion Area
. Please only start a new thread with your original post. Hit reply to respond to a peer. NSG6999 Graduate Project in Nursing SU01 Discussions and Essay Assignment Papers & Exams.

Week 8 Discussion

 

This week you will be working on an evaluation plan that will be attached to your EBP in 
Week 9
.  Submit your Evaluation Plan to the DB –listed as 1-2-3…

As you work on your capstone project proposal, you will want to share your progress with your peers and instructor and seek or provide guidance or share insights.
 By due date assigned
, go to the 
Discussion Area
 and post responses to the discussion question. All responses should be posted to the appropriate topic in this 
Discussion Area
. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University online library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources.

Supporting one—Challenging one.

By the end of the week , comment on the responses of at least two other students by 
supporting a minimum of one post and challenging a minimum of one post.
  You will want to focus on their point of view, asking pertinent questions, adding to the responses by including information from other sources, and respectfully challenging a point of view, supported by references to other sources. Be objective, clear, and concise. Always use constructive language. All comments should be posted to the appropriate topic in this 
Discussion Area
. Please only start a new thread with your original post. Hit reply to respond to a peer. NSG6999 Graduate Project in Nursing SU01 Discussions and Essay Assignment Papers & Exams.

Week 9 Discussion

 

Post your Presentation of your EBP on Discussion Board for feedback before final submission in 
Week 10
.

Provide Feedback to 2 Peers–

As you work on your capstone project proposal, you will want to share your progress with your peers and instructor and seek or provide guidance or share insights. 
By due date assigned 
, go to the 
Discussion Area
 and post responses to the discussion question. All responses should be posted to the appropriate topic in this 
Discussion Area
. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University online library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources. NSG6999 Graduate Project in Nursing SU01 Discussions and Essay Assignment Papers & Exams.

Supporting one—Challenging one.

By the end of the week , comment on the responses of at least two other students by 
supporting a minimum of one post and challenging a minimum of one post.
  You will want to focus on their point of view, asking pertinent questions, adding to the responses by including information from other sources, and respectfully challenging a point of view, supported by references to other sources. Be objective, clear, and concise. Always use constructive language. All comments should be posted to the appropriate topic in this 
Discussion Area
. Please only start a new thread with your original post. Hit reply to respond to a peer. NSG6999 Graduate Project in Nursing SU01 Discussions and Essay Assignment Papers & Exams.

Week 10 Midweek Assignment

 

As you work on your capstone project proposal, you will want to share your progress with your peers and instructor and seek or provide guidance or share insights. 
By the due date assigned,
 go to the 
Discussion Area
 and post responses to the discussion question. All responses should be posted to the appropriate topic in this 
Discussion Area
. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University online library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources. NSG6999 Graduate Project in Nursing SU01 Discussions and Essay Assignment Papers & Exams

Supporting one—Challenging one.

By the end of the week, comment on the responses of at least two other students by 
supporting a minimum of one post and challenging a minimum of one post.
  You will want to focus on their point of view, asking pertinent questions, adding to the responses by including information from other sources, and respectfully challenging a point of view, supported by references to other sources. Be objective, clear, and concise. Always use constructive language. All comments should be posted to the appropriate topic in this 
Discussion Area
. NSG6999 Graduate Project in Nursing SU01 Discussions and Essay Assignment Papers & Exams.

0

0

Week 10 Discussion

 

Post Final EBP presentation to DB. As you work on your capstone project proposal, you will want to share your progress with your peers and instructor and seek or provide guidance or share insights. 
By the due date assigned,
 go to the 
Discussion Area
 and post responses to the discussion question. All responses should be posted to the appropriate topic in this 
Discussion Area
. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University online library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources.

Supporting one—Challenging one.

By the end of the week, comment on the responses of at least two other students by 
supporting a minimum of one post and challenging a minimum of one post.
  You will want to focus on their point of view, asking pertinent questions, adding to the responses by including information from other sources, and respectfully challenging a point of view, supported by references to other sources. Be objective, clear, and concise. Always use constructive language. All comments should be posted to the appropriate topic in this 
Discussion Area
. Please only start a new thread with your original post. Hit reply to respond to a peer.

. NSG6999 Graduate Project in Nursing SU01 Discussions and Essay Assignment Papers & Exams

Foundations of Psychotherapy Essay Assignment Papers – NURS 6640 Psychotherapy with Individuals

Week 1: Foundations of Psychotherapy

“Unexpressed emotions will never die. They are buried alive and will come forth later in uglier ways.”

—Sigmund Freud

While working with a patient in the late 1800s, Sigmund Freud discovered the health benefits of talking about emotions and illnesses. When Sigmund Freud introduced his “talking cure” (fundamental psychotherapy), his efforts were met with considerable skepticism. However, as more and more psychiatrists learned that Freud’s methods brought about change in patients who suffered from a variety of mental health issues, his methods were adopted and refined. Today, psychotherapy is recognized as a viable treatment for a wide variety of mental health issues, many of which are examined throughout this course. Foundations of Psychotherapy Essay Assignment Papers – NURS 6640 Psychotherapy with Individuals.

ORDER A PLAGIARISM-FREE PAPER HERE

This week, as you explore the foundations of psychotherapy, you consider its biological basis. You also examine the influence of culture, religion, and socioeconomics on psychotherapy treatments. Finally, you begin preparing for your practicum experience by examining counseling theories and developing goals to guide your practice.

Photo Credit: Joe Houghton – www.joehoughtonphotography.ie / Moment / Getty Images

Learning Resources

Required Readings

Wheeler, K. (Eds.). (2014).
Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice
(2nd ed.). New York, NY: Springer Publishing Company.

Chapter 1, “The Nurse Psychotherapist and a Framework for Practice” (pp. 3–52)

Fournier, J. C., & Price, R. B. (2014). Psychotherapy and neuroimaging.
Psychotherapy: New Evidence and New Approaches, 12
(3), 290–298. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4207360/, Foundations of Psychotherapy Essay Assignment Papers – NURS 6640 Psychotherapy with Individuals

Holttum, S. (2014). When bad things happen our brains change but psychotherapy and support can help the recovery of our brains and our lives.
Mental Health and Social Inclusion, 18
(2), 52–58. doi:10.1108/MHSI-02-2014-0006

 

Note:
You will access this article from the Walden Library databases.

Petiprin, A. (2016). Psychiatric and mental health nursing.
Nursing Theory
. Retrieved from http://www.nursing-theory.org/theories-and-models/psychiatric-and-mental-health-nursing.php

Fisher, M. A. (2016). Introduction. In
Confidentiality limits in psychotherapy: Ethics checklists for mental health professionals
(pp. 3–12). Washington, DC: American Psychological Association. doi:10.1037/14860-001. Foundations of Psychotherapy Essay Assignment Papers – NURS 6640 Psychotherapy with Individuals

Document:
Practicum Journal Template (Word document)

 

Note:
This template is provided by the School of Nursing and is designated to document practicum activity. You are required to use this template for all journal entry submissions.

Document:
Midterm Exam Study Guide (Word document)

Document:
Final Exam Study Guide (Word document)

Document:
Nurse Practitioner (NP) Student Clinical Orientation (PowerPoint file)

Document:
Practicum Manual (PDF). Retrieved from http://academicguides.waldenu.edu/ld.php?content_id=7356923. Foundations of Psychotherapy Essay Assignment Papers – NURS 6640 Psychotherapy with Individuals

Required Media

Laureate Education (Producer). (2016).
Introduction to psychotherapy with individuals
[Video file]. Baltimore, MD: Author.

 

Note:
The approximate length of this media piece is 2 minutes.

 

Accessible player
 
–Downloads–
Download Video w/CC
Download Audio
Download Transcript

Laureate Education (Producer). (2015e).
Therapies are helpful: Dodo bird conjecture
[Video file]. Baltimore, MD: Author.

Provided courtesy of the Laureate International Network of Universities.

 

Note:
The approximate length of this media piece is 2 minutes.

 

Accessible player
 
–Downloads–
Download Video w/CC
Download Audio
Download Transcript

Laureate Education (Producer). (2015f).
Therapies change and integrate different approaches over time
[Video file]. Baltimore, MD: Author.

Provided courtesy of the Laureate International Network of Universities.

 

Note:
The approximate length of this media piece is 1 minute.

 

Accessible player
 
–Downloads–
Download Video w/CC
Download Audio
Download Transcript

Sommers-Flanagan, J., & Sommers-Flanagan, R. (2012).
Clinical interview: Intake, assessment, & therapeutic alliance
[Video file]. Mill Valley, CA: Psychotherapy.net. Foundations of Psychotherapy Essay Assignment Papers – NURS 6640 Psychotherapy with Individuals.

 

Note:
You will access this media from the Walden Library databases. The approximate length of this media piece is 124 minutes.

 

Sommers-Flanagan, J., & Sommers-Flanagan, R. (2013).
Counseling and psychotherapy theories in context and practice
[Video file]. Mill Valley, CA: Psychotherapy.net.

 

Note:
For this week, view the Introduction and Psychoanalytical Approaches only. You will access this media from the Walden Library databases.

 

Discussion: Does Psychotherapy Have a Biological Basis?

Many studies have found that psychotherapy is as effective as psychopharmacology in terms of influencing changes in behaviors, symptoms of anxiety, and changes in mental state. Changes influenced by psychopharmacology can be explained by the biological basis of treatments. But how does psychotherapy achieve these changes? Does psychotherapy share common neuronal pathways with psychopharmacology? For this Discussion, consider whether psychotherapy also has a biological basis.

Learning Objectives

Students will:

Evaluate biological basis of psychotherapy treatments

Analyze influences of culture, religion, and socioeconomics on personal perspectives of psychotherapy treatments

To prepare:

Review this week’s Learning Resources.

Reflect on foundational concepts of psychotherapy.

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 cannot post anonymously. Please check your post carefully before clicking Submit!Foundations of Psychotherapy Essay Assignment Papers – NURS 6640 Psychotherapy with Individuals

By Day 3

Post
 an explanation of whether psychotherapy has a biological basis. Explain how culture, religion, and socioeconomics might influence one’s perspective of the value of psychotherapy treatments. Support your rationale with evidence-based literature.

Read
 a selection of your colleagues’ responses.

By Day 6

Respond
 to at least two of your colleagues by providing an additional scholarly resource that supports or challenges their position along with a brief explanation of the resource. Foundations of Psychotherapy Essay Assignment Papers – NURS 6640 Psychotherapy with Individuals.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 1 Discussion Rubric

Post by Day 3 and Respond by Day 6

To participate in this Discussion:

Week 1 Discussion

Assignment: Practicum – 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. Foundations of Psychotherapy Essay Assignment Papers – NURS 6640 Psychotherapy with Individuals

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*

* The Assignment related to this Learning Objective is introduced this week and submitted in Week 4.

In preparation for this course’s practicum experience, address the following in your Practicum Journal:

Reviewthe media 
Clinical Interview: Intake, Assessment,& Therapeutic Alliance
 in your Learning Resources.

Selectone nursing theory and one counseling theory to best guide your practice inpsychotherapy.

Note:
 For guidance onnursing and counseling theories, refer to the Wheeler textbook in this week’s LearningResources. Foundations of Psychotherapy Essay Assignment Papers – NURS 6640 Psychotherapy with Individuals

Explain why you selected these theories. Support your approach with evidence-basedliterature.

Developat least three goals and at least three objectives for the practicum experiencein this course.

Create a timeline of practicum activities basedon your practicum requirements.

Note:
 Be sure to use the Practicum Journal Template, located in this week’s Learning Resources.

By Day 7 of Week 4

Submit
 your Assignment.

Week in Review

Now that you have:

Evaluated the biological basis of psychotherapy treatments

Analyzed the influence of culture, religion, and socioeconomics on personal perspectives of psychotherapy treatments, Foundations of Psychotherapy Essay Assignment Papers – NURS 6640 Psychotherapy with Individuals

Analyzed nursing and counseling theories to guide practice in psychotherapy

Developed goals and objectives for personal practicum experiences

Created timelines for practicum activities

Next week, you will:

Analyze psychometric properties of assessment tools

Evaluate appropriate use of assessment tools in psychotherapy

Compare assessment tools used in psychotherapy

Develop diagnoses for clients receiving psychotherapy

Analyze legal and ethical implications of counseling clients with psychiatric disorders

Looking Ahead 1: Practicum Assignments

Practicum Journal Entries

Each week, you will complete practicum-related assignments. It is highly recommended that you review the practicum assignments for Weeks 2–10 before Day 7 of Week 1. This will give you time to connect with your preceptor so that you can fulfill the requirements of each practicum assignment. Foundations of Psychotherapy Essay Assignment Papers – NURS 6640 Psychotherapy with Individuals

Due Day 7 of Week 4:

Week 1:
 You will select one nursing theory and one counseling theory to best guide your practice in psychotherapy. You will explain why you selected these theories and support your approach with evidence-based literature. You also will develop at least three goals and at least three objectives for the practicum experience in this course.

Week 2:
 You will write about a client you observed or counseled. (Assignment to be submitted by Day 7 of Week 4.) Foundations of Psychotherapy Essay Assignment Papers – NURS 6640 Psychotherapy with Individuals

Week 4:
 You will write about a client you observed or counseled and explain whether cognitive behavioral therapy would be effective with this client. (Assignment to be submitted by Day 7 of Week 4 .)

Due Day 7 of Week 7:

Week 5:
 You will write about a client you observed or counseled that suffers from a disorder related to trauma. (Assignment to be submitted by Day 7 of Week 7.)

Week 6:
 You will write about a client you observed or counseled and explain whether motivational interviewing would be effective with this client. (Assignment to be submitted by Day 7 of Week 7.)

Due Day 7 of Week 10:

Week 8:
 You will write about a client you observed or counseled and explain whether existential-humanistic therapy would be effective with this client. You will also reflect on your clinical supervision experiences. (Assignment to be submitted by Day 7 of Week 10.)

Week 9:
 You will write about a child or adolescent client you observed or counseled. (Assignment to be submitted by Day 7 of Week 10.) Foundations of Psychotherapy Essay Assignment Papers – NURS 6640 Psychotherapy with Individuals

Week 10:
 You will write a reflection on your practicum experiences. (Assignment to be submitted by Day 7 of Week 10.)

Comprehensive Client Assessments, Progress Notes, and Client Termination Summary

Due Day 7 of Week 4:

Week 3:
 You will complete a Comprehensive Client Assessment. (Assignment to be submitted by Day 7 of Week 4.)

Due Day 7 of Week 7:

Week 7:
 You will write a progress note and privileged psychotherapy note for the client you assessed in Week 3 for the Comprehensive Client Assessment. (Assignment to be submitted by Day 7 of Week 7.) Foundations of Psychotherapy Essay Assignment Papers – NURS 6640 Psychotherapy with Individuals

Due Day 7 of Week 10:

Week 10:
 You will write a Client Termination Summary for a client who is ready to complete therapy. (Assignment to be submitted by Day 7 of Week 10.)

Looking Ahead 2: Didactic Assignments

Week 8 Discussion:
 In 3- to 5-minute Kaltura video, you will discuss a client you have observed and/or counseled during your practicum experience. Be sure to make arrangements with your preceptor so you can fulfill the requirements of the Discussion. Refer to the Week 8 Discussion for additional guidance. Foundations of Psychotherapy Essay Assignment Papers – NURS 6640 Psychotherapy with Individuals.

Week 10 Discussion:
 In 3- to 5-minute Kaltura video, you will discuss an older adult client you have observed and/or counseled during your practicum experience. Be sure to make arrangements with your preceptor so you can fulfill the requirements of the Discussion. Refer to the Week 10 Discussion for additional guidance. Foundations of Psychotherapy Essay Assignment Papers – NURS 6640 Psychotherapy with Individuals

NURS 6640 – Assessment and Diagnosis in Psychotherapy Essay Assignment Papers

Week 2: Assessment and Diagnosis in Psychotherapy

“A sensitively crafted intake assessment can be a powerful therapeutic tool. It can establish rapport between patient and therapist, further the therapeutic alliance, alleviate anxiety, provide reassurance, and facilitate the flow of information necessary for an accurate diagnosis and appropriate treatment plan.”

—Pamela Bjorklund, clinical psychologist

Whether you are treating patients for physical ailments or clients for mental health issues, the assessment process is an inextricable part of health care. To properly diagnose clients and develop treatment plans, you must have a strong foundation in assessment. This includes a working knowledge of assessments that are available to aid in diagnosis, how to use these assessments, and how to select the most appropriate assessment based on a client’s presentation.

This week, as you explore assessment and diagnosis in psychotherapy, you examine assessment tools, including their psychometric properties and appropriate use. You also develop diagnoses for clients receiving psychotherapy and consider legal and ethical implications of counseling these clients. NURS 6640 – Assessment and Diagnosis in Psychotherapy Essay Assignment Papers.

ORDER A PLAGIARISM-FREE PAPER HERE

NURS 6640 – Assessment and Diagnosis in Psychotherapy Essay Assignment Papers Learning Resources

Required Readings

Wheeler, K. (Ed.). (2014).
Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice
(2nd ed.). New York, NY: Springer Publishing Company.

Chapter 3, “Assessment and Diagnosis” (pp. 95–168)

Chapter 4, “The Initial Contact and Maintaining the Frame” (pp. 169–224)

American Psychiatric Association. (2013).
Diagnostic and statistical manual of mental disorders
(5th ed.). Washington, DC: Author. NURS 6640 – Assessment and Diagnosis in Psychotherapy Essay Assignment Papers.

 

Note:
It is highly recommended that you use this resource as a reference guide throughout the course. You will access this text from the Walden Library databases.

American Academy of Child and Adolescent Psychiatry. (1995).
Practice parameters for the psychiatric assessment of children and adolescents
. Washington, DC: Author. Retrieved from https://www.aacap.org/App_Themes/AACAP/docs/practice_parameters/psychiatric_assessment_practice_parameter.pdf

American Psychiatric Association. (2016).
Practice guidelines for the psychiatric evaluation of adults
(3rd ed.). Arlington, VA: Author. Retrieved from http://psychiatryonline.org/doi/pdf/10.1176/appi.books.9780890426760

Walden Library. (2017). NURS 6640 week 2 discussion guide. Retrieved from http://academicguides.waldenu.edu/nurs6640week2discussion

Walden University. (n.d.). Tests & measures: Home. Retrieved February 6, 2017, from http://academicguides.waldenu.edu/library/testsmeasures

Note:
This database may be helpful in obtaining assessment tool information for this week’s Discussion. NURS 6640 – Assessment and Diagnosis in Psychotherapy Essay Assignment Papers.

Required Media

Laureate Education (Producer). (2015a). Counseling competencies—The application of ethical guides and laws to record keeping [Video file]. Baltimore, MD: Author.

Provided courtesy of the Laureate International Network of Universities.

 

Note:
The approximate length of this media piece is 23 minutes.

 

Accessible player
 
–Downloads–
Download Video w/CC
Download Audio
Download Transcript

Discussion: Assessment Tools

Assessment tools have two primary purposes: 1) to measure illness and diagnose clients, and 2) to measure a client’s response to treatment. Often, you will find that multiple assessment tools are designed to measure the same condition or response. Not all tools, however, are appropriate for use in all clinical situations. You must consider the strengths and weaknesses of each tool to select the appropriate assessment tool for your client. For this Discussion, as you examine the assessment tool assigned to you by the Course Instructor, consider its use in psychotherapy. NURS 6640 – Assessment and Diagnosis in Psychotherapy Essay Assignment Papers.

Learning Objectives

Students will:

Analyze psychometric properties of assessment tools

Evaluate appropriate use of assessment tools in psychotherapy

Compare assessment tools used in psychotherapy

Note:
 By Day 1 of this week, the Course Instructor will assign you to an assessment tool that is used in psychotherapy.

To prepare:

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

Consider the asessment tool assigned to you by the Course Instructor.

Review the Library Course Guide in your Learning Resources for assistance in locating information on the assessment tool you were assigned.

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 cannot post anonymously. Please check your post carefully before clicking 
Submit! 
NURS 6640 – Assessment and Diagnosis in Psychotherapy Essay Assignment Papers

By Day 3

Post
 an explanation of the psychometric properties of the assessment tool you were assigned. Explain when it is appropriate to use this assessment tool with clients, including whether the tool can be used to evaluate the efficacy of psychopharmacologic medications. Support your approach with evidence-based literature. NURS 6640 – Assessment and Diagnosis in Psychotherapy Essay Assignment Papers.

Read
 a selection of your colleagues’ responses.

By Day 6

Respond
 to at least 
two
 of your colleagues by comparing your assessment tool to theirs.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 2 Discussion Rubric

Post by Day 3 and Respond by Day 6

To participate in this Discussion:

Week 2 Discussion

Assignment 1: Practicum – Week 2 Journal Entry

Learning Objectives

Students will:

Develop diagnoses for clients receiving 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 4.

Select a client whom 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 
Diagnostic and Statistical Manual of Mental Health Disorders
, 5th edition (DSM-5), explain and justify your diagnosis for this client.

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

Support your approach with evidence-based literature. NURS 6640 – Assessment and Diagnosis in Psychotherapy Essay Assignment Papers

By Day 7 of Week 4

Submit
 your Assignment.

Assignment 2: Board Vitals

This week you will be responding to twenty Board Vitals questions that cover a broad review of your Nurse Practitioner program courses up to this point.

These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability.

You can access Board Vitals through the link sent to you in email or by following the link below:

https://www.boardvitals.com/

By Day 7

Complete
 the Board Vitals questions.

Week in Review

Now that you have:

Analyzed psychometric properties of assessment tools

Evaluated appropriate use of assessment tools in psychotherapy

Compared assessment tools used in psychotherapy

Developed diagnoses for clients receiving psychotherapy

Analyzed legal and ethical implications of counseling clients with psychiatric disorders

Next week, you will:

Evaluate the application of current literature to clinical practice

Assess clients presenting for psychotherapy

Develop genograms for clients presenting for psychotherapy

NURS 6640 – Assessment and Diagnosis in Psychotherapy Essay Assignment Papers

Cognitive Behavioral Theory Versus Rational Emotive Behavioral Theory

Introduction

According to the World Health Organization, mental and behavioral health disorders are a global public health concern that affects more than 70 million people at one point in life. This estimate contributes to approximately 10% of the global disease burden and is expected to increase by the year 2030 (David et al., 2018).  In the United States, behavioral and mental disorders affect close to 50 million adults. However, despite the high prevalence, highly recognized therapies are effectively being used to alleviate this problem resulting to improved health outcomes. The best examples of therapies being used are: cognitive behavioral therapy and rational emotive behavioral therapy.

ORDER A PLAGIARISM-FREE PAPER HERE

Cognitive-behavioral therapy is a treatment approach used to manage people with different mental and behavioral health problems based on thoughts, behavior and emotions. In comparison, rational emotive behavioral therapy emphasizes on rational thinking for the development of healthy expressions and emotional behavior. This paper discusses the similarities and differences between the two behavioral therapies and how the differences might impact my clinical practice as a mental health counselor. To add on, I will discuss about the version of cognitive behavioral therapy I would use with clients with supporting reasons. Cognitive Behavioral Theory Versus Rational Emotive Behavioral Theory.

Similarities Between Cognitive Behavioral Therapy (CBT) And Rational Emotive Behavioral Therapy

Cognitive behavioral therapy and rational emotive behavioral therapy use theories which are founded from the ABC model. Therefore, the two therapies have similar beliefs in terms of development and maintenance of psychopathology (Brown  & Gaudiano, 2013).  To add on, the practical applications of both CBT and REBT are the same more so in terms of organization and interrelations of beliefs which may either be labeled as irrational or dysfunctional. The last similarity is that the major notions of CBT and REBT uphold that human behavior and emotions are highly dependent on individual beliefs, ideas, thinking and attitude and not by the sole occurrence of events. Therefore, for behavioral and emotional change to occur, one has to change his/her thinking.

Differences Between Cognitive Behavioral Therapy (CBT) And Rational Emotive Behavioral Therapy

A major difference between CBT and REBT is that REBT addresses the irrational thoughts and philosophical basis of emotional disturbance based on a client’s personality, which results to solutions that involve unconditional self-acceptance. On the contrary, CBT addresses irrational thoughts based on a client’s disorder through reinforcement of positive qualities which leaves many pitfalls in case of a client’s poor performance (David, Lynn & Ellis, 2010).  CBT insists on psychoeducation as an early vital component of treatment while REBT is highly reliant on psychoeducation in the entire period of treatment.

With regards to the therapeutic relationships, CBT emphasizes on having a high quality therapeutic relationship for good treatment outcomes whereas REBT does not recognize the necessity of a therapeutic relationship. In terms of reasoning, CBT utilizes inductive reasoning by laying emphasis on inferential thinking. In contrast, REBT maximizes on deductive thoughts with a focus on evaluative reasoning (Sapp, 2014). Generally, these differences would help to gauge the best case practice scenarios that one therapy may be well suited to adequately address a client’s needs as in comparison to another for a mental health counselor.

The Version Of Cognitive Behavioral Therapy I Might Use With Clients

The version of Cognitive Behavioral Therapy that I might use with clients is Dialectical Behavioral therapy. This form is highly reliable in being able to identify the triggers which result to negative tendencies and thoughts such as self-harm, suicidal thoughts and drug abuse (Craske & American Psychological Association, 2017).  Cognitive Behavioral Theory Versus Rational Emotive Behavioral Theory. It also provides a mental health counselor with a framework for identifying the irrational and dysfunctional behavior in a client and the tools that can effectively be used to counteract it.

Conclusion

From this discussion on the similarities and differences between REBT and CBT, it is rather evident that the latter is more advantageous as compared to the former. A perfect example is in the management of self-esteem, the establishment of a therapeutic relationship and thinking style. With this knowledge, mental health counselors are able to apply the most effective therapies depending on a client’s needs.

 

References

Brown, L., & Gaudiano, B. (2013). Investigating the similarities and differences between

practitioners of second-and third-wave cognitive-behavioral therapies.
Behaviour Modification
.

Craske, M. G., & American Psychological Association,. (2017). 
Cognitive-behavioral therapy
.

David, D., Cotet, C., Matu, S., Mogoase, C., & Stefan, S. (2018). 50 years of rational‐emotive

and cognitive‐behavioral therapy: A systematic review and meta‐analysis. 
Journal of Clinical Psychology
, 
74
(3), 304–318.

David D., Szentagotai A., Lupu V., & Cosman D. (2013). Rational emotive behavior therapy,

cognitive therapy, and medication in the treatment of major depressive disorder: a randomized clinical trial, posttreatment outcomes, and six‐month follow‐up. 
Journal of Clinical Psychology
,
64(6), 728–746. Cognitive Behavioral Theory Versus Rational Emotive Behavioral Theory.

David, D., Lynn, S. J., & Ellis, A. (2010). 
Rational and irrational beliefs: Research, theory, and

clinical practice
. New York: Oxford University Press.

Sapp, M. (2014). 
Cognitive-behavioral theories of counseling: Traditional and nontraditional

approaches
. Springfield, Ill: C.C. Thomas.

 

Cognitive Behavioral Theory Versus Rational Emotive Behavioral Theory

Week 4: Cognitive Behavioral Therapy

When first introduced, cognitive behavioral therapy (CBT) was unlike any other therapeutic approach. For years, psychotherapeutic techniques were driven by psychoanalytic theories. These techniques were time consuming, leaving many therapists frustrated with the length of time involved in helping their clients achieve a sense of relief. With the development of CBT, however, therapists were able to help their clients heal more quickly. This poses the questions: If CBT is more efficient than other techniques, why isn’t it used with all clients? How do you know when CBT is an appropriate therapeutic approach? Cognitive Behavioral Theory Versus Rational Emotive Behavioral Theory.

This week, as you examine cognitive behavioral therapy and its appropriateness for clients, you compare it to rational emotive behavioral therapy. You also develop diagnoses for clients receiving psychotherapy and consider legal and ethical implications of counseling these clients.

ORDER A PLAGIARISM-FREE PAPER HERE

Cognitive Behavioral Theory Versus Rational Emotive Behavioral Theory Learning Resources

Required Readings

Wheeler, K. (Ed.). (2014).
Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice
(2nd ed.). New York, NY: Springer Publishing Company.

Chapter 8, “Cognitive Behavioral Therapy” (pp. 313–346)

American Psychiatric Association. (2013).
Diagnostic and statistical manual of mental disorders
(5th ed.). Washington, DC: Author.

 

Note:
You will access this text from the Walden Library databases.

Required Media

Sommers-Flanagan, J., & Sommers-Flanagan, R. (2013).
Counseling and psychotherapy theories in context and practice
[Video file]. Mill Valley, CA: Psychotherapy.net.

 

Note:
For this week, view Behavior Therapy and Cognitive-Behavioral Therapy only. You will access this media from the Walden Library databases.

Beck, A. (1994).
Aaron Beck on cognitive therapy
[Video file]. Mill Valley, CA: Psychotherapy.net.

 

Note:
You will access this media from the Walden Library databases. The approximate length of this media piece is 50 minutes

Eysenck, H. (n.d.).
Hans Eysenck on behavior therapy
[Video file]. Mill Valley, CA: Psychotherapy.net.

 

Note:
You will access this media from the Walden Library databases. The approximate length of this media piece is 50 minutes.

Optional Resources

Ellis, A. (2012).
Albert Ellis on REBT
[Video file]. Mill Valley, CA: Psychotherapy.net.

 

Note:
You will access this media from the Walden Library databases. The approximate length of this media piece is 50 minutes.

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. Cognitive Behavioral Theory Versus Rational Emotive Behavioral Theory.

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. Cognitive Behavioral Theory Versus Rational Emotive Behavioral Theory.

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. Cognitive Behavioral Theory Versus Rational Emotive Behavioral Theory.

Grading Criteria

To access your rubric:

Week 4 Assignment 1 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 4 Assignment draft and review the originality report.

Submit Your Assignment by Day 7

To submit your Assignment:

Week 4 Assignment 1

Assignment 2: Practicum – Week 1 Journal Entry and Journal Submission

Cognitive Behavioral Theory Versus Rational Emotive Behavioral Theory 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. Cognitive Behavioral Theory Versus Rational Emotive Behavioral Theory.

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.

Grading Criteria

To access your rubric:

Week 4 Assignment 2 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 4 Assignment draft and review the originality report.

Submit Your Assignment by Day 7

To submit your Assignment:

Week 4 Assignment 2

Assignment 3: Board Vitals

This week you will be responding to twenty Board Vitals questions that cover a broad review of your Nurse Practitioner program courses up to this point.

These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability. Cognitive Behavioral Theory Versus Rational Emotive Behavioral Theory.

You can access Board Vitals through the link sent to you in email or by following the link below:

https://www.boardvitals.com/

By Day 7

Complete
 the Board Vitals questions.

Practicum Reminder

Time Logs

You are required to keep a log of the time you spend related to your practicum experience 
and enter every patient you see each day
. You can access your time log from the Welcome Page in your Meditrek account. You will track time individually for each patient you work with. Please make sure to continuously input your hours throughout the term. Cognitive Behavioral Theory Versus Rational Emotive Behavioral Theory.

Week in Review

Now that you have:

Compared cognitive behavioral therapy and rational emotive behavioral therapy

Recommended cognitive behavioral therapies for clients

Developed diagnoses for clients receiving psychotherapy

Evaluated the efficacy of cognitive behavioral therapy for clients

Analyzed legal and ethical implications of counseling clients with psychiatric disorders

Next week, you will:

Assess clients presenting with posttraumatic stress disorder

Analyze therapeutic approaches for treating clients presenting with posttraumatic stress disorder

Evaluate outcomes for clients with posttraumatic stress disorder

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. Cognitive Behavioral Theory Versus Rational Emotive Behavioral Theory

Introduction

According to the World Health Organization, mental and behavioral health disorders are a global public health concern that affects more than 70 million people at one point in life. This estimate contributes to approximately 10% of the global disease burden and is expected to increase by the year 2030 (David et al., 2018).  In the United States, behavioral and mental disorders affect close to 50 million adults. However, despite the high prevalence, highly recognized therapies are effectively being used to alleviate this problem resulting to improved health outcomes. The best examples of therapies being used are: cognitive behavioral therapy and rational emotive behavioral therapy.

Cognitive behavioral therapy is a treatment approach used to manage people with different mental and behavioral health problems based on thoughts, behavior and emotions. In comparison, rational emotive behavioral therapy emphasizes on rational thinking for the development of healthy expressions and emotional behavior. This paper discusses the similarities and differences between the two behavioral therapies and how the differences might impact my clinical practice as a mental health counselor. To add on, I will discuss about the version of cognitive behavioral therapy I would use with clients with supporting reasons.

Similarities Between Cognitive Behavioral Therapy (CBT) And Rational Emotive Behavioral Therapy

Cognitive behavioral therapy and rational emotive behavioral therapy use theories which are founded from the ABC model. Therefore, the two therapies have similar beliefs in terms of development and maintenance of psychopathology (Brown  & Gaudiano, 2013).  To add on, the practical applications of both CBT and REBT are the same more so in terms of organization and interrelations of beliefs which may either be labeled as irrational or dysfunctional. The last similarity is that the major notions of CBT and REBT uphold that human behavior and emotions are highly dependent on individual beliefs, ideas, thinking and attitude and not by the sole occurrence of events. Therefore, for behavioral and emotional change to occur, one has to change his/her thinking.

Differences Between Cognitive Behavioral Therapy (CBT) And Rational Emotive Behavioral Therapy

A major difference between CBT and REBT is that REBT addresses the irrational thoughts and philosophical basis of emotional disturbance based on a client’s personality, which results to solutions that involve unconditional self-acceptance. On the contrary, CBT addresses irrational thoughts based on a client’s disorder through reinforcement of positive qualities which leaves many pitfalls in case of a client’s poor performance (David, Lynn & Ellis, 2010).  CBT insists on psychoeducation as an early vital component of treatment while REBT is highly reliant on psychoeducation in the entire period of treatment. Cognitive Behavioral Theory Versus Rational Emotive Behavioral Theory.

With regards to the therapeutic relationships, CBT emphasizes on having a high quality therapeutic relationship for good treatment outcomes whereas REBT does not recognize the necessity of a therapeutic relationship. In terms of reasoning, CBT utilizes inductive reasoning by laying emphasis on inferential thinking. In contrast, REBT maximizes on deductive thoughts with a focus on evaluative reasoning (Sapp, 2014). Generally, these differences would help to gauge the best case practice scenarios that one therapy may be well suited to adequately address a client’s needs as in comparison to another for a mental health counselor.

The Version Of Cognitive Behavioral Therapy I Might Use With Clients

The version of Cognitive Behavioral Therapy that I might use with clients is Dialectical Behavioral therapy. This form is highly reliable in being able to identify the triggers which result to negative tendencies and thoughts such as self-harm, suicidal thoughts and drug abuse (Craske & American Psychological Association, 2017).  It also provides a mental health counselor with a framework for identifying the irrational and dysfunctional behavior in a client and the tools that can effectively be used to counteract it. Cognitive Behavioral Theory Versus Rational Emotive Behavioral Theory.

Conclusion

From this discussion on the similarities and differences between REBT and CBT, it is rather evident that the latter is more advantageous as compared to the former. A perfect example is in the management of self-esteem, the establishment of a therapeutic relationship and thinking style. With this knowledge, mental health counselors are able to apply the most effective therapies depending on a client’s needs.

 

References

Brown, L., & Gaudiano, B. (2013). Investigating the similarities and differences between

practitioners of second-and third-wave cognitive-behavioral therapies.
Behaviour Modification
.

Craske, M. G., & American Psychological Association,. (2017). 
Cognitive-behavioral therapy
.

David, D., Cotet, C., Matu, S., Mogoase, C., & Stefan, S. (2018). 50 years of rational‐emotive

and cognitive‐behavioral therapy: A systematic review and meta‐analysis. 
Journal of Clinical Psychology
, 
74
(3), 304–318.

David D., Szentagotai A., Lupu V., & Cosman D. (2013). Rational emotive behavior therapy,

cognitive therapy, and medication in the treatment of major depressive disorder: a randomized clinical trial, posttreatment outcomes, and six‐month follow‐up. 
Journal of Clinical Psychology
,
 64(6), 728–746.

David, D., Lynn, S. J., & Ellis, A. (2010). 
Rational and irrational beliefs: Research, theory, and

clinical practice
. New York: Oxford University Press.

Sapp, M. (2014). 
Cognitive-behavioral theories of counseling: Traditional and nontraditional

approaches
. Springfield, Ill: C.C. Thomas. Cognitive Behavioral Theory Versus Rational Emotive Behavioral Theory

Psychodynamic Psychotherapy

Week 3: Psychodynamic Psychotherapy Introduction

Contemporary psychodynamic psychotherapy, also referred to as psychoanalytic therapy, is rooted in Dr. Sigmund Freud’s proposal that unconscious thought processes, or thoughts and feelings outside of our conscious awareness, are responsible for mental health issues. This therapeutic approach is unique because its goal is to help clients achieve changes in personality and emotional development. Like most therapeutic approaches, however, psychodynamic psychotherapy is not appropriate for every client. In your role as a psychiatric mental health nurse practitioner, you must be able to properly assess clients to determine whether this therapeutic approach would improve their clinical outcomes.

ORDER A PLAGIARISM-FREE PAPER HERE

This week, as you explore psychodynamic psychotherapy, you examine the application of current literature to clinical practice. You also assess clients presenting for psychotherapy. Psychodynamic Psychotherapy.

Psychodynamic Psychotherapy Learning Resources

Required Readings

Wheeler, K. (Ed.). (2014).
Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice
(2nd ed.). New York, NY: Springer Publishing Company.

Chapter 5, “Supportive and Psychodynamic Psychotherapy” (pp. 225–238 and pp. 245–258)

American Psychiatric Association. (2013).
Diagnostic and statistical manual of mental disorders
(5th ed.). Washington, DC: Author. Psychodynamic Psychotherapy.

Note:
You will access this text from the Walden Library databases.

Young, J. M., & Solomon, M. J. (2009). How to critically appraise an article. Nature Clinical Practice.
Gastroenterology & Hepatology, 6
(2), 82–91.

How to Critically Appraise an Article by Young, J.; Solomon, M., in Nature Reviews Gastroenterology & Hepatology, Vol. 6/Issue 2. Copyright 2009 by Nature Publishing Group. Reprinted by permission of Nature Publishing Group via the Copyright Clearance Center. Psychodynamic Psychotherapy.

Select one of the following articles on psychodynamic therapy to evaluate in your Assignment:

Aznar-Martinez, B., Perez-Testor, C., Davins, M., & Aramburu, I. (2016). Couple psychoanalytic psychotherapy as the treatment of choice: Indications, challenges, and benefits.
Psychoanalytic Psychology, 33
(1), 1–20. doi:10.1037/a0038503

Karbelnig, A. M. (2016). “The analyst is present”: Viewing the psychoanalytic process as performance art.
Psychoanalytic Psychology, 33
(supplement 1), S153–S172. doi:10.1037/a0037332

LaMothe, R. (2015). A future project of psychoanalytic psychotherapy: Revisiting the debate between classical/commitment and analytic therapies.
Psychoanalytic Psychology, 32
(2), 334–351. doi:10.1037/a0035982

Migone, P. (2013). Psychoanalysis on the Internet: A discussion of its theoretical implications for both online and offline therapeutic technique.
Psychoanalytic Psychology, 30
(2), 281–299. doi:10.1037/a0031507

Tummala-Narra, P. (2013). Psychoanalytic applications in a diverse society.
Psychoanalytic Psychology, 30
(3), 471–487. doi:10.1037/a0031375

Note:
 You will access all of these articles from the Walden Library databases. Psychodynamic Psychotherapy

Required Media

Laureate Education (Producer). (2015c).
The importance of a therapeutic relationship: Mary Boyle
[Video file]. Baltimore, MD: Author. Psychodynamic Psychotherapy.

 

Provided courtesy of the Laureate International Network of Universities.

 

Note:
The approximate length of this media piece is 2 minutes.

 

Accessible player
 
–Downloads–
Download Video w/CC
Download Audio
Download Transcript

Laureate Education (Producer). (2015b).
Foundations of counseling techniques
[Video file]. Baltimore, MD: Author.

 

Provided courtesy of the Laureate International Network of Universities.

 

Note:
The approximate length of this media piece is 32 minutes.

 

Accessible player
 
–Downloads–
Download Video w/CC
Download Audio
Download Transcript

Laureate Education (Producer). (2013b). Hernandez family genogram [Video file]. Baltimore, MD: Author.

 

Note:
The approximate length of this media piece is 3 minutes.

 

Accessible player
 
–Downloads–
Download Video w/CC
Download Audio
Download Transcript

Optional Resources

Kernberg, O. (2013).
Psychoanalytic psychotherapy
[Video file]. Mill Valley, CA: Psychotherapy.net.

 

Note:
You will access this media from the Walden Library databases. The approximate length of this media piece is 256 minutes.

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. Psychodynamic Psychotherapy.

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. Psychodynamic Psychotherapy.

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. Psychodynamic Psychotherapy.

Grading Criteria

To access your rubric:

Week 3 Assignment 1 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 3 Assignment draft and review the originality report.

Submit Your Assignment by Day 7

To submit your Assignment:

Week 3 Assignment 1

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. Psychodynamic Psychotherapy.

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). Psychodynamic Psychotherapy.

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
. Psychodynamic Psychotherapy

Click on the 
Submit
 button to complete your submission.

Grading Criteria

To access your rubric:

Week 3 Assignment 2 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 3 Assignment draft and review the originality report.

Submit Your Assignment by Day 7

To submit your Assignment:

Week 3 Assignment 2

Assignment 3: Board Vitals

This week you will be responding to twenty Board Vitals questions that cover a broad review of your Nurse Practitioner program courses up to this point.

These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability.

You can access Board Vitals through the link sent to you in email or by following the link below:

https://www.boardvitals.com/

By Day 7

Complete
 the Board Vitals questions.

Week in Review

Now that you have:

Evaluated the application of current literature to clinical practice

Assessed clients presenting for psychotherapy

Developed genograms for clients presenting for psychotherapy. Psychodynamic Psychotherapy.

Next week, you will:

Compare cognitive behavioral therapy and rational emotive behavioral therapy

Recommend cognitive behavioral therapies for clients

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. Psychodynamic Psychotherapy

Psychotherapy With Trauma – Posttraumatic Stress Disorder

Week 5: Psychotherapy With Trauma

Disorders resulting from trauma are significantly different from other psychiatric mental health issues. Unlike disorders such as schizophrenia or major depressive disorder, trauma-related disorders do not occur randomly in the population. Instead, trauma is something that occurs as a result of the lived experience of a traumatic event. According to the National Center for PTSD, more than half of the population will experience trauma during their lifetime (National Center for PTSD, 2010). Although most people will recover from the trauma on their own, some require therapeutic interventions. While there are medications that can help individuals with trauma and posttraumatic stress disorder (PTSD), the foundation of treatment continues to be psychotherapy.

This week, as you explore psychotherapy with trauma, you assess clients presenting with posttraumatic stress disorder. You also examine therapies for treating these clients and consider potential outcomes. Finally, you develop diagnoses for clients receiving psychotherapy and consider legal and ethical implications of counseling these clients. Psychotherapy With Trauma – Posttraumatic Stress Disorder.

ORDER A PLAGIARISM-FREE PAPER HERE

Psychotherapy With Trauma – Posttraumatic Stress Disorder Learning Resources

Required Readings

Wheeler, K. (Ed.). (2014).
Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice
(2nd ed.). New York, NY: Springer Publishing Company.

Chapter 13, “Stabilization for Trauma and Dissociation” (pp. 469–508)

American Psychiatric Association. (2013).
Diagnostic and statistical manual of mental disorders
(5th ed.). Washington, DC: Author.

 

Note:
You will access this text from the Walden Library databases.

Required Media

Laureate Education (Producer). (2012a).
Academic year in residence: Thompson family case study
[Multimedia file]. Baltimore, MD: Author. Psychotherapy With Trauma – Posttraumatic Stress Disorder.

Ochberg, F. (2012).
Psychotherapy for chronic PTSD
[Video file]. Mill Valley, CA: Psychotherapy.net.

Note:
You will access this media from the Walden Library databases. The approximate length of this media piece is 84 minutes.

Optional Resources

Substance Abuse and Mental Health Services Administration. (2012). Behavioral health issues among Afghanistan and Iraq U.S. war veterans.
In Brief
, 7(1), 1–7. Retrieved from http://store.samhsa.gov/shin/content//SMA12-4670/SMA12-4670.pdf

Substance Abuse and Mental Health Services Administration. (2014).
SAMHSA’s concept of trauma and guidance for a trauma-informed approach.
Rockville, MD: Author. Retrieved from http://store.samhsa.gov/shin/content//SMA14-4884/SMA14-4884.pdf

Wolpe, J. (n.d.).
Joseph Wolpe on systematic desensitization
[Video file]. Mill Valley, CA: Psychotherapy.net. Psychotherapy With Trauma – Posttraumatic Stress Disorder.

Note:
You will access this media from the Walden Library databases. The approximate length of this media piece is 59 minutes.

Bruce, T., & Jongsma, A. (2010b).
Evidence-based treatment planning for post-traumatic stress disorder
[Video file]. Mill Valley, CA: Psychotherapy.net.

 

Note:
You will access this media from the Walden Library databases. The approximate length of this media piece is 74 minutes.

Wilson, R. (2012).
Exposure therapy for phobias
[Video file]. Mill Valley, CA: Psychotherapy.net.

 

Note:
You will access this media from the Walden Library databases. The approximate length of this media piece is 95 minutes.

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. Psychotherapy With Trauma – Posttraumatic Stress Disorder.

Learning Objectives

Students will:

Assess clients presenting with posttraumatic stress disorder

Analyze therapeutic approaches for treating clients presenting with posttraumatic stress disorder

Evaluate outcomes for clients with posttraumatic stress disorder

To prepare:

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

View the media 
Academic Year in Residence: Thompson Family Case Study
, and assess the client in the case study.

For guidance on assessing the client, refer to pages 137–142 of the Wheeler text in this week’s Learning Resources. Psychotherapy With Trauma – Posttraumatic Stress Disorder.

Note:
 To complete this Discussion, you must assess the client, but you are not required to submit a formal Comprehensive Client Assessment.

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 cannot post anonymously. Please check your post carefully before clicking 
Submit!

By Day 3

Post
 on or before Day 3 an explanation of your observations of the client William in 
Thompson Family Case Study
, including behaviors that align to the PTSD criteria in DSM-5. Then, explain therapeutic approaches you might use with this client, including psychotropic medications if appropriate. Finally, explain expected outcomes for the client based on these therapeutic approaches. Support your approach with evidence-based literature. Psychotherapy With Trauma – Posttraumatic Stress Disorder.

Read
 a selection of your colleagues’ responses.

By Day 6

Respond
 to at least 
two
 of your colleagues by providing one alternative therapeutic approach. Explain why you suggest this alternative and support your suggestion with evidence-based literature and/or your own experiences with clients.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 5 Discussion Rubric

Post by Day 3 and Respond by Day 6

To participate in this Discussion:

Week 5 Discussion

Assignment 1: Practicum – Week 5 Journal Entry

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*

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

Select a client whom you observed or counseled that suffers from a disorder related to trauma. 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 any of the therapeutic approaches in this week’s Learning Resources would be effective with this client. Include expected outcomes based on these therapeutic approaches. Support your approach with evidence-based literature.

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

Psychotherapy With Trauma – Posttraumatic Stress Disorder

By Day 7 of Week 7

Submit
 your Assignment.

Assignment 2: Board Vitals

This week you will be responding to twenty Board Vitals questions that cover a broad review of your Nurse Practitioner program courses up to this point.

These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability.

You can access Board Vitals through the link sent to you in email or by following the link below:

https://www.boardvitals.com/

By Day 7

Complete
 the Board Vitals questions.

Week in Review

Now that you have:

Assessed clients presenting with posttraumatic stress disorder

Analyzed therapeutic approaches for treating clients presenting with posttraumatic stress disorder

Evaluated outcomes for clients with posttraumatic stress disorder. Psychotherapy With Trauma – Posttraumatic Stress Disorder.

Developed diagnoses for clients receiving psychotherapy

Evaluated the efficacy of therapeutic approaches for clients

Analyzed legal and ethical implications of counseling clients with psychiatric disorders

Next week, you will:

Assess clients presenting with addictive disorders

Analyze therapeutic approaches for treating clients with addictive disorders

Evaluate outcomes for clients with addictive disorders

Assess knowledge of concepts and principles related to the psychotherapy of individuals

Develop diagnoses for clients receiving psychotherapy

Evaluate the efficacy of motivational interviewing techniques for clients

Analyze legal and ethical implications of counseling clients with psychiatric disorders. Psychotherapy With Trauma – Posttraumatic Stress Disorder

Psychotherapy for Addictive Disorders Essay Assignment Papers

Week 6: Psychotherapy for Addictive Disorders

“A long-standing debate has roiled over whether addicts have a choice over their behaviors. The disease creates distortions in thinking, feelings, and perceptions, which drive people to behave in ways that are not understandable to others around them. Simply put, addiction is not a choice. Addictive behaviors are a manifestation of the disease, not a cause.”

–Dr. Raju Hajela, former president of the Canadian Society of Addiction Medicine

A common misconception is that addiction is a choice, and addicts are often labeled as individuals who lack morals, willpower, or responsibility. However, addiction is a clinical disorder that must be treated with the support of a health care professional. Although many people who are exposed to potentially addictive substances and behaviors continue life unaltered by their experiences, some people are fueled by these experiences and spiral out of control. In your role as the psychiatric mental health nurse practitioner, you must be prepared to not only work with these individuals who struggle with addiction, but also help them and their families overcome the social stigmas associated with addictive behavior.

This week, as you explore psychotherapy for addiction, you assess clients presenting with addictive disorders. You also examine therapies for treating these clients and consider potential outcomes. Finally, you develop diagnoses for clients receiving psychotherapy and consider legal and ethical implications of counseling these clients.

ORDER A PLAGIARISM-FREE PAPER HERE

Psychotherapy for Addictive Disorders Essay Assignment Papers Learning Resources

Required Readings

Wheeler, K. (Ed.). (2014).
Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice
(2nd ed.). New York, NY: Springer Publishing Company.

Chapter 7, “Motivational Interviewing” (pp. 299–312)

Chapter 16, “Psychotherapeutic Approaches for Addictions and Related Disorders” (pp. 565–596)

American Psychiatric Association. (2013).
Diagnostic and statistical manual of mental disorders
(5th ed.). Washington, DC: Author.

 

Note:
You will access this text from the Walden Library databases.

Albrecht, U., Kirschner, N. E., & Grusser, S. M. (2007). Diagnostic instruments for behavioral addiction: An overview.
German Medical Science Psycho-Social-Medicine
, 4, 1–11. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2736529/

Fisher, M. A. (2016). The ethical ABCs of conditional confidentiality. In
Confidentiality limits in psychotherapy: Ethics checklists for mental health professionals
(pp. 13–25). Washington, DC: American Psychological Association. doi:10.1037/14860-002

Walden University. (2016).
ASC success strategies: Studying for and taking a test
. Retrieved from http://academicguides.waldenu.edu/ASCsuccess/ASCtesting

Required Media

Laureate Education (Producer). (2013c).
Levy family: Episodes 1
[Video file]. Baltimore, MD: Author.

 

Note:
The approximate length of this media piece is 2 minutes.

 

Accessible player
 
–Downloads–
Download Video w/CC
Download Audio
Download Transcript

Laureate Education (Producer). (2013c).
Levy family: Episodes 2
[Video file]. Baltimore, MD: Author.

 

Note:
The approximate length of this media piece is 2 minutes.

 

Accessible player
 
–Downloads–
Download Video w/CC
Download Audio
Download Transcript

Laureate Education (Producer). (2013c).
Levy family: Episodes 3
[Video file]. Baltimore, MD: Author.

 

Note:
The approximate length of this media piece is 6 minutes.

 

Accessible player
 
–Downloads–
Download Video w/CC
Download Audio
Download Transcript

Laureate Education (Producer). (2013c).
Levy family: Episodes 4
[Video file]. Baltimore, MD: Author.

 

Note:
The approximate length of this media piece is 5 minutes.

 

Accessible player
 
–Downloads–
Download Video w/CC
Download Audio
Download Transcript

Laureate Education (Producer). (2013c).
Levy family: Episodes 5
[Video file]. Baltimore, MD: Author.

 

Note:
The approximate length of this media piece is 2 minutes.

 

Accessible player
 
–Downloads–
Download Video w/CC
Download Audio
Download Transcript

Laureate Education (Producer). (2012c).
In their own words
[Video file]. Baltimore, MD: Author.

 

Note:
The approximate length of this media piece is 23 minutes.

 

Accessible player
 
–Downloads–
Download Video w/CC
Download Audio
Download Transcript

Optional Resources

Dronen, S. O. (2012).
New research about Facebook addiction
. Retrieved from http://www.uib.no/en/news/36380/new-research-about-facebook-addiction

Substance Abuse and Mental Health Services Administration. (2005). Substance abuse treatment for adults in the criminal justice system.
Treatment Improvement Protocol (TIP) Series 44
. Rockville, MD: Author. Retrieved from http://store.samhsa.gov/shin/content//SMA13-4056/SMA13-4056.pdf

Substance Abuse and Mental Health Services Administration. (2007).
Problem gambling toolkit
. Retrieved from http://store.samhsa.gov/product/Problem-Gambling-Toolkit/PGKIT-07

Substance Abuse and Mental Health Services Administration. (2013). Substance abuse treatment for persons with co-occurring disorders: A treatment improvement protocol.
Treatment Improvement Protocol (TIP) Series 42
. Rockville, MD: Author. Retrieved from http://store.samhsa.gov/shin/content//SMA13-3992/SMA13-3992.pdf. Psychotherapy for Addictive Disorders Essay Assignment Papers.

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. Psychotherapy for Addictive Disorders Essay Assignment Papers.

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. Psychotherapy for Addictive Disorders Essay Assignment Papers.

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. Psychotherapy for Addictive Disorders Essay Assignment Papers.

Grading Criteria

To access your rubric:

Week 6 Assignment 1 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 6 Assignment draft and review the originality report.

Submit Your Assignment by Day 7

To submit your Assignment:

Week 6 Assignment 1

Exam: Midterm Exam

Learning Objectives

Students will:

Assess knowledge of concepts and principles related to the psychotherapy of individuals

This exam is a test of your knowledge in preparation for your certification exam. 
No outside resources
 including books, notes, websites, or any other type of resource are to be used to complete this exam. You are expected to 
comply with Walden University’s Code of Conduct.

This exam will cover the following topics, which relate to psychotherapy with individuals in the Wheeler textbook and the Fisher textbook excerpts:

The Nurse Psychotherapist and a Framework for Practice

Confidentiality Limits in Psychotherapy: Ethics Checklists for Mental Health Professionals

Assessment and Diagnosis

The Initial Contact and Maintaining the Frame

Cognitive Behavioral Therapy

Supportive and Psychodynamic Psychotherapy

Stabilization for Trauma and Dissociation

Motivational Interviewing

Psychotherapeutic Approaches for Addictions and Related Disorders

Psychotherapy for Addictive Disorders Essay Assignment Papers

By Day 7

Complete
 the Midterm Exam. Prior to starting the exam, you should review all of your materials. There is a 2-hour time limit to complete this 76-question exam. You may only attempt this exam once.

Submission

Submit Your Exam by Day 7

To submit your Exam:

Week 6 Exam

Assignment 2: Practicum – Week 6 Journal Entry

Learning Objectives

Students will:

Develop diagnoses for clients receiving psychotherapy*

Evaluate the efficacy of motivational interviewing techniques for clients*

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 a client whom 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 motivational interviewing 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.

Psychotherapy for Addictive Disorders Essay Assignment Papers

By Day 7 of Week 7

Submit
 your Assignment.

Assignment 3: Board Vitals

This week you will be responding to twenty Board Vitals questions that cover a broad review of your Nurse Practitioner program courses up to this point.

These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability.

You can access Board Vitals through the link sent to you in email or by following the link below:

https://www.boardvitals.com/

By Day 7

Complete
 the Board Vitals questions.

Week in Review

Now that you have:

Assessed clients presenting with addictive disorders

Analyzed therapeutic approaches for treating clients with addictive disorders

Evaluated outcomes for clients with addictive disorders

Assessed knowledge of concepts and principles related to the psychotherapy of individuals

Developed diagnoses for clients receiving psychotherapy

Evaluated the efficacy of motivational interviewing techniques for clients

Analyzed legal and ethical implications of counseling clients with psychiatric disorders

Next week, you will:

Compare supportive psychotherapy and interpersonal psychotherapy

Recommend therapeutic approaches for clients presenting for psychotherapy

Assess progress for clients receiving psychotherapy

Differentiate progress notes from privileged notes

Analyze preceptor’s use of privileged notes

Psychotherapy for Addictive Disorders Essay Assignment Papers

NURS 6640 – Supportive and Interpersonal Psychotherapy

Week 7: Supportive and Interpersonal Psychotherapy

Amelia, a 16-year-old high school sophomore, presents with symptoms of weight loss and a very obvious concern for her weight. She has made several references to being “fat” and “pudgy” when, in fact, she is noticeably underweight. Her mother reports that she is quite regimented in her eating and that she insists on preparing her own meals as her mother “puts too many fattening things in the food” that she cooks. After discovering that during the past 3 months Amelia has lost 15 pounds and is well under body weight for someone of similar age/sex/developmental trajectory, the psychiatric mental health nurse practitioner diagnosed Amelia with anorexia nervosa.

Evidence-based research shows that clients like Amelia may respond well to supportive psychotherapy and interpersonal psychotherapy. So which approach might you select? Are both equally effective for all clients? In practice, you will find that many clients may be candidates for both of these therapeutic approaches, but factors such as a client’s psychodynamics and your own skill set as a therapist may impact their effectiveness.

ORDER A PLAGIARISM-FREE PAPER HERE

This week, you continue exploring therapeutic approaches and their appropriateness for clients as you examine supportive psychotherapy and interpersonal psychotherapy. You also assess progress for a client receiving psychotherapy and develop progress and privileged psychotherapy notes for the client.

NURS 6640 – Supportive and Interpersonal Psychotherapy Learning Resources

Required Readings

Wheeler, K. (Ed.). (2014).
Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice
(2nd ed.). New York, NY: Springer Publishing Company.

Chapter 5, “Supportive and Psychodynamic Psychotherapy” (pp. 238–242)

Chapter 9, “Interpersonal Psychotherapy” (pp. 347–368)

American Psychiatric Association. (2013).
Diagnostic and statistical manual of mental disorders
(5th ed.). Washington, DC: Author.

 

Note:
You will access this text from the Walden Library databases.

Abeles, N., & Koocher, G. P. (2011). Ethics in psychotherapy. In J. C. Norcross, G. R. VandenBos, D. K. Freedheim, J. C. Norcross, G. R. VandenBos, & D. K. Freedheim (Eds.),
History of psychotherapy: Continuity and change
(pp. 723–740). Washington, DC: American Psychological Association. doi:10.1037/12353-048

 

Note:
You will access this resource from the Walden Library databases.

Cameron, S., & Turtle-Song, I. (2002). Learning to write case notes using the SOAP format.
Journal of Counseling and Development
, 80(3), 286–292. Retrieved from the Academic Search Complete database. (Accession No. 7164780)

 

Note:
You will access this article from the Walden Library databases.

Nicholson, R. (2002). The dilemma of psychotherapy notes and HIPAA.
Journal of AHIMA
, 73(2), 38–39. Retrieved from http://library.ahima.org/doc?oid=58162#.V5J0__krLZ4http://library.ahima.org/doc?oid=58162#.V5J0__krLZ4

U.S. Department of Health & Human Services. (n.d.).
HIPAA privacy rule and sharing information related to mental health
. Retrieved from http://www.hhs.gov/hipaa/for-professionals/special-topics/mental-health/. NURS 6640 – Supportive and Interpersonal Psychotherapy.

Required Media

Sommers-Flanagan, J., & Sommers-Flanagan, R. (2013).
Counseling and psychotherapy theories in context and practice
[Video file]. Mill Valley, CA: Psychotherapy.net.

 

Note:
For this week, view Reality Therapy, Feminist Therapy, and Solution-Focused Therapy only. You will access this media from the Walden Library databases.

Stuart, S. (2010). Interpersonal psychotherapy:
A case of postpartum depression
[Video file]. Mill Valley, CA: Psychotherapy.net.

 

Note:
You will access this media from the Walden Library databases. The approximate length of this media piece is 110 minutes.

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. NURS 6640 – Supportive and Interpersonal Psychotherapy.

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. NURS 6640 – Supportive and Interpersonal Psychotherapy.

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.

Grading Criteria

To access your rubric:

Week 7 Assignment 1 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 7 Assignment draft and review the originality report.

Submit Your Assignment by Day 7

To submit your Assignment:

Week 7 Assignment 1

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. NURS 6640 – Supportive and Interpersonal Psychotherapy.

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.

Grading Criteria

To access your rubric:

Week 7 Assignment 2 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 7 Assignment draft and review the originality report.

Submit Your Assignment by Day 7

To submit your Assignment:

Week 7 Assignment 2

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. NURS 6640 – Supportive and Interpersonal Psychotherapy.

Grading Criteria

To access your rubric:

Week 7 Assignment 3 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 7 Assignment draft and review the originality report.

Submit Your Assignment by Day 7

To submit your Assignment:

Week 7 Assignment 3

Assignment 4: Board Vitals

This week you will be responding to twenty Board Vitals questions that cover a broad review of your Nurse Practitioner program courses up to this point.

These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability. NURS 6640 – Supportive and Interpersonal Psychotherapy.

You can access Board Vitals through the link sent to you in email or by following the link below:

https://www.boardvitals.com/

By Day 7

Complete
 the Board Vitals questions.

Practicum Reminder

Time Logs

You are required to keep a log of the time you spend related to your practicum experience 
and enter every patient you see each day
. You can access your time log from the Welcome Page in your Meditrek account. You will track time individually for each patient you work with. Please make sure to continuously input your hours throughout the term. NURS 6640 – Supportive and Interpersonal Psychotherapy.

Week in Review

Now that you have:

Compared supportive psychotherapy and interpersonal psychotherapy

Recommended therapeutic approaches for clients presenting for psychotherapy

Assessed progress for clients receiving psychotherapy

Differentiated progress notes from privileged notes

Analyzed preceptor’s use of privileged notes

Next week, you will:

Assess clients presenting for psychotherapy

Evaluate the effectiveness of therapeutic approaches for clients receiving psychotherapy

Apply existential-humanistic therapy to clients with psychiatric disorders

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

Looking Ahead: Week 8 Clinical Supervision Discussion

Week 8 Discussion:
 In 3- to 5-minute Kaltura video, you will discuss a client you have observed and/or counseled during your practicum experience. Be sure to make arrangements with your preceptor so you can fulfill the requirements of the Discussion. Refer to the Week 8 Discussion for additional guidance. NURS 6640 – Supportive and Interpersonal Psychotherapy.