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NURS6640 Psychotherapy With Individuals

Week 3 Assignment 1

Applying Current Literature to Clinical Practice

Literature in psychotherapy differs from other areas of clinical practice. Generally, there are no clinical trials in psychotherapy because it is often neither appropriate nor ethical to have controls in psychotherapy research. This sometimes makes it more difficult to translate research findings into practice. In your role, however, you must be able to synthesize current literature and apply it to your own clients. For this Assignment, you begin practicing this skill by examining current literature on psychodynamic therapy and considering how it might translate into your own clinical practice.

Learning Objectives

Students will:

Evaluate the application of current literature to clinical practice

To prepare:

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

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

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

The Assignment

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

Provide an overview of the article you selected.

What population is under consideration?

What was the specific intervention that was used? Is this a new intervention or one that was already used?

What were the author’s claims?

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

Explain whether the limitations of the study might impact your ability to use the findings/outcomes presented in the article. Support your position with evidence-based literature.

Note: The presentation should be 5–10 slides, not including the title and reference slides. Include presenter notes (no more than ½ page per slide) and use tables and/or diagrams where appropriate. Be sure to support your work with specific citations from the article you selected. Support your approach with evidence-based literature.

By Day 7

Submit your Assignment.

Submission and Grading Information

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

Please save your Assignment using the naming convention “WK3Assgn1+last name+first initial.(extension)” as the name.

Click the Week 3 Assignment 1 Rubric to review the Grading Criteria for the Assignment.

Click the Week 3 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK3Assgn1+last name+first initial.(extension)” and click Open.

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

Click on the Submit button to complete your submission.

NURS6640 Psychotherapy With Individuals

Week 3 Assignment 2

Practicum – Assessing Clients

Learning Objectives

Students will:

Assess clients presenting for psychotherapy

Develop genograms for clients presenting for psychotherapy

To prepare:

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

Review pages 137–142 of the Wheeler text and the Hernandez Family Genogram video in this week’s Learning Resources. Reflect on elements of writing a Comprehensive Client Assessment and creating a genogram for the client you selected.

The Assignment

Part 1: Comprehensive Client Family Assessment

With this client in mind, address the following in a Comprehensive ClientAssessment (without violating HIPAA regulations):

Demographic information

Presenting problem

History or present illness

Past psychiatric history

Medical history

Substance use history

Developmental history

Family psychiatric history

Psychosocial history

History of abuse/trauma

Review of systems

Physical assessment

Mental status exam

Differential diagnosis

Case formulation

Treatment plan

Part 2: Family Genogram

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

By Day 7 of Week 3

Submit your Assignment.

Submission and Grading Information

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

Please save your Assignment using the naming convention “WK3Assgn2+last name+first initial.(extension)” as the name.

Click the Week 3 Assignment 2 Rubric to review the Grading Criteria for the Assignment.

Click the Week 3 Assignment 2 link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK3Assgn2+last name+first initial.(extension)” and click Open.

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

Click on the Submit button to complete your submission.

NURS6640 Psychotherapy With Individuals

Week 4 Assignment 1

Cognitive Behavioral Theory Versus Rational Emotive Behavioral Theory

While cognitive behavioral therapy (CBT) and rational emotive behavioral therapy (REBT) have many similarities, they are distinctly different therapeutic approaches. When assessing clients and selecting one of these therapies, you must recognize the importance of not only selecting the one that is best for the client, but also the approach that most aligns to your own skill set. For this Assignment, as you examine the similarities and differences between CBT and REBT, consider which therapeutic approach you might use with your clients.

Learning Objectives

Students will:

Compare cognitive behavioral therapy and rational emotive behavioral therapy

Recommend cognitive behavioral therapies for clients

To prepare:

Review the media in this week’s Learning Resources.

Reflect on the various forms of cognitive behavioral therapy.

The Assignment

In a 1- to 2-page paper, address the following:

Briefly describe how cognitive behavioral therapy (CBT) and rational emotive behavioral therapy (REBT) are similar.

Explain at least three differences between CBT and REBT. Include how these differences might impact your practice as a mental health counselor.

Explain which version of cognitive behavioral therapy you might use with clients and why. Support your approach with evidence-based literature.

Note: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.

By Day 7

Submit your Assignment.

Submission and Grading Information

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

Please save your Assignment using the naming convention “WK4Assgn1+last name+first initial.(extension)” as the name.

Click the Week 4 Assignment 1 Rubric to review the Grading Criteria for the Assignment.

Click the Week 4 Assignment 1 link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK4Assgn1+last name+first initial.(extension)” and click Open.

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

Click on the Submit button to complete your submission.

NURS6640 Psychotherapy With Individuals

Week 4 Assignment 2

Practicum – Week 1 Journal Entry and Journal Submission

Learning Objectives

Students will:

Analyze nursing and counseling theories to guide practice in psychotherapy

Develop goals and objectives for personal practicum experiences

Create timelines for practicum activities

Develop diagnoses for clients receiving psychotherapy

Analyze legal and ethical implications of counseling clients with psychiatric disorders

Develop diagnoses for clients receiving psychotherapy

Evaluate the efficacy of cognitive behavioral therapy for clients

Analyze legal and ethical implications of counseling clients with psychiatric disorders

The Learning Objectives are related to the Practicum Journal Assignments presented in Weeks 1, 2, and 4.

Week 4 Journal Entry

Select a client that you observed or counseled this week. Then, address the following in your Practicum Journal:

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

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

Explain whether cognitive behavioral therapy would be effective with this client. Include expected outcomes based on this therapeutic approach. Support your approach with evidence-based literature.

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

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

By Day 7

Submit your Practicum Journal entries for Weeks 1, 2, and 4. Refer to the weekly instructions for additional guidance.

Submission

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

Please save your Assignments using the following naming convention:

“WK4Journal1+lastname+firstinitial,” “WK4Journal2+lastname+firstinitial,” and“WK4Journal4+lastname+firstinitial.”

Click the Week 4 Assignment 2 link.

Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK4Journal1+last name+first initial.(extension)” and click Open. Repeat for each of the Practicum Journal submissions.

Click on the Submit button to complete your submission.

NURS6640 Psychotherapy With Individuals

Week 6 Assignment

Assessing Clients With Addictive Disorders

Addictive disorders can be particularly challenging for clients. Not only do these disorders typically interfere with a client’s ability to function in daily life, but they also often manifest as negative and sometimes criminal behaviors. Sometime clients with addictive disorders also suffer from other mental health issues, creating even greater struggles for them to overcome. In your role, you have the opportunity to help clients address their addictions and improve outcomes for both the clients and their families. For this Assignment, as you examine the Levy Family video in this week’s Learning Resources, consider how you might assess and treat clients presenting with addiction.

Learning Objectives

Students will:

Assess clients presenting with addictive disorders

Analyze therapeutic approaches for treating clients with addictive disorders

Evaluate outcomes for clients with addictive disorders

To prepare:

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

Review the Levy Family video Episodes 1 through 5.

The Assignment

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

After watching Episode 1, describe:

What is Mr. Levy’s perception of the problem?

What is Mrs. Levy’s perception of the problem?

What can be some of the implications of the problem on the family as a whole?

After watching Episode 2, describe:

What did you think of Mr. Levy’s social worker’s ideas?

What were your thoughts of her supervisor’s questions about her suggested therapies and his advice to Mr. Levy’s supervisor?

After watching Episode 3, discuss the following:

What were your thoughts about the way Mr. Levy’s therapist responded to what Mr. Levy had to say?

What were your impressions of how the therapist worked with Mr. Levy? What did you think about the therapy session as a whole?

Informed by your knowledge of pathophysiology, explain the physiology of deep breathing (a common technique that we use in helping clients to manage anxiety). Explain how changing breathing mechanics can alter blood chemistry.

Describe the therapeutic approach his therapist selected. Would you use exposure therapy with Mr. Levy? Why or why not? What evidence exists to support the use of exposure therapy (or the therapeutic approach you would consider if you disagree with exposure therapy)?

In Episode 4, Mr. Levy tells a very difficult story about Kurt, his platoon officer.

Discuss how you would have responded to this revelation.

Describe how this information would inform your therapeutic approach. What would you say/do next?

In Episode 5, Mr. Levy’s therapist is having issues with his story.

Imagine that you were providing supervision to this therapist, how would you respond to her concerns?

Support your approach with evidence-based literature.

Note: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.

By Day 7

Submit your Assignment.

Submission and Grading Information

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

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

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

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

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

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

Click on the Submit button to complete your submission.

NURS6640 Psychotherapy With Individuals

Week 7 Assignment 1

Supportive Psychotherapy Versus Interpersonal Psychotherapy

Although supportive psychotherapy and interpersonal psychotherapy share some similarities, these therapeutic approaches have many differences. When assessing clients and selecting therapies, it is important to recognize these differences and how they may impact your clients. For this Assignment, as you compare supportive and interpersonal psychotherapy, consider which therapeutic approach you might use with your clients.

Learning Objectives

Students will:

Compare supportive psychotherapy and interpersonal psychotherapy

Recommend therapeutic approaches for clients presenting for psychotherapy

To prepare:

Review the media in this week’s Learning Resources.

Reflect on supportive and interpersonal psychotherapeutic approaches.

The Assignment

In a 1- to 2-page paper, address the following:

Briefly describe how supportive and interpersonal psychotherapies are similar.

Explain at least three differences between these therapies. Include how these differences might impact your practice as a mental health counselor.

Explain which therapeutic approach you might use with clients and why. Support your approach with evidence-based literature.

Note: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at http://academicguides.waldenu.edu/writingcenter/templates ). All papers submitted must use this formatting.

By Day 7

Submit your Assignment.

Submission and Grading Information

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

Please save your Assignment using the naming convention “WK7Assgn1+last name+first initial.(extension)” as the name.

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

Click the Week 7 Assignment 1 link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK7Assgn1+last name+first initial.(extension)” and click Open.

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

Click on the Submit button to complete your submission.

NURS6640 Psychotherapy With Individuals

Week 7 Assignment 2

Practicum – Assessing Client Progress

Learning Objectives

Students will:

Assess progress for clients receiving psychotherapy

Differentiate progress notes from privileged notes

Analyze preceptor’s use of privileged notes

To prepare:

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

Review the Cameron and Turtle-Song (2002) article in this week’s Learning Resources for guidance on writing case notes using the SOAP format.

The Assignment

Part 1: Progress Note

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

Treatment modality used and efficacy of approach

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

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

Clinical impressions regarding diagnosis and/or symptoms

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

Safety issues

Clinical emergencies/actions taken

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

Treatment compliance/lack of compliance

Clinical consultations

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

Therapist’s recommendations, including whether the client agreed to the recommendations

Referrals made/reasons for making referrals

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

Issues related to consent and/or informed consent for treatment

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

Information reflecting the therapist’s exercise of clinical judgment

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

Part 2: Privileged Note

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

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

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

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

By Day 7

Submit your Assignment.

Submission

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

Please save your Assignment using the following naming convention: “WK7Assgn2+lastname+first initial”.

Click the Week 7 Assignment 2 link.

Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK7Assgn2+last name+first initial.(extension)” and click Open. If you are submitting multiple files, repeat until all files are attached.

Click on the Submit button to complete your submission.

NURS6640 Psychotherapy With Individuals

Week 7 Assignment 3

Practicum – Week 5 and Week 6 Journal Submission

Learning Objectives

Students will:

Develop diagnoses for clients receiving psychotherapy*

Evaluate the efficacy of therapeutic approaches for clients*

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

By Day 7

Submit your Journal Entries for Week 5 and Week 6. Refer to Week 5 and Week 6 for additional guidance.

Submission

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

Please save your Assignments using the following naming convention: WK7Journal1+lastname+first initial,” and “WK7Journal2+lastname+firstinitial.”

Click the Week 7 Assignment 3 link.

Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK7Assgn3+last name+first initial.(extension)” and click Open. Repeat for each of the Practicum Journal submissions. If you are submitting multiple files, repeat until all files are attached.

Click on the Submit button to complete your submission.

NURS6640 Psychotherapy With Individuals

Week 10 Assignment 1

Practicum – Client Termination Summary

Learning Objectives

Students will:

Develop client termination summaries

To prepare:

For guidance on writing a Client Termination Summary, review pages 693–712 of the Wheeler text in this week’s Learning Resources.

Identify a client who may be ready to complete therapy.

The Assignment

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

Identifying information of client (i.e., hypothetical name, age, etc.)

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

Total number of sessions, including number of missed sessions

Termination planned or unplanned

Presenting problem

Major psychosocial issues

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

Overview of treatment process

Goal status (goals met, partially met, unmet)

Treatment limitations (if any)

Remaining difficulties and/or concerns

Recommendations

Follow-up plan (if indicated)

Instructions for future contact

Signatures

By Day 7

Submit your Assignment.

Submission

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

Please save your Assignment using the following naming convention: “WK10Assgn1+lastname+first initial”.

Click the Week 10 Assignment 1 link.

Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK10Assgn1+last name+first initial.(extension)” and click Open. If you are submitting multiple files, repeat until all files are attached.

Click on the Submit button to complete your submission.

NURS6640 Psychotherapy With Individuals

Week 10 Assignment 2

Practicum – Week 8 Journal Entry

Students will:

Develop diagnoses for clients receiving psychotherapy

Evaluate the efficacy of existential-humanistic therapy for clients

Analyze legal and ethical implications of counseling clients with psychiatric disorders

Analyze clinical supervision experiences

Analyze how nursing and counseling theories guided personal practice in psychotherapy

Analyze goals and objectives for personal practicum experiences

Analyze the impact of psychotherapy on social change

The Learning Objectives are related to the Practicum Journal Assignments presented in Weeks 8, 9, and 10.

Week 10 Journal Entry

Reflect on your overall practicum experience in this course. Then, address the following in your Practicum Journal:

Explain whether your therapeutic theory has changed as a result of your practicum experiences. Recall the theories you selected in Week 1.

Explain how you integrated the therapeutic approaches from this course in your clinical practice. Include how this helped you achieve the goals and objectives you developed in Week 1.

Explain how you might impact social change through your work with clients who have mental health issues.

Support your approach with evidence-based literature.

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

By Day 7

Submit your Practicum Journal entries for Weeks 8, 9, and 10. Refer to the weekly instructions for additional guidance.

Submission

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

Please save your Assignments using the following naming convention: “WK10Journal1+lastname+first initial,” “WK10Journal2+lastname+first initial,” and “WK10Journal3+lastname+first initial.”

Click the Week 10 Assignment 2 link.

Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK10Journal1+last name+first initial.(extension)” and click Open. Repeat for each of the Practicum Journal submissions.

Click on the Submit button to complete your submission.