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.
