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Psychiatric_Mental_Health_Nurse_Practitioner_Role_II_(1).docx (47.55 KB)

Walden NURS6670 Week 1 Discussion Latest 2019 MAY NURS6670 Psychiatric Mental Health Nurse Practitioner Role II Week 1 Discussion
Interview Format
Despite what you may believe (or may have been told), there is no such thing as one
“right” way to do an interview. In fact, there are numerous books written about
the various ways of conducting the clinical interview. In actual clinical
practice, you will find the format that “works” best for you and addresses your
unique strengths and the needs of the client.
In this
Discussion, you will practice finding the interview format that works for you
and share those ideas with your colleagues for feedback.
Learning
Objectives
Students
will:
• Develop
formats for initial interviews of mental health clients
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!
To prepare
for this Discussion:
• Review
the Learning Resources.
• Develop
an interview format you would use for an initial interview of a client.
• Attach
the interview format document you would use for an initial interview of a
client.
• Describe
what interview format your preceptor uses for the initial interview of a
client.
• Describe
which element of your interview format is most helpful in your practice.
By Day 6
Respond to
at least two of your colleagues by constructively critiquing their interview
format and providing feedback.

FINAL_EXAM.docx (43.97 KB)

• Question 1 In a group therapy session for adolescents, a 15-year-old patient says he has trouble making
conversation with people he does not know well. Based on the principle of
development of socializing techniques, what explicit approach might the PMHNP
take?
• Question 2 One group member is identified by the PMHNP as the
monopolist of the group. Which behavior does the PMHNP believe this member is
most likely to display?
• Question 3 During a first group therapy session, a member is outgoing
and participates actively. Based on this information, what is an appropriate
prediction about this group member by the PMHNP?
• Question 4 A 21-year-old client with narcissistic traits is noted to
continuously disrupt the group by speaking while others are speaking. It
becomes evident that the client is purposely disrupting the group and
decreasing the group’s productivity. What does the PMHNP identify as a cause of
the client’s behavior?
• Question 5 Harold Wyman is a 74-year-old man who is trying to mend a
relationship with his adult daughter. Based on his intake assessment, the PMHNP
believes that the father has depression. The daughter and Harold meet with the
PMNHP, and the daughter explains that her father always appears mopey and
withdrawn and refuses to do anything about it. When asked, the father reports
feeling sad all the time. Which action will the PMNHP employ with Harold using
the interpersonal psychotherapy approach throughout the various sessions?
• Question 6 A PMHNP is leading a group therapy session for patients
with substance abuse problems. After a productive session in which all members
participated, the following week was not as productive. In order to help the
group members assume responsibility for evaluating the meeting, what is an
appropriate comment for the PMHNP to make?
• Question 7 During the “mid-group debrief” the clinical supervisor
focused on the following areas with the two counselors except:
• Question 8 The social microcosm theory is a theory that relates to
group composition. In accordance with this theory, the PMHNP is aware that the
group must consist of which of the following?
• Question 9 Peter, a successful businessman, is introduced to the group
during the twelfth week. Following Peter’s introduction, Joseph, a long-term
member in the group, begins to lead the group and discuss all of the things
that he has personally accomplished. In what way does the PMHNP correctly
interpret Joseph’s behavior?
• Question 10 The PMHNP conducts a specialized individual interview with a
patient named Sandy. During this interview, Sandy expresses her want of the
other members to like her, and she has a deep dread for the first group
meeting. How does the PMHNP correctly interpret Sandy’s interpersonal
circumplex?
• Question 11 When discussing the role of the consultant in the parenting
group session, Dr. Carlson explains that the consultant should use several
skills in order to help keep the group going and should enable group members to
become very engaged with one another. The consultant should use all of the
following skills to achieve this, except:
• Question 12 A PMHNP is meeting with parents and their 10-year-old child.
The child is having trouble paying attention at school and has been getting
easily frustrated at home when doing homework, which often results in everyone
arguing. What step might the PMHNP take as part of a family-centered,
solution-oriented approach?
• Question 13 The PMHNP is meeting with an adult woman and her father, who
is 85 years old. The father stays quiet most of the session. The daughter
explains he is mad at her for “bringing him to a see a shrink.” The daughter
reports that things have been tense in the house since her father moved in. The
father has a history of depression, though he does not take any medication for
it. In addition, lately the father seems to never sleep. “I hear him rummaging
around in the kitchen, the garage, the living room, at all hours of the night.
Sometimes he’ll nap during the day, but not much. This is putting a strain on
my marriage, because my husband can’t sleep with all of this going on.” Which
therapeutic approach does the PMHNP identify as most appropriate for the
85-year-old father?
• Question 14 During an initial meeting, a PMHNP spends time speaking with
a patient who suffers from social anxiety. The therapist finds the patient
extremely loud and overbearing. The PMHNP’s negative feelings continue no
matter how hard he or she tries to feel differently toward the patient. What is
the most appropriate next step by the PMHNP?
• Question 15 A patient has had a problem with substance use and has been
receiving treatment for addiction. Which additional step might the PMHMP
suggest to help the patient maintain abstinence from drugs during and after
treatment?
• Question 16
The leader begins a group
meeting by doing the “names activity.” At the completion of the activity, the
leader explains that the activity is useful for all of the following reasons, excel
• Question 17 A 36-year-old client attends group therapy regularly but is
consistently tardy. The client explains that job and family obligations interfere
with attendance to the group. What is the most appropriate intervention by the
PMHNP?
• Question 18 Group participation is an important aspect of how successful
group therapy will be. The PMHNP recognizes that the gender of group
participants can play a role in the likelihood of group participation. Which
statement about gender and group composition does the PMHNP take into account?
• Question 19 When the counselor discussed assertiveness with the group
members, she began the session by providing definitions and asking group
members to line up consistent with where they feel they are currently in terms
of assertiveness. Why did she do this?
• Question 20 A patient in group therapy named Ted shares personal
information for the first time. He seems nervous but continues to talk. How
might the PMHNP use nonverbal positive reinforcement to support Ted’s feeling
more comfortable?
• Question 21 Members of a therapy group have been meeting for several
months. During group therapy, a patient is bossy and controlling. During this
week’s session, she is confronted by another group member about her behavior
and replies, “This is not how I normally act. You are not my family and
friends. I don’t act the same way around them.” What can the PMHNP deduce from
her behavio
• Question 22 A PNHNP is holding a group therapy session for a father and
his 10-year-old son, whom the father explains has been acting out lately. The
son says, “He is always telling me what to do and never listens when I have an
idea.” Which solution would the PMHNP most likely suggest as an approach to the
problem?
• Question 23 A PMHNP is treating a patient in individual therapy and
thinks the patient may be a good candidate for group therapy. The patient is
motivated to start group therapy, which meets twice a month. Then the patient
adds, “I can come to the first two meetings, but then will be away on business
for at least a month, maybe longer. But then I can come to the at least one
meeting before my next trip.” Based on this information, what is the most
likely recommendation by the PMHN
• Question 24 Members of a therapy
group have been meeting for several weeks. While a member named Margaret is
talking about how her spouse ignores her when she tries to tell him what to do,
another member named Nicole interrupts and says, “Maybe he thinks you are being
bossy.” Margaret replies by saying, “At least I’m not an alcoholic like you
are!” What is an appropriate response by the PMHNP?
• Question 25 A 9-year-old child who witnessed a fatal car accident has
come to therapy with her parents to get treatment. The child has been irritable
since the event and has not wanted to talk about it. Utilizing a trauma-focused
cognitive behavior therapy (TF-CBT) approach, the PMHNP has reviewed skills
that the parents may use to help their child at home. Based on the PMHNP’s
suggestion, which is a statement the parents might make after the child has a
temper tantrum?
• Question 26 During the first group meeting, a client states, “I am here
because I am very shy. I don’t mesh well with others and I rarely get
invitations to go anywhere.” Which statement about the client’s reason for seeking
help and treatment best applies?
• Question 27 A client is observed discussing many problems and complaints
during group therapy. However, when other group members attempt to offer
advice, the client does not accept it. Based on this observation, what can the
PMHNP determine about the client?
• Question 28 During a group therapy session, a member comments that
another member named Ted had no compassion. Ted replies, “Why does it matter if
I care one way or another. I can’t solve their problems.” The other member
starts crying and blames Ted for this. He shrugs and answers, “I don’t
understand why you are crying.” Based on this information, what is the most
likely determination the PMHNP can make about Ted?
• Question 29 Jane has been attending group therapy for the past year; she
and the therapist have determined that she has met her goals. Jane has been
arriving to group late or not coming to group at all. How does the PMHNP
correctly interpret Jane’s behavior?
• Question 30
A PMHNP is treating an
8-year-old child who was at a cousin’s house during a domestic violence
situation. Using a common factors model, the PMHNP wants to pay attention to
cultivating the relationship with the parents and child. After the child talks
about how nervous he or she has been since witnessing the trauma, what is an
appropriate response by the PMHNP?
• Question 31 The PMHNP is meeting with a married couple. The husband is 81
years old, and the wife is 78 years old. They tell the PMHNP that many of their
friends have passed away over the last couple of years, and it’s making them
feel sentimental about their lives and the fact that they are getting older.
Hearing this, the PMHNP uses a life review approach with the couple. What action
will the PMHNP employ?
• Question 32 A patient in group therapy for people dealing with panic
disorder is describing a recent panic attack. He says, “During this attack, I
felt like I was dying.” What is an appropriate response by the PMHNP using
didactic instruction?
• Question 33 A patient in group therapy discloses her concern about
feeling suicidal again in the future. Using the principle of universality, what
is an appropriate step by the PMHNP?
• Question 34 The PMHNP recognizes that extragroup behavior involves
behavior that occurs outside of the group or during subgrouping. Which
statement best describes extragroup behavior as it pertains to group therapy?
• Question 35 In a group therapy session for patients with anxiety
problems, a patient named Eve was afraid to disclose to the other members that
she was a victim of sexual abuse. She kept the secret for months, although she
hinted at it to other members. During a meeting, another member tried to
pressure Eve to disclose her secret, but she was flustered and not ready to
share. What is an appropriate response by the PMHNP?
• Question 36 During his second group therapy session, a member, who was
quiet the previous week, becomes very judgmental. He criticizes another member
by saying, “Mary, you are always late because you don’t respect our group.”
Then he adds, “In fact, all of you are disrespectful and uncaring.” What is an
appropriate step by the PMHNP?
• Question 37 A patient who has been depressed is seeing a PMHNP for
individual therapy. The patient explains that he has been avoiding most social
activities for the past few months. He is divorced and has joint custody of his
10-year-old daughter. Based on this information, what recommendation by the
PMHNP would most benefit the patient?
• Question 38 Following the PMHNP’s cancellation of a group session, he or
she notices a decrease in compliance and attendance within the group. What does
the PMHNP identify as the group’s reason for noncompliance?
• Question 39 A PNHNP is holding a group therapy session. Today, several
members have expressed fears about being unlovable. Based on this information,
what is an appropriate step by the PMHNP to raise the members’ self-esteem?
• Question 40 A patient named Tyrone was nervous sharing personal
information with the group. To compensate, he makes comments on other members’
problems as if he were the therapist. Another member of the group asked him,
“Do you think you’re better than everyone here?” What might the PMHNP help
Tyrone gain from this exchange?
• Question 41 A PMHNP is creating a therapy group and is including a
patient with borderline personality disorder. Which action would most likely
reduce the patient’s chance of separation anxiety
• Question 42 The anticipation of the first meeting among
psychotherapy group attendees may cause feelings of dread and uneasiness among
clients. How does the PMHNP demonstrate awareness and promote the success of
this first psychotherapy meeting?
• Question 43 For several months, a patient in group therapy always
participated in conversation but only shared positive stories about her own
life. During the next session, she finally confessed that she has been
depressed and cutting herself. What is the best response by the PMHNP?
• Question 44 Two PMHNPs are in charge of a therapy group that has
experienced several maladaptive interpersonal dramas lately. One of the
patients has been described by other members as argumentative. After a
particularly awkward session, one of the therapists feels that his own
interpersonal distortion of the session may be clouding his observation. What
is an appropriate step by that PMHNP?
• Question 45 A PMHNP is treating a 7-year-old child exhibiting signs of
aggression and attention problems. Before suggesting an intervention using a
common elements approach, what may the PMHNP consider?
• Question 46 The homogenous mode of composition involves a theory that
relates to group composition. When applying this theory, the PMHNP is aware
that the group will most likely consist of which of the following?
• Question 47 A patient has attended three group therapy sessions and has
remained silent throughout each. The patient has, however, been listening to
the other members. When the therapist makes eye contact with the patient, he or
she forces a smile but has clenched fists. What is the most appropriate
response by the PMHNP to help the patient?
• Question 48 The PMHNP is meeting with an older married couple. The couple
reports having concerns about becoming dependent on their adult children someday,
since several of their other friends have had to move in with their kids. They
make it clear to the PMHNP that they aren’t keen on therapy or taking medicine
but would be willing to try some alternative therapies. What does the PMHNP
suggest for evidence-based CAM modalities?
• Question 49 The PMHNP explains during a discussion that subgrouping has
the potential to make group therapy more complicated and less rewarding. Tara,
a member of the group, angrily states, “Well, Jack and I have been meeting
outside of the group for weeks now.” What is the PMHNP’s most appropriate
response?
• Question 50 Gregory is a middle-aged veteran participant in a group led
by the PMHNP. Since Gregory has been attending group, he frequently interrupts
others and seems to take much of the group time for himself. The PMHNP
identifies Gregory as a monopolist and confronts him. She explains that she
does not want him to talk less; instead, she actually encourages him to talk
more. What is the likely cause of the PMHNP’s explanation?
• Question 51 The PMHNP understands that conflicts within the psychotherapy
group can be troublesome for clients and have the potential to reduce the
effectiveness of the group process. As it pertains to group meetings, the PMHNP
understands which statement to be true about conflict?
• Question 52 One member of a therapy group had been quiet for the first
several sessions. The member revealed to the other members feeling of
depression and emptiness. This week, the member was full of energy and talking
very quickly. The member became irritated with another member tried to interrupt,
started yelling, and then broke into a fit of laughter. Based on the situation,
what can the PMHNP determine about the member?
• Question 53 A group member who suffers from depression and anxiety says
during the session, “I don’t see how any of this is going to help. I am still
too anxious to leave the house and do the things I want to do.” What is an
appropriate response by the PMHNP?
• Question 54 A PMHNP is leading a group therapy session for patients with
substance abuse problems. After one member shares a problem, other members
offer support, concern, and observations. The PMHNP points out that the group
is offering many truthful reactions and helpful feedback. Which principle does
this illustrate?
• Question 55
The PMHNP provides cognitive
behavioral therapy (CBT) to an older adult patient with depression. The
patient’s 41-year-old daughter and 32-year-old son attend one of his sessions
with the PMHNP so that they can learn more about how to help their father. What
does the PMHNP say to the daughter and son about the goals of their father’s
CBT?
• Question 56 The PMHNP recognizes that hostility is unavoidable in a group
and acknowledges that a frequent source of hostility can be parataxic
distortions. Which situation is likely to present a parataxic distortion within
the group?
• Question 57 Members of group therapy have been meeting for several weeks.
The PMHNP often starts sentences with a thank you or compliment such as, “Good
observation.” The PMHNP notices that some of the group members having been
starting their statements with compliments. To which principle can the PMHNP attribute
this process?
• Question 58 A client diagnosed with
depression has begun to feel despair and expresses a desire to leave the group
because he or she does not believe it is helpful. Which action by the PMHNP
will most likely contribute to the client staying in the group?
• Question 59 A 14-year-old girl named Laura and her parents are meeting
with a PMHNP. The parents explain why they are there by saying, “Laura has been
unhappy since she moved to a new school. She has been moody and often talks
back to us.” Laura sits quietly and looks uncomfortable. Which is the best
response by the PMHNP?
• Question 60 Many key principles assist with composing intensive interactional
psychotherapy groups. When composing a psychotherapy group, utilizing the
intensive interactional approach, which key principle does the PMHNP identify
as being false?
• Question 61 A PMHNP notices that adolescents in a therapy group have not
been getting along. They are divided into two main groups and each
automatically dislikes members of the other group. What is an appropriate step
for the PMHNP to take?
• Question 62 During an initial
screening session, the PMHNP is considering a patient for group therapy. The
patient is recently divorced and says he is lonely and depressed. What is the
best referral by the PMHNP?
• Question 63
During an initial meeting, a
patient who has been discussing suicide says to the PMHNP, “I’m so depressed
that I don’t want to leave my house. All I want to do is stay in bed.” What
type of therapy would the PMHNP most likely recommend to this patient?
• Question 64 A member in group therapy named Tom asked others for
suggestions to a problem he was having. He did not think a suggestion by a
member named Steve would work, and for the rest of session, the group took
sides arguing why the idea would work or would not work. The session ended with
Tom agreeing to try the suggestion and report back to the group the following
week. Based on this session, what is an appropriate step by the PMHNP?
• Question 65 The PMHNP is working with an older adult woman and her adult
children. The children report that the mother was diagnosed with dementia, and
they are all concerned about her welfare. The plan is for the mother to move in
with one of the children, but they are still worried about how the mother will
manage during the day when she is left alone. What does the PMHNP identify
as the focus of the family therapy?
• Question 66 During a group session, a member turns to the
PMHNP and says, “I need some advice. My manager asked me to take on an extra
project, and now I’m overwhelmed. I don’t want to seem incompetent, so I agreed
to the extra work. What do you recommend I do?” What is the best response by
the PMHNP in order to shape group behavior?
• Question 67 During a group therapy session, a member shares that she
often feels lonely and depressed. She has been turning down invitations to
spend time with friends lately, because she does not want to leave the house.
What is an appropriate step for the PMHNP to take?
• Question 68 Self-disclosure is a very important part of group therapy.
Which of the following conditions does the PMHNP identify in his or her own
life as a possible hindrance to self-disclosure
• Question 69 A PMHNP is meeting with the mother of a 10-year-old boy named
Malik, who has been depressed since his parents’ divorce. The mother explains
that her goal for treatment is to help Malik feel better so he can become his
“usual outgoing self.” She insists that she does not want him on medication.
Which is the best response by the PMHNP?
• Question 70 A client has attended five group therapy sessions yet has not
engaged verbally with others in the group. The PMHNP has identified the client
as a “silent member.” Which statement is true about silent members as related
to group therapy?
• Question 71 A narcissistic patient was unhappy that other members did not
seem concerned about his or her dating problems, which the patient spent half
the session talking about. The patient confronted the group by saying, “All of
you are rude and uncaring!” When group members ignored this comment, the
patient said, “And no one said anything nice about my new haircut either!” What
is an appropriate response by the PMHNP?
• Question 72 According to Dr. Carlson, since Adler talked about how the
social setting in which we live influences our lives, the best way parents can
change their children’s behavior is to change:
• Question 73 In the parent consultation session, the parent discusses her
son “Blake” who has changed since his 13th birthday. Dr. Carlson discusses the
power conflict that the parent appears to be getting into with her son. When
they discuss approaches they can use to help Blake experience increased
responsibility, Dr. Carlson explains that the parent must make a commitment with
her son by agreeing to:
• Question 74 A PMHNP is evaluating a patient who has problems with
authority and has trouble accepting criticism. The patient is aware of these
problems and wants to change. Based on this, what is an appropriate action by
the PMHNP?
• Question 75 A PMHNP has a therapy group in which many members have been
dropping out over the past several weeks. Members have complained that they do
not feel part of the group. What is an appropriate step for the PMHNP to take?
• Question 76 When completing this exam, did you comply with Walden
University’s Code of Conduct including the expectations for academic integrity?

MIDTERM_EXAM_(3).docx (56.85 KB)

• Question 1
The PMHNP is
meeting with the parents of a school-aged girl. The mother reports feeling
frustrated, because they cannot get their daughter to do her homework. “All she
wants to do is play on her phone,” the father reports. The mother tells the
PMHNP that they have tried threatening her by telling her that she won’t be
able to have her friends over and that she won’t be allowed to watch TV. Which
of the following responses made by the PMHNP demonstrates use of the Premack
principle?
• Question 2
The PMHNP is
meeting with a family composed of two parents and their two children. The PMHNP
observes that the mother projects her concerns onto one of the children, and
that child seems to conform to the parents’ way of thinking. The other child
seems to be less involved in the family’s fusion. What action taken by the
PMHNP demonstrates the use of the Bowen Family Systems Therapy model?
• Question 3
The PMHNP is
working with a patient who is sleep deprived and depressed. Which of the
following is an appropriate scaling question for the PMHNP to ask?
• Question 4
The PMHNP is
working with the parents of an adolescent daughter. The parents complain that
the daughter is misbehaving and having emotional outbursts on a nightly basis.
However, the parents cannot agree on ways to discipline and deal with the
daughter. This leads to arguments between them. What does the PMHNP do to
support the strategic use of rituals?
• Question 5
A family is in
therapy because they have been unable to resolve conflicts and are arguing
frequently. When using a strategic family therapy approach, which of the
following directives might the PMHNP suggest to create a sense of togetherness?
• Question 6
The PMHNP is
working with a family composed of two parents and their 16-year-old son. The
parents report they have been experiencing conflict regarding the son’s defiant
behavior in the home. Which action will the PMHNP employ as part of the early
phase of the therapy?
• Question 7
The PMHNP is
working with 12-year-old twin sisters. Their parents report that the twins got
into a big fight recently, which they haven’t been able to overcome. Which
cognitive interaction can the PMHNP use to help the sisters gain a new
perspective of the argument to help soften their own opinion of it?
• Question 8
The PMHNP is
meeting with a married couple. The woman feels very insecure, particularly when
it comes to her husband working with women in his office. She reports, “My
girlfriends say that it’s not attractive to be insecure like I am, so I’m
really making the problem worse by being so insecure.” How can the PMHNP
externalize the woman’s problem?
• Question 9
The PMHNP is
providing family therapy to two parents and their twin 14-year-old children.
The children become defiant around bedtime and are still working on their
homework late into the night. How does the PMHNP employ an experiential
technique of family sculpting?
• Question 10
The PMHNP is
assessing a married couple who disclosed on the intake form that that they are
having intimacy issues. During the assessment, the PMHNP asks the couple what
brings them in today. The wife is quick to answer, “My husband doesn’t listen
to me anymore.” Using the Mental Research Institute (MRI) assessment technique,
how does the PMHNP respond to this?
• Question 11
During a family
therapy session, a 10-year-old girl says to her father, “You are at work all
the time and are never around.” What is the most appropriate response by the
PMHNP to improve communication?
• Question 12
The PMHNP is
assessing a 19-year-old patient who reports feeling burdened and constrained by
her family. “I feel like I can’t live my own life, and like I need their
approval for everything I do,” she says during the assessment. Which response
by the PMHNP supports the principles of family therapy?
• Question 13
The PMHNP has just
completed an intake assessment on a 15-year-old patient and believes the
patient would benefit from family therapy. How does the PMHNP describe the
goals of the therapy to the patient and the patient’s parents?
• Question 14
The PMHNP is
working with a married couple who have agreed to seek sex therapy due to the
wife’s gradual decrease in interest in sex. The wife explains that she feels as
though she cannot feel comfortable naked and enjoying being intimate. The PMHNP
recognizes that the couple could possibly benefit from sensate focus. To apply
the sensate focus exercise, the PMHNP suggests the couple first do what?
• Question 15
During a family
therapy session, the PMHNP identifies a significant amount of emotional fusion
between the parents and their young adult son. The son admits that he tries to
seek distance from his parents. This is why he moved out of state for college,
though he still comes back to visit out of obligation. What does the PMHNP
interpret about this scenario?
• Question 16
The PMHNP is
providing narrative therapy to a family. Although each family member assigns a
“problem” to another, the PMHNP attempts to separate each person in the family
from their problems. The goal is to find something they all have in common so
the family can unite. What will the PMHNP do next to help facilitate this goal?
• Question 17
The PMHNP is
providing family therapy to a married couple having an issue with
communication. Using the structural family model, what does the PMNHP have the
couple do as part of enactment?
• Question 18
The PMHNP is
meeting with a woman and her 11-year-old child, who was a victim of sexual
abuse. The offender is the child’s stepfather, who is currently in jail. What
action does the PMHNP employ with the child and mother during the first
session?
• Question 19
The PMHNP is
providing marital therapy to a husband and wife who have been married for 6
years. They are attending therapy sessions, because they both want to get their
marriage back on track. They report that lately they have not been
communicating well or meeting each other’s needs. What does the PMHNP suggest
to the couple when applying a behavior exchange technique?
• Question 20
The PMHNP is
working with a family that includes two parents and their two children. The
PMHNP defined the problem and goal in a previous session. Today, the PMHNP
wants to find out whether the family has experienced any attempted solutions.
What does the PMHNP identify as an attempted solution that actually perpetuates
the family problem?
• Question 21
Which of the
following is an exception question that the PMHNP can ask when working with a
patient who is having trouble managing stress at work?
• Question 22
During the initial
assessment of a newly married couple, the PMHNP learns that they decided to
come to family therapy in order to address their communication problems. Which
of the following actions taken by the PMHNP demonstrates the use of the
solutions-focused approach?
• Question 23
The PMHNP is
meeting with a family that consists of a mother and father and their two
daughters, ages 8 and 10. During the session, the PMHNP hears one child say, “My
sister never gets into trouble because she’s the smart one.” Which family
therapy theory is most applicable to this family?
• Question 24
The PMHNP is
assessing a family that consists of a mother and a father and their daughter
Rachel. The family is discussing the issue of time management in the home,
particularly involving the daughter’s extracurricular schedule. The mother
asks, “Rachel, how many times has your father been late to pick you up from
soccer?” What does the PMHNP take away from this interaction?
• Question 25
The PMHNP is
working with a father and his son, who is 7 years old. According to the father,
the son frequently experiences outbursts and poor impulse control. Using the
differentiation of self-concept, what advice does the PMHNP offer the child?
• Question 26
The PMHNP is
meeting with a set of parents and their 12-year-old son, who according to the
parents is fearful of “nearly everything.” The son admits that he does not like
to ride his bike, play with his friends, or participate in activities such as
sports, in which he could hurt himself or become dirty. What does the PMHNP say
to the son to personify the problem using externalizing conversation
techniques?
• Question 27
The PMHNP is
meeting with a married couple who have recently had a baby. The transition of
becoming new parents has caused a lot of friction and tension in the household.
The wife wishes the husband would help out at least once with the nighttime
feedings so she can get more than 3 hours of sleep at night. The husband feels
like this is an unfair request, because the wife no longer works, but she still
asks the husband to do a lot of errands during the day. What does the PMHNP do
to create a quid pro quo contract between the husband and wife?
• Question 28
The PMHNP is working
with a family consisting of a father, a mother, and a daughter who is a
sophomore in high school. The issue being discussed has to do with the
daughter’s emotional outbursts about wanting to spend more time with her
friends. Recently, the daughter blew up at the parents over the fact that they
wouldn’t let her go to a party, since older kids from the school were throwing
it. This outburst led to arguments in the household, which led to the daughter
getting grounded for 2 weeks. Which theory does the PMHNP recognize as the most
applicable?
• Question 29
The PMHNP is
working with a married couple who are having trouble communicating. The wife
wants to ask for things from the husband, but she doesn’t want to be perceived
as a nag. The husband wants to tell the wife that he needs alone time, but he
doesn’t want to hurt her feelings. Which pretend technique can the PMHNP use
with the couple?
• Question 30
The PMHNP is
discussing problem-solving techniques with a married couple. What
recommendation will the PMHNP provide to the couple?
• Question 31
The PMHNP is
performing an intake assessment on parents who had their son later in life.
Since their son left for college 6 months ago, the couple reports arguing a lot
and not getting along in general. When applying the theory of the family life
cycle, what does the PMHNP say in response to this concern?
• Question 32
The PMHNP is
meeting with a single father and his adolescent daughter. They have been
“butting heads” because of the daughter’s differing opinions about her curfew
and social life. They haven’t been able to communicate well. The PMHNP tries an
experiential technique of family drawing. What will the PMHNP have the father
and daughter do for this technique?
• Question 33
The PMHNP is
assessing a young husband and wife who just had their first baby. Ever since
having the baby, the couple has been arguing more frequently, which the husband
believes is the result of sleep deprivation. Also, the husband believes the
wife has post-partum depression. Using the Bowen Family Systems Therapy model,
what does the PMHNP do as part of the assessment? Select all that apply.
• Question 34
A PMHNP learns
that the family has been experiencing dysfunction because a mother and her
teenage son have been getting easily annoyed and yelling at each other. When
using a strategic family therapy approach, which directive should the PMHNP
suggest to solve the problem?
• Question 35
A PMHNP is using a
structural family therapy approach. During a family therapy session, a child
says, “Is that what you really mean?” Tracking the phrase, the PMHNP discovers
that the family often uses sarcasm when communicating. What is the appropriate
next step by the PMHNP?
• Question 36
The PMHNP wants to
identify the unique outcomes of a married couple who are having arguments about
finances. In particular, the wife is concerned about her husband splurging
without consulting her. What question will the PMHNP ask to arrive at the
unique outcomes?
• Question 37
The PMHNP is
working with parents who argue about ways to discipline their school-aged son. The
PMHNP initiates enactment, telling the parents to discuss the disciplinary
choices directly with each other. At what point does the PMHNP determine that
the parents are demonstrating enmeshment?
• Question 38
During a family
therapy session, the PMHNP hears the father say to the son, “You shouldn’t play
video games where you shoot people.” According to the Bion school of thought,
what is the content of the message that the father is trying to express?
• Question 39
During family
therapy, a husband says to his spouse, “When you ignore me, I can’t help but
shout.” Using an emotionally focused family therapy approach, the PMHNP
comments to the husband, “You feel like you are invisible and need to be
heard.” Why does the PMHNP make this comment?
• Question 40
The PMHNP is
working with a father and his teenage daughter. The father has full custody of
his daughter as of recently. He reports that the two of them get into arguments
all the time over curfew, chores, and the daughter’s lack of responsibility
that “she gets from her mother.” The daughter feels like the father never
listens to her. Which of the following actions taken by the PMHNP demonstrates
unbalancing the relationship?
• Question 41
The PMHNP is
meeting with a husband and wife and observes that the husband is able to
maintain his composure while the wife becomes more teary and emotional
throughout the session. Which principle is used to describe this observation?
• Question 42
The PMHNP is
meeting with a family that consists of a husband, wife, and the wife’s mother
and sister. The husband complains to the PMHNP that the way his mother-in-law
and sister-in-law barge into their home whenever they want, without any
warning, is becoming intrusive. He says, “Because, of course, everyone in the
family has keys to our home.” Which pattern does the PMHNP identify in this
family relationship?
• Question 43
The PMHNP meets
with the parents of a 3-year-old boy, who was adopted at 6 months of age. The
parents ask the PMHNP if he will see the child individually for therapy
sessions on a weekly basis, based on the fact that the parents are having
difficulty getting their son to listen to them. Which statement made by the
PMHNP supports the systems theory approach to treatment?
• Question 44
The PMHNP is
meeting with a mother and her teenage daughter; they are having trouble getting
along. The mother complains that the daughter is defiant and never listens or
goes out whenever she wants to. The daughter complains that the mother is too
strict and won’t let her see her friends. What does the PMHNP do to employ the
use of the paradoxical intervention technique?
• Question 45
The PMHNP is
meeting with parents who are having difficulty disciplining their child at home
during his emotional and behavioral outbursts. The mother feels that the father
is too strict but realizes that she is tired of getting “walked on” by their
child. Which statement made by the PMHNP demonstrates the use of internal
family systems therapy model?
• Question 46
The PMHNP is
meeting with two women, ages 35 and 42, who are concerned about their mother’s
use of alcohol. During the meeting, what question(s) should the PMHNP ask the
mother to help uncover the potential drinking problem?
• Question 47
Members of a
therapy group have become aligned and are starting to take ownership of their
group experience. They are sharing more and are being more open with each
other. During the next session, the PMHNP decides to address termination of the
group. Which of the following is the most appropriate response by the PMHNP
when a group member expresses anxiety about termination?
• Question 48
When using a
cognitive behavioral approach, a PMHNP says to a group member, “Carla, it
sounds like Greg thinks that you might want to try yoga for relaxation.” What
would be an appropriate next statement by the PMHNP to Carla?
• Question 49
The PMHNP is
meeting with a single mother and her 19-year-old son who lives with her. The
son complains that his mother is always nagging him. What is the PMHNP’s
interpretation of this scenario according to a complementarity approach?
• Question 50
The PMHNP is
meeting with a mother and father for the first time in a family session. As
soon as the session begins, the mother says, “I don’t know what to do anymore.
Our son is flunking math. I think we should pull him out of football, but I
don’t get any support in that decision. What would you do if you were us?” The
PMHNP recognizes this as what?
• Question 51
The PMHNP works
with a husband and a wife, but in separate sessions, to address marital issues.
One day, the wife asks the PMHNP how her husband is progressing with his
therapy. Which response made by the PMHNP is most appropriate?
• Question 52
The PMHNP meets
with the parents of a 6-year-old; they are having a difficult time with their
child’s behavior. The PMHNP aims to bring the family together and asks the
parents to think about one of the challenging issues they face with their
child. The PMHNP says, “Imagine this situation happening as a scene in a movie,
one that you can rewind and watch again. Watch this scene again, this time
paying attention to what you feel, what you see, and what you hear.” The
parents are then asked to re-experience the same scene from the child’s point
of view. Continuing to use Satir’s technique of the experiential model, what
does the PMNHP have the parents do next?
• Question 53
The PMHNP is
working with a single mother and her adolescent son. The mother reports to the
PMHNP that all she wants is for her son to call her when he is going to be late
to dinner, so that she doesn’t worry about where he is. The son explains that
his mom is “too paranoid” and calls or texts him constantly throughout the day,
even if it doesn’t have to do with his whereabouts. How can the PMHNP advise
the mother and son to accommodate one another?
• Question 54
The PMHNP is
working with a family in a group setting. When employing the experiential
technique, what action will the PMHNP take with the family during assessment?
• Question 55
The PMHNP is
meeting with a mother and her 9-year-old child. The child is upset that the
father left the house and hasn’t been back in a long time. Which action will
the PMHNP perform to employ the role-playing technique with the child?
• Question 56
The PMHNP is
meeting with a family consisting of two parents and their 10-year-old son. The
parents are concerned about the child’s behavior. “He keeps disobeying us. All
he does is misbehave,” the mother cries. The PMHNP meets individually with the
son for a few sessions to learn more about his behavior and identifies that he
is participating in attention-seeking behaviors. When the PMHNP invites the
parents and son back to a family group setting, what action made by the PMHNP
supports the use of constructivism?
• Question 57
While in a family
therapy session, a wife comments, “Instead of spending time with me, he is
usually watching sports on television.” Using an emotionally focused family
therapy approach, what is an appropriate response by a PMHNP using an evocative
question technique?
• Question 58
A client in group
therapy has been suffering from anxiety and is worried that she will have a
panic attack again. Which of the following interventions demonstrates use of
the principle of imparting knowledge?
• Question 59
Using a systemic
family therapy approach, a PMHNP is meeting with a couple for an initial
session and is asking each member to describe why he or she came to family
therapy. After creating a genogram, the PMHNP says, “I can see that the men in
your family are often the sole providers, and the women have been in charge of
running the household.” Which is the most appropriate next response by the
PMHNP?
• Question 60
During a family
therapy session, the mother says, “I don’t know why my son is always in trouble
at school. He does what he wants to do.” The father adds, “He’s almost 14 years
old. It’s up to him to get his life in order.” What is the most appropriate
intervention by the PMHNP?
• Question 61
A couple and their
13-year-old daughter have been in family therapy. The mother explains that her
daughter is unhappy at private school and would like to be in public school.
The father has been listening quietly and then says, “We are upset that our
daughter wants to leave private school.” When using a systemic family therapy
approach, what is the appropriate response by the PMHNP to the father?
• Question 62
The PMHNP is
meeting with an established patient who is trying to resolve issues between her
and her husband. The woman convinces her husband to join her for this session.
Using a solutions-focused approach, which of the following statements would be
most appropriate for the PMHNP to make?
• Question 63
The PMHNP meets
with a single mother and her son. The mother reports that the son is defiant
when it comes to doing chores at home. “If he does not do his chores, then I
don’t have a picture-perfect house, and I don’t feel like a good mother,” she
explains. The PMHNP identifies this as a problem-saturated story. How does the
PMHNP respond to the family?
• Question 64
The PMHNP is
meeting with a mother and her adult daughter, who report that they have had a
hard time getting long. The adult daughter complains that her mother tells her
what to do regarding her children, which puts strain on the adult daughter’s
marriage. The mother denies this and explains that she is “only trying to
help.” What does the PMHNP say to the mother or daughter to convey acceptance
into this family?
• Question 65
The PMHNP meets
with an older adult couple having marital problems. The husband and wife both
admit to the PMHNP that it is difficult for them to speak to each other because
of how much they disagree on things lately. The husband complains that the wife
is always talking about their issues to their adult daughter. The wife reports
that the husband does the same thing. Using the Bowen Family Systems Therapy
model, what does the PMHNP interpret about this family dynamic?
• Question 66
A man calls a
PMHNP to set up an initial appointment for family therapy. He explains, “My wife lost her job several
months ago. She has been angry and less patient with the kids. All of the
stress is taking a toll on me. I can’t focus at the office and I’m mentally
exhausted at home.” Based on this phone contact, who would the PMHNP most
likely choose to see for the first session?
• Question 67
The PMHNP is
leading a group session when a group member who is usually quiet angrily
interrupts another group member. He then apologizes for his outburst and
explains that he has been having a hard time since his only child left for
college. Using a person-centered approach to group psychotherapy, which of the
following is the most appropriate response by the PMHNP?
• Question 68
A group member
realizes he gets anxious when making small talk and tends to talk only about
himself. Using the principle of development of socializing techniques, what
might the PMHNP recommend that the group do next?
• Question 69
The PMHNP is
meeting with a husband and wife who have separated but are trying to rekindle
the marriage. The PMHNP asks the couple what they hope to gain from the
sessions, and they provide the PMHNP with vague answers. What can the PMHNP can
ask the couple to help them create better defined goals?
• Question 70
A PMHNP has
integrated group treatment into his practice. After the orientation phase,
group members have been exchanging ideas. One member says, “I think you should
confront your son and ask why he is so disrespectful.” Another member responds
by saying, “That is a terrible idea. If you confront him, he will just be angry
with you.” The first member then replies, “You are not the expert here!” The
rest of the group members then start taking sides as the debate continues. What
step should the PMHNP take to help group development?
• Question 71
A PMHNP is working
with a mother and daughter to help them improve their communication skills. The
mother explains that they have had numerous arguments caused by
miscommunication lately. Using a structural family therapy approach, what is
the appropriate response by the PMHNP?
• Question 72
The PMHNP is
meeting with a family that consists of a mother, father, and son. The son
reports, “Whenever Mom gets upset with Dad, she vents to me about it.” Which
concept describes the mother’s behavior in this scenario?
• Question 73
The PMHNP is
working with a married couple in a family session setting. The wife reports
feeling upset because her husband does not pay attention to her. Which
statement made by the PMHNP will challenge the wife to see things differently?
• Question 74
The PMHNP is
working with a family during their first therapy session. According to the
Gestalt school of perception, what must the PMHNP do to change the group
behavior?
• Question 75
The PMHNP is
working with the parents of an 8-year-old. They are facing challenges with
their daughter’s school because of her behavior toward other students. “Our
daughter has become a problem,” they explain. Which statement(s) made by the
PMHNP supports the use of the narrative therapy model?
• Question 76
When completing
this exam, did you comply with Walden University’s Code of Conduct including
the expectations for academic integrity?

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• Question
1
1 out of 1 points
In a
group therapy session for adolescents, a 15-year-old patient says he has
trouble making conversation with people he does not know well. Based on the
principle of development of socializing techniques, what explicit approach
might the PMHNP take?
• Question
2
1 out of 1 points
One
group member is identified by the PMHNP as the monopolist of the group. Which
behavior does the PMHNP believe this member is most likely to display?
• Question
3
1 out of 1 points
During a
first group therapy session, a member is outgoing and participates actively.
Based on this information, what is an appropriate prediction about this group
member by the PMHNP?
• Question
4
1 out of 1 points
A
21-year-old client with narcissistic traits is noted to continuously disrupt
the group by speaking while others are speaking. It becomes evident that the
client is purposely disrupting the group and decreasing the group’s
productivity. What does the PMHNP identify as a cause of the client’s behavior?
• Question
5
1 out of 1 points
Harold
Wyman is a 74-year-old man who is trying to mend a relationship with his adult
daughter. Based on his intake assessment, the PMHNP believes that the father
has depression. The daughter and Harold meet with the PMNHP, and the daughter
explains that her father always appears mopey and withdrawn and refuses to do
anything about it. When asked, the father reports feeling sad all the time.
Which action will the PMNHP employ with Harold using the interpersonal
psychotherapy approach throughout the various sessions?
• Question
6
1 out of 1 points
A PMHNP
is leading a group therapy session for patients with substance abuse problems.
After a productive session in which all members participated, the following
week was not as productive. In order to help the group members assume
responsibility for evaluating the meeting, what is an appropriate comment for
the PMHNP to make?
• Question
7
1 out of 1 points
During
the “mid-group debrief” the clinical supervisor focused on the following areas
with the two counselors except:
• Question
8
1 out of 1 points
The
social microcosm theory is a theory that relates to group composition. In
accordance with this theory, the PMHNP is aware that the group must consist of
which of the following?
• Question
9
0 out of 1 points
Peter, a
successful businessman, is introduced to the group during the twelfth week.
Following Peter’s introduction, Joseph, a long-term member in the group, begins
to lead the group and discuss all of the things that he has personally
accomplished. In what way does the PMHNP correctly interpret Joseph’s behavior?
• Question
10
0 out of 1 points
The
PMHNP conducts a specialized individual interview with a patient named Sandy.
During this interview, Sandy expresses her want of the other members to like
her, and she has a deep dread for the first group meeting. How does the PMHNP
correctly interpret Sandy’s interpersonal circumplex?
• Question
11
1 out of 1 points
When
discussing the role of the consultant in the parenting group session, Dr.
Carlson explains that the consultant should use several skills in order to help
keep the group going and should enable group members to become very engaged
with one another. The consultant should use all of the following skills to
achieve this, except:
• Question
12
1 out of 1 points
A PMHNP
is meeting with parents and their 10-year-old child. The child is having
trouble paying attention at school and has been getting easily frustrated at
home when doing homework, which often results in everyone arguing. What step
might the PMHNP take as part of a family-centered, solution-oriented approach?
• Question
13
0 out of 1 points
The
PMHNP is meeting with an adult woman and her father, who is 85 years old. The
father stays quiet most of the session. The daughter explains he is mad at her
for “bringing him to a see a shrink.” The daughter reports that things have
been tense in the house since her father moved in. The father has a history of
depression, though he does not take any medication for it. In addition, lately
the father seems to never sleep. “I hear him rummaging around in the kitchen, the
garage, the living room, at all hours of the night. Sometimes he’ll nap during
the day, but not much. This is putting a strain on my marriage, because my
husband can’t sleep with all of this going on.” Which therapeutic approach does
the PMHNP identify as most appropriate for the 85-year-old father?
• Question
14
1 out of 1 points
During
an initial meeting, a PMHNP spends time speaking with a patient who suffers
from social anxiety. The therapist finds the patient extremely loud and
overbearing. The PMHNP’s negative feelings continue no matter how hard he or
she tries to feel differently toward the patient. What is the most appropriate
next step by the PMHNP?
• Question
15
1 out of 1 points
A
patient has had a problem with substance use and has been receiving treatment
for addiction. Which additional step might the PMHMP suggest to help the
patient maintain abstinence from drugs during and after treatment?
• Question
16
0 out of 1 points
The
leader begins a group meeting by doing the “names activity.” At the completion
of the activity, the leader explains that the activity is useful for all of the
following reasons, except:
• Question
17
1 out of 1 points
A
36-year-old client attends group therapy regularly but is consistently tardy.
The client explains that job and family obligations interfere with attendance
to the group. What is the most appropriate intervention by the PMHNP?
• Question
18
0 out of 1 points
Group
participation is an important aspect of how successful group therapy will be.
The PMHNP recognizes that the gender of group participants can play a role in
the likelihood of group participation. Which statement about gender and group
composition does the PMHNP take into account?
• Question
19
0 out of 1 points
When the
counselor discussed assertiveness with the group members, she began the session
by providing definitions and asking group members to line up consistent with
where they feel they are currently in terms of assertiveness. Why did she do
this?
• Question
20
1 out of 1 points
A
patient in group therapy named Ted shares personal information for the first
time. He seems nervous but continues to talk. How might the PMHNP use nonverbal
positive reinforcement to support Ted’s feeling more comfortable?
• Question
21
1 out of 1 points
Members
of a therapy group have been meeting for several months. During group therapy,
a patient is bossy and controlling. During this week’s session, she is
confronted by another group member about her behavior and replies, “This is not
how I normally act. You are not my family and friends. I don’t act the same way
around them.” What can the PMHNP deduce from her behavior?
• Question
22
1 out of 1 points
A PNHNP
is holding a group therapy session for a father and his 10-year-old son, whom
the father explains has been acting out lately. The son says, “He is always
telling me what to do and never listens when I have an idea.” Which solution
would the PMHNP most likely suggest as an approach to the problem?
• Question
23
0 out of 1 points
A PMHNP
is treating a patient in individual therapy and thinks the patient may be a
good candidate for group therapy. The patient is motivated to start group
therapy, which meets twice a month. Then the patient adds, “I can come to the
first two meetings, but then will be away on business for at least a month,
maybe longer. But then I can come to the at least one meeting before my next
trip.” Based on this information, what is the most likely recommendation by the
PMHNP?
• Question
24
1 out of 1 points
Members
of a therapy group have been meeting for several weeks. While a member named
Margaret is talking about how her spouse ignores her when she tries to tell him
what to do, another member named Nicole interrupts and says, “Maybe he thinks
you are being bossy.” Margaret replies by saying, “At least I’m not an
alcoholic like you are!” What is an appropriate response by the PMHNP?
• Question
25
1 out of 1 points
A
9-year-old child who witnessed a fatal car accident has come to therapy with
her parents to get treatment. The child has been irritable since the event and
has not wanted to talk about it. Utilizing a trauma-focused cognitive behavior
therapy (TF-CBT) approach, the PMHNP has reviewed skills that the parents may
use to help their child at home. Based on the PMHNP’s suggestion, which is a
statement the parents might make after the child has a temper tantrum?
• Question
26
0 out of 1 points
During
the first group meeting, a client states, “I am here because I am very shy. I
don’t mesh well with others and I rarely get invitations to go anywhere.” Which
statement about the client’s reason for seeking help and treatment best
applies?
• Question
27
1 out of 1 points
A client
is observed discussing many problems and complaints during group therapy.
However, when other group members attempt to offer advice, the client does not
accept it. Based on this observation, what can the PMHNP determine about the
client?
• Question
28
1 out of 1 points
During a
group therapy session, a member comments that another member named Ted had no
compassion. Ted replies, “Why does it matter if I care one way or another. I
can’t solve their problems.” The other member starts crying and blames Ted for
this. He shrugs and answers, “I don’t understand why you are crying.” Based on
this information, what is the most likely determination the PMHNP can make
about Ted?
• Question
29
1 out of 1 points
Jane has
been attending group therapy for the past year; she and the therapist have
determined that she has met her goals. Jane has been arriving to group late or
not coming to group at all. How does the PMHNP correctly interpret Jane’s
behavior?
• Question
30
1 out of 1 points
A PMHNP
is treating an 8-year-old child who was at a cousin’s house during a domestic
violence situation. Using a common factors model, the PMHNP wants to pay
attention to cultivating the relationship with the parents and child. After the
child talks about how nervous he or she has been since witnessing the trauma,
what is an appropriate response by the PMHNP?
• Question
31
1 out of 1 points
The
PMHNP is meeting with a married couple. The husband is 81 years old, and the
wife is 78 years old. They tell the PMHNP that many of their friends have
passed away over the last couple of years, and it’s making them feel
sentimental about their lives and the fact that they are getting older. Hearing
this, the PMHNP uses a life review approach with the couple. What action will
the PMHNP employ?
• Question
32
0 out of 1 points
A
patient in group therapy for people dealing with panic disorder is describing a
recent panic attack. He says, “During this attack, I felt like I was dying.”
What is an appropriate response by the PMHNP using didactic instruction?
• Question
33
1 out of 1 points
A
patient in group therapy discloses her concern about feeling suicidal again in
the future. Using the principle of universality, what is an appropriate step by
the PMHNP?
• Question
34
0 out of 1 points
The
PMHNP recognizes that extragroup behavior involves behavior that occurs outside
of the group or during subgrouping. Which statement best describes extragroup
behavior as it pertains to group therapy?
• Question
35
1 out of 1 points
In a
group therapy session for patients with anxiety problems, a patient named Eve
was afraid to disclose to the other members that she was a victim of sexual
abuse. She kept the secret for months, although she hinted at it to other
members. During a meeting, another member tried to pressure Eve to disclose her
secret, but she was flustered and not ready to share. What is an appropriate
response by the PMHNP?
• Question
36
1 out of 1 points
During
his second group therapy session, a member, who was quiet the previous week,
becomes very judgmental. He criticizes another member by saying, “Mary, you are
always late because you don’t respect our group.” Then he adds, “In fact, all
of you are disrespectful and uncaring.” What is an appropriate step by the
PMHNP?
• Question
37
1 out of 1 points
A
patient who has been depressed is seeing a PMHNP for individual therapy. The
patient explains that he has been avoiding most social activities for the past
few months. He is divorced and has joint custody of his 10-year-old daughter.
Based on this information, what recommendation by the PMHNP would most benefit
the patient?
• Question
38
1 out of 1 points
Following
the PMHNP’s cancellation of a group session, he or she notices a decrease in
compliance and attendance within the group. What does the PMHNP identify as the
group’s reason for noncompliance?
• Question
39
1 out of 1 points
A PNHNP
is holding a group therapy session. Today, several members have expressed fears
about being unlovable. Based on this information, what is an appropriate step
by the PMHNP to raise the members’ self-esteem?
• Question
40
0 out of 1 points
A
patient named Tyrone was nervous sharing personal information with the group.
To compensate, he makes comments on other members’ problems as if he were the
therapist. Another member of the group asked him, “Do you think you’re better
than everyone here?” What might the PMHNP help Tyrone gain from this exchange?
• Question
41
0 out of 1 points
A PMHNP
is creating a therapy group and is including a patient with borderline
personality disorder. Which action would most likely reduce the patient’s
chance of separation anxiety?
• Question
42
0 out of 1 points
The
anticipation of the first meeting among psychotherapy group attendees may cause
feelings of dread and uneasiness among clients. How does the PMHNP demonstrate
awareness and promote the success of this first psychotherapy meeting?
• Question
43
1 out of 1 points
For
several months, a patient in group therapy always participated in conversation
but only shared positive stories about her own life. During the next session,
she finally confessed that she has been depressed and cutting herself. What is
the best response by the PMHNP?
• Question
44
0 out of 1 points
Two
PMHNPs are in charge of a therapy group that has experienced several
maladaptive interpersonal dramas lately. One of the patients has been described
by other members as argumentative. After a particularly awkward session, one of
the therapists feels that his own interpersonal distortion of the session may
be clouding his observation. What is an appropriate step by that PMHNP?
• Question
45
0 out of 1 points
A PMHNP
is treating a 7-year-old child exhibiting signs of aggression and attention
problems. Before suggesting an intervention using a common elements approach,
what may the PMHNP consider?
• Question
46
0 out of 1 points
The
homogenous mode of composition involves a theory that relates to group
composition. When applying this theory, the PMHNP is aware that the group will
most likely consist of which of the following?
• Question
47
0 out of 1 points
A
patient has attended three group therapy sessions and has remained silent
throughout each. The patient has, however, been listening to the other members.
When the therapist makes eye contact with the patient, he or she forces a smile
but has clenched fists. What is the most appropriate response by the PMHNP to
help the patient?
• Question
48
1 out of 1 points
The
PMHNP is meeting with an older married couple. The couple reports having
concerns about becoming dependent on their adult children someday, since several
of their other friends have had to move in with their kids. They make it clear
to the PMHNP that they aren’t keen on therapy or taking medicine but would be
willing to try some alternative therapies. What does the PMHNP suggest for
evidence-based CAM modalities?
• Question
49
0 out of 1 points
The
PMHNP explains during a discussion that subgrouping has the potential to make
group therapy more complicated and less rewarding. Tara, a member of the group,
angrily states, “Well, Jack and I have been meeting outside of the group for
weeks now.” What is the PMHNP’s most appropriate response?
• Question 50
0 out of 1 points
Gregory
is a middle-aged veteran participant in a group led by the PMHNP. Since Gregory
has been attending group, he frequently interrupts others and seems to take
much of the group time for himself. The PMHNP identifies Gregory as a
monopolist and confronts him. She explains that she does not want him to talk
less; instead, she actually encourages him to talk more. What is the likely
cause of the PMHNP’s explanation?
• Question
51
1 out of 1 points
The
PMHNP understands that conflicts within the psychotherapy group can be
troublesome for clients and have the potential to reduce the effectiveness of
the group process. As it pertains to group meetings, the PMHNP understands
which statement to be true about conflict?
• Question
52
1 out of 1 points
One
member of a therapy group had been quiet for the first several sessions. The
member revealed to the other members feeling of depression and emptiness. This
week, the member was full of energy and talking very quickly. The member became
irritated with another member tried to interrupt, started yelling, and then
broke into a fit of laughter. Based on the situation, what can the PMHNP
determine about the member?
• Question
53
1 out of 1 points
A group
member who suffers from depression and anxiety says during the session, “I
don’t see how any of this is going to help. I am still too anxious to leave the
house and do the things I want to do.” What is an appropriate response by the
PMHNP?
• Question
54
0 out of 1 points
A PMHNP
is leading a group therapy session for patients with substance abuse problems.
After one member shares a problem, other members offer support, concern, and
observations. The PMHNP points out that the group is offering many truthful
reactions and helpful feedback. Which principle does this illustrate?
• Question
55
0 out of 1 points
The
PMHNP provides cognitive behavioral therapy (CBT) to an older adult patient
with depression. The patient’s 41-year-old daughter and 32-year-old son attend
one of his sessions with the PMHNP so that they can learn more about how to
help their father. What does the PMHNP say to the daughter and son about the
goals of their father’s CBT?
• Question
56
0 out of 1 points
The
PMHNP recognizes that hostility is unavoidable in a group and acknowledges that
a frequent source of hostility can be parataxic distortions. Which situation is
likely to present a parataxic distortion within the group?
• Question
57
1 out of 1 points
Members
of group therapy have been meeting for several weeks. The PMHNP often starts
sentences with a thank you or compliment such as, “Good observation.” The PMHNP
notices that some of the group members having been starting their statements
with compliments. To which principle can the PMHNP attribute this process?
• Question
58
1 out of 1 points
A client
diagnosed with depression has begun to feel despair and expresses a desire to
leave the group because he or she does not believe it is helpful. Which action
by the PMHNP will most likely contribute to the client staying in the group?
• Question
59
1 out of 1 points
A
14-year-old girl named Laura and her parents are meeting with a PMHNP. The
parents explain why they are there by saying, “Laura has been unhappy since she
moved to a new school. She has been moody and often talks back to us.” Laura
sits quietly and looks uncomfortable. Which is the best response by the PMHNP?
• Question
60
1 out of 1 points
Many key
principles assist with composing intensive interactional psychotherapy groups.
When composing a psychotherapy group, utilizing the intensive interactional
approach, which key principle does the PMHNP identify as being false?
• Question
61
1 out of 1 points
A PMHNP
notices that adolescents in a therapy group have not been getting along. They
are divided into two main groups and each automatically dislikes members of the
other group. What is an appropriate step for the PMHNP to take?
• Question
62
0 out of 1 points
During
an initial screening session, the PMHNP is considering a patient for group
therapy. The patient is recently divorced and says he is lonely and depressed.
What is the best referral by the PMHNP?
• Question
63
0 out of 1 points
During
an initial meeting, a patient who has been discussing suicide says to the
PMHNP, “I’m so depressed that I don’t want to leave my house. All I want to do
is stay in bed.” What type of therapy would the PMHNP most likely recommend to
this patient?
• Question
64
0 out of 1 points
A member
in group therapy named Tom asked others for suggestions to a problem he was
having. He did not think a suggestion by a member named Steve would work, and
for the rest of session, the group took sides arguing why the idea would work
or would not work. The session ended with Tom agreeing to try the suggestion
and report back to the group the following week. Based on this session, what is
an appropriate step by the PMHNP?
• Question
65
1 out of 1 points
The
PMHNP is working with an older adult woman and her adult children. The children
report that the mother was diagnosed with dementia, and they are all concerned
about her welfare. The plan is for the mother to move in with one of the
children, but they are still worried about how the mother will manage during
the day when she is left alone. What does the PMHNP identify as the focus of the family therapy?
• Question
66
1 out of 1 points
During a
group session, a member turns to the PMHNP and says, “I need some advice. My
manager asked me to take on an extra project, and now I’m overwhelmed. I don’t
want to seem incompetent, so I agreed to the extra work. What do you recommend
I do?” What is the best response by the PMHNP in order to shape group behavior?
• Question
67
0 out of 1 points
During a
group therapy session, a member shares that she often feels lonely and
depressed. She has been turning down invitations to spend time with friends
lately, because she does not want to leave the house. What is an appropriate
step for the PMHNP to take?
• Question
68
1 out of 1 points
Self-disclosure
is a very important part of group therapy. Which of the following conditions
does the PMHNP identify in his or her own life as a possible hindrance to
self-disclosure?
• Question
69
1 out of 1 points
A PMHNP
is meeting with the mother of a 10-year-old boy named Malik, who has been
depressed since his parents’ divorce. The mother explains that her goal for
treatment is to help Malik feel better so he can become his “usual outgoing
self.” She insists that she does not want him on medication. Which is the best
response by the PMHNP?
• Question
70
1 out of 1 points
A client
has attended five group therapy sessions yet has not engaged verbally with
others in the group. The PMHNP has identified the client as a “silent member.”
Which statement is true about silent members as related to group therapy?
• Question
71
1 out of 1 points
A
narcissistic patient was unhappy that other members did not seem concerned
about his or her dating problems, which the patient spent half the session
talking about. The patient confronted the group by saying, “All of you are rude
and uncaring!” When group members ignored this comment, the patient said, “And
no one said anything nice about my new haircut either!” What is an appropriate
response by the PMHNP?
• Question
72
1 out of 1 points
According
to Dr. Carlson, since Adler talked about how the social setting in which we
live influences our lives, the best way parents can change their children’s
behavior is to change:
• Question
73
1 out of 1 points
In the
parent consultation session, the parent discusses her son “Blake” who has
changed since his 13th birthday. Dr. Carlson discusses the power conflict that
the parent appears to be getting into with her son. When they discuss
approaches they can use to help Blake experience increased responsibility, Dr.
Carlson explains that the parent must make a commitment with her son by
agreeing to:
• Question
74
0 out of 1 points
A PMHNP
is evaluating a patient who has problems with authority and has trouble
accepting criticism. The patient is aware of these problems and wants to
change. Based on this, what is an appropriate action by the PMHNP?
• Question
75
1 out of 1 points
A PMHNP
has a therapy group in which many members have been dropping out over the past
several weeks. Members have complained that they do not feel part of the group.
What is an appropriate step for the PMHNP to take?
• Question
76
0 out of 0 points
When
completing this exam, did you comply with Walden University’s Code of Conduct
including the expectations for academic integrity?

NURS6640 Psychotherapy With Individuals
Week 1 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.
NURS6640 Psychotherapy With Individuals
Week 2 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.
NURS6640 Psychotherapy With Individuals
Week 5 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.
NURS6640 Psychotherapy With Individuals
Week 8 Discussion
Clinical
Supervision
Clinical
Supervision is an essential component of your development as a psychiatric
mental health nurse practitioner. It provides an opportunity for professional
collaboration as you share experiences with and gain insights from colleagues.
For this Clinical Supervision, consider a client whom you do not think is
adequately progressing according to expected clinical outcomes.
NURS6640 Psychotherapy With Individuals
Week 9 Discussion
Counseling
Adolescents
The
adolescent population is often referred to as “young adults,” but in some ways,
this is a misrepresentation. Adolescents are not children, but they are not yet
adults either. This transition from childhood to adulthood often poses many
unique challenges to working with adolescent clients, particularly in terms of
disruptive behavior. In your role, you must overcome these behaviors to effectively
counsel clients. For this Discussion, as you examine the Disruptive Behaviors
media in this week’s Learning Resources, consider how you might assess and
treat adolescent clients presenting with disruptive behavior.
NURS6640 Psychotherapy With Individuals
Week 10 Discussion
Clinical
Supervision
Personal
reflection and discussion with colleagues is essential to your development as a
psychiatric mental health nurse practitioner. In Week 8, you collaborated with
colleagues as you participated in your first Clinical Supervision. This week,
you have the opportunity to continue your collaboration as you reflect on and
discuss your experiences with counseling older adults. Keep in mind that
although there may be challenges to counseling this population, these clients
offer unique learning opportunities. For this Clinical Supervision, consider an
older client you are counseling whom you do not think is adequately progressing
according to expected clinical outcomes.
NURS6640 Psychotherapy With Individuals
Week 11 Discussion
Therapy for
Clients With Personality Disorders
Clients
with personality disorders often find it difficult to overcome their problems
and function in daily life. Even when these clients are aware that they have a
dysfunction with their personality and are open to counseling, treatment can be
challenging for both the client and the therapist. For this Discussion, as you
examine personality disorders, consider therapeutic approaches you might use
with clients.
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.
NURS6640 Psychotherapy With Individuals
Midterm Exam
Question 1The
PMHNP is mentoring a student. After working with a patient during a session,
the student laments about all the things she should have, or could have, said
to the patient. “I feel guilty that I didn’t speak up more about the patient’s
concern toward her son,” says the student. The PMHNP understands that the
student is exhibiting signs of which therapeutic concept?
Question 2 The
PMHNP is working with a 56-year-old man who is being seen because of his
anxiety and depression. During the therapy sessions, the PMHNP assists the
patient in discussing his experiences and expanding on his thoughts and
feelings. He tells the PMHNP stories about how he used to be teased by his
coworkers at the office for becoming too anxious in large conference rooms. The
PMHNP listens to the patient and helps focus on his strengths to promote
self-understanding. Which principle best accounts for the PMHNP’s interactions
with the patient?
Question 3 During
a therapy session the patient is asked how she currently deals with stress, and
she says, “Well, I don’t. I just let it build and build.” The PMHNP responds by
asking how well this has been working out for her. The patient states, “Well,
to be honest, it just feels like I’m drowning, you know what I mean.”
Illustrating idiosyncratic meaning, the PMHNP responds with:
Question 4 The
PMHNP is working with a 43-year-old male patient who develops idiosyncratic
transference over weeks of therapy. The best way for the PMHNP to respond to
this patient is to ___________ :
Question 5 The
PMHNP is working with a patient who has insomnia and battles going to sleep.
The patient reports consistent self-defeating behaviors, and hates trying to go
to sleep. Which action made by the PMHNP demonstrates the use of a paradoxical
intervention?
Question 6
The PMHNP
understands that anxiety and depression are two disorders in which their
symptoms may overlap. When discussing this, you explain that the autonomic
nervous system is activated and further helps distinguish anxiety symptoms by
making the following points:
Question 7
A new
patient has been informed of the limits of confidentiality, and has signed
informed consent forms. No consent, however, has been obtained for voluntary
“Release of Information.” The patient is 20 years old and still lives at home
with his parents. He is being treated for depression, which he attributes to
the trouble he’s had finding employment.
True or
false: If the patient’s mother calls the PMHNP to check up on her son to see
how he is doing, the therapist is required to protect patient confidentiality
and not disclose information. Selected Answer:
Question 8
A PMHNP is
taking a history and wants to assess how the patient copes with adversity. To
do so, the therapist asks questions about the patient’s belief system. What
would be an appropriate question to ask?
Question 9
In your
office, you see a 58-year-old patient with PTSD who reports having nightmares,
making it impossible for her to sleep. What recommendations based on principles
of sleep hygiene will the PMHNP make?
Question 10
A patient
who has borderline personality disorder is meeting with the PMHNP. When asked
about future goals, the patient responds, “I’d like to go back to school to do
what you
do. You
know, talk to people all day about their problems. It seems pretty easy.” How
does the PHMNP respond to the client in a way that is free from any
stigmatizing beliefs or judgments?
Question 11
A
62-year-old patient has been diagnosed with borderline personality disorder.
Upon assessment, the PMHNP learns that he
participates in spending sprees and occasional binge eating, accompanied
by rapid changes in self-image. Which evidence-based psychotherapeutic model
does the PMHNP identify as effective and beneficial?
Question 12
An elderly
patient in a nursing home has been losing interest in activities and now
refuses to leave his room. After a physical exam, he is referred to a PMHNP for
an initial assessment.
True or
false: After speaking with the patient, an appropriate screening tool for the
PMHNP to use would be the Geriatric
Depression Scale.
Question 13
A PMHNP has
been working with a young female patient who suffers from depression to change
self-defeating behaviors. By creating a presence of acceptance and using good
listening skills, the PMHNP’s overall goal is to __________.
Question 14
The PMHNP
is working with a school-aged child who has been diagnosed with depression. The
child has attended several sessions with the PMNHP, but recently presents with
avoidant behavior by showing increased distress and being late to sessions.
What approach does the PMHNP need to employ with the child to continue making
therapeutic progress?
Question 15
A PMHNP’s
patients have already signed confidentiality agreements, including limits that
will be imposed on confidentiality. Months later, the state’s laws have changed
that affect confidentiality promises the PMHNP has already made. What is an
appropriate step for the PMHNP to take after finding out this information?
Question 16
An initial
evaluation reveals that an 11-year-old patient has moved to a new school after
her parents’ recent divorce, and is having trouble making friends. The patient
has normal mental status and exhibits appropriate behavior. What is the most
appropriate scale for the PMHNP to use
to get more information?
Question 17
During
cognitive behavioral therapy (CBT), a 64-year-old male patient, states, “My
wife hates me! She’s just waiting for me to die.” Using Socratic dialogue (SD)
the PMHNP demonstrates understanding of analysis when she responds:
Question 18
A
41-year-old male patient is meeting with the PMHNP and reveals that he is
homosexual. He begins telling the PMHNP about his feelings as a homosexual,
middle-aged man. The PMHNP nods understandingly. Before long, the patient asks,
“Are you gay? Are you married? Do you have kids?” What is the best response by
the PMHNP?
Question 19
The PMHNP
is working with a patient who is living in poverty and abusing substances.
According to the treatment hierarchy framework, what needs does the PMHNP need
to attend to first?
Question 20
The PMHNP
is having a therapy session with Charlotte, a 20-year-old victim of date rape.
The patient states, “I shouldn’t have been there; I should have just gone home.
This was all my fault; how could I have been so stupid?” Using the Socratic
method, what is the PMHNP’s best response?
Question 21
The PMHNP
is working with an adult patient who has somatic complaints caused by a history
of childhood abuse. As part of the therapeutic process, what does the PMHNP do
to assess and organize a trauma history?
Question 22
The PMHNP
employs psychodynamic psychotherapy with a patient who experiences anxiety and
depression. As the process enters the psychoanalytic end of the psychodynamic
continuum, the PMNHP will focus on:
Question 23
True or
false: A PMHNP may ask his patient to describe her relationship with her
father, both as a child and now, in order to assess interpersonal style.
Question 24
A
35-year-old patient has been seeking treatment for depression for several
months. The PMHNP does an assessment to see if processing has led to adaptive
change. The patient’s self-references are positive in relation to past events,
work is productive, relationships are adaptive, and there is congruence between
behavior, thoughts, and affect. Based on this information, the PMHNP decides
the patient ____________.
Question 25
A
65-year-old patient has suffered the loss of his wife. He is in a state of
hyperarousal with increased sympathetic nervous system arousal. One or more
interventions may help the patient to deal with this arousal. To decrease
sympathetic nervous system arousal, the PMHNP’s treatment strategy is
___________.

NURS6640 Psychotherapy With Individuals
Final Exam
• Question 1 The PMHNP is caring for
a young adult patient with whom the PMHNP decides to use a dynamic supportive
therapy approach in addition to pharmacological intervention. Which therapeutic
action will the PMHNP take to employ the strategy of holding and containing the
patient?
• Question 2 A PMHNP is using Gestalt
therapy to communicate with a 42-year-old patient who is upset with her mother.
She says, “I want to tell her how hurt I feel when she doesn’t call me, but I
don’t want to upset her.” What technique can the PMHNP use to help Sasha
express herself?
• Question 3 A 43-year-old single
mother is seeing the PMHNP at the request of her sister. “My sister thinks I
need to come here to talk about my feelings,” the patient reports. The PMHNP
learns that the patient has three children from three different men, but is
unable to collect appropriate child support payments from any of the biological
fathers. Additionally, the woman is barely able to afford her apartment or
utilities payments. What is the appropriate response from the PMHNP when using
the psychodynamic psychotherapy technique?
• Question 4 A PMHNP has been
treating a 9-year-old patient who was referred by her school. Students are
asked to raise their hands before speaking during group discussion, but the
patient seems to blurt out what she wants to say without being called on. She
also interrupts other children while they are talking instead of waiting her
turn. When the patient gets frustrated, she has trouble controlling her
emotions and cries often. Based on the initial information provided, the first
focus by PMHNP is the child’s ____________.
• Question 5 A PMHNP has been
treating a 14-year-old patient using interpersonal psychotherapy. The patient
has been depressed since the death of his grandmother. To help the patient
recover, the PMHNP has told the parents:
• Question 6 The PMHNP has been
treating a patient who is now being transferred to another provider. What is
the appropriate action made by the PMHNP?
• Question 7 The PMHNP is meeting
with a patient who has been diagnosed with depression. The patient is having
trouble adjusting to her new job and hasn’t made any new friends there. What
would an appropriate response be by the PMHNP using the interpersonal
psychotherapy approach?
• Question 8 A patient is finishing
the active treatment phase of interpersonal psychotherapy (IPT). After the
PMHNP reminds the patient that she has three sessions left, the patient says
nothing, but looks distressed. What would be the best reply by the PMHNP
following IPT protocol?
• Question 9 The PMHNP is initiating
a plan of care for Holly, a 73-year-old female patient who has late-life
bipolar disorder and reports consuming alcoholic beverages four times per week.
What is the focus of Holly’s therapy going to be?
• Question 10 A cocaine-addicted
female patient is entering residential treatment for substance abuse. Using the
10 guiding principles of recovery, an appropriate step by the PMHNP is to
______________.
• Question 11 The PMHNP has been
providing interpersonal psychotherapy (IPT) for a patient who the PMHNP
observes implementing new ways of being, such as interacting more with peers
and being less isolated in social scenarios. The PMHNP understands that the
patient is approaching termination. How does the PMHNP address termination with
this patient?
• Question 12 A 55-year-old patient
recovering from substance abuse tells the PMHNP, “It’s impossible to meet new
people. I really hate being single.” Using existential psychotherapy, what
might the PMHNP say next?
• Question 13 A PMHNP is treating a
10-year-old boy who is exhibiting signs of aggression and attention problems.
What type of intervention will the PMHNP consider using a common elements
approach?
• Question 14 The PMHNP is
interviewing a patient with a history of substance abuse. He has attempted to
stop abusing drugs three times before. He states to the PMHNP, “I just cannot
change. How can you help me?!” As it applies to change, the PMHNP understands
the principle of evocation to mean:
• Question 15 A 38-year-old patient
has been having trouble communicating with his teenage daughter. Using a
solution-focused therapy approach, the PMHNP responds by saying, “When was a
time that a communication problem could have occurred, but did not?” In this
case, what type of question is the PMHNP asking?
• Question 16 A PMHNP is assessing a
40-year-old patient named Sarah who has a severe cocaine addiction and mild
depression. Using the four-quadrant model, what would be the most appropriate
setting to help the patient?
• Question 17 A PMHNP is using
emotion-focused therapy to help a 38-year-old patient who says, “I’ve been
feeling angry lately, but I’m not sure why.” The first attempt by the PMHNP is
to say:
• Question 18 An 8-year-old has been
having trouble making friends at school. His parents initiated treatment when
he also started acting out at home. Which is the most appropriate step that the
PMHNP takes during the assessment process when using an integrated approach?
• Question 19 The PMHNP meets with a
31-year-old woman who reports feeling as though she is “at her breaking point”
with work. The PMHNP learns that the woman works 12-hour days, including one
day on the weekend, because she is nervous about company layoffs. “I feel like
I need to work myself to death in order to prove that I am valuable to the
organization,” the woman says. Using the supportive psychodynamic therapy
approach, how does the PMHNP respond?
• Question 20 The PMHNP continues to
meet with Gerald, who is the patient with depression and mood disorder. The
PMHNP uses the CBT approach. Gerald is now meeting with the PMHNP for his fifth
session and feels comfortable with how the therapy works. What does the PMHNP
plan to do with Gerald over the course of the next several sessions?
• Question 21 While assessing a
patient using a humanistic-existential approach, a patient tells the PMHNP,
“For the past few weeks, I’ve felt anxious almost every single day.” What would
be an appropriate next step by the PMHNP?
• Question 22 The PMHNP is assessing
an older adult male patient with depression and comorbidities. According to the
medical chart, the patient takes medication to manage joint and bone pain. The
patient reports feeling “forgetful” and complains that he has a hard time
remembering where he puts things. What is the primary action by the PMHNP?
• Question 23 A 13-year-old patient
and his parents are meeting with a PMHNP. When the PMHNP says hello, the boy
just nods. His parents tell the PMHNP that he didn’t want to come to the
session, but they insisted. They explain that their son has been moody and
depressed at home, but is still getting good grades at school. Which of the
following would be the best response by the PMHNP?
• Question 24 The PMHNP is assessing
a new geriatric patient who reports symptoms of depression. The PMHNP wants to
identify the patient’s symptom severity over time. Which assessment tool will
the PMHNP use to collect this data on the patient?
• Question 25 The PMHNP is caring for
a geriatric patient who expresses symptoms of gastrointestinal problems, aches
and pains, and loss of appetite. The patient reports feeling lonely, as more of
his friends have been passing away over the recent months and years. The PMHNP
focuses on which therapeutic approach for this patient?

NURS6670 Psychiatric Mental Health Nurse Practitioner Role II
Week 3 Discussion
Treatment
of Personality Disorders
Personality
disorders occur in 10–20% of the population. They are difficult to treat as
individuals with personality disorders are less likely to seek help than
individuals with other mental health disorders. Treatment can be challenging as
they do not see their symptoms as painful to themselves or others.
In this
Discussion, you will explore personality disorders in greater detail and
discuss treatment options using evidence-based research.
Learning
Objectives
Students
will:
• Analyze diagnostic criteria for
personality disorders
• Analyze evidence-based
psychotherapy and psychopharmacologic treatments for personality disorders
• Analyze clinical features of
clients with personality disorders
• Align clinical features with DSM-5
criteria
• Compare differential diagnostic
features of personality disorders
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!
To prepare
for this Discussion:
• By Day 5 of Week 2, your Instructor
will have assigned you a personality disorder, which will be your focus for
your initial post for this Discussion.
• Review the Learning Resources.
By Day 3
Post:
• Explain the diagnostic criteria for
your assigned personality disorder.
• Explain the evidenced-based
psychotherapy and psychopharmacologic treatment for your assigned personality
disorder.
• Describe clinical features from a
client that led you to believe this client had this disorder. Align the
clinical features with the DSM-5 criteria.
• Support your rationale with
references to the Learning Resources or other academic resources.
By Day 6
Respond to
at least two of your colleagues by comparing the differential diagnostic
features of the disorder you were assigned to the diagnostic features of the
disorder your colleagues were assigned. What are their similarities and
differences? How might you differentiate the two diagnoses?

NURS6670 Psychiatric Mental Health Nurse Practitioner Role II
Week 4 Discussion
Clinical
Supervision – Kaltura
Substance
use disorders are complicated psychiatric and medical conditions that involve
physical addiction as well as psychological or emotional dependence. Substance
use disorders are some of the most difficult to treat. It takes a great deal of
patience on the part of the provider and the client. It may take several
attempts before a client is successfully able to “kick the habit.” Your
guidance and patience can help the client to persevere through difficult times
during the journey to recovery.
Clinical
Supervision is an essential component of your development as a psychiatric
mental health nurse practitioner. It provides an opportunity for professional
collaboration as you share experiences with and gain insights from colleagues.
For this Clinical Supervision, consider a client with a substance abuse
disorder whom you do not think is adequately progressing according to expected
clinical outcomes.
Learning
Objectives
Students
will:
• Analyze clients presenting for
treatment of substance-related and addictive disorders
• Evaluate effectiveness of
therapeutic approaches for clients diagnosed with substance-related and
addictive disorders
• Recommend treatment plans
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!
To prepare
for this Discussion:
• Review this week’s Learning
Resources concerning treating patients with substance-related and addictive
disorders.
• Reflect on a client you are
currently counseling or have previously counseled at your practicum site who
has been diagnosed with substance-related and addictive disorders.
By Day 3
Post a 3-
to 5-minute Kaltura video in which you do the following:
• Describe the client. Note: Do not
use the client’s actual name.
• Explain your therapeutic approach
with the client, including the perceived effectiveness of your approach.
• Identify any additional information
about this client that may potentially impact expected outcomes.
• Provide specific recommendations
for the client to help them in determining why they are not progressing and
what your suggested treatment plan consists of. It is useful to consult the
Prochaska and DiClement model.
Note: Nurse
practitioners must have strong oral communication skills. This Discussion is
designed to help you hone these skills. When filming your Kaltura video, be
sure to dress and speak in a professional manner.
View a
selection of your colleagues’ responses.
By Day 6
Respond to
at least two of your colleagues by suggesting an alternate therapeutic
approach. Support your feedback with evidence-based literature and/or your own
experiences with clients.