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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explains that her father always appears mopey and withdrawn and refuses to do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.

Week_4_Assignment_2.docx (39.98 KB)

Walden NURS6640 Week 4 Assignment 2 Latest 2019 March NURS6640 Week 4 Assignment 2 Practicum – Week 1 Journal Entry and Journal
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.