Week 2 Journal Entry

by
with no comment
Nursing Papers

Week 2 Journal Entry

Assignment 2: Practicum – Week 2 Journal Entry
Learning Objectives
Students will:
Apply documentation skills to examine family therapy sessions *
Develop diagnoses for clients receiving family psychotherapy *
Analyze legal and ethical implications of counseling clients with psychiatric disorders *
* The Assignment related to this Learning Objective is introduced this week and submitted in Week 3.
Select two clients you observed or counseled this week during a family therapy session. Note: The two
clients you select must have attended the same family session.
Then, address in your Practicum Journal the following:
Using the Group Therapy Progress Note in this week’s Learning Resources, document the family
session.
Describe (without violating HIPAA regulations) each client, and identify any pertinent history or medical
information, including prescribed medications.
Using the Diagnostic and Statistical Manual of Mental Health Disorders, Fifth Edition (DSM-5), explain
and justify your diagnosis for each client.
Explain any legal and/or ethical implications related to counseling each client.
Support your approach with evidence-based literature
Running Head: WEEK TWO JOURNAL ENTRY
 
 
 
 
 
 
 
 
 
Assignment 2: Practicum Week 2 Journal Entry
 
NURS 6650 Psychotherapy with Groups and Families
Walden University

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Group Therapy Progress Note
 
 
 
 
Client: ___John M_______________________________________________ Date:9/18/2018 ___________
Group name:_____________N/A___________________________________ Minutes:_______45_ Group session # __N/A____ Meeting attended is #:_1_____ for this client.
Number present in group ___2__ of _____ 2scheduled Start time:_1130_______ End time: ___1215_____
 
Assessment of client
· Participation level: ❑ Active/eager ❑ Variable ❑ Only responsive ❑ Minimal ❑ Withdrawn
· Participation quality: ❑ Expected ❑ Supportive ❑ Sharing ❑ Attentive ❑ Intrusive
❑ Monopolizing ❑ Resistant ❑ Other: _____________________________________
· Mood: ❑ Normal ❑ Anxious ❑ Depressed ❑ Angry ❑ Euphoric ❑ Other: _______________
· Affect: ❑ Normal ❑ Intense ❑ Blunted ❑ Inappropriate ❑ Labile ❑ Other:_______________
· Mental status: ❑ Normal ❑ Lack awareness ❑ Memory problems ❑ Disoriented ❑ Confused
❑ Disorganized ❑ Vigilant ❑ Delusions ❑ Hallucinations ❑ Other:__________________
· Suicide/violence risk: ❑ Almost none ❑ Ideation ❑ Threat ❑ Rehearsal ❑ Gesture ❑ Attempt
· Change in stressors: ❑ Less severe/fewer ❑ Different stressors ❑ More/more severe ❑ Chronic
· Change in coping ability/skills: ❑ No change ❑ Improved ❑ Less able ❑ Much less able
· Change in symptoms: ❑ Same ❑ Less severe ❑ Resolved ❑ More severe ❑ Much worse
· Other observations/evaluations:________________________________________________________ In-session procedures:
· __________Introduction_________________________________________________________________
· ___
· History of Present Problem____________________________________________________________________________
· _Assessment______________________________________________________________________________
· Formulated Plan _______________________________________________________________________________
· __________ _____________________________________________________________________ Homework: Daily Recording of Sobriety
1. 2. Focus on present and future, not the past Commit to 12 steps Meetings
3.
 
Other Comments:
Brochure provided for AA meetings in the area of city of Phoenix
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
 
 
Leandre
Signatures Date
 
American Psychological Association | Division 12 http://www.div12.org/ 1
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
History of Presenting Case
 
The family consisted of 40 -year-old John M, and his wife Mary M., who is 32 years old, and they have no children. The clients were seen in a mental crisis center. Initially, Mr. John had been voluntarily admitted to the unit due passive suicidal thoughts, depression, and alcohol dependence. Mr. John had been recently fired from his job due to showing at work drunk. Couple therapy was recommended to speed up his recovery and maintain sobriety.
In the session, Mr. John self-reported mood as depressed, and he acknowledged his drinking problem disrupting his life, and he was prepared to fully participate in the recovery for the sake of his well-being and his marriage. On the hand, his wife Mary, appeared anxious, and frustrated. She blamed the husband for all the misery of the family. She was much worried about their future as the husband had lost his job. However, she was willing to support him in recovery.
Psychiatric History: Mr. John has battling depression for six years, and his PCP prescribed antidepressant (Zoloft) last year but he abruptly stopped taking them as he felt that the medication was affecting his sexuality. He did not follow up with his PCP. He self-medicates with alcohol. His wife reported history of anxiety and occasional panic attacks, she was taking fluoxetine 40mg daily. The medication was prescribed by PCP.
Psychiatric Hospitalization: It was the first time for Mr. John to hospitalized in mental facility.
His wife reported no history of psychiatric hospitalization.
Medical History: They both denied any medical history
Psychosocial History: They both said they smoked marijuana occasionally. The wife works as cashier in a local gas station. They live in a one- bedroom apartment.
Differential Diagnosis:
Major Depression Disorder F 32
Mr. John presented with depressed mood and reported history of loss of interest in pleasurable activities, sleep disturbance and suicidal thoughts lasting more than 2 weeks. In addition, to meet the diagnostic criteria the symptoms had caused clinically significant distress or impairment in social, occupational, or other important areas of functioning( American Psychiatric Association, 2013)
Alcohol Use disorder AUD
To be diagnosed with an AUD, individuals must meet certain diagnostic criteria. Some of these criteria include problems controlling intake of alcohol, continued use of alcohol despite problems resulting from drinking, development of a tolerance ( Grant& Saha, 2015).
Generalized Anxiety Disorder: Ms. Mary exhibited some of the signs of generalized anxiety. Diagnostic criteria symptoms include excessive anxiety and worry as well as restlessness, fatigue, irritability, tension, and sleep problems (Watson& Greenberg, 2017)
Ethical and Ethical Implications of Counselling the Couple
  Family members often experience resentment about past substance abuse and fear and distrust about the possible return of substance abuse in the future (O’ Farrell& Fals-Stewart, 2013)In the case of John and Mary, there is a higher probability that there will be uncertainty and distrust during the recovery. It may be unethical to tell directly his wife that her anxiety and blame towards her husband may demoralize him and impede the recovery. However, it may be beneficial as feelings experienced by the substance abuser and the family often lead to an atmosphere of tension and unhappiness in couple and family relationships( O’Farrell & Fals-Stewart, 2013).
 
References
American Psychiatric Association. (2013). Major Depressive Disorder. Retrieved from /orders/images.pearsonclinical.com/images/assets/basc-3/basc3resources/DSM5_DiagnosticCriteria_MajorDepressiveDisorder.pdf
Frisch, N. C., & Frisch, L. E. (2011). Psychiatric mental health nursing (4th ed.). Clifton Park, NY: Delmar Pub.
Grant, B., & Saha, T. (2015). Epidemiology of DSM-5 Alcohol Use Disorder Results From the National Epidemiologic Survey on Alcohol and Related Conditions III. Jama Psychiatry, 72(8). Retrieved from /orders/jamanetwork.com/journals/jamapsychiatry/fullarticle/2300494
Nichols, M. (2013). The Essentials of Family Therapy (6th ed.). United States: Pearson Education.
O’Farrell, T. J., & Fals-Stewart, W. (2013). Behavioral Couples Therapy for Alcoholism and Other Drug Abuse. Alcoholism Treatment Quarterly, 26(1-2), 195-219. Retrieved from /orders/www.ncbi.nlm.nih.gov/pmc/articles/PMC3215582/
Watson, J. C., & Greenberg, L. S. (2017). Emotion-focused therapy formulation of generalized anxiety disorder. American Psychology Association, 54(4), 17-40. Retrieved from /orders/eds-b-ebscohost-com.ezp.waldenulibrary.org/eds/pdfviewer/pdfviewer?vid=9&sid=0ff11f46-f73e-4f63-8578-ad65a99c45c2%40pdc-v-sessmgr05

Click here  to ORDER an A++ paper from our MASTERS and DOCTORATE WRITERS

Who We Are 

We are a professional custom writing website. If you have searched a question and bumped into our website just know you are in the right place to get help in your coursework.

Do you handle any type of coursework?

Yes. We have posted over our previous orders to display our experience. Since we have done this question before, we can also do it for you. To make sure we do it perfectly, please fill our Order Form. Filling the order form correctly will assist our team in referencing, specifications and future communication.

 

Is it hard to Place an Order?

ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT

1. Click on the  “Order Now” on the main Menu and a new page will appear with an order form to be filled.
2. Fill in your paper’s requirements in the “PAPER INFORMATION” section and the system will calculate your order price/cost.
3. Fill in your paper’s academic level, deadline and the required number of pages from the drop-down menus.
4. Click “FINAL STEP” to enter your registration details and get an account with us for record-keeping and then, click on “PROCEED TO CHECKOUT” at the bottom of the page.
 

100% Reliable Site. Make this your Home of Academic Papers.

Order Button Paypal

Always Order High-Quality Academic Papers from HERE 

 
5. From there, the payment sections will show, follow the guided payment process and your order will be available for our writing team to work on it.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Who We Are 

We are a professional custom writing website. If you have searched for a question and bumped into our website just know you are in the right place to get help with your coursework.

Do you handle any type of coursework?

Yes. We have posted our previous orders to display our experience. Since we have done this question before, we can also do it for you. To make sure we do it perfectly, please fill out our Order Form. Filling the order form correctly will assist our team in referencing, specifications, and future communication.

Is it hard to Place an Order?

  • 1. Click on “Order Now” on the main Menu and a new page will appear with an order form to be filled.
  • 2. Fill in your paper’s requirements in the “PAPER INFORMATION” section and the system will calculate your order price/cost.
  • 3. Fill in your paper’s academic level, deadline, and the required number of pages from the drop-down menus.
  • 4. Click “FINAL STEP” to enter your registration details and get an account with us for record-keeping and then, click on “PROCEED TO CHECKOUT” at the bottom of the page.
  • 5. From there, the payment sections will show, follow the guided payment process and your order will be available for our writing team to work on it.

SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS – 

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

  • Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

  • Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

  • APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

  • Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

  • LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

  • Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

  • Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

  • Guarantee

  • Zero Plagiarism
  • On-time delivery
  • A-Grade Papers
  • Free Revision
  • 24/7 Support
  • 100% Confidentiality
  • Professional Writers

  • Services Offered

  • Custom paper writing
  • Question and answers
  • Essay paper writing
  • Editing and proofreading
  • Plagiarism removal services
  • Multiple answer questions

SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

Looking for a Similar Assignment? Order a custom-written, plagiarism-free paper

Comments are closed.