Walden NUR6640 PsychPharm Assignments Full Course – Discussion + Assignment + Exams

Practicum Experience Time Log and Journal

Student Name:

E-mail Address:

Practicum Placement Agency’s Name: A Healthy Mind

Preceptor’s Name:

Preceptor’s Telephone:

Preceptor’s E-mail Address:

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Time Log
Week	Dates	Times	Total Hours for This Time Frame	Activities/Comments	Learning Objective(s) Addressed
1	2/28/20	0800-1800	10	Office Orientation/ Psychiatric Evaluations, Medication Management Strategy Techniques	Medication Management
1	2/29/20	0800-1800	10	Individual psychotherapy sessions, medication refills, psychiatric evaluations.	Experience with patients of diverse demographics, Manage all patient types, utilize text and psychopharmaceutical resources to aid in directing patient care.
2	3/5/20	0800-1800	10	Psychotherapy Sessions	Experiences with patients of diverse demographics. Utilize text and psycho pharmaceutical resources to aid in directing patient care.
3	3/12/20	0800-1800	10	Psychiatric Evaluation, Individual Psychotherapy	Experience with patients of diverse demographics, Manage all patient types, utilize text and psychopharmaceutical resources to aid in directing patient care.
3	3/13/20	0800-1800	10	Medication Management, Individual Psychotherapy	Experiences with patients of diverse demographics. Utilize text and psycho pharmaceutical resources to aid in directing patient care.
4	3/16/20	0800-1800	10	Individual Psychotherapy	Proficiency in psychotherapy Manage all patient types
4	3/20/20	0800-1800	10	Individual Psychotherapy	Proficiency in psychotherapy Manage all patient types
5	03/26/20	0800-1800	10	Individual Psychotherapy	Proficiency in psychotherapy Manage all patient types

Total Hours Completed:

Journal Entries

Week 1

Nursing Theory:

Modelling and Role Modelling

The Modeling and Role Modeling Theory was developed by Helen Erickson, Evelyn M. Tomlin, and Mary Anne P. Swain. It was first published in 1983 in their book Modeling and Role Modeling: A Theory and Paradigm for Nursing. The theory enables nurses to care for and nurture each patient with an awareness of and respect for the individual patient’s uniqueness. This exemplifies theory-based clinical practice that focuses on the patient’s needs (Nursing Theory, 2020). As an Advanced Practice Registered Nurse (APRN) being a role model will be key to setting examples for clients as they face difficult challenges in their lives.

Counselling Theory:

Cognitive Therapy Theory

Cognitive therapy emphasizes what people think rather than what they do. Cognitive therapists believe that it’s dysfunctional thinking that leads to dysfunctional emotions or behaviors. By changing their thoughts, people can change how they feel and what they do. Major figures in cognitive therapy include Albert Ellis and Aaron Beck (American Psychological Association, 2020). The way clients view themselves, the world in which they live, and how to function within society is key to their long-term success. Cognitive Therapy Theory helps clients redirect their thought processes to find healthy ways to think, affording them the possibility of moving forward in a positive direction with improved coping mechanisms related to their thought processes.

Goals:

Proficiency in psychotherapy
Manage all patient types
Become proficient med management practitioner

Objectives:

Perform independent individual psychotherapeutic sessions.
Seek experiences with patients of diverse demographics.
Utilize text and psycho pharmaceutical resources to aid in directing patient care.

References
American Psychological Association (2020). Different Approaches to Psychotherapy. Retrieved
from: https://www.apa.org/topics/therapy/psychotherapy-approaches
Nursing Theory (2020), Modelling and Role Modelling Theory, Retrieved from: https://nursing
theory.org/theories-and-models/erickson-modeling-and-role-modeling-theory.php

Week 2

Patient: Richard

Low socioeconomic status, lives with roommate, unemployed, 52 yo male, father to 2 year old son, recently in relationship with his step daughter, past meth, marijuana, and heroin use disorder. Ongoing AA, counselling, and random UAs, no SI, HI, SMI, and no Audio/Visual hallucination (AVH), CBT for Panic Disorder. 3 heart attacks, defibrillator placed.

Meds: Valium 5mg 1 tab TID PRN

Diagnosis:

F15.21 other stimulants dependence (in remission)

F41.1 Generalized Anxiety Disorder

Legal/ ethical: Open CPS Case due to substance abuse.

Studies find that disconfirmation of patients’ role expectations in group therapy were associated with weaker therapeutic alliance highlights the importance of discussing psychotherapy expectations at an early stage in treatment. Expectations characterized by defensiveness predicted worse retention in psychotherapy, which indicates that the PEX‐S can be helpful in detecting patients at risk for dropout. Practitioner points in targeting a patient’s role expectancies prior to treatment, possible discrepancies between patient and therapist are made visible and possible to examine. Clarifying the patient’s role expectations and the therapist’s rationale might be a first step towards establishing a strong working alliance. Surveying the patient’s defensiveness tendencies at the beginning of therapy offers a chance to discuss possible fears and other obstacles concerning therapy (Frankl, M., Philips, B., & Wennberg, P., 2014).

When counseling parents with suspected child abuse, studies have found that curative interventions with interventions focusing on improving parenting skills and providing social and/or emotional support to be effective in preventing or reducing child maltreatment (Van der Put, C., Assink, M., Gubbels, J., & Boekhout van Solinge, N., 2018).

References

Frankl, M., Philips, B., & Wennberg, P. (2014). Psychotherapy role expectations and

experiences—Discrepancy and therapeutic alliance among patients with substance use disorders. Psychology and Psychotherapy: Theory, Research and Practice, 87(4), 411–424. https://doi-org.ezp.waldenulibrary.org/10.1111/papt.12021

Van der Put, C., Assink, M., Gubbels, J., & Boekhout van Solinge, N. (2018). Identifying

Effective Components of Child Maltreatment Interventions: A Meta-analysis. Clinical Child And Family Psychology Review, 21(2), 171–202. https://doi-org.ezp.waldenulibrary.org/10.1007/s10567-017-0250-5

Week 3

Part 1: Comprehensive Client Family Assessment

Patient: Caleb

Demographic information: 147.4 lbs, BMI 27, 23 year old male

Presenting problem: Initial Psych Eval

History of present illness: See Psychiatric History.

Past psychiatric history: Celexa 20mg Daily for depression (off and on since diagnosis). He reports feeling hopelessness, helplessness, worthlessness, feelings of low motivation and feelings of hating to live, suicidal ideations without a plan, Paranoia, He worries about the future and his insurance covering his future treatment needs. Denies taking any meds for anxiety. Pt. states he takes Ativan for nausea.

Medical history: Lymphodemnia, Triple Lumen PICC line, Iliostomy, Interocutaneous Fistula, Near Sited Vision, Sterile, Acute Leukemia (April 2012), Introanal fistula secondary to colectomy, past tracheostomy for long term vent needs secondary to chronic condition and medically induced coma (2012), Cancer is in remission, Type II Insulin Dependent Diabetic, Long Acting insulin in TPN with sliding scale, nephrostomy tubes, Graft Vs Host Disease, Sees Physicians for photophores at Mayo in Scottsdale for his care now every other week to have his blood spun and have a special procedure, pt. will send his medication list (multiple meds), gets 7 hours of sleep a night.

Substance use history: Denies cigarette use, illicit drug, or alcohol use.

Developmental history: High School Degree, Met all Milestones, Degree in Business Writing.

Family psychiatric history: Maternal Grandmother: Depression/Anxiety, Paternal Grandfather: None., Denies family suicide history. Walden NUR6640 PsychPharm Assignments

Psychosocial history: Born and raised in BHC, played in orchestra and sang in competitive choir in high school, sophomore year of college he was diagnosed with Leukemia, Supportive friends from choir.

History of abuse/trauma: None

Review of systems: Wears glasses, Breathing on room air, Moves all Extremities, BP: 143/87, HR:99, RR: 24 bpm, PERRLA

Physical assessment: Pt. appears calm, pleasant, cooperative.

Mental status exam: AOX4

Differential diagnosis: Acute Lymphoblastic Leukemia (remission), Chronic Pain, Graft Versus Host Disease (unspecified), Type II Insulin Dependent Diabetes, Percutaneous Nephrostomy, Generalized Anxiety.

Case formulation: Case Management and Counselling.

Treatment plan: Plan to have pt. look into further government assistance, plan to review patient’s meds, plan to possibly change meds.

Part 2: Family Genogram

Request for details

Include references immediately following the content.
Use APA style for your journal entry and references.

Practicum Journal Entries

Each week, you will complete practicum-related assignments. It is highly recommended that you review the practicum assignments for Weeks 2–10 before Day 7 of Week 1. This will give you time to connect with your preceptor so that you can fulfill the requirements of each practicum assignment.

Due Day 7 of Week 4:

Week 1:You will select one nursing theory and one counseling theory to best guide your practice in psychotherapy. You will explain why you selected these theories and support your approach with evidence-based literature. You also will develop at least three goals and at least three objectives for the practicum experience in this course. Walden NUR6640 PsychPharm Assignments
Week 2:You will write about a client you observed or counseled. (Assignment to be submitted by Day 7 of Week 4.)

Week 3: You will complete a Comprehensive Client Assessment. (Assignment to be submitted by Day 7 of Week 4.)

Due Day 7 of Week 7:

Week 4:You will write about a client you observed or counseled and explain whether cognitive behavioral therapy would be effective with this client. (Assignment to be submitted by Day 7 of Week 4 .)

Due Day 7 of Week 7:

Week 5:You will write about a client you observed or counseled that suffers from a disorder related to trauma. (Assignment to be submitted by Day 7 of Week 7.)
Week 6:You will write about a client you observed or counseled and explain whether motivational interviewing would be effective with this client. (Assignment to be submitted by Day 7 of Week 7.)

Due Day 7 of Week 10:

Week 7:You will write a progress note and privileged psychotherapy note for the client you assessed in Week 3 for the Comprehensive Client Assessment. (Assignment to be submitted by Day 7 of Week 7.)

Due Day 7 of Week 10:

Week 8:You will write about a client you observed or counseled and explain whether existential-humanistic therapy would be effective with this client. You will also reflect on your clinical supervision experiences. (Assignment to be submitted by Day 7 of Week 10.)
Week 9:You will write about a child or adolescent client you observed or counseled. (Assignment to be submitted by Day 7 of Week 10.)
Week 10:You will write a reflection on your practicum experiences. (Assignment to be submitted by Day 7 of Week 10.)

Comprehensive Client Assessments, Progress Notes, and Client Termination Summary

Due Day 7 of Week 4:

Week 10:You will write a Client Termination Summary for a client who is ready to complete therapy. (Assignment to be submitted by Day 7 of Week 10.)

Walden NUR6640 PsychPharm Assignments 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.

Learning Objectives

Students will:

Evaluate biological basis of psychotherapy treatments

Analyze influences of culture, religion, and socioeconomics on personal perspectives of psychotherapy treatments

To prepare:

Review this week’s Learning Resources.

Reflect on foundational concepts of psychotherapy.

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!

By Day 3

Post an explanation of whether psychotherapy has a biological basis. Explain how culture, religion, and socioeconomics might influence one’s perspective of the value of psychotherapy treatments. Support your rationale with evidence-based literature.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues by providing an additional scholarly resource that supports or challenges their position along with a brief explanation of the resource.

Week 2: Assessment and Diagnosis in Psychotherapy

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.

Learning Objectives

Students will:

Analyze psychometric properties of assessment tools

Evaluate appropriate use of assessment tools in psychotherapy

Compare assessment tools used in psychotherapy

Note: By Day 1 of this week, the Course Instructor will assign you to an assessment tool that is used in psychotherapy.

To prepare:

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

Consider the assessment tool assigned to you by the Course Instructor.

Review the Library Course Guide in your Learning Resources for assistance in locating information on the assessment tool you were assigned.

By Day 3

Post an explanation of the psychometric properties of the assessment tool you were assigned. Explain when it is appropriate to use this assessment tool with clients, including whether the tool can be used to evaluate the efficacy of psychopharmacologic medications. Support your approach with evidence-based literature.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues by comparing your assessment tool to theirs.

Submission and Grading Information

Walden NUR6640 PsychPharm Assignments 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.

Grading Criteria.

Walden NUR6640 PsychPharm Assignments 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. Walden NUR6640 PsychPharm Assignments

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:

Walden NUR6640 PsychPharm Assignments 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.

Learning Objectives

Students will:

Assess clients presenting with posttraumatic stress disorder

Analyze therapeutic approaches for treating clients presenting with posttraumatic stress disorder

Evaluate outcomes for clients with posttraumatic stress disorder

To prepare:

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

View the media Academic Year in Residence: Thompson Family Case Study, and assess the client in the case study.

For guidance on assessing the client, refer to pages 137–142 of the Wheeler text in this week’s Learning Resources.

Note: To complete this Discussion, you must assess the client, but you are not required to submit a formal Comprehensive Client Assessment.

By Day 3

Post on or before Day 3 an explanation of your observations of the client William in Thompson Family Case Study, including behaviors that align to the PTSD criteria in DSM-5. Then, explain therapeutic approaches you might use with this client, including psychotropic medications if appropriate. Finally, explain expected outcomes for the client based on these therapeutic approaches. Support your approach with evidence-based literature.

Read a selection of your colleagues’ responses.

Week 6 Assignment 1: 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. Walden NUR6640 PsychPharm Assignments

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 Assignmentlink. 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.

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. Walden NUR6640 PsychPharm Assignments