NURS Assignment Practicum – Week 8 Journal Entry

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NURS Assignment Practicum – Week 8 Journal Entry

Learning Objectives Students will:

Develop effective documentation skills for group therapy sessions *

Develop diagnoses for clients receiving group psychotherapy *

Evaluate the efficacy of cognitive behavioral therapy for groups *

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 10.

Select two clients you observed or counseled this week during a group therapy session.
Note: The two clients you select must have attended the same group session.

Then, in your Practicum Journal, address the following:

Using the Group Therapy Progress Note in this week’s Learning Resources, document the
group session.

Describe each 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 each client.

Explain whether cognitive behavioral therapy would be effective with this group.
Include expected outcomes based on this therapeutic approach. NURS Assignment Practicum – Week 8 Journal Entry

Explain any legal and/or ethical implications related to counseling each client.

Support
your approach with evidence-based literature.

Week 6 Midterm Exam

• Question 1

When completing this exam, did
you comply with Walden University’s Code of Conduct including the expectations

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for academic integrity?

• Question 2

The PMHNP is providing narrative
therapy to a family. Although each family member assigns a “problem” to
another, the PMHNP attempts to separate each person in the family from their
problems. The goal is to find something they all have in common so the family
can unite. What will the PMHNP do next to help facilitate this goal?

• Question 3 When using a cognitive behavioral approach, a PMHNP says to
a group member, “Carla, it sounds like Greg thinks that you might want to try
yoga for relaxation.” What would be an appropriate next statement by the PMHNP
to Carla?

• Question 4

During a family therapy session,
a 10-year-old girl says to her father, “You are at work all the time and are
never around.” What is the most appropriate response by the PMHNP to improve
communication?

• Question 5

The PMHNP is meeting with a
family that consists of a mother and father and their two daughters, ages 8 and
10. During the session, the PMHNP hears one child say, “My sister never gets
into trouble because she’s the smart one.” Which family therapy theory is most
applicable to this family?

• Question 6

The PMHNP is working with a
family composed of two parents and their 16-year-old son. The parents report
they have been experiencing conflict regarding the son’s defiant behavior in
the home. Which action will the PMHNP employ as part of the early phase of the
therapy?

• Question 7

The PMHNP is meeting with two
women, ages 35 and 42, who are concerned about their mother’s use of alcohol.
During the meeting, what question(s) should the PMHNP ask the mother to help
uncover the potential drinking problem? NURS Assignment Practicum – Week 8 Journal Entry

• Question 8

The PMHNP is meeting with a
married couple. The woman feels very insecure, particularly when it comes to
her husband working with women in his office. She reports, “My girlfriends say
that it’s not attractive to be insecure like I am, so I’m really making the
problem worse by being so insecure.” How can the PMHNP externalize the woman’s
problem?

• Question 9

During a family therapy session,
the PMHNP identifies a significant amount of emotional fusion between the
parents and their young adult son. The son admits that he tries to seek
distance from his parents. This is why he moved out of state for college,
though he still comes back to visit out of obligation. What does the PMHNP interpret
about this scenario?

• Question 10

The PMHNP is meeting with a
husband and wife and observes that the husband is able to maintain his
composure while the wife becomes more teary and emotional throughout the
session. Which principle is used to describe this observation? NURS Assignment Practicum – Week 8 Journal Entry