NRNP 6645 – Psychotherapy With Multiple Modalities Course Assignments & Discussions Study Guide

NRNP 6645 - Psychotherapy With Multiple Modalities Course Assignments & Discussions StudyNRNP 6645 – Psychotherapy With Multiple Modalities Course Description

3 credits

Psychotherapy involves giving more than good advice. For the psychiatric mental health nurse practitioner (PMHNP) to be effective, deliberate approaches to therapy must be consistent with evidence-based practices. Learners in this course examine a variety of therapeutic techniques that can be used during psychotherapy sessions with individuals, families, and groups across the lifespan. Emphasis is placed on evidence-based applications of various therapeutic approaches for a wide range of psychiatric issues.

Prerequisites

  • NRNP 6635

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NRNP 6645 – Psychotherapy With Multiple Modalities Course Syllabus & Assignments Summary

NRNP-6645F Week 1: Assignment COURSE ACKNOWLEDGEMENT QUIZ

Question 1

0.1 / 0.1 pts

How long does my instructor have to grade my assignments after the due date?

3 days

 

5 days

 

7 days

 

Correct! 

10 days

 

Question 2

0.1 / 0.1 pts

Where do I find my instructor’s feedback on assignments?

In the grading comments

 

In the rubric

 

Correct!

Grading comments and the rubric

 

Question 3

0.1 / 0.1 pts

How often should I check the announcements, email and doc sharing?

Correct!

Every day

 

Once a week

 

Twice a week

 

Three times a week

You can also read another study guide on nursing assignments for students from another post on NRNP 6675 – Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II Course Assignments & Discussions.

NRNP-6645F Week 1: Assignment COURSE ACKNOWLEDGEMENT QUIZ Question 4

0.1 / 0.1 pts

Who do I contact about a grade I don’t agree with?

Correct!

Didactic faculty

 

Specialty Coordinator

 

Program Director

 

President

 

Question 5

0.1 / 0.1 pts

Are assignment re-dos or extra credit allowed in the NP program?

Yes

 

Correct!

No

 

Question 6

0.1 / 0.1 pts

I cannot use my textbook as a resource or other patient centered websites such as WebMD.

Correct!

True

 

False

 

Question 7

0.1 / 0.1 pts

I cannot use textbooks, notes, videos, websites, or any other resource when taking the midterm and final exams.

Correct!

True

 

False

 

Question 8

0.1 / 0.1 pts

Are Grand Rounds mandatory to attend?

Yes

 

Correct!

No

 

NRNP-6645F Week 1: Assignment COURSE ACKNOWLEDGEMENT QUIZ Question 9

0.1 / 0.1 pts

Can I watch a recording of Grand Rounds later?

Correct!

Yes

 

No

 

Question 10

0.1 / 0.1 pts

I have read the NP program Practicum Manual and will abide by the requirements to successfully complete this program.

Correct!

True

 

False

 

Question 11

0.1 / 0.1 pts

I am responsible for everything I post on social media.

Correct!

True

 

False

 

Question 12

0.1 / 0.1 pts

I understand the appropriate chain of command in the College of Nursing.

Correct!

True

 

False

 

Question 13

1 / 1 pts

I acknowledge reading the syllabus and understand the course requirements to successfully pass the class.

Correct!

True

 

False

 

Question 14

Not yet graded / 0.1 pts

By signing below, I acknowledge that I have viewed the course information meeting in its entirety  and / or course materials and will adhere to the policies that have been set forth.

Type your name and the date below.

NRNP-6645 Week 1: Assignment COURSE ACKNOWLEDGEMENT QUIZ

NRNP-6645 The Analyzing Group Techniques Assignment

Group therapy can alleviate feelings of isolation and foster a supportive and collaborative environment for sharing difficult feelings in order to facilitate healing. For many people, being part of a group that has a shared understanding of a struggle provides a unique opportunity to gain understanding of their own experiences.

As you examine one of the group therapy demonstrations from this week’s Learning Resources, consider the role and efficacy of the leader and the reasons that specific therapeutic techniques were selected.

RESOURCES

 Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

NRNP-6645 Assignment Analyzing Group Techniques Example

WEEKLY RESOURCES

To prepare:

    Select one of the group therapy video demonstrations from this week’s required media Learning Resources.

THE ASSIGNMENT

In a 3- to 4-page paper, identify the video you selected and address the following:

    What group therapy techniques were demonstrated? How well do you believe these techniques were demonstrated?

    What evidence from the literature supports the techniques demonstrated?

    What did you notice that the therapist did well?

    Explain something that you would have handled differently.

    What is an insight that you gained from watching the therapist handle the group therapy?

    Now imagine you are leading your own group session. How would you go about handling a difficult situation with a disruptive group member? How would you elicit participation in your group? What would you anticipate finding in the different phases of group therapy? What do you see as the benefits and challenges of group therapy?

    Support your reasoning with at least three peer-reviewed, evidence-based sources, and explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources.

BY DAY 7

Submit your Assignment.

ReminderLinks to an external site. 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 https://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.

NRNP/PRAC 6645 Comprehensive Psychiatric Evaluation Note Template

NRNP/PRAC 6645 Comprehensive Psychiatric

Evaluation Note Template

CC (chief complaint): “Chaos at her household”

HPI: Mrs. P is a 40-year-old Iranian female who presented to the psychiatric unit due to chaos in her household. She is accompanied by her 23-year-old daughter for therapy. The patient is an immigrant from Iran, as she moved to the United States 12 years back with 4 of her children as one was left behind at the age of 8 years. She however got her visa 2 years ago and was able to bring the fifth child to the Country. She reports a history of trauma from domestic violence and physical abuse from her husband. The child who was left behind in Iran was also sexually assaulted by her father. The mother feels overwhelmed, hopeless and helpless, as her daughters blame her for the traumatic events. She claims that her daughters are out of control. The family has attended family therapy sessions twice. Mrs. P reports that she has been leading a traditional lifestyle, separate from her children who have adopted a different lifestyle and failing to spend time with her. She is currently disabled from two feet surgeries. She is lonely and helpless as she lives alone NRNP/PRAC 6645 Comprehensive Psychiatric Evaluation Note Template.

Past Psychiatric History:

  • General Statement: The patient is lonely and depressed from living alone without seeing her children every day.
  • Caregivers (if applicable): three daughters and two sons, who help support the patient.
  • Hospitalizations: Reports a history of foot surgeries done twice.
  • Medication trials: None
  • Psychotherapy or Previous Psychiatric Diagnosis: The family has a history of traumatic experiences and reports taking part in both individual and family therapy.

Substance Current Use and History: None provided. Can be collected through interviews. Helpful in determining the risks of substance use disorder.

Family Psychiatric/Substance Use History: The patients report a history of physical and sexual abuse from her husband. Her daughter who was left in Iran, was also sexually and physically abused by her father.

Psychosocial History: Mrs. P was born and raised in Iran. She was married to an abusive husband the made her migrate to the United States. She has five children, three daughters, and two sons. She is Muslim, with a traditional lifestyle. She likes watching religious teaching and playing video games when alone.

Medical History:

  • Current Medications: None. This information is important in selecting a medication for the management of the present mental illness.
  • Allergies: None
  • Reproductive Hx: Heterosexual. Normal birth of five children, two sons, and three daughters.

ROS: None provided. A review of systems through interviewing the patient is crucial in ruling out comorbid medical conditions.

Physical exam: The patient’s vitals and examination of the musculoskeletal system are necessary for further assessment of her disability from the previous surgeries NRNP/PRAC 6645 Comprehensive Psychiatric Evaluation Note Template.

Diagnostic results: The following lab works would be necessary to help rule out comorbid medical conditions: TSH, CMP, CBC, and Testing for infections like hep C, and HIV. The  Beck Depressive Inventory and Hamilton-anxiety rating scale can be utilized among all family members for the development of differential diagnosis (Salas-Wright et al., 2018).

Assessment

Mental Status Examination: The mental status examination of the patient and her daughter was not provided. However, from the information shared in the video, they seemed both well-groomed and appropriately oriented in time place, and person. They were cooperative during the interview, maintaining eye contact and appropriate use of other nonverbal cues. The mood was appropriate for the situation. The affect was full range. Logical thought process. Intact short-term and long-term memory. Appropriate judgment. They however both displayed depressed and anxious moods. No history of hallucination, suicidal or homicidal ideation NRNP/PRAC 6645 Comprehensive Psychiatric Evaluation Note Template.

Differential Diagnoses:

  1. Major depressive disorder: The patient reports feeling lonely, hopeless, and helpless which are indicating signs of MDD (Kennedy, 2008). She also reports a history of trauma which might have triggered the depression.
  2. Reactive attachment disorder: The patient reports that her daughters are out of control. One of them got married, while the others are leading an independent lifestyle leaving her alone with the last-born son (Bruce et al., 2018).
  3. Adjustment disorder: The patient’s oldest daughter was sexually abused by her father for two years when she was left in Iran by her mother. Moving to the United States might have contributed to a combination of mental and emotional disturbances including depression and anxiety (O’Donnell et al., 2019).

Case Formulation and Treatment Plan:

The case involves a depressed mother who feels lonely and helpless as she is disabled and living with only her youngest son, with her other four children away from her home. She feels like her daughters are out of control, leading to a chaotic situation (Salas-Wright et al., 2018).

Treatment Plan: Psychotherapeutic interventions including family therapy and cognitive behavioral individual therapy is appropriate to help the family overcome their difficulties in communication and manage their history of trauma (Franz & McKinney, 2018).

Reflections: The provided video demonstrates a middle age Iranian female, as a victim of physical and sexual abuse, together with her firstborn daughter. She moved to the United States, where she had her other four children, and is currently experiencing a chaotic household. The main cause of the chaotic environment is the difference in their lifestyle, as their mother follows the Muslin value, while her daughters have adopted the western lifestyle (Franz & McKinney, 2018). However, with continuous family therapy, they will develop appropriate skills to help promote a common understanding and support each other in overcoming their history of trauma NRNP/PRAC 6645 Comprehensive Psychiatric Evaluation Note Template.

References

Bruce, M., Young, D., Turnbull, S., Rooksby, M., Chadwick, G., Oates, C., Nelson, R., Young-Southward, G., Haig, C., & Minnis, H. (2018). Reactive Attachment Disorder in maltreated young children in foster care. Attachment & Human Development21(2), 152–169. https://doi.org/10.1080/14616734.2018.1499211

Franz, A. O., & McKinney, C. (2018). Parental and Child Psychopathology: Moderated Mediation by Gender and Parent–Child Relationship Quality. Child Psychiatry & Human Development49(6), 843–852. https://doi.org/10.1007/s10578-018-0801-0

Kennedy, S. H. (2008). Core symptoms of major depressive disorder: relevance to diagnosis and treatment. Dialogues in Clinical Neuroscience10(3), 271–277. https://doi.org/10.31887/dcns.2008.10.3/shkennedy

O’Donnell, M. L., Agathos, J. A., Metcalf, O., Gibson, K., & Lau, W. (2019). Adjustment Disorder: Current Developments and Future Directions. International Journal of Environmental Research and Public Health16(14), 2537. https://doi.org/10.3390/ijerph16142537

Salas-Wright, C. P., Vaughn, M. G., Goings, T. C., Miller, D. P., & Schwartz, S. J. (2018). Immigrants and mental disorders in the united states: New evidence on the healthy migrant hypothesis. Psychiatry Research267, 438–445. https://doi.org/10.1016/j.psychres.2018.06.039 NRNP/PRAC 6645 Comprehensive Psychiatric Evaluation Note Template

NRNP-6645 Mother and Daughter a Cultural Tale Video Family Assessment Assignment

Assessment is as essential to family therapy as it is to individual therapy. Although families often present with one person identified as the “problem,” the assessment process will help you better understand family roles and determine whether the identified problem client is in fact the root of the family’s issues.

To prepare:

    Review this week’s Learning Resources and reflect on the insights they provide on family assessment. Be sure to review the resource on psychotherapy genograms.

    Download the Comprehensive Psychiatric Evaluation Note Template and review the requirements of the documentation. There is also an exemplar provided with detailed guidance and examples.

    View the Mother and Daughter: A Cultural Tale video in the Learning Resources and consider how you might assess the family in the case study.

THE ASSIGNMENT

Document the following for the family in the video, using the Comprehensive Evaluation Note Template:

    Chief complaint

    History of present illness

    Past psychiatric history

    Substance use history

    Family psychiatric/substance use history

    Psychosocial history/Developmental history

    Medical history

    Review of systems (ROS)

    Physical assessment (if applicable)

    Mental status exam

    Differential diagnosis—Include a minimum of three differential diagnoses and include how you derived each diagnosis in accordance with DSM-5-TR diagnostic criteria

    Case formulation and treatment plan

    Include a psychotherapy genogram for the family

Note: For any item you are unable to address from the video, explain how you would gather this information and why it is important for diagnosis and treatment planning.

Check for NRNP-6645 Mother and Daughter a Cultural Tale Video Family Assessment Assignment Example for writing ideas!

NRNP – 6645 Psychotherapy with Multiple Modalities Week 6 Midterm Exam

Question 1          1 pts

Which of the following is true regarding the difference between brief and long-term psychodynamic psychotherapy?

Group of answer choices

Brief psychotherapy is more effective than long-term psychodynamic psychotherapy.

Long-term psychodynamic psychotherapy is more effective than brief psychotherapy.

There is no qualitative difference between brief and long-term psychodynamic psychotherapy.

Brief and long-term psychodynamic psychotherapy cannot be compared.

Question 2           1 pts

In general, the lower the patient is on Maslow’s hierarchy of needs

Group of answer choices

The less active the therapist must be.

The more active the therapist must be.

The more neutral the therapist must be.

The more enmeshed the therapist must be.

Question 3                 1 pts

The idea that nothing happens by chance, that every thought and all behavior has a cause refers to which of the following concepts?

Group of answer choices

Id vs ego conflict

Super ego actions to censor and restrain

Psychic determinism

Ego synchrony

Question 4             1 pts

In multi-cultural groups, therapists must address the clinical factor of universality by doing which of the following?

Group of answer choices

Assist group members in learning about the cultural differences.

Minimize the cultural differences within the group.

Help the group move past a focus on concrete cultural differences to transcultural human responses to situations.

The therapist should do nothing as that would be interfering in the group process.

NRNP – 6645 Psychotherapy with Multiple Modalities Week 6 Midterm Exam  Question 5         1 pts

The CBT therapist working with a patient who is distraught because they did not get a job they really wanted. The individual is helped to identify how to use what appears to be a negative situation to his or her advantage. This technique is known as which of the following?

Group of answer choices

Cognitive rehearsal

Paradox or Exaggeration

Turning Adversity to Advantage

Decatastrophizing

Question 61 pts

Which technique would be helpful to use with individuals who blame themselves for most bad outcomes?

Group of answer choices

Reattribution

Decatastrophizing

Advantages and Disadvantages

Examining options and alternatives

Question 7           1 pts

Which of the following is true about working with dreams?

Group of answer choices

Dream interpretation is a left-brain endeavor.

Dreams represent past conflicts and work is on past conflicts

Dreams are the brain’s attempt to process and integrate daily information.

Dream symbol books are useful for dream work due to universal meaning of dreams.

Question 8             1 pts

According to the treatment hierarchy framework for practice adapted from Davis & Weiss (2004)

Group of answer choices

The client must first envision where they want to be prior to moving forward

Processing is the key to stabilization and future visioning

Increasing internal resources leads to increasing external resources

Resources must be procured and stabilization guaranteed before trauma can be processed

Question 9        1 pts

An engaged cohesive therapeutic relationship is necessary in all psychotherapies except which of the following?

Group of answer choices

Cognitive therapy

Behavioral therapy

Systems-oriented psychotherapy

None of the above

 

Question 10         1 pts

Which of the following assumptions would the therapist be safe in making about cultural influences in a family?

Group of answer choices

Cultural context is consistent within family members.

People of the same culture share the same values and assumptions

Everything assumed to be a cultural norm is functional for the family.

The cultural context of families is complicated by the fact that most families are influenced by multiple contexts.

Question 111 pts

The advanced practice psychiatric nurse realizes which of the following regarding workbook exercises in therapy?

Group of answer choices

Workbook exercises are only an adjunct to treatment.

Workbook exercises simplify the real work in therapy.

Treatment manuals consistently correlate positively with treatment outcome.

Use of workbook exercises and approaches promotes creativity and flexibility in the therapeutic process.

Question 12       1 pts

“They probably think I am stupid” is an example of which type of cognitive distortion?

Group of answer choices

Comparing

Mind reading

Objectifying the subjective

Externalization of self-worth

Question 13 1 pts

Schizoid personality is a pathological outcome associated with which of Erickson’s psychosocial stages?

Group of answer choices

Autonomy vs. self-doubt

Industry vs. inferiority

Identity vs. role confusion

Intimacy vs. isolation

Question 14      1 pts

Which of the following would be a red flag regarding unethical practice when working with a patient?

Group of answer choices

Believing that something about the relationship is special and ordinary rules do not apply.

Engaging in excessive self-disclosure.

Having longer or more frequent sessions.

All the above

Question 15    1 pts

According to Erikson’s Psychosocial stages failure to successfully resolve trust vs mistrust conflict is associated with which of the following pathological outcomes?

Group of answer choices

Psychosis, addictions, depression

Paranoia, obsessions, compulsions

Phobias, psychosomatic disorders

Inertia, creative inhibition

Question 16 1 pts

Groups with a greater sense of solidarity exhibit which of the following? Check all that apply.

Group of answer choices

  1. Higher rate of attendance
  2. Acceptance for a variable level of active participation
  3. A concrete system for measuring cohesiveness
  4. A and B

NRNP – 6645 Psychotherapy with Multiple Modalities Week 6 Midterm Exam

Question 17     1 pts

A group member is relieved to realize that others in the group share feelings of incompetency similar to his own. This is an example of which of the following therapeutic factors?

Group of answer choices

Altruism

Universality

Imparting of information

Development of socializing techniques

NRNP – 6645 Psychotherapy with Multiple Modalities Week 6 Midterm Exam  Question 18      1 pts

The advanced practice psychiatric nurse psychotherapist is informed by the managed care company that authorization for additional treatment with a patient has been denied. The advanced practice psychiatric nurse is concerned stopping treatment will jeopardize the patient’s safety and realizes which of the following are ethical options?

Group of answer choices

  1. It is incumbent on the therapist to ensure that treatment continues.
  2. Stop treatment immediately.
  3. Attempt to work out a payment plan with the patient.
  4. A and C

Question 19 1 pts

A patient involved in expressive psychotherapy is having intense emotional reactions to painful experiences that have been expressed. This is known as which of the following?

Group of answer choices

Immediacy

Abreaction

Differentiation

Rapprochement

 

Question 20   1 pts

According to Freud’s Psychosexual stages development of sexual identity occurs during what age range?

Group of answer choices

18 months to 3 years

3 years to 6 years

6 years to 12 years

13 years to 20 years

Question 21      1 pts

Borderline pathology is thought to evolve from problems in which of Mahler’s stages of separation-individualization?

Group of answer choices

Practicing

Consolidation

Differentiation

Rapprochement

NRNP – 6645 Psychotherapy with Multiple Modalities Week 6 Midterm Exam

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