Select one stage of human development and discuss strategies for working with this population in groups.

 

In this module, you reviewed counseling groups for the various stages of human development (childhood, adolescence, adulthood, and old age). Interventions and expectations vary greatly throughout each stage of development; therefore, it is beneficial to obtain practical knowledge of each developmental stage in order to be an effective group counselor.
Tasks:
In a minimum of 200 words, post to the Discussion Area your responses to the following:

  • Select one stage of human development and discuss strategies for working with this population in groups.
  • Include personal reflections related to how well you think you would work with this population in a group.
  • List some of the anticipated challenges working with this population in a group. What strategies would you use to overcome these challenges?

Support your rationale and analysis by using at least two resources from professional literature in your response. Professional literature may include the Argosy University online library resources, relevant textbooks, peer-reviewed journal articles, and websites created by professional organizations, agencies, or institutions (websites ending in .edu or .gov).
Be sure to read all of your classmates’ original posts and respond to more than two of your classmates’ posts that selected a different stage of development than you. Comment on any additional information you found about the practice of group therapy. Think about the language you use to comment constructively on your classmates’ posts.
Your discussion posts and all written assignments should reflect graduate-level writing skills and appropriate use of APA style, including in-text citations and references.
Submission Details:

  • By the due date assigned, post your responses to the Discussion Area.
  • Through the end of the module, respond to more than two of your classmates’ posts. Your responses should be of substantive meaning, and they should encourage further dialogue and discussion and encourage your classmates to think about other aspects of the topic, to compare your responses to their responses (or to another classmate’s response), or to ask a relevant, meaningful question to better assist with your understanding.
 
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Review Chapter 6 and Chapter 8 in the Huether and McCance text. Reflect on the concept of maladaptive responses to disorders.

 

Maladaptive responses to disorders are compensatory mechanisms that ultimately have adverse health effects for patients. For instance, a patient’s allergic reaction to peanuts might lead to anaphylactic shock, or a patient struggling with depression might develop a substance abuse problem. To properly diagnose and treat patients, advanced practice nurses must understand both the pathophysiology of disorders and potential maladaptive responses that some disorders cause.
Consider immune disorders such as HIV, psoriasis, inflammatory bowel disease, and systemic lupus E. What are resulting maladaptive responses for patients with these disorders?
To Prepare
· Review Chapter 6 and Chapter 8 in the Huether and McCance text. Reflect on the concept of maladaptive responses to disorders.
· Select two of the following immune disorders: HIV, psoriasis, inflammatory bowel disease, or systemic lupus E (SLE).
· Identify the pathophysiology of each disorder you selected. Consider the compensatory mechanisms that the disorders trigger. Then compare the resulting maladaptive and physiological responses of the two disorders.
· Select one of the following factors: genetics, gender, ethnicity, age, or behavior. Reflect on how the factor might impact your selected immune disorders.
Post a brief description of the pathophysiology of your selected immune disorders. Explain how the maladaptive and physiological responses of the two disorders differ. Finally, explain how the factor you selected might impact the pathophysiology of each disorder.
Pick whichever one is easiest for you
 
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Identify and describe a clinical issue you are interested in addressing. How is this a researchable clinical issue?

First post due by Wednesday @ 11:59PM. In first post, each student must address ALL components of the discussion board (i.e., all 4 questions) in order to be eligible for full discussion points. Please follow Discussion Rubric. Discussion board closes on Sunday @ 11:59PM.
1. Identify and describe a clinical issue you are interested in addressing. How is this a researchable clinical issue?
2. Conduct a search for a quantitative article relevant to the clinical issue you are interested in addressing. Describe the search strategy used, including which database(s) and key search terms you used.
3. Attach the article you have selected.
4. Identify and discuss the theoretical framework used by the researchers/authors. What significance does this theoretical framework have to the research design presented in the article?
Additional note on my part it could be anything related to health care issue that will be my preference if not whatever issue you chose will also be ok with me.I was thinking about ventilator acquired pneumonia. Let me know if u have time thank you. Its worth max 10 points

 
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Explain how the Four meta-paradigm concepts (person, health, nursing and environment) relate to the concept of international nursing vs nursing in united states of America

Four meta-paradigm concepts

Explain how the Four meta-paradigm concepts (person, health, nursing and environment) relate to the concept of international nursing vs nursing in united states of America

JOURNAL; Duff, E (2011). Relating the nursing paradigm to practice. A teaching strategy. International Journal of Nursing Education Scholarship, 8(1), 1-9.

JOURNAL: Castledine, G. (2010). Creative nursing. Art or science? British Journal of Nursing, 19(14), 937 ?Monti, E, J, Tingen, M. S. (1999). Multiple paradigms of nursing science. Advances in nursing Science 26(4), 64-80.


 

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Virtual Lab: Sex-Linked Traits

journal

Virtual Lab: Sex-Linked Traits

Worksheet

Please make sure you have read through all of the information in the “Questions” and “Information” areas. If you come upon terms that are unfamiliar to you, please refer to your textbook for further explanation or search the word here:http://encarta.msn.com/encnet/features/dictionary/dictionaryhome.aspx

Next, complete the Punnett square activity by clicking on the laboratory notebook. Please be sure to note the possible genotypes of the various flies:

Female, red eyes Female, red eyes Female, white eyes Male, red eyes Male, white eyes
XRXR XrXR XrXr XRY XrY

When you have completed the Punnett square activity, return to the laboratory scene to begin the actual laboratory activity.

In this exercise, you will perform a Drosophila mating in order to observe sex-linked trait transmission. Please click on the shelf in the laboratory. Here you will find vials of fruit flies. On the TOP shelf, please click on one of the female vials (on the left side) and then drag it to the empty vial on the shelf below. Please repeat this step using one of the male vials (on the right side). These flies will be used as the parental (P) generation. You may switch your parent choices at any time by dragging out old selections and dragging in new flies. Use the Punnett square below to predict the genotypes/phenotypes of the offspring (Note: refer to the genotype table you created above if needed):

XR XR
XR Genotype: XRXR

Phenotype:Red eye, female

Genotype:XRXR

Phenotype: Red eye, female

Y Genotype:XRY

Phenotype: Red eye, male

Genotype:XRY

Phenotype: Red eye, male

__50_% Female, red eye _0__% Female, white eye _50__% Male, red eye _0__% Male, white eye

When you are finished, click “Mate and Sort”.

You will now see information appear in the vials sitting on the next shelf below. These are the offspring of the parent flies you selected above, and they represent the first filial (F1) generation. In your “Data Table” on the bottom of the page and/or on Table I found at the end of this Worksheet, please input the numbers of each sex and phenotype combination for the F1 generation. These numbers will be placed into the first row marked “P generation Cross”.

You will next need to select one of the F1 female flies and one of the F1 male flies to create the second filial (F2) generation. Drag your selections down to the empty vial on the next shelf below and fill in the Punnett square below to predict the offspring:

XR XR
XR Genotype: XRXR

Phenotype:Red eye, female

Genotype:XRXR

Phenotype: Red eye, female

Y Genotype:XRY

Phenotype: Red eye, male

Genotype:XRY

Phenotype: Red eye, male

__50_% Female, red eye _0__% Female, white eye _50__% Male, red eye _0__% Male, white eye

After clicking “Mate and Sort”, you will now have information on their offspring (the F2 generation) to input into your “Data Table” or Worksheet below. This information will be placed into the second row marked “F1 generation Cross”.

NOTE: there are additional lines remaining to use if your instructor requires the analysis of additional crosses.

Please finish this exercise by opening the “Journal” link at the bottom of the page and answering the questions.

Table I:

Cross Type Phenotype of Male Parent Phenotype of Female Parent Number of Red eye, Male Offspring Number of White eye, Male Offspring Number of Red eye, Female Offspring Number of White eye, Female Offspring
P Generation Cross Red Red 50 0 50 0
F1 Generation Cross Red Red 50 0 50 0
P Generation Cross White Red 47 0 53 0
F1 Generation Cross Red Red 22 25 53 0
P Generation Cross Red White 0 49 51 0
F1 Generation Cross White Red 27 28 20 25
P Generation Cross White White 0 51 0 49
F1 Generation Cross White White 0 51 0 49

Post-laboratory Questions:

Through fruit fly studies, geneticists have discovered a segment of DNA called the homeobox which appears to control:

Sex development in the flies

Life span in the flies

Final body plan development in the flies

The genotype of a red-eyed male fruit fly would be:

XRXR

XRXr

XrXr

A or B

None of the above

Sex-linked traits:

Can be carried on the Y chromosome

Affect males and females equally

Can be carried on chromosome 20

A and B

None of the above -2

A monohybrid cross analyzes:

One trait, such as eye color

Two traits, such as eye color and wing shape

The offspring of one parent

A female with the genotype “XRXr”:

Is homozygous for the eye color gene

Is heterozygous for the eye color gene

Is considered a carrier for the eye color gene

A and B

B and C

In T.H. Morgan’s experiments:

He concluded that the gene for fruit fly eye color is carried on the X chromosome

He found that his F1 generation results always mirrored those predicted by Mendelian Laws of Inheritance

He found that his F2 generation results always mirrored those predicted by Mendelian Laws of Inheritance

A and B

All of the above

In this laboratory exercise:

The Punnett square will allow you to predict the traits of the offspring created in your crosses

XR will represent the recessive allele for eye color, which is white

Xr will represent the dominant allele for eye color, which is red

All of the above

In a cross between a homozygous red-eyed female fruit fly and a white-eyed male, what percentage of the female offspring is expected to be carriers?

0%

25%

50%

75%

100%

In a cross between a white-eyed female and a red-eyed male:

All males will have red eyes

50% of males will have white eyes

All females will have red eyes

50% of females will have white eyes

In human diseases that are X-linked dominant, one dominant allele causes the disease. If an affected father has a child with an unaffected mother:

All males are unaffected

Some but not all males are affected

All females are unaffected

Some but not all females are affected

Journal Questions:

1. In a mating between a red-eyed male fruit fly and a red-eyed heterozygous female, what percentage of the female offspring is expected to be carriers? How did you determine the percentage?

2. In a mating between a red-eyed male fruit fly and a white-eyed female fruit fly, what percentage of the male offspring will have white eyes? Describe how you determined the percentage.

3. Hemophilia, a blood disorder in humans, results from a sex-linked recessive allele. Suppose that a daughter of a mother without the allele and a father with the allele marries a man with hemophilia. What is the probability that the daughter’s children will develop the disease? Describe how you determined the probability.

4. Colorblindness results from a sex-linked recessive allele. Determine the genotypes of the offspring that result from a cross between a color-blind male and a homozygous female who has normal vision. Describe how you determined the genotypes of the offspring.

5. Explain why sex-linked traits appear more often in males than in females.

6. In humans, hemophilia is a sex-linked recessive trait. It is located on the X chromosome. Remember that the human female genotype is XX and the male genotype is XY. Suppose that a daughter of a mother without the allele and a father with the allele marries a man with hemophilia. What is the probability that the daughter’s children will develop the disease? Describe how you determined the probability.

7. Colorblindness also results from a sex-linked recessive allele on the X chromosome in humans. Determine the genotypes of the offspring that result from a cross between a color-blind male and a homozygous female who has normal vision. Describe how you determined the genotypes of the offspring.

8. Based on the traits explained in questions 6 and 7, explain why sex-linked traits in humans appear more often in males than in females.

 
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Describe the exceptionality, including its identification and assessment.

Exceptionality Presentation
In this course, you have learned about a range of exceptionalities in children. For this assignment, you will have the opportunity to gain a more in-depth understanding of a particular exceptionality.
The local public school has asked you to give a presentation to parents or teachers about a specific exceptionality of your choice.
The presentation should cover at least two peer-reviewed articles. Select an exceptionality for this assignment and provide the following information in your presentation:

  • Describe the exceptionality, including its identification and assessment.
  • Explain the incidence of exceptionality in children, including known causes or those hypothesized in peer-reviewed research.
  • Describe the cultural considerations in identification, assessment, and intervention.
  • Hypothesize the prognosis.
  • Recommend interventions for the following areas:
    • At school
    • In the community
    • At home
    • From early childhood through transition into adulthood

While developing the presentation, keep in mind individual differences and strengths, culturally and linguistically diverse populations, and ethical or legal issues in identification, assessment, and intervention. Be sure to include detailed speaker notes to accompany each slide to elaborate on the talking points being raised in the slide.
Use the accompanying PowerPoint presentation tip list to assist in formatting the presentation and speaker’s notes. Be sure to include a title slide and a slide with your references. All citations and the reference list should follow APA format.See the link in the course with the assignment description for useful tips on an effective slideshow.
Develop a 15–20-slide presentation in PowerPoint (not counting the title and reference list slides). Provide detailed speaker notes for each slide of your presentation, which include the main talking points for the topic addressed in the slide.

 
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What aspects of Dr. Williams’ behavior influence the decisions of the families he works with and possible influence the ultimate health outcomes of their children?

What aspects of Dr. Williams’ behavior influence the decisions of the families he works with and possible influence the ultimate health outcomes of their children?

 

Read the Case Story of A Day in the Sleep Clinic https://support.mchtraining.net/national_ccce/case5/case.html

1. What aspects of Dr. Williams’ behavior influence the decisions of the families he works with and possible
influence the ultimate health outcomes of their children?

2. What roles do culture, ethnicity, race, and socioeconomic status play in families’ experiences in the
healthcare system?

3. What factors, other than provider-patient communication, influence disparities in health outcomes?


 

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how health care payment and delivery models are transforming to promote greater accountability for cost and quality in the health care system.

HOW HEALTH CARE PAYMENT AND DELIVERY MODELS ARE TRANSFORMING TO PROMOTE GREATER ACCOUNTABILITY FOR COST AND QUALITY IN THE HEALTH CARE SYSTEM.

You are the Chief Operating Officer of a large healthcare system, composed of acute, long term care, and community based organizations in addition to long term care managed care plans. Given your current studies in health policy and management, the Chief Executive Officer of this large healthcare system has requested that you prepare a high-level briefing for the system’s Board of Directors in which you describe: (a) factors that have contributed to dramatic growth in health care spending over the past 50 years; and (b) how health care payment and delivery models are transforming to promote greater accountability for cost and quality in the health care system. Please conclude your memo with your analysis of the most promising approaches for constraining cost growth while maintaining or improving quality, as well as the limitations or open questions that accompany new reimbursement and delivery models that are intended to promote “accountable care.”
The memo must be four pages in length. Please include references to course readings as well as any relevant outside sources that support your analysis. Citations and a references page (not included in page length) are required. **You must use a recognizable memorandum format for this exercise—and it is recommended that subject areas be segmented using sub headers.  Include your institution’s logo on the first page of the memo (fictitious).  Be creative.

 
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what is meant by direct and indirect care as described by the Nursing Intervention Classification (NIC) project?

Use of the nursing process in making good nursing judgments essay

Using APA format, the information from this course, and your assigned readings write a six (6) to ten (10) page paper (excludes cover and reference page) addressing the application of the nursing process to a patient care scenario. Use these directions and the scoring rubric as you develop the paper. Outlines and abstracts are NOT required with this paper. Do not include the scenario in the Use of the nursing process in making good nursing judgments essay paper

A minimum of three (3) current professional references must be provided excluding a nursing diagnosis book. Current references include professional publications or valid and current websites dated within five (5) years. Additionally, a textbook that is no more than one (1) edition old may be used.

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The Use of the nursing process in making good nursing judgments essay paper consists of three (3) parts:

The meaning and use of the nursing process in making good nursing judgments that effect patient care
The development of a plan of care using the nursing process for a specific patient situation
The preparation stage for a teaching plan to prevent a recurrence of a similar situation
The following sheet will assist you when composing the plan of care for the paper: Overview of the Nursing Process.

Part 1 (3-4 pages)

Review the required readings about the nursing process. In your own words, define each step of the process and provide an example for each step.

In the implementation step, what is meant by direct and indirect care as described by the Nursing Intervention Classification (NIC) project?

Discuss the three (3) types of nursing interventions (nurse-initiated, dependent, and interdependent) that applies to the patient care situation. Provide an example of each (refer to your textbook).

Explain how the nursing process provides the basis for the registered nurse to make a nursing judgment that results in safe patient care with good outcomes.

Discuss how the registered nurse evaluates the overall use of the nursing process. Identify three (3) variables that may influence the ability to achieve the desired outcomes for the patient.

How is the plan of care modified when the outcomes are not met?

How does the RN use the nursing process to make decisions about the priority of care?

Part 2 (3 pages)

Patient scenario

A 78-year-old man is living in an assisted living facility. He is able to walk very short distances and uses a wheelchair to transport himself to the communal dining room. He administers his own medications independently and bathes himself. Over the last year he prefers to remain in the wheelchair even when in his room. He has a history of CHF, hypertension, hyperlipidemia and lower extremity weakness. He is able to state his current medications include metoprolol (Lopressor) 50 mg once daily by mouth, furosemide (Lasix) 20 mg once daily by mouth, Quinapril (Acupril) 20 mg once daily by mouth, atorvastatin (Lipitor) 20 mg once daily by mouth.

During a routine examination, his physician noted a pressure ulcer over the ischium on the right buttocks. The wound is oval about 10mm x 8 mm, with red and yellow areas in the middle and black areas on some surrounding tissue. It has a foul odor. The patient had been padding the area so “it doesn’t get my pants wet”. The physician arranged for him to be admitted to the hospital in order for intravenous antibiotic therapy and wound care to be initiated. Use of the nursing process in making good nursing judgments essay. Use of the nursing process in making good nursing judgments essay.

After being admitted to the hospital his medications are: metoprolol (Lopressor )50 mg orally every 12 hours, furosemide (Lasix ) 40mg once daily by mouth, quinapril HCl (Accupril) 40 mg once daily by mouth, cefazolin (Ancef)1.5 Grams in 50 mL 0.9 % Normal Saline intravenously three times a day. The result of the wound culture identified Methicilin-resistant staphylococcus aureus. After a surgical debridement of the black tissue a SilvaSorb® (antimicrobial gel) dressing was ordered daily.

Develop a Plan of Nursing Care for this patient that includes all steps of the nursing process:

One (1) actual NANDA-I nursing diagnosis addressing the priority problem the patient is experiencing. Provide a rationale, with evidence, why this nursing diagnosis is the priority for this patient.
What is the assessment data that supports the use of this nursing diagnosis?
One (1) expected outcome that addresses the diagnosis and meets the criteria for an expected patient outcome. Discuss whether the outcome is a cognitive, psychomotor, affective or physiologic outcome. Discuss why the time frame selected for the evaluative criteria was selected. Use evidence as the basis for the time frame and criteria.
Four (4) nursing interventions that includes at least one (1) nurse-initiated, one (1) dependent, one (1) interdependent intervention. Label your interventions as above. Provide a rationale for each intervention that is evidence-based.
Part 3 (1-2 pages)

To assist the patient in preventing a recurrence of a similar incident once he returns to the assisted living environment, the RN needs to develop a teaching plan. Consider the information the RN would need prior to development of the plan. Respond to the following and be able to support your answers. You will not be developing a teaching-learning plan but demonstrating using the teaching-learning process to prepare for an individualized plan.

How does the RN decide the format of the teaching plan, i.e., written, verbal, or other?
How does the RN know which information needs to be included?
When does the RN determine how and when to evaluate the teaching-learning process?

Use of the nursing process in making good nursing judgments essay

 
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Explain how you will terminate your group

 Psychology homework help

 

Please no plagiarism and make sure you are able to access all resource on your own before you bid. One of the references must come from Corey, M. S., Corey, G., & Corey, C. (2018). You are expected to include at least one scholarly and peer-reviewed resource outside of those provided in the readings for each discussion post. I need this completed by 07/18/18 at 6pm.

By Day 3

· Explain how you will terminate your group. Be specific in describing the strategies you would use.

· Provide at least 2 supports or resources that you would offer members in need of help outside the group.

· Explain how you would evaluate the group experience. (This can be a more subjective gauge of group satisfaction.)

· Explain how you would measure progress toward group goals. (This should be an objective measure of group outcomes, such as a rating scale, standardized instrument, or a questionnaire.)

Here is an example of a post that a classmate completed from my group. We are doing a group for Domestic Violence Survivors:

The group that has been established is a group of Domestic Violence survivors.  With this particular group it is important to not wait until the final session to prepare the participants for the end.  As the initial stage of a group is critical to the groups functioning preparing members for the end of the group is equally imperative.  Since dealing with a group that can be an emotionally charged group, to end the group I would educate the group about what to expect during the final stages.  For instance, about two to three sessions prior to the final stage, I will remind members that the group will end and the importance of making the most of the group time; as well as helping them comprehend the benefits of being involved in the group before it ends. According to Corey, Corey, and Corey (2018) termination can begin on the first day of the group so leaders should prepare members throughout their interactions for the ending of the group.  During the video Dr. Corey (Haynes, 2014) emphasize reminding members of the ending and always preparing the for termination.  With a group like Domestic Violence survivors it can be most helpful to let them know what can be expected in an attempt to ease tension of the unknown since they come from situations that can often times be unpredictable.

Resources after Group

Even though the group sessions have been terminated it is still important to offer group members resources that they can take with them when the weekly group experience is no longer available to them.  Two resources or supports I would offer group members after the sessions have ended include a follow-up session and the option of linking with a group member.  One objective of the follow-up session would be for the member to realize how he or she is utilizing the tools learned in group in their everyday life. Dr. Corey detailed the importance of follow-up groups and how they allow members to explore what they have achieved while in the group outside of the group (Haynes, 2014).  Like the follow-up sessions, linking with a former group member will give the member support as well as an accountability partner.  These resources can give members a reference when the group is no longer available for support and help members identify things that they have or wish to accomplished.

Evaluations

After the group experience has ended a tool that can be used to evaluate the group experience is a questionnaire.  According to Corey (et. al 2018) questionnaires encourage members to again reflect and one more time put into words the meaning of their experiences in the group.  Questionnaire also give the group leader a tool to measure how well the group benefitted the members and gives the leaders an opportunity to make constructive changes.  Another way to evaluate the group experience is to check in with the members during the final meeting to hear what different members have to report about their experiences of the group (Haynes, 2014).  This dialogue could help the members and leaders to gauge the mindsets of the members from the first session to the last sessions.  In other words, it will allow all involved to witness that the feelings and attitudes may have changed since the initial session.  Evaluations are helpful to the group experience since it can benefit both members and leaders.

References

Corey, M. S., Corey, G., & Corey, C. (2018). Groups: Process and practice (10th ed.). Boston, MA: Cengage.

Haynes, R. (2014). Groups in action: Evolution and challenges [Video file]. Borderline Productions.

 
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