First, summarize your understanding of utilizing an integrative therapeutic model.

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Integrative Approach

For this discussion, you will choose two theories you wish to integrate. For examples of how two theories can be integrated, review some of the optional articles in this unit. Then complete the following:

  • First, summarize your understanding of utilizing an integrative therapeutic model.
  • Summarize the key points of the two theories, identifying some of the similarities and some of the differences.
  • Focus on the areas where the theories differ, describing how they would need to be adjusted in order to be integrated with each other.
  • Provide specific examples of how you would use the integrative model with a client suffering from moderate depression.

You should utilize scholarly research to support your ideas. This discussion response should be a minimum of 500 words and maximum of 700.

Response Guidelines

You should respond to the posts of at least one of your peers for each discussion question. These responses should be substantive and contribute to the conversation by respectfully asking questions, engaging in discussion, and offering varying viewpoints. Please review the Faculty Expectations for any other requirements for the peer responses.

Resources

 
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Poor Patient Outcome

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Question description

Poor Patient Outcome

Relying solely on the classic features of a disease may be misleading. That’s because the clinical presentation of a disease often varies: the symptoms and signs of many conditions are non-specific initially and may require hours, days, or even months to develop.

Generating a differential diagnosis; that is, developing a list of the possible conditions that might produce a patient’s symptoms and signs — is an important part of clinical reasoning. It enables appropriate testing to rule out possibilities and confirm a final diagnosis.

This case portrays a poor patient outcome after a misdiagnosis.

Case scenario

A previously healthy 35-year-old lawyer presents to a primary care office with a chief complaint of chest pain and a non-productive cough. The pain started suddenly 2 hours prior to coming to the office while the patient was sitting at his desk. The patient describes the pain as sharp in nature, constantly present but made worse with inspiration and movement, and with radiation to the base of the neck. His blood pressure in the right arm and other vital signs are normal.

On physical examination the only findings of note are chest wall tenderness and a faint cardiac murmur. The ECG in the office is normal. The patient is observed for an hour in the office and assessed. He is diagnosed with viral pleurisy and sent home on non-steroidal analgesics.

The following day the patient collapses at home and cannot be resuscitated by the paramedic service. An autopsy reveals a Type 1 aortic dissection with pericardial tamponade.

Written Assignment:

Developing a list of possible conditions that might produce a patient’s symptoms and signs is an important part of clinical reasoning.

  1. As an NP in primary care what would you have done differently?
  2. Discuss the importance of creating a list of differentials for this patient. How could it have changed this outcome?

If a serious diagnosis comes to mind based on a patient’s symptoms:

  • Ask yourself; Have you considered the likelihood of it and whether it needs to be ruled out by testing or referral?
  • Because many serious disorders are challenging to diagnose, have you considered ruling out the worst case scenario?
  • Ask yourself: Do you have sufficient understanding of the clinical presentation to offer an opinion on the diagnosis?
  • What other diagnosis could it be? How might the treatment to date have altered the patient outcome?
  • What other diagnostic and laboratory or imaging was needed in order to make a complete differential list? What support tools would you consider using in helping to create a differential diagnosis list?
  • Are you familiar with the current clinical practice guidelines for the investigation of a suspected condition such as chest pain?

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.

Assignment Requirements:

Before finalizing your work, you should:

  • be sure to read the Assignment description carefully (as displayed above);
  • consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
  • Utilize spelling and grammar check to minimize errors.

Your writing Assignment should:

  • follow the conventions of Standard English (correct grammar, punctuation, etc.);
  • be well ordered, logical, and unified, as well as original and insightful;
  • display superior content, organization, style, and mechanics; and
  • use APA 6th Edition format as outlined in the APA Progression Ladder.
 
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After reviewing the therapists demonstrating person-centered responses in the assigned videos, use the person-centered approach to create a counselor's response to each of the following statements made by a client

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Key Concepts of Person-Centered Therapy
After reviewing the therapists demonstrating person-centered responses in the assigned videos, use the person-centered approach to create a counselor’s response to each of the following statements made by a client. Concentrate on responses that demonstrate empathy, rather than asking questions or offering solutions. Discuss how the counselor’s statement you created uses the theory’s key concepts and how your response aligns with the theory’s overall goal.
· Client comment 1: “I have no idea what to do, and I hope you can tell me.”
· Client comment 2: “My mother thinks I’m making the wrong decision and that makes me so angry. She is always trying to control me.”
· Client comment 3: “I only came along because my wife made me. I just didn’t want to listen to her continuing to nag. Counseling is stupid, and I don’t believe it will help me at all!”
· Client comment 4: “I’m going to school, I have a job, and I’m taking care of two kids and trying to make time for my husband. Most days, I don’t even know where to begin.”
· Client comment 5: “My five-year-old daughter died of cancer after a year-long struggle. I cry all of the time, and I don’t know what to do. My daughter was everything to me, and I’ve lost her.”
Response Guidelines
You should respond to the posts of at least two of your peers for each discussion question. These responses should be substantive and contribute to the conversation by respectfully asking questions, engaging in discussion, and offering varying viewpoints. Please review the Faculty Expectations for any other requirements for the peer responses.
Resources
· Discussion Participation Scoring Guide.

 
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Discussion Topic 2: Stressors and Ineffective Coping

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Discussion Topic 2: Stressors and Ineffective Coping

Your instructor will assign one of the topics below. For your topic please discuss age appropriate management strategies using recent professional, evidence based guidelines (must be holistic approach-include parental/family involvement in your Discussion). Discuss the impact of your topic as the adolescent transitions to adulthood if left untreated.

Sexual Orientation and high association with Depression and Suicide

part 2

 Discussion Topic 1: Mental Health Conditions

Your instructor will assign you one of the topics below. For your topic please discuss:

Risk factors
Clinical manifestations
Evidence based screening tools that are age appropriate (one for adolescent patients and one for adult patients)
Age appropriate evidence based management guideline (include pharmacologic and non-pharmacologic interventions.
Include information on how your treatment will change based on age (adolescent versus adult patients).
Bulimia

Your postings should be qualitative and provide substantive depth that advances the discussion. Please see the Writing Center for assistance with writing, APA, and online communication.

 
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Nursing Research Methods Discussion

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Nursing Research Methods Discussion

Question descriptionDiscussion Question

For this discussion, you are asked to review the student learning outcomes for this course and discuss how you met these outcomes. The intention here is to provide you an opportunity to “reflect” on the learning achieved during this term and how you successfully met these learning outcomes. If you do not feel you successfully met the objective, discuss your plans to successfully complete the objective in the future.

Upon completion of this course, the student should be able to:

  1. Critically analyze current practice to formulate researchable problems.
  2. Evaluate research as the basis for decision-making to improve outcomes through translation into evidence-based practice.
  3. Synthesize an understanding of the research process through development of a proposal to address a nursing problem or focus area identified in nursing practice.
  4. Investigate ethical issues related to the conduct of scientific research, including informed consent, data management, data analysis, and protection of human subjects.
  5. Explore national and international initiatives and research priorities.

Must be at least 500 words the class is nursing research methods class

 
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Explain how nurture and nature play interactive roles in shaping behavior.

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 Psychology homework help

Unit Assignments Unit II PowerPoint Presentation

Imagine that you are a practicing psychologist, and you are the featured presenter for the upcoming psychology conference. Your chosen topic centers upon factors that influence human behaviors and cognitions. In your presentation, you want to teach the audience about biological, evolutionary, and environmental factors that influence behaviors. To do this, you will need to prepare a PowerPoint to present to the audience. In your PowerPoint presentation, be sure to include the below concepts: Identify ways in which the environment can both nurture and thwart mental ability.

Explain how nurture and nature play interactive roles in shaping behavior. Summarize the effects of some of the main neurotransmitters in the brain, and list four hormones that influence behavior. Your PowerPoint presentation must be at least eight slides in length, not including the cover slide and reference slide. In addition to your textbook, you must use a minimum of one scholarly source. Any information from an outside source that is used should be cited appropriately according to APA format.

You may use the notes field in PowerPoint to expand on your ideas, if necessary, but this is not required. Your presentation style should appear professional, using appropriate formatting and graphics. If you have never created a PowerPoint, or if you want to brush up on your skills, watch this tutorial created by the CSU Writing Center to learn tips and best practices for creating a PowerPoint: http://columbiasouthern.adobeconnect.com/powerpointbestpractices/

 
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Solution-Focused and Cognitive Behavioral Family Therapy Essay Assignment Papers – NURS 6650

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Solution-Focused and Cognitive Behavioral Family Therapy Essay Assignment Papers – NURS 6650

Week 5: Solution-Focused and Cognitive Behavioral Family Therapy

When solution-focused and cognitive behavioral family therapy proved effective with individuals, therapists began applying these approaches to families. However, it quickly became evident that the translation of these approaches from individuals to families was more difficult than expected. Consider how you can successfully apply these therapies to your client families. Is one approach more effective than the other? What are the challenges of using these therapeutic approaches with families?

This week, as you continue exploring therapeutic approaches and their appropriateness for client families, you examine solution-focused and cognitive behavioral therapy. You also develop diagnoses for clients receiving psychotherapy and consider legal and ethical implications of counseling these clients.

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Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice. New York, NY: Springer.

  • Chapter 12, “Family Therapy” (Review pp. 429–468.)

Nichols, M. (2014). The essentials of family therapy (6th ed.). Boston, MA: Pearson.

  • Chapter 10, “Cognitive-Behavior Family Therapy” (pp. 166–189)
  • Chapter 12, “Solution-Focused Therapy” (pp. 225–242)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Note: Retrieved from Walden Library databases.

Bond, C., Woods, K., Humphrey, N., Symes, W., & Green, L. (2013). Practitioner review: The effectiveness of solution focused brief therapy with children and families: A systematic and critical evaluation of the literature from 1990–2010. Journal of Child Psychology & Psychiatry, 54(7), 707–723. doi:10.1111/jcpp.12058

Note: Retrieved from Walden Library databases.

Conoley, C., Graham, J., Neu, T., Craig, M., O’Pry, A., Cardin, S., & … Parker, R. (2003). Solution-focused family therapy with three aggressive and oppositional-acting children: An N=1 empirical study. Family Process, 42(3), 361–374. doi:10.1111/j.1545-5300.2003.00361.x

Note: Retrieved from Walden Library databases.

de Castro, S., & Guterman, J. (2008). Solution-focused therapy for families coping with suicide. Journal of Marital & Family Therapy, 34(1), 93–106. doi:10.111/j.1752-0606.2008.00055.x

Note: Retrieved from Walden Library databases.

Patterson, T. (2014). A cognitive behavioral systems approach to family therapy. Journal of Family Psychotherapy, 25(2), 132–144. doi:10.1080/08975353.2014.910023

Note: Retrieved from Walden Library databases.

Perry, A. (2014). Cognitive behavioral therapy with couples and families. Sexual & Relationship Therapy, 29(3), 366–367. doi:10.1080/14681994.2014.909024

Note: Retrieved from Walden Library databases.

Ramisch, J., McVicker, M., & Sahin, Z. (2009). Helping low-conflict divorced parents establish appropriate boundaries using a variation of the miracle question: An integration of solution-focused therapy and structural family therapy. Journal of Divorce & Remarriage, 50(7), 481–495. doi:10.1080/10502550902970587

Note: Retrieved from Walden Library databases.

Washington, K. T., Wittenberg-Lyles, E., Oliver, D. P., Baldwin, P. K., Tappana, J., Wright, J. H., & Demiris, G. (2014). Rethinking family caregiving: Tailoring cognitive-behavioral therapies to the hospice experience. Health & Social Work, 39(4), 244–250. doi:10.1093/hsw/hlu031

Note: Retrieved from Walden Library databases.

Document: Group Therapy Progress Note

Required Media

Laureate Education (Producer). (2013c). Johnson family session 3 [Video file]. Author: Baltimore, MD.

Note: The approximate length of this media piece is 5 minutes.

Whether used with individuals or families, the goal of cognitive behavioral therapy (CBT) is to modify client behavior. Although CBT for families is similar to CBT for individuals, there are significant differences in their applications. As you develop treatment plans, it is important that you recognize these differences and how they may impact your therapeutic approach with families. For this Discussion, as you compare the use of CBT for families and individuals, consider challenges of applying this therapeutic approach to your own client families.

Learning Objectives

Students will:
  • Compare the use of cognitive behavioral therapy for families to cognitive behavioral therapy for individuals
  • Analyze challenges of using cognitive behavioral therapy for families
  • Recommend effective cognitive behavioral therapy strategies for families

To prepare:

  • Review the media, Johnson Family Session 3, in this week’s Learning Resources and consider the insights provided on CBT in family therapy.
  • Reflect on your practicum experiences with CBT in family and individual settings.

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 you cannot post anonymously. Please check your post carefully before clicking Submit! Solution-Focused and Cognitive Behavioral Family Therapy Essay Assignment Papers – NURS 6650

By Day 3

Post an explanation of how the use of CBT in families compares to CBT in individual settings. Provide specific examples from your own practicum experiences. Then, explain challenges counselors might encounter when using CBT in the family setting. Support your position with specific examples from this week’s media.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues by recommending CBT strategies to overcome the challenges your colleagues have identified. Support your recommendations with evidence-based literature and/or your own experiences with clients. Solution-Focused and Cognitive Behavioral Family Therapy Essay Assignment Papers – NURS 6650.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 5 Discussion Rubric

Post by Day 3 and Respond by Day 6

To participate in this Discussion:

Week 5 Discussion

Assignment 1: Practicum – Week 5 Journal Entry

Learning Objectives

Students will:
  • Develop effective documentation skills for family therapy sessions *
  • Develop diagnoses for clients receiving family psychotherapy *
  • Evaluate the efficacy of solution-focused therapy and cognitive behavioral therapy for families *
  • 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 7.

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. Do not select the same family you selected for Week 2.

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 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 solution-focused or cognitive behavioral therapy would be more effective with this family. Include expected outcomes based on these therapeutic approaches.
  • Explain any legal and/or ethical implications related to counseling each client.
  • Support your approach with evidence-based literature. Solution-Focused and Cognitive Behavioral Family Therapy Essay Assignment Papers – NURS 6650.

By Day 7 of Week 7

Submit your Assignment.

Assignment 2: Board Vitals

This week you will be responding to twenty Board Vitals questions that cover a broad review of your Nurse Practitioner program courses up to this point.

These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability. Solution-Focused and Cognitive Behavioral Family Therapy Essay Assignment Papers – NURS 6650.

You can access Board Vitals through the link sent to you in email or by following the link below:

https://www.boardvitals.com/

By Day 7

Complete the Board Vitals questions.

Making Connections

Now that you have:

  • Explored solution-focused and cognitive behavioral therapy and challenges related to these therapeutic approaches
  • Developed diagnoses for clients receiving family psychotherapy and considered legal and ethical implications of counseling these clients

Next week, you will:

  • Explore group therapy and consider how you might apply current literature to your own clinical practice
  • Examine your own practicum experiences involving group therapy sessions. Solution-Focused and Cognitive Behavioral Family Therapy Essay Assignment Papers – NURS 6650
 
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THE MANY FACES AND FACETS OF INTELLIGENCE

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THE MANY FACES AND FACETS OF INTELLIGENCE

The Many Faces and Facets of Intelligence

 

This week, you have been learning about three key people whose research and beliefs in the power of intelligence have given rise to new perspectives on both teaching and learning. Active, searching minds such as those of Katz, Gardner, and Goleman provide role models for the ways that educators should approach learning about children’s strengths and challenges, as well as ways adults can inspire children to develop and learn.

Whatever career that you decide to pursue, understanding the power and complexity of your intelligence can help you be more effective in the areas mentioned above.

Click on and take each of the online tests below:

  • Multiple Intelligence Interactivityhttp://www.thirteen.org/edonline/concept2class/mi/index.html

    Note: Scroll down and click on the “Interactivity” to create your “M.I. Snowflake.”

  • Quiz for Emotional Intelligencehttp://psychology.about.com/library/quiz/bl_eq_quiz.htm?

 

Then, consider what you have learned about the ways people learn, multiple intelligences, and emotional intelligence.

 

By Day 3:

Post your response to two of the following:

 

  • What you learned about yourself from these tests
  • What the tests are lacking that you would like to explore more deepl
  • How your awareness regarding intelligences has influenced your thinking about children’s development and learnin
 
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Jen a nursing student is anxious about the upcoming board examination but is able to study intently and does not become distracted by a roommate’s talking and loud music.

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Jen a nursing student is anxious about the upcoming board examination but is able to study intently and does not become distracted by a roommate’s talking and loud music.

Jen a nursing student is anxious about the upcoming board examination but is able to study intently and does not become distracted by a roommate’s talking and loud music. The student’s ability to ignore distractions and to focus on studying demonstrates:

Jen a nursing student is anxious about the upcoming board examination but is able to study intently and does not become distracted by a roommate’s talking and loud music. The student’s ability to ignore distractions and to focus on studying demonstrates:

a. Mild-level anxiety

b. Panic-level anxiety

c. Severe-level anxiety

d. Moderate-level anxiety

 

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The post Jen a nursing student is anxious about the upcoming board examination but is able to study intently and does not become distracted by a roommate’s talking and loud music. appeared first on nursing term paper.

 
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Identify the model of nursing care that you observed. Be specific about what you observed, who was doing what, when, how and what led you to identify the particular model.

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The Patient Protection and Affordable Care Act (PPACA) was passed into legislation in March of 2010. Identify the impact of this legislation on your nursing practice by choosing two key nursing provisions outlined in the topic material “Nursing and Health Reform.” Discuss how these two provisions have impacted, or will impact, your current practice of nursing.
Directions
Read your text, Finkelman (2016), pp- 111-116.
Observe staff in delivery of nursing care provided. Practice settings may vary depending on availability.
Identify the model of nursing care that you observed. Be specific about what you observed, who was doing what, when, how and what led you to identify the particular model.
Write a 5-7 page paper.
Review and summarize two scholarly resources (not including your text) related to the nursing care model you observed in the practice setting.
Review and summarize two scholarly resources (not including your text) related to a nursing care model that is different from the one you observed in the practice setting.
Discuss your observations about how the current nursing care model is being implemented. Be specific.
Recommend a different nursing care model that could be implemented to improve quality of nursing care, safety and staff satisfaction. Be specific.
Provide a summary/conclusion about this experience/assignment and what you learned about nursing care models.

Review the story at the link below
Rau, J. (2015). Half of nation’s hospitals fail again to escape Medicare’s readmission penalties. Kaiser Health News. Retrieved from http://khn.org/news/half-of-nations-hospitals-fail-again-to-escape-medicares-readmission-penalties/
(Links to an external site.)
Links to an external site.
After you have finished, consider how you would respond to the following situation:
Your local hospital has received notice from CMS (Centers for Medicare and Medicaid) regarding their readmission rates.
As a BSN prepared nurse, you have been asked to serve as a consultant to suggest a new Quality (Performance) Improvement process for ONE of the areas of deficiency. Write some brief steps (suggestions) for improvement as you contemplate accepting the consulting opportunity.
Share practice improvements utilized from your own clinical nursing experiences that have led to enhanced patient outcomes.
 
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