Table of Contents
NRNP 6645 – Psychotherapy With Multiple Modalities Course Assignments & Discussions Study Guide
NRNP 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:
- 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.
- 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).
- 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 Development, 21(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 Development, 49(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 Neuroscience, 10(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 Health, 16(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 Research, 267, 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.
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
- Higher rate of attendance
- Acceptance for a variable level of active participation
- A concrete system for measuring cohesiveness
- 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
- It is incumbent on the therapist to ensure that treatment continues.
- Stop treatment immediately.
- Attempt to work out a payment plan with the patient.
- 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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