Category: Nursing

Final Exam – NURS 6650 – Psychotherapy for families and groups – Online Exam Answers

Do you need someone to sit for your online Psychotherapy with Groups and Families (NURS – 6650N – 2) or are you looking for the answers to the the mid term or Final Exam – NURS 6650 – Psychotherapy for families and groups – Online Exam Answers?

We have the answers and a team of professionals to sit for the online exam and ensure you pass with an A. Just get in touch with us, place your order and relax, we will do the rest.

ORDER NOW, EXPERTS ON STANDBY

Also, are you looking for someone to handle the following for you?

Discussions
–
initial posting and/or 
response postings to colleagues?

Assignments
– someone to handle your weekly assignments and guarantee you quality and plagiarism free papers?

Midterm and final exams
– Someone to handle the online exams?

Practicum Journal Entries and assignments
 – Who do you trust to write your papers?

Which topic/Week do you need help in? We have everything covered from the first to the eleventh week.

Week 1 – Legal and Ethical Considerations for Group and Family Therapy

Week 2 – Family Assessment and Phases of Family Therapy

Week 3 – Experiential and Narrative Family Therapy

Week 4 – Structural and Strategic Family Therapy

Week 5 – Solution-Focused and Cognitive Behavioral Family Therapy

Week 6 – Foundations of Group Work and Types of Groups

Week 7 – Group Processes

Week 8 – Cognitive Behavioral Therapy for Groups

Week 9 – Group Therapy for Addiction

Week 10 – Group Therapy With Children and Adolescents

Week 11 – Group Therapy With Older Adults

We understand what is expected of you, so lets help you out on Final Exam – NURS 6650 – Psychotherapy for families and groups – Online Exam Answers or other coursework that you may require.

This course emphasizes the concept of treatment of groups and families. Group and family dynamics and benefits associated with group and family therapy are also emphasized along with introducing the learner to techniques that can be used in group and family therapy settings. Practicum experiences focus on the treatment of the family unit as well as the provision of group psychotherapy. Managed care has ushered in a new era of effective mental health services. To that end, the psychiatric mental health nurse practitioner must know how to optimize not only his or her time, but also the treatment benefits associated with family and group therapy.

PLACE YOUR ORDER FOR A CUSTOM-WRITTEN PAPER

With the growing demand for more accessible and cost-efficient mental health care, group and family therapy is becoming an increasingly popular treatment option. As a psychiatric mental health nurse practitioner, you must be prepared to facilitate group and family therapy sessions using evidence-based techniques. This course is designed to develop your understanding of these therapies and techniques and the disorders they are used to treat.

 

In this course, you explore psychotherapy with groups and families. Through Discussions, Assignments, and practicum experiences, you apply psychotherapeutic counseling theories, techniques, and tools for groups and families to assess, diagnose, and treat clients with mental health disorders. You also examine the efficacy of therapies and explore their ethical and legal implications.Final Exam – NURS 6650 – Psychotherapy for families and groups – Online Exam Answers.

Develop Diagnoses for Clients Receiving Psychotherapy

Mr. W is a 48 year old single dad with a 19 year old daughter A.W who he petitioned.

Chief Compliant:

Petitioned by father who reports patient thinks she is going “crazy” and she tried to cut herself and makes threats to kill self.

History of Present Illness (HPI):

Patient says she has too much “crap” going on and she can’t take it anymore.  She was in an emotionally abusive relationship with her boyfriend. She denies physical at all.  He was controlling and picked on everything she did. She walked on egg shells so she wouldn’t do anything to upset him so he would not yell at her.  She became really depressed an anxious.  She quit going to work because she couldn’t handle it.  She would break down and cry.  She admitted herself into a local hospital in April.  She was not suicidal but she knew she needed help.  Prior to that her PCP had her on Paxil, Ativan and trazodone.  The hospital did not change her medications and did not give her a follow-up. She moves out to get away from it all.  She had hoped to “free herself” being here and get better.  Her dad lives with his own mother and her 2 half- siblings.  Her father is an alcoholic- he has no job no car and lives off his mother’s money.  Pt feels she has had to become an “alcoholic watcher” and has to take care of her younger siblings because her dad is too drunk to care for them.  She has been here 5 weeks now.  She wants to go back to Prescott but she feels too guilty to leave her siblings alone with the father.  She needs a job but can’t figure out how to get her CNA license renewal.  “I’m not smart and I need help with these things and no one will help me.”  She wants to go back to Prescott to be near her mom.

 

Allergies:
NKDA

 

Psychiatric history
: anxiety

 

Medical History:
None

 

Medications:
Paxil 20mg, Ativan 1 mg, Trazadone 50 mg.

 

Substance abuse:
Marijuana, drinks occasionally, denies tobacco and denies illicit drugs

 

Social History:
 Parents divorced when she was 3.  Dad remarried and has 2 kids and lives with his mother in Prescott

 

Dad comes in for family counseling and he presents with complaints of feeling really depressed about family situation especially his daughter. He wants therapy to help with the communication between him and his daughter. Mr W. has also complaints of weight gain, low energy, and loss of interest, decreased appetite, and insomnia. Dad is an alcoholic and does not currently have a job.

 

 

Case Formulation
: 19 years old with a recent onset of depression and anxiety with prior superficial cuts to the arm.

 

Plan and Recommendations:
Continue Paxil and raise dose.

 

Both Mr. W and A.W were assessed with the Questionnaire -9(PHQ-9) scales Mr. W. had MDD moderate and AW has depression and anxiety. MDD, anxiety were based on the DSM-5 criteria symptoms

 

 

Differential Diagnosis:

Depressive disorder, depressed mood

Anhedonia (diminished loss of interest or pleasure in almost all activities)

Significant weight or appetite disturbance

Sleep disturbance

Psychomotor agitation or retardation (a speeding or slowing of muscle movement)

Loss of energy or fatigue

Feelings of worthlessness (low self-esteem)

Diminished ability to think, concentrate and make decisions

Recurrent thoughts of death, dying or suicide

Longstanding interpersonal rejection ideation (others would be better off without me); specific suicide plan; suicide attempt(APA, 2013)

 

 

Anxiety Disorder disorders that share features of excessive fear and anxiety and related behavioral disturbances.

Edginess or restlessness.

Tiring easily; more fatigued than usual.

Impaired concentration or feeling as though the mind goes blank.

Irritability (which may or may not be observable to others).

Increased muscle aches or soreness.

Difficulty sleeping (due to trouble falling asleep or staying asleep, restlessness at night, or unsatisfying sleep)(APA, 2013).

 

DSM-5:
Depressive Disorder 311, Generalized Anxiety disorder 300.02

 

ICD Codes
:

 

Depressive disorder ICD 10-CM Diagnosis Code F33, mental, behavioral and neurodevelopment disorder. Anxiety Disorder ICD-10 CM Diagnosis Code F41.9 Generalized anxiety disorder. Mental, behavioral and neurodevelopment disorders

 

Depressive disorders as evidenced by feelings of worthlessness, diminished ability to think, concentrate and make decision, attempted to commit suicide. Anxiety disorder as evidenced by impaired concentration, fear and behavioral disturbances (APA, 2013).

 

The five core ethical and clinical questions counselors need to consider, when treating patients with a psychiatric illness is to first know that patient rights are within the psychology. Each patient has the right to treatment, confidentiality, competence of counselor, professional boundaries and informed consent (Howe, E.2013). This includes whether counselor should tell patients their diagnosis and what they should tell them about their suicide risk. In addition, counselors should ask whether or not are available by phone, when they should hospitalize these patients involuntarily, and how they should respond after these patients have attempted suicide and return for further care (Howe, E. 2013).

The ethical components are to optimize ethical and clinical interventions; in some cases they may overlap. These interventions may maximize the autonomy patients with mental illness disorder and, at the same time, be clinically optimal, thus increasing a sense of self-efficacy and patient-counselor trust in the patients (Howe, E. 2013. In treating these clients included an inform consent from both parties. I employed non maleficence and beneficence to Mr. W and AW. The treatment goal is to improve therapeutic communication between the two. Goal treatment was to provide therapeutic communication between the two.

 

 

 

 

 

 

 

 

 

 

 

 

References

 

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental

 

disorders (5th ed.). Washington, DC: Author.

 

 

Howe, E. (2013). Five ethical and clinical challenges psychiatrists may face when treating

 

Patients with borderline personality disorder with are or may become suicidal. Retrieved

 

from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3579480/

 

 

Nichols, M., & Tafuri, S. (2013). Techniques of structural family assessment: A qualitative

 

analysis of how experts promote a systemic perspective.
Family Process, 52
(2), 207–215.

 

doi:10.1111/famp.12025. Retrieved from Walden Library databases.

 

 

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

 

 

 

 

Wheeler, K. (Eds.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A

 

how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer

 

Publishing Company.

Pulmonary Embolism and Obesity Question and Answer

A client with obesity is diagnosed with pulmonary embolism (PE).  Which assessment data would the nurse expect to find?  
Select all that apply.

Bradycardia

Chest pain

Chills and fever

Hypoxemia

Tachypnea

Tracheal deviation

 

Pulmonary Embolism and Obesity Question and Answer

Answer

Correct answer

2,4,5

ORDER AN ESSAY OR ONLINE CLASSES HELP

Explanation

A pulmonary embolus is a 
blood clot
 that usually originates from the deep veins of the legs (>90%), travels to the pulmonary circulation, and 
obstructs a pulmonary artery
 or one of its branches, resulting in decreased perfusion in relation to ventilation and 
impaired gas exchange
 (hypoxemia).

Clients are at risk for formation of venous thromboembolism (VTE) when the conditions detailed in Virchow’s Triad are present.  Clients at risk for PE include those with 
prolonged immobilization
 (eg, during hospitalization if not ambulatory), obesity, recent surgery, varicose veins, smoking, heart failure, advanced age, or history of VTE.

The assessment data most characteristic of PE include:

Dyspnea
 (85%)

Pleuritic chest pain
 (60%)

Tachycardia

Tachypnea

Hypoxemia
 (impaired gas exchange, decreased perfusion with normal alveolar ventilation, shunting)

Apprehension and anxiety

A more atypical presentation can be associated with a larger sized PE, and may include manifestations of cardiopulmonary compromise and 
hemodynamic instability
 (eg, right ventricular dysfunction, pulmonary hypertension, systemic hypotension, syncope, loss of consciousness, distended neck veins).

(Option 1)
  A classic manifestation of PE is tachycardia to compensate for hypoxemia (not bradycardia).

(Option 3)
  Chills and fever can indicate the presence of an infection and are not characteristic of PE.  However, a low-grade fever without chills can occur 1-2 weeks after PE due to inflammation.

(Option 6)
  Tracheal deviation is a symptom of tension pneumothorax.  The trachea deviates from midline toward the unaffected side, away from the collapsed lung.

Pulmonary Embolism and Obesity Question and Answer Educational objective:

Classic clinical manifestations of PE include dyspnea, pleuritic chest pain, tachycardia, tachypnea, hypoxemia,  and feelings of apprehension and anxiety.  Risk factors for PE include those detailed in Virchow’s Triad (eg, hypercoagulability, venous stasis, and endothelial damage).  Massive PE can cause syncope and hemodynamic instability.

Clostridium Difficile Colitis Question and Answer

Question

A client is being admitted to the health care facility with a new diagnosis of 
Clostridium difficile
 colitis.  Which elements of infectious disease precautions are necessary when providing routine care for this client?  
Select all that apply.

Alcohol-based sanitizers for hand cleaning

Client in single-room (private) isolation

Nurse using N95 respirator

Nurse using sterile gloves

Nurse using surgical mask

Nurse wearing disposable gown

 

Clostridium Difficile Colitis Question and Answer

Answer

Correct answer

2,6

ORDER AN ESSAY OR ONLINE HELP NOW

Explanation

Clostridium difficile
 requires 
contact precautions
 under the guidelines published by the Centers for Disease Control and Prevention.

Place the client in 
single-room
 isolation (preferred) or cohort with other 
C difficile
-infected clients

All surfaces within 3 feet of the bed are considered contaminated

Personal protective equipment (
gown and gloves
) must be discarded before leaving the room

Hand hygiene must be performed with 
soap and water

Alcohol-based hand sanitizers do not kill 
C difficile
 spores 
(Option 1)

Dedicated medical equipment (stethoscope, blood pressure cuff) should remain in the room

(Option 3)
  For client care involving airborne precautions, a class N95 or higher grade respirator must be used in lieu of a surgical mask to avoid potential exposure to aerosolized particles.  Surgical masks are rated for barrier protection for droplet splashing and filtration of large respiratory particles only.

(Option 4)
  Regular clean gloves (not sterile) are needed.

(Option 5)
  Surgical masks are rated for barrier protection from droplet-based disease transmission and provide only filtration for large respiratory particles.  Masks are required during any activity with the possibility of fluids splashing (suctioning, wound care).

Clostridium Difficile Colitis Question and Answer Educational objective:

Clostridium difficile
 requires contact-based precautions – private isolation room preferred, disposable gown, and nitrile gloves.  
C difficile
 requires the use of 
soap and water
, not alcohol-based hand sanitizers, to prevent transmission.

Bacterial Meningitis Nursing Care Question.

A 6-month-old is admitted with bacterial meningitis.  Which action is the 
priority
 of care? (choose one of the following bacterial meningitis nursing care options, the answer and the explanation is given below)

1.

Administering antibiotics

2.

Avoiding environmental stimuli

3.

Initiating seizure precautions

4.

Measuring head circumference

 

Bacterial Meningitis Nursing Care Question Answer and Explanation:

Bacterial meningitis
 occurs when infection causes inflammation in the meninges of the brain and spinal cord.  This inflammation may lead to hydrocephalus and increased intracranial pressure (ICP).  Due to the risk for severe complications from meningitis and increased ICP (eg, hearing loss, permanent brain damage, death), the 
priority
 of care is 
immediate antibiotic therapy
.  
Lumbar puncture
 (LP) with cerebrospinal fluid culture is performed to determine the causative organism.  Antibiotic choice may be adjusted later based on LP results.  The client should remain on 
isolation precautions 
for a minimum of 24 hours following initiation of antibiotic therapy.

(Option 2)
  Clients with meningitis are often very 
sensitive to stimuli
 (eg, bright lights, noise).  Although environmental stimuli should be reduced as much as possible, the priority of care is initiating antibiotic therapy.

ORDER AN ESSAY OR ONLINE CLASSES HELP

(Option 3)
  Seizures may occur in infants with bacterial meningitis and are often accompanied by a 
shrill, high-pitched cry
.  There is no indication that this client has experienced a seizure.  The nurse should carefully monitor for seizure activity and place the client on seizure precautions if necessary.  However, antibiotic therapy is the most critical intervention in treating bacterial meningitis.

(Option 4)
  Although obtaining an initial 
head circumference
 is necessary to monitor for changes related to increasing ICP, the priority is obtaining blood cultures and administering antibiotics as soon as they are prescribed.

Educational objective:

Due to the risk for severe complications (eg, hearing loss, permanent brain damage) associated with bacterial meningitis, the most critical intervention is initiation of antibiotic therapy.  The causative organism is confirmed through LP and blood cultures.

Contemporary moral issue in our society and ethical principle of Utilitarianism

Choose a contemporary moral issue in our society and apply the ethical principle of Utilitarianism to approve and be in favor of this moral issue. You must pick a moral issue that you strongly agree with and apply the utilitarian claims to back up your arguments. In addition, you must apply Bentham’s Felicific Calculus. The paper must be done in MLA format with a minimum of 500 words (quotes are not included in the word count). You must read Chapter 2 and watch the Week 3 Lectures before you do this paper.

How can graphics and/or statistics be used to misrepresent data? Where have you seen this done?

Based on the scientific management theory, what are some of the routines in health care that seem to be inefficient? What examples of participative decision making exist in your workplace? Provide your rationale.

Statistical Analysis on a Selected Data Set Assignment

Conduct
a Statistical analysis on one of the data sets provided or use your own data set. The sample data sets are for the following areas:

A hospital administrator is attempting reduce the length of stay in the inpatient setting at four of the systems hospitals. Each hospital leadership team has attempted to implement strategies to decrease the length of stay over the past year. Conduct an analysis on the data provided to identify the hospital closest to achieving the lowest LOS. What are your results of your descriptive statistical analysis? What other data elements would be helpful for a researcher to collect?

Perform
some descriptive statistical analysis on the data you selected. Include the following standard tests:

Mean

Median

Mode

Percentages

Trends in data over time

This assignment will be broken up as the following:

Introduction

Mean with short explanation and summary of the results and with a graph.

Median with short explanation and summary of the results and with a graph

Mode with short explanation and summary of the results and with a graph

Percentages with short explanation and summary of the results and with a graph

Trends with short explanation and summary of the results and with a graph

What other data elements would be helpful for a researcher to collect?

Conclusion

Data set:

Hospital

Oct

Nov

Dec

Jan

Feb

March

April

May

June

July

Aug

Sept

Year To Date

Hospital A

4.48

4.77

4.51

4.72

4.73

4.84

4.87

4.73

4.67

4.7

4.29

4.45

4.65

Hospital B

4.53

4.23

4.37

4.48

4.58

4.92

4.79

4.97

4.61

4.91

4.58

4.43

4.62

Hospital C

3.63

3.53

3.96

3.51

3.79

3.39

3.91

3.59

3.23

3.77

3.32

3.42

3.59

Hospital D

4.33

4.32

4.34

4.42

4.46

4.59

4.64

4.6

4.39

4.63

4.25

4.3

4.5

Provide
a 350- to 700-word summary of your results, including graphical representations of your findings. Plot the information on your graph. Interpret your findings.

Unionization and the Nursing Profession Essay Assignment

Unionization is a highly charged topic. No matter what your beliefs or thoughts are on the subject, one thing is clear—nurse managers have a significant responsibility to promote the goals of their organizations while appreciating the labor concerns that may prompt employees to join unions. Beyond that, it is helpful to reflect on the core values of nursing and consider the extent to which they align with unionization.

To prepare:

Review the information in the Learning Resources. Conduct additional research on unionization in health care.

Consider the professional basis of nursing and the presence of unions in health care. Does unionization conflict with a professional nursing orientation?

Reflect on the experiences you have had working in unionized settings, or consider what would be required of you in such a setting if you do not have that experience.

Consider how you would address transitioning from being a member of a collective bargaining unit to being a manager who cannot be a member of a collective bargaining unit. How you might prepare to make this sort of transition?

ORDER A CUSTOM-WRITTEN PAPER

Post
 your position on whether unionization aligns with or conflicts with a professional nursing orientation and what this may mean for the role as a nurse manager. Share your experiences working in a unionized setting or describe what might be required of you when transitioning from one circumstance to another.

 

Required Readings

Marquis, B. L., & Huston, C. J. (2015). 
Leadership roles and management functions in nursing: Theory and application
 (8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.

Chapter 22, “Collective Bargaining, Unionization, and Employment Laws”

Chapter 22 discusses several key topics surrounding unions and collective bargaining in nursing and health care organizations. Unionization and the Nursing Profession Essay Assignment.

Manthous, C. A. (2014). Labor unions in medicine: The intersection of patient advocacy and self–advocacy. 
Medical care
, 
52
(5), 387–392.

Copyright 2014 by Llippincott  Williams & Wilkins – Journals. Reprinted by permission of Llippincott  Williams & Wilkins – Journals via the Copyright Clearance Center.

Ash, M., Seago, J. A., & Spetz, J. (2014). What do Health Care Unions do?: A Response to Manthous. 
Medical care
, 
52
(5), 393–397. DOI: 10.1097/MLR.0000000000000124.

Copyright 2014 by Llippincott  Williams & Wilkins – Journals. Reprinted by permission of Llippincott  Williams & Wilkins – Journals via the Copyright Clearance Center.