NRNP 6645 Week 10 Assignment – Step-by-Step Guide

The first step before starting to write the NRNP 6645 Week 10 Assignment: Therapy for Clients with Personality Disorders, it is essential to understand the requirements of the assignment. The first step is to read the assignment prompt carefully to identify the topic, the length and format requirements. You should go through the rubric provided so that you can understand what is needed to score the maximum points for each part of the assignment. It is also important to identify the audience of the paper and its purpose so that it can help you determine the tone and style to use throughout. You can then create a timeline to help you complete each stage of the paper, such as conducting research, writing the paper, and revising it to avoid last-minute stress before the deadline. After identifying the formatting style to be applied to the paper, such as APA, you should review its use, such as writing citations and referencing the resources used. You should also review how to format the title page and the headings in the paper.

How to Research and Prepare for NRNP 6645 Week 10 Assignment

The next step in preparing for your paper is to conduct research and identify the best sources to use to support your arguments. Identify the list of keywords from your topic using different combinations. The first step is to visit the university library and search through its database using the important keywords related to your topic. You can also find books, peer-reviewed articles, and credible sources for your topic from PubMed, JSTOR, ScienceDirect, SpringerLink, and Google Scholar. Ensure that you select the references that have been published in the last words and go through each to check for credibility. 

Ensure that you obtain the references in the required format, for example, in APA, so that you can save time when creating the final reference list. You can also group the references according to their themes that align with the outline of the paper. Go through each reference for its content and summarize the key concepts, arguments and findings for each source. You can write down your reflections on how each reference connects to the topic you are researching about. After the above steps, you can develop a strong thesis that is clear, concise and arguable. Next you should create a detailed outline of the NRNP 6645 Week 10 Assignment paper so that it can help you to create headings and subheadings to be used in the paper. Ensure that you plan what point will go into each paragraph.

How to Write the Introduction for NRNP 6645 Week 10 Assignment

The introduction of the paper is the most crucial part as it helps to provide the context of your work, and will determine if the reader will be interested to read through to the end. You should start with a hook, which will help capture the reader’s attention. You should contextualize the topic by offering the reader a concise overview of the topic you are writing about so that they may understand its importance. You should state what you aim to achieve with the paper. The last part of the introduction should be your thesis statement, which provides the main argument of the paper.

How to Write the Body for NRNP 6645 Week 10 Assignment

The body of the paper helps you to present your arguments and evidence to support your claims. You can use headings and subheadings developed in the paper’s outline to guide you on how to organize the body. Start each paragraph with a topic sentence to help the reader know what point you will be discussing in that paragraph. Support your claims using the evidence conducted from the research, ensure that you cite each source properly using in-text citations. You should analyze the evidence presented and explain its significance and how it connects to the thesis statement. You should maintain a logical flow between each paragraph by using transition words and a flow of ideas.

How to Write the In-text Citations for NRNP 6645 Week 10 Assignment

In-text citations help the reader to give credit to the authors of the references they have used in their works. All ideas that have been borrowed from references, any statistics and direct quotes must be referenced properly. The name and date of publication of the paper should be included when writing an in-text citation. For example, in APA, after stating the information, you can put an in-text citation after the end of the sentence, such as (Smith, 2021). If you are quoting directly from a source, include the page number in the citation, for example (Smith, 2021, p. 15). Remember to also include a corresponding reference list at the end of your paper that provides full details of each source cited in your text. An example paragraph highlighting the use of in-text citations is as below:

The integration of technology in nursing practice has significantly transformed patient care and improved health outcomes. According to Smith (2021), the use of electronic health records (EHRs) has streamlined communication among healthcare providers, allowing for more coordinated and efficient care delivery. Furthermore, Johnson and Brown (2020) highlight that telehealth services have expanded access to care, particularly for patients in rural areas, thereby reducing barriers to treatment.

How to Write the Conclusion for NRNP 6645 Week 10 Assignment

When writing the conclusion of the paper, start by restarting your thesis, which helps remind the reader what your NRNP 6645 Week 10 Assignment paper is about. Summarize the key points of the paper, by restating them. Discuss the implications of your findings and your arguments. End with a call to action that leaves a lasting impact on the reader or recommendations.

How to Format the Reference List for NRNP 6645 Week 10 Assignment

The reference helps provide the reader with the complete details of the sources you cited in the paper. The reference list should start with the title “References” on a new page. It should be aligned center and bolded. The references should be organized in an ascending order alphabetically and each should have a hanging indent. If a source has no author, it should be alphabetized by the title of the work, ignoring any initial articles such as “A,” “An,” or “The.” If you have multiple works by the same author, list them in chronological order, starting with the earliest publication. 

Each reference entry should include specific elements depending on the type of source. For books, include the author’s last name, first initial, publication year in parentheses, the title of the book in italics, the edition (if applicable), and the publisher’s name. For journal articles, include the author’s last name, first initial, publication year in parentheses, the title of the article (not italicized), the title of the journal in italics, the volume number in italics, the issue number in parentheses (if applicable), and the page range of the article. For online sources, include the DOI (Digital Object Identifier) or the URL at the end of the reference. An example reference list is as follows:

References

Johnson, L. M., & Brown, R. T. (2020). The role of telehealth in improving patient outcomes. Journal of Nursing Care Quality, 35(2), 123-130. https://doi.org/10.1097/NCQ.0000000000000456

Smith, J. A. (2021). The impact of technology on nursing practice. Health Press.

An Example NRNP 6645 Week 10 Assignment Follows:

Borderline Personality Disorder (BPD)

Per the American Psychiatric Association, (2022), “borderline personality disorder is a pattern of instability in interpersonal relationships, self-image, and affects, and marked impulsivity”. There are 9 diagnostic features that a patient may present with, however, only 5 must be present for a diagnosis (American Psychiatric Association,2022). 

  1. Frantic efforts to avoid real or imagined abandonment.
  2. Unstable and intense interpersonal relationships (alternating extremes of idealization and devaluation).
  3. Identity disturbance, which is markedly and persistently unstable.
  4. Impulsivity in two areas.
  5. Recurrent suicidal behavior, threats or self-mutilating behaviors.
  6. Affective instability doe to marked reactivity of mood (sometimes called “rapid cycling”).
  7. Chronic feelings of emptiness.
  8. Inappropriate, intense anger or difficulty controlling anger.
  9. Transient, stress-related paranoid ideation. 

BPD also has a high rate of co-occurrence with other mental disorders, as well as classic symptoms which may be better explained under another diagnosis. Because of this, clinicians are sometimes hesitant in using this diagnosis. This could prove harmful to not recognize these symptoms as maladaptive in some way and even initiate the initial diagnosis of BPD.  

Because their response to avoid abandonment may be so intense (including suicidal behaviors and self-mutilating behaviors), it is critical that these patients get diagnosed promptly, and a multidisciplinary approach be initiated. Early identification of BPD symptoms may promote early intervention programs that should guarantee appropriate treatments in young people (Bozzatello et al., 2019). 

Therapeutic approach and modality

DBT remains the leading evidence-based method of therapy for patients with BPD. Showing patients what emotions lead up to impulsive behaviors and teaching them alternative ways of handling dysphoric emotions (Paris, 2015).  A metanalysis by Chen et al., (2021) revealed that DBT can significantly reduce self-harming behaviors and alleviate depression, but have no statistically significant effect on suicidal ideation and anger. That being said, the possibility of multiple co-morbid conditions may make those patients harder to treat.

DBT includes four skills modules: mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness (Haft et al., 2022). During the course of therapy, integrating those techniques into the sessions, help change (or replace) the negative thinking/behaviors or dysregulation) with positive behaviors.

Therapeutic relationship in psychiatry

There needs to be a relationship with the therapist and the patient for the patient to open up about their problems. If there is no relationship or trust, formulating a plan is very difficult. Knowing the therapist is well trained, knows what they are doing, and is an advocate in your corner enables the patient to allow learning and healing to begin.

Share the diagnosis with patient

Being diagnosed with any mental illness is difficult, however, BPD is a very difficult diagnosis, and chances are, when the patient hears all the qualifiers, they may be relieved to figure out that they “do fit into a category”. Once a diagnosis is made, the real work begins and the patient can either be referred to another therapist or psychotherapy focusing on that diagnosis (and I am reviewing DBT) is important.

Difference between sharing diagnosis with individual, family and group

Comprehensive DBT includes four treatment components: individual therapy, group skills training, between-session phone coaching, and a therapist consultation team (Haft et al., 2022). Group therapy allows for utilizing skills learned within interactions of others in a secure, safe setting. Individual therapy can be utilized to focus on what triggers certain behaviors and how to implement interventions learned. The family therapy allows all of the family to identify the cause or “triggers” of the individual and how to react, as well as understanding of why that type of reaction is displayed.

DBT training, which requires extensive and expensive training, a certification process, and ongoing resources, including a consultation team, which makes the therapy expensive, and while all four components of DBT are effective in their own way, it takes money and commitment for a patient to have access to and be able to utilize (Haft et al., 2022).

Conclusion

A lifetime of mental illness is a debilitating thing. It may mean medication, inpatient treatment, outpatient treatment, psychotherapy, and learning new ways to overcome disability and at times, the social stigmatism that is associated with a mental illness. There was a day when patients with mental illnesses lived in hospitals or asylums because mental illness was not really understood or accepted. I hope we have reached a time in history where people with mental disorders are treated with the same respect as a person with a physical ailment. And that the therapies that are effective, are shared with providers across the globe so that every person, regardless of their income, race, or the community they live in, and will be able to have care that allows them to recover and be healed.

NRNP 6645 Week 10 Assignment References:

American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.). https://doi.org/10.1176/appi.books.9780890425787

Bozzatello, P., Bellino, S., Bosia, M., & Rocca, P. (2019). Early Detection and Outcome in Borderline Personality Disorder. Frontiers in psychiatry, 10, 710. https://doi.org/10.3389/fpsyt.2019.00710

Chen, S., Cheng, Y., Zhao, W., & Zhang, Y. (2021). Effects of dialectical behaviour therapy on reducing self‐harming behaviours and negative emotions in patients with borderline personality disorder: A meta‐analysis. Journal of Psychiatric & Mental Health Nursing (John Wiley & Sons, Inc.), 28(6), 1128–1139. https://doi.org/10.1111/jpm.12797

Haft, S. L., O’Grady, S. M., Shaller, E. A. L., & Liu, N. H. (2022). Cultural Adaptations of Dialectical Behavior Therapy: A Systematic Review. Journal of Consulting & Clinical Psychology, 90(10), 787–801. https://doi.org/10.1037/ccp0000730

Paris, J. (2015). Psychotherapies. In A concise guide to personality disorders. (pp. 119–135). American Psychological Association. https://doi.org/10.1037/14642-011

This has been such an inspiring class. This is the last written assignment in this class. Your final task will be to complete the Final Exam of this NRNP 6645 class, which is coming up next week. The exam covers week 7 to week 11 course outline, so be sure to review these topics before taking the exam. Best luck!

Frequently Asked Questions (FAQs)

When approaching a 500-word essay, it’s essential to understand the nuances of this compact form of writing. These frequently asked questions will guide you through the process of crafting a concise and impactful essay.

How many pages is a 500-word essay typically?

A 500-word essay usually spans about one page if single-spaced or two pages when double-spaced, with standard margins and a 12-point font size.

Can you provide examples of a well-structured 500-word essay?

Certainly, to see the structure and flow of a well-written essay, you might want to take a look at a student’s writing guide that provides insights and examples.

Are there specific formatting guidelines for a 500-word essay?

Formatting guidelines typically involve using a legible font like Times New Roman or Arial, size 12, with double-spacing and one-inch margins on all sides. Check any specific requirements your instructor might have provided.

What are some effective strategies for writing a personal essay of 500 words?

For a personal essay, focus on a singular event or characteristic, ensuring your ideas are clear and you reflect on the significance of the subject matter. Use concise language and powerful imagery to maximize impact.

What topics are suitable for a concise 500-word essay?

Choose topics you can thoroughly address within the word limit, such as a personal anecdote, a critical analysis of a poem, or a focused argument on a singular point or issue.

How much time should you allocate to write a 500-word essay effectively?

Depending on your familiarity with the topic and writing proficiency, allocate anywhere from one to several hours for planning, drafting, and revising to ensure a well-presented essay.