NRNP 6645 Week 2 Assignment – Step-by-Step Guide
The first step before starting to write the NRNP 6645 Week 2 Assignment: Family Assessment and Psychotherapeutic Approaches, 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 2 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 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 2 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 2 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 2 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 2 Assignment
When writing the conclusion of the paper, start by restarting your thesis, which helps remind the reader what your 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 2 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 2 Assignment Follows:
Week 2 Assignment: Comprehensive Psychiatric Evaluation Note
The Psychiatric/ Mental health nurse performs complex functions in care delivery. They assess families and individuals comprehensively to determine areas of need, their physical and cognitive health, and their family cohesiveness. They work with the interprofessional team to fulfill these needs. Assessing families is somewhat complex and differs from individual analysis because the focus is to manage the family trauma and rewire the dysfunctional patterns in the family. This comprehensive psychiatric evaluation note focuses on Patti’s family and a dysfunctional pattern blamed on the arrival of her daughter, who had been left behind in Iran and recently rejoined the family.
CC: (chief complaint): “Chaos in Patti’s family since her daughter rejoined the family.”
HPI: A mother (Patti), her daughter, and the family therapists came to the healthcare facility complaining of chaos in the family since her daughter Shireen came to the US. The family immigrated from Iran 12 years ago, and a 10-year-old daughter was left behind before processing her visa and joining the family in the United States. Chaos (blaming, arguing, cursing) arose when she rejoined the family and told them of the trauma and abandonment she went through after she was left behind during the immigration. Patti complains that her children are out of control, and she no longer feels in charge.
The family therapist states that Shireen, the 21-year-old, claims she needs more money than a therapist and refuses to attend all appointments. Shireen has been through trauma after being sexually and physically abused by her father when the mother chose to stay with the four kids in the US and not return to Iran. Patti is also attached to her culture; the daughters try to detach from their mother and live independently. Patti has had two foot surgeries, creating more family tension. Patti often feels hopeless, helpless, and detached from the children and has been advised to get psychiatric help. Patti admits to needing help to learn to detach from the kids and live independently because of her cultural affiliations.
Past Psychiatric History:
- General Statement: The client has a history of fights and disagreements in the family due to cultural problems and started family therapy about two years ago
- Caregivers (if applicable): Not applicable
- Hospitalizations: 2 years ago, after two-foot surgeries
- Medication trials: None
- Psychotherapy or Previous Psychiatric Diagnosis: None
Substance Current Use and History: Denies current and past substance use history.
Family Psychiatric/Substance Use History: History of domestic trauma (battery), child sexual, immigration trauma of leaving a child behind, fairly traumatic current illness for the mother
Psychosocial History: The client and her children were born in Iran and migrated to the US 12 years ago, leaving a daughter behind who rejoined them later. She has five children; the oldest daughter is a 24-year-old daughter, a 21-year-old daughter, an 18-year-old son who is a student, and a 15-year-old son. The 21-year-old got married recently. The oldest daughter works in promotional jobs and working on getting her real-estate job license. The father, back in Iran, remarried and did not admit her mistakes of abusing Shireen.
Patti worked at caregiving and has not been involved in any current or past legal issues. After bringing her child for medical attention in the US, Patti decided to stay and ran away from her husband, who used to beat and abuse her as she protected the children. At home, she quarrels with the children, argues, and curses over issues such as the need for assistance, controlling the children’s lives and dogs, and spending personal time, and she admits that there is a need for change.
Medical History:
- Current Medications: None
- Allergies: No known drug or food allergies
- Reproductive Hx: She has four children. LMP three weeks ago, no pregnant or lactating, heterosexual.
ROS:
- GENERAL: The patient denies any recent weight gain, fatigue, weakness, fever, chills, or night sweats
- HEENT: Denies headaches or recent traumas. Eyes: Denies pain, itchiness, dryness, or drainage. Ears: Denies ear pain, drainage, ringing, loss of balance, or hearing changes. Nose: Denies any pain, drainage, or congestion. Throat: Denies pain swallowing, dryness, itchiness, or sputum production
- SKIN: Denies rashes, itchiness, swelling
- CARDIOVASCULAR: Denies palpitations, high blood pressure, or chest pain
- RESPIRATORY: Denies cough, wheezing, crackles, congestion, or shortness of breath
- GASTROINTESTINAL: Denies changes in appetite, constipation, diarrhea, or abdominal pain
- GENITOURINARY: Denies pain micturition, color or odor in urine, increased urgency or frequency
- NEUROLOGICAL: Denies headaches, syncope, or loss of coordination
- MUSCULOSKELETAL: Reports having had two previous leg surgeries, has excruciating pain hence movement problems
- HEMATOLOGIC: Denies easy bruising, uncontrollable bleeding,
- LYMPHATICS: Denies lymphadenopathy
- ENDOCRINOLOGIC: Denies cold or heat intolerance or excessive sweating
Physical exam: Not Applicable. Performing a physical exam may help determine any physical needs that would inform care delivery.
Diagnostic results: No diagnostic tests were ordered
Assessment:
Mental Status Examination: Patti is a 40-year-old lady who appears the stated age. She is cooperative throughout the encounter. She has dressed appropriately and portrays no tics or other abnormal facial movements. In addition, her speech is coherent, clear, and in appreciable volume and tone. The thought process has no tangentiality, circumstantiality, thought block, or flight of ideas. She reported her mood as happy and displayed a broad congruent affect throughout the encounter. She denies any tactile, auditory, or visual hallucinations or illusions. She does not display delusional thinking or suicidal or homicidal ideations. She is alert and well-oriented to time, place, person, and occasion. Her immediate recall and ratio, recent, and remote memories are intact. In addition, she has good insight and judgment. She denies sleep or appetite changes.
Differential Diagnoses:
Adjustment Disorder with Depressed Mood
According to DSM-5, adjustment disorder is diagnosed when emotional and behavioral symptoms are in response to an identifiable stressor, occurring within three months of the stress onset (APA, 2022). The patient is often tearful, hopeless, and helpless and even exhibits bizarre behavior, such as demanding kids to spend time with her. This family has been experiencing disturbances since the daughter came from Iran. O’Donnell et al. (2019) note that behaviors such as aggression, demanding character, hopelessness, helplessness, cursing, and shouting are clinical manifestations of the adjustment disorder. The family is trying to adjust to the new realities, especially when trying to understand their sister and all the trouble she went through in Iran. Patti is also trying to cope with stressful changes, from an inability to work after two surgeries affecting her walking ability. She also needs adjustment to the new reality that she cannot entirely rely on the children for all her needs or be controlling or too demanding because they are already grown-ups. Thus, this is the primary diagnosis for this patient.
Dependent Personality Disorder
The condition presents with an excessive need to be cared for by others. It involves submissiveness and a need for constant reassurance, and the inability to make decisions (Heintz et al., 2021). The DSM 5 states that a person with this disorder displays a fearful and anxious presentation, excessive need, and dependence on others (APA, 2022). Patti has dependent behavior, but hers is more controlling than fearful. She demands that her children spend all day with her. However, she admits that she is unhappy they are arguing and fighting with her children because she loves them. She does not display a submissive and fearful character, thus ruling out the diagnosis.
Acute Stress Reaction
Acute stress disorder is caused by exposure to traumatic events that involve death, serious injury, sexual violence, and other symptoms, which must begin within three days of the event but last more than three days but subside within a month (APA, 2022). It must cause distress or impairment. Shahrour and Dardas (2020) note that acute stress can cause significant distress and occurs when individuals feel out of control. The daughter’s arrival, the stories she gave the family, and the blaming and the illness could have caused acute stress to the mother. She also presents as being depressive, hopeless, and helpless at times. However, these symptoms have persisted for more than a month, ruling out the diagnoses.
Case Formulation and Treatment Plan: Initiating Patti’s individual psychotherapy and family therapy every two weeks to help the client live a more independent life away from her children and to ensure her children support her as she learns to live independently. Hoffman and Stein (2022) note that psychotherapy is an effective treatment for adjustment disorders as it helps patients deal with the patterns responsible for them. The recommendations were discussed with the family therapists, who agreed with the treatment plan and promised to cooperate. The family also consents to the arrangement for better family outcomes for this troublesome family. Returning to the clinic in four weeks will help the healthcare providers assess change and make other management decisions for better health outcomes.
Reflections
Working with this family and therapist was a complex activity that I could have improved in many ways. I agree with the preceptor’s diagnosis because Patti presents with a need for psychiatric interventions, as seen in her portrayal of maladjustment behaviors. In the future, I will ensure I listen to the family keenly before trying to start conversations. I will also establish some background rules to prevent patients from fighting or disagreeing harshly in the room, which can impede care delivery. The care provider must ensure a therapeutic environment for effective problem management (Wheeler, 2020). Culture is essential to any individual, and these children also need to understand their mother and be supportive as she adjusts to the new realities. Thus, their involvement in family therapy is crucial. Educating the patient on identifying other sources of social support, such as community and religious groups, would also help relieve the overreliance on her children.
NRNP 6645 Week 2 Assignment References
American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.). https://go.openathens.net/redirector/waldenu.edu?url=https://dsm.psychiatryonline.org/doi/book/10.1176/appi.books.9780890425787
Heintz, H. L., Freedberg, A. L., & Harper, D. G. (2021). Dependent personality in depressed older adults: a case report and systematic review. Journal of Geriatric Psychiatry and Neurology, 34(5), 445-453. https://doi.org/10.1177/0891988720933361
Hoffman, J., & Stein, D. J. (2022). What are the pharmacotherapeutic options for an adjustment disorder? Expert Opinion on Pharmacotherapy, 23(6), 643-646. https://doi.org/10.1080/14656566.2022.2033209
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
Shahrour, G., & Dardas, L. A. (2020). Acute stress disorder, coping self‐efficacy and subsequent psychological distress among nurses amid COVID‐19. Journal of Nursing Management, 28(7), 1686–1695. https://doi.org/10.1111/jonm.13124
Wheeler, K. (Ed.). (2020). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (3rd ed.). Springer Publishing.
With this understanding of family assessment and the dynamics involved, you now have the basis to learn and analyze group techniques, which is the next assignment due in week 3 of NRNP 6645.
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.