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Practicum – Weeks 9 and 10 Journal Entries and Journal Assignment Paper

Practicum – Weeks 9 and 10 Journal Entries and Journal Assignment PaperPracticum – Weeks 9 and 10 Journal Entries and Journal Assignment PaperSubmit your Practicum Journal entries for Weeks 9 and 10.Develop diagnoses for clients receiving psychotherapyAnalyze legal and ethical implications of counseling clients with psychiatric disordersAnalyze how nursing and counseling theories guided personal practice in psychotherapyThe Learning Objectives are related to the Practicum Journal Assignments presented in Weeks 9 and 10.Week 10 Journal EntryReflect on your overall practicum experience in this course. Then, address the following in your Practicum Journal:Explain whether your therapeutic theory has changed as a result of your practicum experiences. Recall the theories you selected in Week 1.Explain how you integrated the therapeutic approaches from this course in your clinical practice. Include how this helped you achieve the goals and objectives you developed in Week 1.Explain how you might impact social change through your work with clients who have mental health issues.Support your approach with evidence-based literature.Practicum – Weeks 9 and 10 Journal Entries and Journal Assignment PaperORDER A PLAGIARISM-FREE PAPER HERERubric:Quality of Work Submitted:The extent of which work meets the assigned criteria and work reflects graduate level critical and analytic thinking.–Excellent 27 (67.5%) – 30 (75%)Good 24 (60%) – 26 (65%)Fair 21 (52.5%) – 23 (57.5%)Poor 0 (0%) – 20 (50%)Quality of Work Submitted:The purpose of the paper is clear.–Excellent 5 (12.5%) – 5 (12.5%)Good 4 (10%) – 4 (10%)Fair 3.5 (8.75%) – 3.5 (8.75%)Poor 0 (0%) – 3 (7.5%)Written Expression and FormattingParagraph and Sentence Structure: Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are clearly structured and carefully focused–neither long and rambling nor short and lacking substance.–Excellent 5 (12.5%) – 5 (12.5%)Good 4 (10%) – 4 (10%)Fair 3.5 (8.75%) – 3.5 (8.75%)Poor 0 (0%) – 3 (7.5%)NURS-6640NDr. DicksonRunning head: WEEK 9 JOURNAL 1 Week 9 JournalFelicia is a 17-year-old female who presented to Beckett Springs mental health facility, with her mother voluntarily for “I can’t think straight anymore.” She has a history of psychosis, mood instability, and behaviors putting herself and others in harm’s way. She is noted to have difficulty with agitation, internal preoccupation, and is increasingly suspicious of others. The client endorsed difficulty with rumination and self-sabotaging thoughts, feeling that she is being poisoned. She also endorsed difficulty with sadness and anxiety symptoms. She states she is having suicidal thoughts with a plan to slash her wrists. She is noted to have increased delusions and fear with a sense of impending doom. Due to her suicidal ideation, psychotic symptoms, mood instability, and poor judgment, the client is referred for hospitalization at this time. Felicia has a history of hypothyroidism, asthma, and gastrointestinal esophageal reflux disease (GERD). She has no known allergies. Her current medication list consists of:Albuterol rescue inhaler PRN AsthmaGeodon 20 mg BID Psychosis/MoodProzac 20 mg Daily DepressionDSM-5The client’s diagnosis is major depressive disorder, severe, recurrent, with psychotic features. She presents with symptoms greater than two weeks. She reports a decrease in things she once enjoyed doing with feeling sad most of the day (American Psychiatric Association, 2013). She has recurrent thoughts of dying and now has a plan. The psychotic features are related to her delusions of voices telling her to slit her wrists (American Psychiatric Association, 2013).Practicum – Weeks 9 and 10 Journal Entries and Journal Assignment PaperLegal/Ethical ImplicationsWith every client, the psychiatric mental health nurse practitioner (PMHNP) must ensure safety and focus on harm prevention. According to Nagy (2011), informed consent about the aspects of treatment and all services must be provided to the client. There is a need to integrate knowledge within the therapy setting with the client and the family while also maintaining confidentiality (Kocher, 2003). Setting a therapeutic alliance and treatment goals is essential while paying close attention to the right and needs of the adolescent client (Kocher, 2003).ReferencesAmerican Psychiatric Association. (2013). Diagnostic and statistical manual of mental health disorders (5th ed.). Washington, DC: Author.Nagy, T. F. (2011). Ethics in psychotherapy. In Essential ethics for psychologists: A primer for understanding and mastering core issues. American Psychological Association, 185-198. https://doi.org/10.1037/12345-010Kocher, G. P. (2003). Ethical issues in psychotherapy with adolescents. Journal of Clinical Psychology, 59(11), 1247-1256. https://doi.org/NURS 6640 Walden UniversityWeek 10 Journal 3The purpose of this paper is to explain whether or not my therapeutic approach has changed since starting my practicum experience based on the theories I chose to use as a therapeutic approach in week one. I will describe the ways in which I applied the therapeutic approaches I stated I would use and how that helped me achieve my goals. The ways that I will impact social change with patients who have mental illnesses will be included, and evidenced-based practice will be included. There is not one correct method or therapeutic approach to apply, which is important to keep in mind as a new PMNHP. There are numerous psychotherapy approaches that have been proven effective, however, considering all of the factors including the patient, the theoretical model, the length and frequency of therapy, and the type of therapy can help determine the most effective approach to use for each situation (Zacho, 2016).Practicum – Weeks 9 and 10 Journal Entries and Journal Assignment PaperTherapeutic TheoryThe number one therapeutic approach and idea that was leaned in this course to help me for my suture career as a PMHNP and counselor is self-awareness. Being aware of one’s own thoughts and being mindful can help the PMNHP to be nonjudgmental and allow inner experiences and actions to be observed (Wheeler, 2014). Practicing mindfulness and self-awareness can be done by practices including spirituality, prayer, chanting, meditation, journaling, and seeking personal therapy (Wheeler, 2014). By performing such exercises and activities to improve self-awareness, PMHNP’s can be more mindful and aware when they start to become frustrated with a lack of client’s progress.Therapeutic ApproachesA major therapeutic approach from this course that was used is self-awareness. Being aware of one’s own thoughts and being mindful can help the PMNHP to be nonjudgmental and allow inner experiences and actions to be observed (Wheeler, 2014). Practicing mindfulness and self-awareness can be done by practices including spirituality, prayer, chanting, meditation, journaling, and seeking personal therapy (Wheeler, 2014). I integrated such exercises as a way to help improve myself self-awareness. Practicum – Weeks 9 and 10 Journal Entries and Journal Assignment Paper .The exercises I practiced included prayer, spirituality, journaling, and seeking personal therapy since starting the practicum made me feel calmer and more in tune with myself, my behaviors, my thoughts, and my actions/reactions. Seeing clients have their own self-awareness and realizations about themselves was humbling and motivating making me want to be better for my future clients. This helped me reach my goal of feeling more confident about educating patients, conducting therapy sessions on my own and adding input during the sessions more frequently. Another therapeutic approach generalization I learned from this course and applied to my clinical practice was the details and specifics about various psychotherapy techniques. Before this course, I was unaware of all of the different methods of psychotherapy and when to apply them to patients based on their diagnosis, presenting issues, and personal goals for therapy. For example, CBT can be used for a variety of conditions including eating disorders, depression, anxiety, self-esteem issues, adjustment disorder with the goal of providing insight and identifying cognitive distortions allowing the patient to adjust their perception and develop skills on their own to manage destructive thought patterns (Davis, 2018).Practicum – Weeks 9 and 10 Journal Entries and Journal Assignment PaperSocial ChangeOne of my major goals as a PMHNP is to help reduce stigma in society related to mental illness. The negative responses that society creates related to seeking help for mental illnesses has been recognized as the number one barrier to mental health programs across the world (Stuart, 2016). I can do my part to help impact social change by educating patients and society, as a provider. I will utilize media and other popular resources to attract public attention. I will establish committees, help launch campaigns, advocate for festivals, and gather willing patients who have recovered to share their stories (Taghva, 2017). Secondly, I will impact social change by advocating for cost-effective treatments which will require me to become more educated on political details by doing research and then becoming a part of political committees. This will also expand my connections with societal influencers and local organizations (Regis College, 2019).ConclusionIn conclusion, I have gained an incredible amount of knowledge, insight, and motivation after completing this practicum course. I have expanded my self-awareness by practicing exercises such as mindfulness, prayer, and individual therapy. This course provided me with a clearer understanding of the different therapeutic approaches available and when to apply them. In addition to the knowledge learned, being an advocate as a PMHNP is a major goal. This will include becoming involved in committees, starting campaigns, personal advertising, and always expanding my research and resources. I am confident that I have the passion and skills to become a great provider and an influential advocate for the mental health community.Practicum – Weeks 9 and 10 Journal Entries and Journal Assignment PaperReferencesDavid, D., Cristea, I., & Hofmann, S. G. (2018). Why Cognitive Behavioral Therapy Is theCurrent Gold Standard of Psychotherapy. Frontiers in psychiatry, 9, 4. D oi:10.3389/fpsyt.2018.00004 Regis College. (2019). Ways Nurse Practitioners Are Becoming Community Advocates.Retrieved from https://online.regiscollege.edu/blog/nurse-practitioners-can-become-community-advocates/ Stuart H. (2016). Reducing the stigma of mental illness. Global mental health (Cambridge,England), 3, e17. doi:10.1017/gmh.2016.11 Taghva, A., Farsi, Z., Javanmard, Y., Atashi, A., Hajebi, A., & Noorbala, A. A. (2017).Strategies to reduce the stigma toward people with mental disorders in Iran: stakeholders’ perspectives. BMC psychiatry, 17(1), 17. doi:10.1186/s12888-016-1169-yWheeler, 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.Zarbo, C., Tasca, G. A., Cattafi, F., & Compare, A. (2016). Integrative PsychotherapyWorks. Frontiers inpsychology, 6, 2021. doi:10.3389/fpsyg.2015.02021Practicum – Weeks 9 and 10 Journal Entries and Journal Assignment Paper

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