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Posted: May 15th, 2023
Walden NRNP 6645 Week 2 Assignment: Family Assessment
A family’s patterns of behavior influences [sic] the individual and therefore may need to be a part of the treatment plan. In marriage and family therapy, the unit of treatment isn’t just the person—even if only a single person is interviewed—it is the set of relationships in which the person is imbedded.
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—American Association of Marriage and Family Therapy, “About Marriage and Family Therapists”
When issues arise within a family unit, the family often presents with one member identified as the “problem.” However, you will frequently find that the issue is not necessarily the “problem client,” but rather dysfunctional family patterns and relationships. To better understand such patterns and relationships, and develop a family treatment plan, it is essential that the practitioner appropriately assess all family members. This requires you to have a strong foundation in family assessment and therapy.
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Nursing Assignment
This week, you practice assessing and diagnosing client families presenting for psychotherapy.
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Learning Objectives
Students will:
Apply concepts, theories, and principles related to patient interviewing, diagnostic reasoning, and recording patient information
Formulate differential diagnoses for patients using DSM-5 criteria
Formulate plans of care for patients that incorporate family psychotherapy interventions
Develop psychotherapy genograms
Learning Resources – Walden NRNP 6645 Week 2 Assignment: Family Assessment
Required Readings (click to expand/reduce)
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.)
For reference as needed
Nichols, M., & Davis, S. D. (2020). The essentials of family therapy (7th ed.). Pearson.
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Introduction
Chapter 2, “Basic Techniques of Family Therapy”
Chapter 3, “The Fundamental Concepts of Family Therapy”
Chapter 4, “Bowen Family Systems Therapy
Therapist Aid. (2012–2020). Genograms for psychotherapy. https://www.therapistaid.com/therapy-guide/genograms
Therapist Aid LLC. (© 2012-2020). Genograms for psychotherapy. https://www.therapistaid.com/therapy-guide/genograms
Document: Comprehensive Psychiatric Evaluation Note Template
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Document: Comprehensive Psychiatric Evaluation Note Exemplar
Required Media (click to expand/reduce)
Gehart, D. R. (2013, August 29). Progress note [Video]. YouTube. https://www.youtube.com/watch?v=CEB1vBObUqc
Masterswork Productions. (2003). Mother and daughter: A cultural tale [Video/DVD]. https://video-alexanderstreet-com.ezp.waldenulibrary.org/watch/mother-and-daughter-a-cultural-tale
Sommers-Flanagan, J., & Sommers-Flanagan, R. (2013). Counseling and psychotherapy theories in context and practice [Video]. https://waldenu.kanopy.com/video/counseling-and-psychotherapy-theories-contex
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Family Systems Therapy (starts at 4 hours)
Assignment: Family Assessment
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. Walden NRNP 6645 Week 2 Assignment: Family Assessment
Photo Credit: Getty Images
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:
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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 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. Walden NRNP 6645 Week 2 Assignment: Family Assessment
By Day 7
Submit your Assignment.
___________________________-
For this assignment, you are required to assess and document information about a family based on the "Mother and Daughter: A Cultural Tale" video. You will use the provided Comprehensive Psychiatric Evaluation Note Template to document the following:
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Chief complaint: Identify the main issue or concern presented by the family.
History of present illness: Describe the current problems, symptoms, and their duration.
Past psychiatric history: Gather information about any previous mental health diagnoses or treatments.
Substance use history: Explore the family's history of substance use or abuse.
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Family psychiatric/substance use history: Determine if there are any mental health or substance use issues within the family.
Psychosocial history/Developmental history: Assess the family's social and developmental background, including cultural factors and significant life events.
Medical history: Document any relevant medical conditions or illnesses within the family.
Review of systems (ROS): Conduct a review of various systems (e.g., cardiovascular, respiratory) to identify any potential physical health concerns.
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Physical assessment (if applicable): Note any physical observations or findings relevant to the family's assessment.
Mental status exam: Evaluate the mental functioning and overall presentation of the family members.
Differential diagnosis: Provide at least three possible diagnoses for the family's issues, supported by the DSM-5 diagnostic criteria. Explain how you arrived at each diagnosis.
Case formulation and treatment plan: Develop a comprehensive plan for treating the family's issues based on your assessment and diagnoses.
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Psychotherapy genogram: Create a genogram to visually represent the family's structure, relationships, and significant dynamics.
If specific information is not available in the video, you should explain how you would gather that information and why it is important for diagnosis and treatment planning.
Remember to adhere to ethical and professional standards when documenting the information and ensure that you protect the privacy and confidentiality of the individuals involved.
Once you have completed your assessment and documentation, you can submit your assignment according to your course guidelines.
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