PRAC-6640-35 Practicum Week 3

This week, you assess clients presenting for psychotherapy.

Learning Resources

Required Readings

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.

Required Media

Laureate Education (Producer). (2013b). Hernandez family genogram [Video file]. Baltimore, MD: Author.

Note: The approximate length of this media piece is 3 minutes.

Accessible player –Downloads– Download Video w/CC Download Audio Download Transcript

Optional Resources

American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Assignment: Practicum – Assessing Clients
Learning Objectives

Students will:

Assess clients presenting for psychotherapy
Develop genograms for clients presenting for psychotherapy
To prepare:

Select a client whom you have observed or counseled at your practicum site.
Review pages 137–142 of the Wheeler text and the Hernandez Family Genogram video in this week’s Learning Resources. Reflect on elements of writing a Comprehensive Client Assessment and creating a genogram for the client you selected.
The Assignment

Part 1: Comprehensive Client Family Assessment

With this client in mind, address the following in a Comprehensive ClientAssessment (without violating HIPAA regulations):

Demographic information
Presenting problem
History or present illness
Past psychiatric history
Medical history
Substance use history
Developmental history
Family psychiatric history
Psychosocial history
History of abuse/trauma
Review of systems
Physical assessment
Mental status exam
Differential diagnosis
Case formulation
Treatment plan
Part 2: Family Genogram

Prepare a genogram for the client you selected. The genogram should extend back by at least three generations (great grandparents, grandparents, and parents).

By Day 7 of Week 3

Submit your Assignment.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK3Assgn+last name+first initial.(extension)” as the name.
Click the Week 3 Assignment Rubric to review the Grading Criteria for the Assignment.
Click the Week 3 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK3Assgn+last name+first initial.(extension)” and click Open.
If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
Click on the Submit button to complete your submission.
Grading Criteria

To access your rubric:

Week 3 Assignment Rubric
This assignment is asking you to complete a comprehensive client assessment and create a genogram for a client you have observed or counseled at your practicum site. The comprehensive client assessment should include demographic information, presenting problem, history of illness, past psychiatric history, medical history, substance use history, developmental history, family psychiatric history, psychosocial history, history of abuse/trauma, review of systems, physical assessment, mental status exam, differential diagnosis, case formulation, and treatment plan. It is important to note that all information provided should not violate HIPAA regulations.

The genogram should extend back by at least three generations, including the client’s great grandparents, grandparents, and parents.

To complete this assignment, you will need to review pages 137-142 of the Wheeler text and the Hernandez Family Genogram video in this week’s Learning Resources. It is also recommended to reference the American Nurses Association’s Psychiatric-Mental Health Nursing: Scope and Standards of Practice and the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders.

To submit the assignment, save it using the naming convention “WK3Assgn+last name+first initial.(extension)” and submit it through the Week 3 Assignment link. Be sure to review the Week 3 Assignment Rubric for grading criteria before submitting.
A genogram is a visual representation of a client’s family history, including their relationships, medical history, and any significant events. Here is an example of a genogram for a client named “John”:

John is a 32-year-old male who is presenting for therapy for anxiety and depression.
John’s parents are divorced, and he has one older sister who is currently estranged.
John’s mother, Mary, has a history of depression and is currently receiving treatment for it. His father, Bill, has a history of alcohol abuse and has been in and out of rehab.
John’s grandparents on both sides of the family have no known mental health conditions.
John’s great-grandparents on his mother’s side had a history of heart disease, while his great-grandparents on his father’s side had a history of stroke.
John’s sister, Rachel, has a history of drug abuse and is currently in recovery.

The genogram may be constructed by using symbols such as squares for male and circles for female, connecting lines to show relationships, and using different colors or patterns to indicate certain medical conditions or events. This is just an example and you can add or remove any information that may be relevant to the client.