Addictive disorders can be particularly challenging for clients. Not only do these disorders typically interfere with a client’s ability to function in daily life, but they also often manifest as negative and sometimes criminal behaviors. Sometime clients with addictive disorders also suffer from other mental health issues, creating even greater struggles for them to overcome. In your role, you have the opportunity to help clients address their addictions and improve outcomes for both the clients and their families. For this Assignment, as you examine the Levy Family video in this week’s Learning Resources, consider how you might assess and treat clients presenting with addiction.

 

N: B EACH OF THE 5 EPISODES TO WATCH (REQIURED MEDIA) FOR THIS ASSIGNGMENT IS DOWNLOADEDN IN WORD FORMAT AS A TRANSCRIPT AND ATTACHED TO THIS ASSIGNMENT. 

 

 

Learning Objectives

Students will:

· Assess clients presenting with addictive disorders

· Analyze therapeutic approaches for treating clients with addictive disorders

· Evaluate outcomes for clients with addictive disorders

To prepare:

· Review this week’s Learning Resources and consider the insights they provide.

· Review the Levy Family video Episodes 1 through 5.

 

The Assignment

In a 2- to 3-page paper, address the following:

· After watching Episode 1, describe:

o What is Mr. Levy’s perception of the problem?

o What is Mrs. Levy’s perception of the problem?

o What can be some of the implications of the problem on the family as a whole?

· After watching Episode 2, describe:

o What did you think of Mr. Levy’s social worker’s ideas?

o What were your thoughts of her supervisor’s questions about her suggested therapies and his advice to Mr. Levy’s supervisor?

· After watching Episode 3, discuss the following:

o What were your thoughts about the way Mr. Levy’s therapist responded to what Mr. Levy had to say?

o What were your impressions of how the therapist worked with Mr. Levy? What did you think about the therapy session as a whole?

o Informed by your knowledge of pathophysiology, explain the physiology of deep breathing (a common technique that we use in helping clients to manage anxiety). Explain how changing breathing mechanics can alter blood chemistry.

o Describe the therapeutic approach his therapist selected. Would you use exposure therapy with Mr. Levy? Why or why not? What evidence exists to support the use of exposure therapy (or the therapeutic approach you would consider if you disagree with exposure therapy)?

· In Episode 4, Mr. Levy tells a very difficult story about Kurt, his platoon officer.

o Discuss how you would have responded to this revelation.

o Describe how this information would inform your therapeutic approach. What would you say/do next?

· In Episode 5, Mr. Levy’s therapist is having issues with his story.

o Imagine that you were providing supervision to this therapist, how would you respond to her concerns?

· Support your approach with evidence-based literature. AND INCLUDE INTRODUCTION, CONCLUSION WITH REFERENCES.

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.

• Chapter 7, “Motivational Interviewing” (pp. 299–312)
• Chapter      16, “Psychotherapeutic Approaches for Addictions and Related Disorders”      (pp. 565–596)

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

Albrecht, U., Kirschner, N. E., & Grusser, S. M. (2007). Diagnostic instruments for behavioral addiction: An overview. German Medical Science Psycho-Social-Medicine, 4, 1–11. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2736529/

Fisher, M. A. (2016). The ethical ABCs of conditional confidentiality. In Confidentiality limits in psychotherapy: Ethics checklists for mental health professionals (pp. 13–25). Washington, DC: American Psychological Association. doi:10.1037/14860-002

 

Required Media 

N: B EACH OF THE 5 EPISODES TO WATCH (REQIURED MEDIA) FOR THIS ASSIGNGMENT IS DOWNLOADEDN IN WORD FORMAT AS A TRANSCRIPT AND ATTACHED TO THIS ASSIGNMENT. 

Laureate Education (Producer). (2013c). Levy family: Episodes 1 [Video file]. Baltimore, MD: Author.

Note: The approximate length of this media piece is 2 minutes.

Laureate Education (Producer). (2013c). Levy family: Episodes 2 [Video file]. Baltimore, MD: Author.

Note: The approximate length of this media piece is 2 minutes.

Laureate Education (Producer). (2013c). Levy family: Episodes 3 [Video file]. Baltimore, MD: Author.

Note: The approximate length of this media piece is 6 minutes.

Laureate Education (Producer). (2013c). Levy family: Episodes 4 [Video file]. Baltimore, MD: Author.

Note: The approximate length of this media piece is 5 minutes.

Laureate Education (Producer). (2013c). Levy family: Episodes 5 [Video file]. Baltimore, MD: Author.

Note: The approximate length of this media piece is 2 minutes.

Laureate Education (Producer). (2012c). In their own words [Video file]. Baltimore, MD: Author.

Note: The approximate length of this media piece is 23 minutes

 

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Purpose: Comment the Discussion

 

THINGS TO REMEMBER:

Answer this discussion with opinions/ideas creatively and clearly. Supports post using several outside, peer-reviewed sources.

1 References, find resources that are 5 years or less

No errors with APA format 6 Edition

 

Discussion:

The New Regulatory Model for APRNs

Review content in the Hamric textbook that refers to the proposed new Regulatory Model for APRNs. Go to the Internet to review the full text of the Consensus Model. Review regulations imposed by your state board of nursing. How will the new model improve practice parameters and patient safety in your state?

 

R/ APRN is used to describe advanced practice nursing in a regulatory context.  As times change and the need for certain healthcare services are altered, education, practice, and regulations of advanced practice nursing must also change.  In order for these regulations to be understood by the profession and the patients, a clear and standardized language must be used across all forums.  Some states have different credentialing methods and do not recognize some APN roles for title protection.  APRN credentialing is composed of: licensure, accreditation, certification, and education.  It is important for new APRN graduates to follow the regulations for their state when beginning to practice as an advance practice nurse (Hamric, Hanson, Tracy, & O’Grady, 2014).

“The Consensus Model provides guidance for states to adopt uniformity in the regulation of APRN roles” (NCSBN).  The target completion date for the implementation of the Consensus Model was 2015 (the model itself was completed in 2008); many states have adopted sections but there still exists variation from state to state.  This model is supported and maintained by more than forty nursing organizations.  The Consensus Model is supposed to increase job satisfaction and promote advance practice nurse independence.  Each of the four APRN roles are defined within the Consensus Model: certified registered nurse anesthetist (CRNA), certified nurse-midwife (CNM), clinical nurse specialist (CNS), and certified nurse practitioner (CNP).  The American Nurses Credentialing Center (ANCC) has initiated plans to change certification processes in order for them to reflect the model’s regulations.  For a smooth transition with the implemented model, look to the ANCC for current licensure guidelines.  It is important to keep APRN certification up-to-date, especially with the transition of the Consensus Model (ANCC, 2017).

The state Board of Nursing is a governing body specific to each state that enforces the Nurse Practice Act and nurse licensure, accredits universities, and develops practice standards and policies.  According to the Consensus Model implementation status, Virginia is at 14-20 points, which equates to about 50-71%.  In Virginia, the goal of the Consensus Model is to allow more independence of APRNs.  Changes are prone to occur with titling and licensure (Douglas, 2012).  I believe the new Consensus Model, once fully implemented in Virginia, will result in positive change.  It will give APRNs more autonomy and respect within their communities.  Healthcare practices and policies will be better regulated, which will increase patient safety.

The Consensus Model defines each category of advance practice nursing and makes licensure, accreditation, certification, and education a streamlined process.  The purpose is to increase the stamina of APRNs.  Even though there might still be differences from state to state based upon populations and care that is needed, this model is also lessoning the gap of those differences.

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As adolescents separate from their parents and gain a sense of control, sometimes they are unable to balance stresses. As a result, depression may occur, and, at times, suicide may be the outcome. 1. Choose the topic of either adolescent depression or adolescent suicide. 2.Discuss contributing factors and signs and symptoms that may be observed or assessed in these clients. 3. Describe primary, secondary, and tertiary methods of health prevention for this topic. 4. Research community and state resources and describe at least two of these for your chosen topic. 5. What nursing interventions could you use to assist an adolescent you suspect is depressed beyond referring the adolescent to a state or community resource?

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Aim

 

The aim of this assignment is to help you to begin to use your professional and clinical judgement and to think like nurses working in mental health settings and/or in relation to the mental health needs of people regardless of the setting. In order to achieve this aim, everyone will be assigned a case scenario involving a person who is experiencing difficulties relating to one of the various disorders commonly encountered in clinical practice.

 

Description

 

This is an individual assignment of 1,800 words in two parts, each with several steps. Follow the steps for each part carefully.

Your assignment will demonstrate a sound grasp of the following as they relate to the person in your case scenario and include:

 a Mental Status Examination(MSE)

 a clinical formulation including biopsychosocial history and your own MSE observations leading to the clinical formulation

 a nursing orientated handover

 use of Maslow’s hierarchy of needs to identity and prioritise the person’s needs

 recognising and responding to the mental health needs of the identified person by identifying best practice nursing interventions

 how to engage a person in a therapeutic relationship

 the application of cultural safety

 the application of the recovery model/philosophy

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