Posted: September 12th, 2022

NRNP 6645 Week 2 Assignment: Family Assessment

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.

—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.

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.

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 Assessment Note Template

Document: Comprehensive Psychiatric Assessment 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

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 research paper writing help 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 Assessment 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 Assessment Note Template:

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.

______________________
Sample Answer Writing Guide:

Chief Complaint

The mother and daughter present to the therapist with a chief complaint of conflict in their relationship. The mother reports that the daughter is disrespectful and rebellious, while the daughter reports that the mother is controlling and overbearing.

History of Present Illness

The conflict between the mother and daughter has been going on for several years. The mother reports that the daughter has always been a difficult child, but that the problems have gotten worse in the past year. The daughter reports that she feels like she is always being criticized by her mother and that she can never do anything right.

Past Psychiatric History

The mother has no history of mental illness. The daughter has a history of anxiety and depression. She has been in therapy for these issues in the past, but she has not been in therapy for several years.

Substance Use History

Neither the mother nor the daughter has a history of substance abuse.

Family Psychiatric/Substance Use History

The mother’s father has a history of depression. The daughter’s father has a history of alcohol abuse.

Psychosocial History/Developmental History

The mother and daughter are both from a single-parent household. The mother raised the daughter on her own after the daughter’s father left when she was 5 years old. The mother works full-time and is the primary caregiver for the daughter. The daughter is a high school student and is involved in several extracurricular activities.

Medical History

The mother is in good health. The daughter has a history of asthma and allergies.

Review of Systems (ROS)

The mother and daughter both deny any significant medical problems.

Physical Assessment (if applicable)

The mother and daughter both have a normal physical exam.

Mental Status Exam

The mother is a well-groomed, well-dressed woman in her early 40s. She is cooperative and oriented to person, place, and time. She is fluent and spontaneous in her speech. She is appropriately affect and displays no signs of psychosis.

The daughter is a well-groomed, well-dressed girl in her early teens. She is cooperative and oriented to person, place, and time. She is fluent and spontaneous in her speech. She is appropriately affect and displays no signs of psychosis.

Differential Diagnosis

The differential diagnosis for the mother and daughter includes:

Oppositional Defiant Disorder (ODD)
Conduct Disorder (CD)
Major Depressive Disorder (MDD)
Anxiety Disorder
Family Dysfunction

Case Formulation and Treatment Plan

The case formulation for the mother and daughter is that they are both struggling with family dysfunction. The mother is experiencing stress from being a single parent and the daughter is struggling with the transition to adolescence. The treatment plan will focus on helping the mother and daughter to improve their communication skills and to develop a better understanding of each other’s needs.

Psychotherapy Genogram

The following psychotherapy genogram shows the family history of the mother and daughter:
Code snippet

Generation 1

| |
| Mary (mother)
|

Generation 2

| |
| | John (father)
| |
| |
| Jane (daughter)

Use code with caution. Learn more

The genogram shows that the mother’s father had a history of depression and that the daughter’s father had a history of alcohol abuse. This information is important to consider when developing a treatment plan for the mother and daughter.

Conclusion

The mother and daughter are both struggling with family dysfunction. The treatment plan will focus on helping the mother and daughter to improve their communication skills and to develop a better understanding of each other’s needs.

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