Please see the attached file of detailed instructions for week 1 discussion board. Please incorporate this week’s resources into the response and address each area outlined in the grading rubric while adhering to the 7th ed. APA guidelines. Assignment is due 3/2 @ 10:59pm EST

Assignment 2: Family Analysis and Case Conceptualization (5 points)

Students will complete an in-depth analysis of the information gained in the family genogram in Assignment 1.

Assignment Criteria:

Review the assigned case study in Week 9. Select a treatment model for your case. Construct a basic genogram of the family in the case, develop a Case conceptualization based on your model of choice, and respond to the questions as indicated below in a scholarly format addressing the following criteria.

1. Introduce the family indicated in the case. Include any pertinent information presented.

2. Show structure of family members

a. Draw the generations identified in the case study.

b. Use only standardized genogram symbols.

c. Use key terms to interpret the family dynamics and communication and how it impacts the family

3. Interpret the family’s patterns and functioning between and within generations.

a. Provide specific examples to explain the family’s relationship with each other i.e., relationship dynamics between generations and intergenerational and family member roles

b. Use key terms to interpret life events like marriages, divorces, transitions, traumas, family secrets and critical life changes

4. Develop a Case Conceptualization using the model of your choice

a. Include all identifying client information as indicated in the case.

b. Include all evidence of the core concepts and related information of the family in the case, based on your selected model.

5. In scholarly format, respond to the following:

a. Describe how you would conduct the first session of therapy based on your chosen model of therapy. Include at least three questions you would ask, and how you would establish the initial goals of therapy. Note: A complete response demonstrates congruence between the clinical model and clinical choices in questions and goal setting. Be specific in the actual question and proposed answer.

b. Kathy returns for a follow up session. In this session, she mentions to you that she sometimes wonders if she can “go on” or if she’s “made a terrible mistake” in her life. What are your next steps? A complete answer includes specific questions the PMNHP would ask the client with specific steps you would take based on the responses.

6. Paper should be in narrative format, 3 to 5 pages excluding the title and reference page.

7. Include an introductory paragraph, purpose statement, and a conclusion.

8. Include level 1 and 2 headings to organize the paper.

9. Write the paper in third person, not first person (meaning do not use ‘we’ or ‘I’) and in a scholarly manner. To clarify: I, we, you, me, our may not be used.

10. Include three professional peer-reviewed scholarly journal references to support the paper and be less than five (5) years old.

11. APA format required (attention to spelling/grammar, a title page, a reference page, and in-text citations).

12. Submit the assignment to Turnitin prior to the final submission, review the originality report, and make any needed changes.

13. Submit by the posted due date.

Assignment 2: Family Analysis and Case Conceptualization Grading Tool (5 Points)

Family Interpretation and Family Structure

1 point

0.5 points

0 point

Thoroughly defines the family, including its structure, function, culture and means of communicating. Describes key family members in detail illustrated on the genogram.

Inadequately defines the family, including its structure, function, family culture and means of communicating. Describes some key family members illustrated on the genogram.

Poor explanation of the family, its structure, function, culture, or its means of communicating. Does not describe key family members illustrated on the genogram.

Genogram Symbols and Structures

1 point

0.5 point

0 points

Detailed genogram that correctly utilizes standardized symbols, lines, and structures to describe family structure and characteristics, pertinent dates, and other demographic information. Provides a legend.

Genogram lacks detail but correctly utilizes standardized symbols, lines, and structures to describe family structure and characteristics, pertinent dates, and other demographic information. Provides a legend.

Missing significant information and/or family members, has significant genogram formatting errors, missing details to describe family structure and characteristics, pertinent dates, and other demographic information. Does not provide a legend.

Family Dynamics and Emotional Relationships

1 point

0.5 points

0 points

Thoroughly interprets the generational and intergenerational family dynamics and family roles. Thoroughly describes emotional patterns illustrated on the genogram. Consistently uses key terms to describe patterns and emotional bond between family members and /or entities.

Occasionally summarizes insight derived from intergenerational relationships, attachment patterns, and other relationships identified on the genogram. Describes some emotional patterns illustrated on the genogram. Occasionally uses key terms to describe the emotional bond between family members and /or entities.

Little or no insight-derived from family dynamics or does not consistently identify information on the genogram. Undeveloped explanation of the family’s emotional patterns. No clear association between the genogram and the interpretation provided.

Family Data

1 point

0.5 points

0 point

All identifying client information included in the template of the selected model. It includes several supporting details and/or examples.

Limited client information included in the template of the selected model. It includes limited supporting details and/or examples.

Little to no client information included in the template of the selected model. Little to no details and/or examples are given.

Core Concepts and Information Related to Selected Model

1 point

0.5 point

0 point

Information clearly relates to selected model. Demonstrates strong evidence of understanding of the core concepts and related information of the selected model. Conveys understanding through correctly entered data.

Limited information clearly relates to the selected model. Demonstrates limited evidence of understanding of the core concepts and related information of the selected model. Conveys limited understanding through data entered.

Little to no description of information related to the selected model. Little to no evidence of understanding of the core concepts and related information of the selected model.

Sources

0 points

0 point

0 points

All references are from a relevant professional peer-reviewed scholarly journal, within a 5-year timeframe, or a classic/ historical source.

Most references are from a relevant professional peer-reviewed scholarly journal, within a 5-year timeframe or a classic/historical source.

Some references are from non-peer-reviewed scholarly sources or older than 5-years.

Earned Points

Up to 10% of the assigned points (total points of assignment) can be deducted from the earned points for errors in APA style [title page, introduction, purpose statement, level heading, conclusion, references, citations, and format], spelling, and/or grammar.

Final Total

Assignment 4: Chapter 2 Literature Review DNP Project Report (20 points)

The student will write an integrative review of the literature on the selected DNP project. The review of the literature must be organized, comprehensive, up to date, and it must provide a basic rationale and evidence-based practice support for the DNP project.

Assignment Criteria:

1. Make all required Assignment 2 and 3 corrections (this is a working document) and

highlight all changes in yellow as per the project guide.
Chapter Two: Review of the Literature/Evidence (centered, bolded) Follow the DNP Project Report Template
Write an introduction to the chapter followed by the clinical question that drove the scholarly inquiry (exactly how it is written in chapter one; no “introduction” level heading in APA, but level one heading for Clinical Question)
You may use the Literature Review and Matrix from NSG 7400 and update the information based on any revisions to PICO(T) question
Question Guiding Inquiry (PICO) (level I; a one sentence PIO/PICO/PICOT formatted clinical question that drives inquiry)
Include the following information with level headings
Search Strategies (level one heading) and include the following information:
· Description of the search engines used

· Key words used

· Timeframe of articles retrieved (e.g. 2017-2021),

· Number of articles reviewed

· Number of articles selected

Literature Review Findings (level one heading-discuss the significant literature findings that illuminate the clinical problem and provide support for the EBP project)
Literature Review Synthesis (level one heading) and include the following information:
– Types of study (e.g. qualitative/quantitative/mixed methods)

– Participants

– Data collection method(s)

– Instrumentation (include reliability and validity)

– Findings

· Literature Strengths and Weaknesses (level two heading-describe the strengths/weaknesses of the literature-identify contradictions/inconsistencies)

· Literature Gaps (level two heading-describe any lack of evidence/support/need for more research)

Utilization of Findings (level one-describe how the evidence will be utilized for the DNP project)
Summary (of chapter-level one heading)
Include a Literature Review Matrix used for this assignment as Appendix B to the DNP Project Report (be sure to format it according to APA standards)
When appropriate, cite two or more sources to support the rationale for statements (e.g. Derby-Davis, 2014; Henson-Evertz, 2017).
There is no page limit to this assignment, as only the student knows the length, he/she must go through in order to provide a logical and cohesive description of the literature review.
The scholarly paper should be in narrative format and include all references from chapter 1 and 2 at the bottom of the paper (alphabetize synthesized reference pages).
Write the paper in third person, not first person (meaning do not use ‘we’ or ‘I’) and in a scholarly manner. To clarify: I, we, you, me, our may is not used. In addition, describing yourself as the researcher or the author should not be used.
Include a minimum of 10 professional peer-reviewed scholarly journal references to support the paper (review in Ulrich Periodical Directory) and be less than five (5) years old.
APA format is required (attention to spelling/grammar, reference pages, and in-text citations).
Submit the assignment to Turnitin prior to the final submission, review the originality report, and make any needed changes.
Submit by the due date.

Assignment 4: Chapter 2 Literature Review DNP Project Report Grading Rubric (20 points)

Assignment Criteria

8 points

6 points

4 points

2 points

All topics/criteria addressed, and all questions fully answered.

All topics/criteria addressed, and most questions fully answered.

All topics/criteria addressed, and most questions partially answered.

One or more topics/criteria not addressed or completely answered.

Quality/Accuracy of Information

8 points

6 points

4 points

2 points

Information clearly relates to the main topic/criteria. It includes several supporting details and/or examples.

Information clearly relates to the main topic/criteria. It provides supporting details and/or examples.

Information clearly relates to the main topic/criteria. A few details and/or examples are given.

Information has little or nothing to do with the main topic/criteria.

Organization

2 points

1 point

0.5 point

0 point

Information is very organized with well-constructed paragraphs and levels of heading.

Information organized with well-constructed paragraphs and levels of heading.

There is an attempt at organization, but errors exist. No levels of heading.

The information or overall structure appears disorganized.

Sources

2 points

1 point

0.5 point

0 point

All references are from a relevant professional peer-reviewed scholarly journal, within a 5-year timeframe, or a classic/ historical source.

The majority of references are from a relevant professional peer-reviewed scholarly journal, within a 5-year timeframe or a classic/historical source.

Some references are from non-peer-reviewed scholarly sources or older than 5-years.

Majority of references are from non-peer-reviewed scholarly sources or older than 5-years.

Earned Points

Up to 10% of the assigned points (total points of assignment) can be deducted from the earned points for errors in APA style [title page, introduction, purpose statement, level heading, conclusion, references, citations, and format], spelling, and/or grammar.

Final Total

Pamela, please see uploaded file

Vanesa Villar
Feb 22, 2023 at 4:52 PM
Each Psychiatric Nurse Practitioner providing therapeutic services to their clients will be naturally drawn to a specific treatment modality. Which of the family systems theories are you naturally attracted to? What influenced this decision?
I found Systemic family therapy an interesting approach to assist families and couples seeking help to solve intergenerational issues between the family. I like its approach because it allows the treatment of the family as a whole while also maintaining the patient’s individuality and helps explore each relationship between family members while exploring the differentiation of the self to achieve functionality and healthy relationships (Wheeler, 2020).

Discuss the therapist’s (you) use of ‘self’ from the viewpoint of this model
The therapist serves as a guide to explore family conflicts and address sensitive topics that bring discord among family members; the therapist supports communicative channels without exerting blame or accusatory remarks, assists the family in identifying stress factors (predisposing, precipitating, and perpetuating), identify unhealthy interactions, provides psychoeducation, and assist with conflict resolution and promotes self-differentiation (Hulgaard et al., 2021).

Give a brief overview of the model you have selected.
The systematic approach is a family-focused approach based on the thought that family conflicts occur when individuals do not have proper self-differentiation from other family members (especially the parents); when a person has poor differentiation, he or she is propense to emotional imbalance and usually displays a dependent personality engaged in impulsivity and unable to function (Wheeler, 2020).

Review the case and identify and discuss the following based on the model of your choice:
Mary and Fred are the parents of Johnny, age 15. Johnny states he hates school and often skips class to hang out with his friends, possibly engaging in high-risk behaviors. He is not passing his grade. Mary and Fred argue about how to handle this situation; Mary thinks perhaps Johnny would benefit from a more nurturing school environment; Fred thinks Johnny should be punished. Mary’s mother, Bess, calls frequently to express her opinion, which is similar to Mary’s. Mary is developing frequent headaches, which she attributes to stress around this issue. Addition for couples therapy considerations: Mary and Fred present for couples therapy, stating they have lost interest in each other, as they have become so consumed with the child and in-law issues. They wish to develop their intimacy

a.Three core concepts of the model

An important core concept is intergenerational identity, focusing on the differentiation of the self; additionally, clarification of intergenerational boundaries is established when family members stop projecting their undifferentiation on their children, preventing their involvement within the parental relationship (Godart et al., 2022). Lastly, triangulation occurs when two family members interacting within an anxious relationship bring a third party to decrease tension in the relationship (Wheeler, 2020).

b. Three techniques from your selected model to assist this family

A genogram would be a powerful tool to graphic the family’s healthy and unhealthy interactions and assist them to visualize sources of conflicts and patterns or repetition within different generations (White, 2018). Additionally, detriangulation is another intervention to solidify the spousal bond and to remove the mother-in-law from the decision-making process on how to resolve the conflict with the son; spouses should have a few couples sessions to brainstorm alternatives and strengthen their intimacy. Lastly, the therapist can decrease conflict by establishing that all questions and answers will be addressed to the therapist when the entire family is in session (Wheeler, 2020).

c. Three model-specific questions you would ask with rationale

How does the fact that your mother-in-law is involved in the decision-making process of how to discipline your son affect you? I would ask this question to explore how triangulation is affecting the husband and wife, along with the need from the wife to bring the mother into the problem at task.

Do you see any patterns repeating in the genogram? How can we change it? I would ask this question when examining the genogram to explore healthy and unhealthy relationships between the couple, the mother-in-law, and the son.

What would you say your responsibilities are when it comes to your role in the family? I would ask this to the son so I can understand what his point of view is and how it differs from the family dynamics. Additionally, I would use this to explore what his ideal role is and what he is trying to accomplish when he is acting out

5. The goal of therapy as it pertains to the model you have selected

The goal of this therapy is to decrease conflict, promote healthy relationships within the family, foster differentiation, promote healthy communication, and establish boundaries that also promote healthy intimacy (Hulgaard et al., 2021).

References

Godart, N., Dorard, G., Duclos, J., Curt, F., Kaganski, I., Minier, L., Corcos, M., Falissard, B., Eisler, I., Jeammet, P., & Berthoz, S. (2022). Long‐term follow‐up of a randomized controlled trial comparing systemic family therapy (FT‐S) added to treatment as usual (TAU) with TAU alone in adolescents with anorexia nervosa. Journal of Child Psychology and Psychiatry, 63(11), 1368-1380. https://doi.org/10.1111/jcpp.13583

Hulgaard, D. R., Risør, M. B., Lambertsen, G. D., & Rask, C. U. (2021). Systemic family therapy for severe functional disorders in youths: A qualitative study in a psychiatric setting. Journal of Family Therapy, 43(4), 558-575. https://doi.org/10.1111/1467-6427.12319

White, J. (2018). Does a perinatal infant mental health team hold the family in mind? Opportunities and challenges for working Systemically in this specialised Field. Australian and New Zealand Journal of Family Therapy, 39(2), 144-154. https://doi.org/10.1002/anzf.1295

Wheeler, K. (Ed.). (2020). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice. (3rd ed.). Springer Publishing.