NURS 6640 Full Course (Week 1-8) Discussions & Assignments

NURS 6640 Full Course (Week 1-8) Discussions & Assignments

NURS 6640 Full Course (Week 1-8) Discussions & Assignments

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 1, “The Nurse Psychotherapist and a Framework for Practice” (pp. 3–52)

Fournier, J. C., & Price, R. B. (2014). Psychotherapy and neuroimaging. Psychotherapy: New Evidence and New Approaches, 12(3), 290–298. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4207360/

Holttum, S. (2014). When bad things happen our brains change but psychotherapy and support can help the recovery of our brains and our lives. Mental Health and Social Inclusion, 18(2), 52–58. doi:10.1108/MHSI-02-2014-0006Note: You will access this article from the Walden Library databases. NURS 6640: Psychotherapy With Individuals.

Petiprin, A. (2016). Psychiatric and mental health nursing. Nursing Theory. Retrieved from http://www.nursingtheory.org/theories-and-models/psychiatric-and-mental-healthnursing.php

Fisher, M. A. (2016). Introduction. In Confidentiality limits in psychotherapy: Ethics checklists for mental health professionals (pp. 3–12). Washington, DC: American Psychological Association. doi:10.1037/14860-001 © 2017 Laureate Education, Inc. Page 2 of 31 Week 1 Foundations of Psychotherapy. NURS 6640: Psychotherapy With Individuals.

Document: Practicum Journal Template Note: This template is provided by the School of Nursing and is designated to document practicum activity. You are required to use this template for all journal entry submissions.

Document: Midterm Exam Study Guide

Document: Final Exam Study Guide

Document: Nurse Practitioner (NP) Student Clinical Orientation (PowerPoint file)

Document: Practicum Manual (PDF). Retrieved from http://academicguides.waldenu.edu/ld.php?content_id=735692Media

Laureate Education (Producer). (2016). Introduction to psychotherapy with individuals [Video file]. Baltimore, MD: Author.Note: The approximate length of this media piece is 4 minutes. NURS 6640: Psychotherapy With Individuals.

Laureate Education (Producer). (2015e). Therapies are helpful: Dodo bird conjecture [Video file]. Baltimore, MD:Author.Provided courtesy of the Laureate International Network of Universities.Note: The approximate length of this media piece is 2 minutes.

Laureate Education (Producer). (2015f). Therapies change and integrate different approaches over time [Video file]. Baltimore, MD: Author.Provided courtesy of the Laureate International Network of Universities.Note: The approximate length of this media piece is 1 minute.

Sommers-Flanagan, J., & Sommers-Flanagan, R. (2012). Clinical interview: Intake, assessment & therapeutic alliance [Video file]. Mill Valley, CA: Psychotherapy.net. NURS 6640: Psychotherapy With Individuals.

Note: You will access this media from the Walden Library databases. The approximate length of this media piece is 124 minutes.© 2017 Laureate Education, Inc. Page 3 of 31Week 1 Foundations of Psychotherapy

Sommers-Flanagan, J., & Sommers-Flanagan, R. (2013). Counseling and psychotherapy theories in context and practice [Video file]. Mill Valley, CA: Psychotherapy.net.

Note: For this week, view the Introduction and Psychoanalytical Approaches only. You will access this media from the Walden Library databases.

Week 1 Discussion: Foundations of Psychotherapy Discussion

• Does Psychotherapy Have a Biological Basis? Post on or before Day 3 an explanation of whether psychotherapy has a biological basis.
• Explain how culture, religion, and socioeconomics might influence one’s perspective of the value of psychotherapy treatments. Support your rationale with evidence based literature.

Read a selection of your colleagues’ responses.Respond on or before Day 6 to at least two of your colleagues by providing an additional scholarly resource that supports or challenges their position along with a brief explanation of the resource. Week 1 Discussion: Foundations of Psychotherapy

Practicum Week 1 Journal Entry

In preparation for this course’s practicum experience, address the following in your Practicum Journal:

• Review the media Clinical Interview: Intake, Assessment, & Therapeutic Alliance in your Learning Resources.
• Select one nursing theory and one counseling theory to best guide your practice in psychotherapy. Note: For guidance on nursing and counseling theories, refer to the Wheeler textbook in this week’s Learning Resources. NURS 6640: Psychotherapy With Individuals.
• Explain why you selected these theories. Support your approach with evidence-based literature.
• Develop at least three goals and at least three objectives for the practicum experience in this course.
• Create a timeline of practicum activities based on your practicum requirements.Note: Be sure to use the Practicum Journal Template, located in this week’s Learning Resources.
• Submit your Assignment by Day 7 of Week 4.

Looking Ahead Didactic Assignments© 2017 Laureate Education, Inc. Page 4 of 31Week 1 Foundations of Psychotherapy

NURS 6640 Week 8 Discussion:

In 3- to 5-minute Kaltura video, you will discuss a client you have observed and/or counseled during your practicum experience. Be sure to make arrangements with your preceptor so you can fulfill the requirements of the Discussion. Refer to the Week8 Discussion for additional guidance.

NURS 6640 Week 10 Discussion:

In 3- to 5-minute Kaltura video, you will discuss an older adult client you have observed and/or counseled during your practicum experience. Be sure to make arrangements with your preceptor so you can fulfill the requirements of the Discussion. Refer to the Week 10 Discussion for additional guidance.

Looking Ahead Practicum Assignments

Each week, you will complete practicum-related assignments. It is highly recommended that you review the practicum assignments for Weeks 2–10 before Day 7 of Week 1. This will give you time to connect with your preceptor so that you can fulfill the requirements of each practicum assignment.

NURS 6640 Week 2: Assessment and Diagnosis in Psychotherapy

Resources 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 3, “Assessment and Diagnosis” (pp. 95–168) Chapter 4, “The Initial Contact and Maintaining the Frame” (pp. 169–224). NURS 6640: Psychotherapy With Individuals.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author. Note: It is highly recommended that you use this resource as a reference guide throughout the course. You will access this text from the Walden Library databases.

American Academy of Child and Adolescent Psychiatry. (1995). Practice parameters for the psychiatric assessment of© 2017 Laureate Education, Inc. Page 5 of 31Week 2 Assessment and Diagnosis in Psychotherapy children and adolescents. Washington, DC: Author. Retrieved from https://www.aacap.org/App_Themes/AACAP/docs/practice_parameters/psychiatric_assessment_practice_parameter.pdf

American Psychiatric Association. (2016). Practice guidelines for the psychiatric evaluation of adults (3rd ed.). Arlington, VA:Author. Retrieved from http://psychiatryonline.org/doi/pdf/10.1176/appi.books.9780890 426760

Walden Library. (2017). NURS 6640 week 2 discussion guide.Retrieved from http://academicguides.waldenu.edu/nurs6640week2discussion. Week 1 Discussion: Foundations of Psychotherapy

Walden University. (n.d.). Tests & measures: Home. Retrieved February 6, 2017, from http://academicguides.waldenu.edu/library/testsmeasuresNote: This database may be helpful in obtaining assessment tool information for this week’s Discussion.

Media

Laureate Education (Producer). (2015a). Counseling competencies—The application of ethical guides and laws to record keeping [Video file]. Baltimore, MD: Author.Provided courtesy of the Laureate International Network of Universities. Note: The approximate length of this media piece is 23minutes.

NURS 6640 Week 2 Discussion: Assessment Tools

Post on or before Day 3 an explanation of the psychometric properties of the assessment tool you were assigned. Explain when it’s appropriate to use this assessment tool with clients, including whether the tool can be used to evaluate the efficacy of psychopharmacologic medications. Support your approach with evidence-based literature.NURS 6640: Psychotherapy With Individuals.

Read a selection of your colleagues’ responses. Respond on or before Day 6 to at least two of your colleagues by comparing your assessment tool to theirs.

© 2017 Laureate Education, Inc. Page 6 of 31 Week 2 Assessment and Diagnosis in Psychotherapy

NURS 6640 Practicum Week 2 Journal Entry

Select a client whom you observed or counseled this week. Then,address the following in your Practicum Journal:

• Describe the client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications.
• Using the Diagnostic and Statistical Manual of Mental Health Disorders, 5th edition (DSM-5), explain and justify your diagnosis for this client.
• Explain any legal and/or ethical implications related to counseling this client.
• Support your approach with evidence-based literature.Submit your Assignment by Day 7 of Week 4.

NURS 6640 Week 3: Psychodynamic Psychotherapy

Resources 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 5, “Supportive and Psychotherapy” (pp. 225–238 and pp. 245–258)
• American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington,DC: Author.Note: You will access this text from the Walden Library databases.
• Young, J. M., & Solomon, M. J. (2009). How to critically appraise an article. Nature Clinical Practice. Gastroenterology& Hepatology, 6(2), 82–91.

For the Assignment:

Select one of the following articles on psycho-dynamic therapy to evaluate in your Assignment:

1. Aznar-Martinez, B., Perez-Testor, C., Davins, M., &Aramburu, I. (2016). Couple psychoanalytic psychotherapy© 2017 Laureate Education, Inc. Page 7 of 31 Week 3 Psychodynamic Psychotherapyas the treatment of choice: Indications, challenges, and benefits. Psychoanalytic Psychology, 33(1), 1–20.doi:10.1037/a0038503

2. Karbelnig, A. M. (2016). “The analyst is present”: Viewing thepsychoanalytic process as performance art. Psychoanalytic Psychology, 33(supplement 1), S153–S172.doi:10.1037/a0037332

3. LaMothe, R. (2015). A future project of psychoanalytic psychotherapy: Revisiting the debate between classical/commitment and analytic therapies. Psychoanalytic Psychology, 32(2), 334–351. doi:10.1037/a0035982

4.Migone, P. (2013). Psychoanalysis on the Internet: A discussion of its theoretical implications for both online and offline therapeutic technique. Psychoanalytic Psychology,30(2), 281–299. doi:10.1037/a0031507

5. Tummala-Narra, P. (2013). Psychoanalytic applications in adiverse society. Psychoanalytic Psychology, 30(3), 471–487.doi:10.1037/a0031375

Note: You will access all of these articles from the Walden Library databases.

Media

Laureate Education (Producer). (2015c). The importance of a therapeutic relationship: Mary Boyle [Video file]. Baltimore,MD: Author. Provided courtesy of the Laureate International Network of Universities. Note: The approximate length of this media piece is 2 minutes.

Laureate Education (Producer). (2015b). Foundations of counseling techniques [Video file]. Baltimore, MD: Author. Provided courtesy of the Laureate International Network of Universities.Note: The approximate length of this media piece is 32minutes.

Laureate Education (Producer). (2013b). Hernandez family genogram [Video file]. Baltimore, MD: Author. Note: The approximate length of this media piece is 5 minutes.

NURS 6640 Week 3 Assignment Applying Current Literature to Clinical Practice

In a 5- to 10-slide PowerPoint presentation, address the following:

• Provide an overview of the article you selected.© 2017 Laureate Education, Inc. Page 8 of 31Week 3 Psychodynamic Psychotherapy
• What population is under consideration?o What was the specific intervention that was used? Is this a new intervention or one that was already used?o What were the author’s claims?
• Explain the findings/outcomes of the study in the article. Include whether this will translate into practice with your own clients. If so, how? If not, why?
• Explain whether the limitations of the study might impact your ability to use the findings/outcomes presented in the article. Support your position with evidence-based literature.

Note: The presentation should be 5–10 slides, not including the title and reference slides. Include presenter notes (no more than ½ page per slide) and use tables and/or diagrams where appropriate. Be sure to support your work with specific citations from the article you selected. Support your approach with evidence-based literature. Submit your Assignment by Day 7 of Week 3.

Practicum Assessing Clients

Part 1: Comprehensive Client Family Assessment

With this client in mind, address the following in a Comprehensive Client Family Assessment (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

© 2017 Laureate Education, Inc. Page 9 of 31Week 3 Psychodynamic Psychotherapy

Prepare a genogram for the client you selected. The genogram should extend back by at least three generations (great grandparents,grandparents, and parents). Submit your Assignment by Day 7 of Week 4.

NURS 6640 Week 4 Cognitive Behavioral Therapy

Resources Readings

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-basedpractice (2nd ed.). New York, NY: Springer Publishing Company. Chapter 8, “Cognitive Behavioral Therapy” (pp. 313–346)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington,DC: Author. Note: You will access this text from the Walden Librarydatabases.

Media

Sommers-Flanagan, J., & Sommers-Flanagan, R. (2013). Counseling and psychotherapy theories in context and practice[Video file]. Mill Valley, CA: Psychotherapy.net.

Note: For this week, view Behavior Therapy and CognitiveBehavioralTherapy only. You will access this media from the Walden Library databases.

Beck, A. (1994). Aaron Beck on cognitive therapy [Video file]. Mill Valley, CA: Psychotherapy.net. Note: You will access this media from the Walden Library databases. The approximate length of this media piece is 50minutes.

Eysenck, H. (n.d.). Hans Eysenck on behavior therapy [Videofile]. Mill Valley, CA: Psychotherapy.net. Note: You will access this media from the Walden Library databases. The approximate length of this media piece is 50minutes. © 2017 Laureate Education, Inc. Page 10 of 31

NURS 6640 Week 4 Cognitive Behavioral Assignment

Cognitive Behavioral Theory Versus Rational Emotive Behavioral Theory

In a 1- to 2-page paper, address the following:

• Briefly describe how cognitive behavioral therapy (CBT) and rational emotive behavioral therapy (REBT) are similar.
• Explain at least three differences between CBT and REBT.Include how these differences might impact your practice as a mental health counselor.
• Explain which version of cognitive behavioral therapy you might use with clients and why. Support your approach evidence-based literature. Note: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available athttp://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.Submit your Assignment by Day 7 of Week 4.

Practicum Week 1 Journal Entry

Students will:

Analyze nursing and counseling theories to guide practice in psychotherapy

• Develop goals and objectives for personal practicum experiences*
• Create timelines for practicum activities**

The Learning Objectives are related to the Assignment presented in Week 1. Submit your Assignment by Day 7 of Week 4. Refer to Week 1 for additional guidance.

Practicum Week 2 Journal Entry

Students will:

• Develop diagnoses for clients receiving psychotherapy
• Analyze legal and ethical implications of counseling clients with psychiatric disorders*© 2017 Laureate Education, Inc. Page 11 of 31

NURS 6640 Week 4 Cognitive Behavioral Therapy

The Learning Objectives are related to the Assignment presented in Week 2.Submit your Assignment by Day 7 of Week 4. Refer to Week 2 for additional guidance.

Practicum Week 4 Journal Entry

Select a client whom you observed or counseled this week. Then,address the following in your Practicum Journal:

• Describe the client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications.
• Using the DSM-5, explain and justify your diagnosis for this client.
• Explain whether cognitive behavioral therapy would be effective with this client. Include expected outcomes based on this therapeutic approach. Support your approach with evidence-based literature.
• Explain any legal and/or ethical implications related to counseling this client.Submit your Assignment by Day 7 of Week 4.

Practicum Reminder Time Logs

You are required to keep a log of the time you spend related to your practicum experience and enter every patient you see each day. You can access your time log from the Welcome Page in your Meditrek account. You will track time individually for each patient you work with. Please make sure to continuously input your hours throughout the term.

NURS 6640 Week 5 Psychotherapy With Trauma

Resources Readings

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-basedpractice (2nd ed.). New York, NY: Springer Publishing Company. © 2017 Laureate Education, Inc. Page 12 of 31Week 5 Psychotherapy With Trauma Chapter 13, “Stabilization for Trauma and Dissociation” (pp.469–508)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington,DC: Author.Note: You will access this text from the Walden Library databases.

Media

Laureate Education (Producer). (2012a). Academic year in residence: Thompson family case study [Multimedia file].Baltimore, MD: Author.

Ochberg, F. (2012). Psychotherapy for chronic PTSD [Videofile]. Mill Valley, CA: Psychotherapy.net. Note: You will access this media from the Walden Library databases. The approximate length of this media piece is 84minutes.

NURS 6640 Discussion Posttraumatic Stress Disorder

Post on or before Day 3 an explanation of your observations of the client William in Thompson Family Case Study, including behaviors that align to the PTSD criteria in DSM-5. Then, explain therapeutic approaches you might use with this client, including psychotropic medications if appropriate. Finally, explain expected outcomes for the client based on these therapeutic approaches. Support your approach with evidence-based literature.Read a selection of your colleagues’ responses.Respond on or before Day 6 to at least two of your colleagues by providing one alternative therapeutic approach. Explain why you suggest this alternative and support your suggestion with literature and/or your own experiences with clients.

Practicum Week 5 Journal Entry

Select a client whom you observed or counseled that suffers from a disorder related to trauma. Then, address the following in your Practicum Journal: © 2017 Laureate Education, Inc. Page 13 of 31

NURS 6640 Week 5: Psychotherapy With Trauma

• Describe the client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications.
• Using the DSM-5, explain and justify your diagnosis for this client.
• Explain whether any of the therapeutic approaches in this week’s Learning Resources would be effective with this client. Include expected outcomes based on these therapeutic approaches. Support your approach with evidence-based literature.
• Explain any legal and/or ethical implications related to counseling this client. Submit your Assignment by Day 7 of Week 7.

NURS 6640 Week 6: Psychotherapy for Addictive Disorders

Resources 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. Note: You will access this text from the Walden Library databases.

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 fromhttp://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© 2017 Laureate Education, Inc. Page 14 of 31

NURS 6640 Week 6: Psychotherapy for Addictive Disorders

 Walden University. (2016). ASC success strategies: Studyingfor and taking a test. Retrieved fromhttp://academicguides.waldenu.edu/ASCsuccess/ASCtesting

Media

Laureate Education (Producer). (2013c). Levy family: Episodes1–5 [Video file]. Baltimore, MD: Author. Note: The approximate length of this media piece is 25minutes.

Laureate Education (Producer). (2012c). In their own words[Video file]. Baltimore, MD: Author. Note: The approximate length of this media piece is 25minutes.

Assignment Assessing Clients With Addictive Disorders

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 onthe 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. Physiotherapist 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© 2017 Laureate Education, Inc. Page 15 of 31

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NURS 6640 Week 6: Psychotherapy for Addictive Disorders 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.

Note: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available athttp://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.Submit your Assignment by Day 7 of Week 6.

NURS 6640 Exam Midterm Exam

Students will:

• Assess knowledge of concepts and principles related to the psychotherapy of individuals. This exam will cover the following topics, which relate to psychotherapy with individuals in the Wheeler textbook and the Fisher textbook excerpts:
• The Nurse Psychotherapist and a Framework for Practice
• Confidentiality Limits in Psychotherapy: Ethics Checklists forMental Health Professionals© 2017 Laureate Education, Inc. Page 16 of 31Week 6 Psychotherapy for Addictive Disorders
• Assessment and Diagnosis
• The Initial Contact and Maintaining the Frame
• Cognitive Behavioral Therapy
• Supportive and Psychodynamic Psychotherapy
• Stabilization for Trauma and Dissociation Motivational Interviewing
• Psychotherapeutic Approaches for Addictions and Related Disorders

Complete the Midterm Exam by Day 7 of Week 6. Prior to starting the exam, you should review all of your materials. There is a 2-hour time limit to complete this 75-question exam. You may only attempt this exam once.

NURS 6640 Practicum Week 6: Journal Entry

Select a client whom you observed or counseled this week. Then,address the following in your Practicum Journal:

• Describe the client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications.
• Using the DSM-5, explain and justify your diagnosis for this client.
• Explain whether motivational interviewing would be effective with this client. Include expected outcomes based on this therapeutic approach. Support your approach with literature.
• Explain any legal and/or ethical implications related to counseling this client.Submit your Assignment by Day 7 of Week 7.

NURS 6640 Week 7: Supportive and Interpersonal Psychotherapy

Resources 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.o Chapter 5, “Supportive and Psychotherapy” (pp. 238–242)o Chapter 9, “Interpersonal Psychotherapy” (pp. 347–368)© 2017 Laureate Education, Inc. Page 17 of 31Week 7 Supportive and Interpersonal Psychotherapy

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington,DC: Author.Note: You will access this text from the Walden Library databases.

Abeles, N., & Koocher, G. P. (2011). Ethics in psychotherapy.In J. C. Norcross, G. R. VandenBos, D. K. Freedheim, J. C.Norcross, G. R. VandenBos, & D. K. Freedheim (Eds.), History of psychotherapy: Continuity and change (pp. 723–740).Washington, DC: American Psychological Association.doi:10.1037/12353-048Note: You will access this resource from the Walden Librarydatabases.

Cameron, S., & Turtle-Song, I. (2002). Learning to write case notes using the SOAP format. Journal of Counseling and Development, 80(3), 286–292. Retrieved from the Academic Search Complete database. (Accession No. 7164780)Note: You will access this article from the Walden Library databases.

Nicholson, R. (2002). The dilemma of psychotherapy note sand HIPAA. Journal of AHIMA, 73(2), 38–39. Retrieved fromhttp://library.ahima.org/doc?oid=58162#.V5J0__krLZ4http://library.ahima.org/doc?oid=58162#.V5J0__krLZ4 U.S. Department of Health & Human Services. (n.d.). Privacy rule and sharing information related to mental health.Retrieved from http://www.hhs.gov/hipaa/forprofessionals/special-topics/mental-health/Media

Sommers-Flanagan, J., & Sommers-Flanagan, R. (2013). Counseling and psychotherapy theories in context and practice[Video file]. Mill Valley, CA: Psychotherapy.net.Note: For this week, view Reality Therapy, Feminist Therapy,and Solution-Focused Therapy only. You will access this media from the Walden Library databases.© 2017 Laureate Education, Inc. Page 18 of 31 Week 7 Supportive and Interpersonal Psychotherapy

Stuart, S. (2010). Interpersonal psychotherapy: A case of postpartum depression [Video file]. Mill Valley, CA:Psychotherapy.net.Note: You will access this media from the Walden Library databases. The approximate length of this media piece is 110minutes.

Assignment Supportive Psychotherapy Versus Interpersonal Psychotherapy

In a 1- to 2-page paper, address the following:

• Briefly describe how supportive and interpersonal psychotherapies are similar.
• Explain at least three differences between these therapies. Include how these differences might impact your practice as a mental health counselor.
• Explain which therapeutic approach you might use with clients and why. Support your approach with evidence-based literature.Note: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available athttp://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.Submit your Assignment by Day 7 of Week 7.

Practicum Assessing Client Progress

Part 1: Progress Note

Using the client from your Week 3 Assignment, address the following in a progress note (without violating HIPAA regulations):

• Treatment modality used and efficacy of approach
• Progress and/or lack of progress toward the mutually agreed upon client goals (reference the Treatment plan—progress towards goals)
• Modification(s) of the treatment plan that were made based on progress/lack of progress
• Clinical impressions regarding diagnosis and/or symptoms
• Relevant psychosocial information or changes from original assessment (i.e., marriage, separation/divorce, new© 2017 Laureate Education, Inc. Page 19 of 31Week 7 Supportive and Interpersonal Psychotherapy relationships, move to a new house/apartment, change of job,etc.)
• Safety issues
• Clinical emergencies/actions taken
• Medications used by the patient (even if the nursepsychotherapist was not the one prescribing them)
• Treatment compliance/lack of compliance
• Clinical consultations
• Collaboration with other professionals (i.e., phoneconsultations with physicians, psychiatrists, marriage/familytherapists, etc.)
• Therapist’s recommendations, including whether the client agreed to the recommendations Referrals made/reasons for making referrals
• Termination/issues that are relevant to the termination process(i.e., client informed of loss of insurance or refusal of insurance company to pay for continued sessions)
• Issues related to consent and/or informed consent fortreatment
• Information concerning child abuse, and/or elder or dependent adult abuse, including documentation as to where the abuse was reported
• Information reflecting the therapist’s exercise of clinical judgment

Note: Be sure to exclude any information that should not be found in a discoverable progress note.

Part 2: Privileged Note

Based on this week’s readings, prepare a privileged psychotherapy note that you would use to document your impressions of therapeutic progress/therapy sessions for your client from the Week 3 Practicum Assignment.

• The privileged note should include items that you would not typically include in a note as part of the clinical record.
• Explain why the items you included in the privileged note would not be included in the client’s progress note. Explain whether your preceptor uses privileged notes, and if so, describe the type of information he or she might include. If not, explain why.© 2017 Laureate Education, Inc. Page 20 of 31Week 7 Supportive and Interpersonal Psychotherapy

Submit your Assignment by Day 7 of Week 7.

Practicum Week 5: Journal Entry

Students will:

• Develop diagnoses for clients receiving psychotherapy*
• Evaluate the efficacy of therapeutic approaches for clients*
• Analyze legal and ethical implications of counseling clients with psychiatric disorders

**These Learning Objectives are related to the Assignment from Week5. Submit your Assignment by Day 7 of Week 7. Refer to Week 5 for additional guidance.

NURS 6640 Practicum Week 6: Journal Entry

Students will:

• Develop diagnoses for clients receiving psychotherapy*
• Evaluate the efficacy of motivational interviewing techniques for clients*
• Analyze legal and ethical implications of counseling clients with psychiatric disorders

**These Learning Objectives are related to the Assignment from Week6. Submit your Assignment by Day 7 of Week 7. Refer to Week 6 for additional guidance. Week 1 Discussion: Foundations of Psychotherapy

Practicum Reminder Time Logs

You are required to keep a log of the time you spend related to your practicum experience and enter every patient you see each day. You can access your time log from the Welcome Page in your Meditrekaccount. You will track time individually for each patient you work with. Please make sure to continuously input your hours throughout the term.

Looking Ahead Week 8: Clinical Supervision Discussion Week 8

Discussion: In 3- to 5-minute Kaltura video, you will discuss client you have observed and/or counseled during your practicum experience. Be sure to make arrangements with your preceptor so© 2017 Laureate Education, Inc. Page 21 of 31 Week 7 Supportive and Interpersonal Psychotherapy you can fulfill the requirements of the Discussion. Refer to the Week 8 Discussion for additional guidance. NURS 6640: Psychotherapy With Individuals.

NURS 6640 Week 8: Existential-Humanistic Therapy

Resources Readings

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-basedpractice (2nd ed.). New York, NY: Springer Publishing Company. Chapter 10, “Humanistic-Existential and Solution-Focused Approaches to Psychotherapy” (Review pp.369–406)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington,DC: Author.Note: You will access this text from the Walden Library databases.

Nagy, T. F. (2011). Ethics in psychotherapy. In Essential ethics for psychologists: A primer for understanding and masteringcore issues (pp. 185–198). Washington, DC: American Psychological Association. doi:10.1037/12345-010 Note: You will access this resource from the Walden Librarydatabases.Media

Sommers-Flanagan, J., & Sommers-Flanagan, R. (2013). Counseling and psychotherapy theories in context and practice[Video file]. Mill Valley, CA: Psychotherapy.net.Note: For this week, view Existential Therapy, Person Centered Therapy, and Gestalt Therapy only. You will access this media from the Walden Library databases

Laureate Education (Producer). (2012b). Clinical supervision follow-up [Video file]. Baltimore, MD: Author.Note: This is a follow-up to the Thompson family media piece in Week 5. The approximate length of this media piece is 9minutes.© 2017 Laureate Education, Inc. Page 22 of 31Week 8 Existential-Humanistic Therapy

Laureate Education (Producer). (2015d). On a hamster wheel[Video file]. Baltimore, MD: Author.Note: The approximate length of this media piece is 2 minutes.

Bugental, J. (n.d.). Existential-humanistic psychotherapy[Video file]. Mill Valley, CA: Psychotherapy.net.Note: You will access this media from the Walden Library databases. The approximate length of this media piece is 108minutes.

NURS 6640 Discussion Clinical Supervision

Post on or before Day 3 a 3- to 5-minute Kaltura video that addresses the following:

• Describe a client you are counseling whom you do not think is adequately progressing according to expected clinical outcomes. Note: Do not use the client’s actual name.
• Explain your therapeutic approach with the client, including the perceived effectiveness of your approach.
• Identify any additional information about this client that may potentially impact expected outcomes.

Note: Nurse practitioners must have strong oral communication skills.This Discussion is designed to help you hone these skills. When filming your Kaltura video, be sure to dress and speak in professional manner.

View a selection of your colleagues’ responses.Respond on or before Day 6 to at least two of your colleagues by providing feedback based on an existential-humanistic therapeutic perspective. Support your feedback with evidence-based literature and/or your own experiences with clients.Note about uploading media: Refer to the Kaltura Media Uploader instructions document, which provides guidance on how to upload media for the Clinical Supervision Discussions.

NURS 6640 Week 8: Practicum Week 8 Journal Entry

This week, you complete a two-part journal entry. For Part 1, select a client whom you observed or counseled this week(other than the client used for this week’s Discussion). Then, address the following in your Practicum Journal:

• Describe the client and identify any pertinent history or medical information, including prescribed medications.
• Using the DSM-5, explain and justify your diagnosis for this client. NURS 6640: Psychotherapy With Individuals.
• Explain whether existential-humanistic therapy would be beneficial with this client. Include expected outcomes based on this therapeutic approach.
• Explain any legal and/or ethical implications related to counseling this client.

Support your approach with evidence-based literature.For Part 2, reflect on your clinical supervision experiences. Then,address the following in your Practicum Journal:

• How often are you receiving clinical supervision from your preceptor?
• What are the sessions like?
• What is the preceptor bringing to your attention?
• How are you translating these sessions to your clinical practice?

Submit your Assignment by Day 7 of Week 10.

NURS 6640 Week 9: Psychotherapy With Children and Adolescents

Resources Readings

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-basedpractice (2nd ed.). New York, NY: Springer Publishing Company.o Chapter 17, “Psychotherapy With Children” (pp. 597–624)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington,DC: Author. Note: You will access this text from the Walden Library databases.© 2017 Laureate Education, Inc. Page 24 of 31Week 9 Psychotherapy With Children and Adolescents

Bass, C., van Nevel, J., & Swart, J. (2014). A comparison between dialectical behavior therapy, mode deactivationtherapy, cognitive behavioral therapy, and acceptance and commitment therapy in the treatment of adolescents.International Journal of Behavioral Consultation and Therapy,9(2), 4–8. doi:10.1037/h0100991Note: You will access this article from the Walden Library databases.

Koocher, G. P. (2003). Ethical issues in psychotherapy with adolescents. Journal of Clinical Psychology, 59(11), 1247–1256. PMID:14566959

Note: You will access this article from the Walden Library databases.

McLeod, B. D., Jensen-Doss, A., Tully, C. B., Southam-Gerow,M. A., Weisz, J. R., & Kendall, P. C. (2016). The role of setting versus treatment type in alliance within youth therapy. Journal of Consulting and Clinical Psychology, 84(5), 453–464.doi:10.1037/ccp0000081 Note: You will access this article from the Walden Librarydatabases.

Zilberstein, K. (2014). The use and limitations of attachment theory in child psychotherapy. Psychotherapy, 51(1), 93–103.doi:10.1037/a0030930Note: You will access this article from the Walden Library databases.

Media

Laureate Education (Producer). (2013a). Disruptive behaviors[Multimedia file]. Baltimore, MD: Author.

Walker, R. (n.d.). Making child therapy work [Video file]. MillValley, CA: Psychotherapy.net.Note: You will access this media from the Walden Library databases. The approximate length of this media piece is 95minutes.© 2017 Laureate Education, Inc. Page 25 of 31 Week 9 Psychotherapy With Children and Adolescents.

NURS 6640 Week 9: Discussion Counseling Adolescents

Post on or before Day 3 an explanation of your observations of the client in the case study you selected, including behaviors that align to the criteria in DSM-5. Then, explain therapeutic approaches you might use with this client, including psychotropic medications if appropriate. Finally, explain expected outcomes for the client base on these therapeutic approaches. Support your approach with evidence-based literature.Read a selection of your colleagues’ responses.Respond on or before Day 6 to at least two of your colleagues by providing one alternative therapeutic approach. Explain why you suggest this alternative and support your suggestion with evidence based literature and/or your own experiences with clients.

NURS 6640 Practicum Week 9: Journal Entry

Select a child or adolescent client whom you observed or counseled this week. Then, address the following in your Practicum Journal:

• Describe the client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications.
• Using the DSM-5, explain and justify your diagnosis for this client.
• Explain any legal and/or ethical implications related to counseling this client.
• Support your position with evidence-based literature.Submit your Assignment by Day 7 of Week 10.

Looking Ahead Week 10: Clinical Supervision Discussion: Week 10

Discussion: In 3- to 5-minute Kaltura video, you will discuss an older adult client you have observed and/or counseled during your practicum experience. Be sure to make arrangements with your preceptor so you can fulfill the requirements of the Discussion. Refer to the Week 10 Discussion for additional guidance.© 2017 Laureate Education, Inc. Page 26 of 31

NURS 6640 Week 10: Psychotherapy With Older Adults

Resources 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 18, “Psychotherapy With Older Adults” (pp. 625–660) Chapter 20, “Termination and Outcome Evaluation” (pp.693–712)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington,DC: Author.Note: You will access this text from the Walden Library databases.

McGuire, J. (2009). Ethical considerations when working with older adults in psychology. Ethics & Behavior, 19(2), 112–128.doi:10.1080/10508420902772702 Note: You will access this article from the Walden Librarydatabases.

Swift, J. K., & Greenberg, R. P. (2015). What is premature termination, and why does it occur? In Premature termination in psychotherapy: Strategies for engaging clients and improving outcomes (pp. 11–31). Washington, DC: American Psychological Association. doi:10.1037/14469-002. Note: You will access this resource from the Walden Library databases.

NURS 6640 Discussion Clinical Supervision

Post on or before Day 3 a 3- to 5-minute Kaltura video that addresses the following:

• Describe an older client you are counseling whom you do not think is adequately progressing according to expected clinical outcomes. Note: Do not use the client’s actual name.
• Explain your therapeutic approach with the client, including the perceived effectiveness of your approach.
• Identify any additional information about this client that may potentially impact expected outcomes.© 2017 Laureate Education, Inc. Page 27 of 31Week 10 Psychotherapy With Older Adults

Note: Nurse practitioners must have strong oral communication skills.This Discussion is designed to help you hone these skills. When filming your Kaltura video, be sure to dress and speak in a professional manner.

View a selection of your colleagues’ responses.Respond on or before Day 6 to at least two of your colleagues by sharing additional insights or alternative perspectives. Support your feedback with evidence-based literature and/or your own experiences with clients.Note about uploading media: Refer to the Kaltura Media Uploader instructions document, which provides guidance on how to uploadmedia for the Clinical Supervision Discussions.

Practicum Client Termination Summary

With the client you selected in mind, address the following in a client termination summary (without violating HIPAA regulations):

• Identifying information of client (i.e., hypothetical name, age,etc.)
• Date initially contacted therapist, date therapy began, duration of therapy, and date therapy will end
• Total number of sessions, including number of missed sessions
• Termination planned or unplanned
• Presenting problem
• Major psychosocial issues
• Types of services rendered (i.e., individual, couple/familytherapy, group therapy, etc.)
• Overview of treatment process
• Goal status (goals met, partially met, unmet)
• Treatment limitations (if any)
• Remaining difficulties and/or concerns
• Recommendations
• Follow-up plan (if indicated)
• Instructions for future contact
• Signatures

Submit your Assignment by Day 7 of Week 10.© 2017 Laureate Education, Inc. Page 28 of 31

Week 10 Psychotherapy With Older Adults

Practicum Week 8: Journal Entry

Students will:

• Develop diagnoses for clients receiving psychotherapy*
• Evaluate the efficacy of existential-humanistic therapy for clients*
• Analyze legal and ethical implications of counseling clients with psychiatric disorders*
• Analyze clinical supervision experiences

**These Learning Objectives are related to the Assignment from Week8. Submit your Assignment by Day 7 of Week 10. Refer to Week 8 for additional guidance.

Practicum Week 9: Journal Entry

Students will:

• Develop diagnoses for clients receiving psychotherapy
• Analyze legal and ethical implications of counseling clients with psychiatric disorders

**These Learning Objectives are related to the Assignment from Week9. Submit your Assignment by Day 7 of Week 10. Refer to Week 9 for additional guidance.

NURS 6640 Practicum Week 10: Journal Entry

Reflect on your overall practicum experience in this course. Then,address the following in your Practicum Journal:

• Explain whether your therapeutic theory has changed as result of your practicum experiences. Recall the theories you selected in Week 1.
• Explain how you integrated the therapeutic approaches from this course in your clinical practice. Include how this helped you achieve the goals and objectives you developed in Week1.
• Explain how you might impact social change through your work with clients who have mental health issues.© 2017 Laureate Education, Inc. Page 29 of 31Week 10 Psychotherapy With Older Adults
• Support your approach with evidence-based literature.Submit your Assignment by Day 7 of Week 10.

Practicum Logs  REMINDER

You are required to keep a log of the time you spend related to yourpracticum experience and enter every patient you see each day. Youcan access your time log from the Welcome Page in your Meditrekaccount. You will track time individually for each patient you workwith. Please make sure to continuously input your hours throughoutthe term.

NURS 6640 Week 11: Psychotherapy With Personality Disorders

Resources Readings

Wheeler, K. (Ed.). (2014). Psychotherapy for the advancedpractice psychiatric nurse: A how-to guide for evidence-basedpractice (2nd ed.). New York, NY: Springer PublishingCompany.o Chapter 20, “Termination and Outcome Evaluation”(Review pp. 693–712)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington,DC: Author.Note: You will access this text from the Walden Librarydatabases.

Dixon-Gordon, K. L., Turner, B. J., & Chapman, A. L. (2011).Psychotherapy for personality disorders. International Reviewof Psychiatry, 23(3), 282–302.doi:10.3109/09540261.2011.586992Note: You will access this article from the Walden Librarydatabases.

Lorentzen, S., Ruud, T., Fjeldstad, A., & Høglend, P. A.(2015). Personality disorder moderates outcome in short- andlong-term group analytic psychotherapy: A randomized clinical trial. British Journal of Clinical Psychology, 54(2), 129–146.doi:10.1111/bjc.12065Note: You will access this article from the Walden Librarydatabases.© 2017 Laureate Education, Inc. Page 30 of 31Week 11 Psychotherapy With Personality Disorders

Paris, J. (2004). Personality disorders over time: Implications for psychotherapy. American Journal of Psychotherapy, 58(4),420–429. PMID: 15807086 Note: You will access this article from the Walden Librarydatabases.

Swift, J. K., & Greenberg, R. P. (2015). What is prematuretermination, and why does it occur? In Premature terminationin psychotherapy: Strategies for engaging clients andimproving outcomes (pp. 11–31). Washington, DC: AmericanPsychological Association. doi:10.1037/14469-002Note: You will access this resource from the Walden Librarydatabases.

Discussion Therapy for Clients With Personality Disorders

Post on or before Day 3 a description of the personality disorder youselected.

• Explain a therapeutic approach (including psychotropicmedications if appropriate) you might use to treat a client presentingwith this disorder, including how you would share your diagnosis ofthis disorder to the client in order to avoid damaging the therapeutic relationship.
• Support your approach with evidence-based literature.Read a selection of your colleagues’ responses.
• Respond on or before Day 6 to at least two of your colleagues byproviding one alternative therapeutic approach.
• Explain why yousuggest this alternative and support your suggestion with evidencebasedliterature and/or your own experiences with clients.

Exam Final Exam

Students will:

• Assess knowledge of concepts, principles, and theories relatedto the psychotherapy of individuals

This exam will cover the following topics from the Wheeler textbook,which relate to psychotherapy of individuals:

• Supportive and Psychodynamic Psychotherapy
• Interpersonal Psychotherapy
• Humanistic-Existential and Solution-Focused Approaches toPsychotherapy© 2017 Laureate Education, Inc. Page 31 of 31Week 11 Psychotherapy With Personality Disorders
• Psychotherapy With Children
• Psychotherapy With Older Adults
• Termination and Outcome EvaluationComplete the Final Exam by Day 7 of Week 11. Prior to starting theexam, you should review all of your materials. There is a 2-hour timelimit to complete this 75-question exam. You may only attempt thisexam once. NURS 6640: Psychotherapy With Individuals.CourseEvaluationComplete your Course Evaluation by Day 7.NURS 6640: Psychotherapy With Individuals

• Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses. NURS 6640 Week 1 Discussion

• Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week. NURS 6640 Week 1 Discussion

• APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition. NURS 6640 Week 1 Discussion

• Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source. NURS 6640 Week 1 Discussion

• LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score. NURS 6640 Week 1 Discussion

• Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading. NURS 6640 Week 1 Discussion

• Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours. NURS 6640 Week 1 Discussion