Discussion: Counseling Adolescents NRNP 6640-14

Discussion: Counseling Adolescents NRNP 6640-14

Discussion: Counseling Adolescents NRNP 6640-14 

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Discussion: Counseling Adolescents

The adolescent population is often referred to as “young adults,” but in some ways, this is a

misrepresentation. Adolescents are not children, but they are not yet adults either. This

transition from childhood to adulthood often poses many unique challenges to working

with adolescent clients, particularly in terms of disruptive behavior. In your role, you must

overcome these behaviors to effectively counsel clients. For this Discussion, as you examine

the Disruptive Behaviors media in this week’s Learning Resources, consider how you might

assess and treat adolescent clients presenting with disruptive behavior.

Learning Objectives

Students will:

 Assess clients presenting with disruptive behavior

 Analyze therapeutic approaches for treating clients presenting with disruptive


 Evaluate outcomes for clients presenting with disruptive behavior

To prepare:

 Review this week’s Learning Resources and reflect on the insights they provide.

 View the media, Disruptive Behaviors. Select one of the four case studies and assess

the client.

 For guidance on assessing the client, refer to pages 137-142 of the Wheeler text in

this week’s Learning Resources.

Note: To complete this Discussion, you must assess the client, but you are not required to

submit a formal Comprehensive Client Assessment.

Note: For this Discussion, you are required to complete your initial post before you will be

able to view and respond to your colleagues’ postings. Begin by clicking on the "Post to

Discussion Question" link and then select "Create Thread" to complete your initial post.

Remember, once you click Submit, you cannot delete or edit your own posts, and cannot post

anonymously. Please check your post carefully before clicking Submit!

By Day 3

Post 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 based on these therapeutic

approaches. Support your approach with evidence-based literature.

Read a selection of your colleagues' responses.


By Day 6

Respond 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.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 9 Discussion Rubric

Post by Day 3 and Respond by Day 6


To participate in this Discussion:

Week 9 Discussion


Week in Review

Now that you have:

 Assessed clients presenting with disruptive behavior

 Analyzed therapeutic approaches for treating clients presenting with disruptive


 Evaluated outcomes for clients presenting with disruptive behavior

Next week, you will:

 Assess clients presenting for psychotherapy

 Evaluate the effectiveness of therapeutic approaches for clients receiving


Next Week


To go to the next week:

Week 10


Learning Resources

Required Readings

American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and

standards of practice (2nd ed.). Washington, DC: Author.

 Standard 5 “Implementation” (pages 52-53)

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


 Chapter 17, “Psychotherapy With Children” (pp. 597–624)


American Psychiatric Association. (2013). Diagnostic and statistical manual of mental

disorders (5th ed.). Washington, DC: Author.


Bass, C., van Nevel, J., & Swart, J. (2014). A comparison between dialectical behavior

therapy, mode deactivation therapy, 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/h0100991


Koocher, G. P. (2003). Ethical issues in psychotherapy with adolescents. Journal of Clinical

Psychology, 59(11), 1247–1256.


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


Zilberstein, K. (2014). The use and limitations of attachment theory in child

psychotherapy. Psychotherapy, 51(1), 93-103.  doi:10.1037/a0030930


Required Media


Laureate Education (Producer). (2013a). Disruptive behaviors – Part 1 [Multimedia file].

Baltimore, MD: Author.


Laureate Education (Producer). (2013a). Disruptive behaviors – Part 2 [Multimedia file].

Baltimore, MD: Author.


Walker, R. (n.d.). Making child therapy work [Video file]. Mill Valley, CA:



Optional Resources

Bruce, T., & Jongsma, A. (2011). Evidence-based treatment planning for disruptive child and

adolescent behavior [Video file]. Hoboken, NJ: John Wiley & Sons.


Note: You will access this media from the Walden Library databases. The approximate

length of this media piece is 63 minutes.

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