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Running head: COMPREHENSIVE CLIENT FAMILY ASSESSMENT1Comprehensive Client Family AssessmentWalden UniversityPsychotherapy with IndividualsNURS 6640December 16, 2018
COMPREHENSIVE CLIENT FAMILY ASSESSMENT2Comprehensive Client Family AssessmentA comprehensive client assessment is an essential first step in gathering information for atreatment plan, developing a relationship and rapport with the client, and laying the foundation for future counseling encounters (Guo, Wang, & Johnson, 2012). It is fundamentally important for the Psychiatric Mental Health Nurse Practitioner to become both competent and efficient in conducting comprehensive client assessments. As with most skills and processes, it will take time and practice to develop confidence in eliciting the needed information from clients while communicating in a way that lets the client feel comfortable opening up. The purpose of this assignment is to complete a comprehensive assessment and a genogram on a client counseled at my practicum site. DemographicsThis client, W.L. is a 65-year-old Caucasian female residing in Memphis, TN. She is heterosexual and has been married to the same man for 47 years. She is the mother of a 35-year-old female and grandmother to two boys ages 10 and 12. She is the 3rd oldest of five siblings. She has been retired for ten years, but prior to that, she worked full-time as a “secretary” for the same company for 25 years. Both parents are deceased. Client-Identified ProblemGrieving the death of her mother. “I’m just so sad all of the time”.History of Present IllnessW.L. was referred for counseling by her primary care provider. WL’s mother, that had been living with her and her husband for the past five years, died in her sleep 5 months ago (June 2018). She reports that the first month after her mother’s death she was mostly “ok” and was kept busy by all of the planning, as well as visiting friends and family. Things gradually
COMPREHENSIVE CLIENT FAMILY ASSESSMENT3slowed down which gave her more alone time which has been problematic in that she feels she no longer has a purpose. She was the main caregiver for her mother for the past five years, and while they had always been close, they became closer during this time. She also expresses feeling sad and empty because her daughter is now grown and living her own life and doesn’t have a lot of extra time to spend with her. WL used to babysit her two grandsons a lot when they were younger but there is no longer a need for that so she does not get to see them very often, and when she does, it is only for brief periods of time. A recurring statement from WL during thisinterview was that she “no longer has a purpose”. She reports that her husband and daughter are both worried about her. She is tearful and feels hopeless.