Crisis Counseling

Crisis Counseling (Obj. 5.1 and 5.5)

Sometimes clients come into the counseling session with an immediate crisis. They need an immediate solution to a problem. Counseling in these situations needs to be focused and goal oriented.

Jamila has been working with her counselor on learning to better manage her 9-year-old son. Last night, her son was hit by a car and is in the hospital. This has created a number of problems:

1.     She has to arrange childcare for her daughter so she can stay with her son in the hospital.

2.     He will need some special care when he gets home because he will be in a wheelchair.

3.     She is fearful that she will lose her job as a teacher’s aide in the local public school.

Write a 500-750-word paper addressing the following:

1.     How would you prioritize Jamila’s concerns in the counseling session? What would you address first?

2.     What steps would you take in this session to make sure that Jamila has the resources she needs right now?

3.     How would you help Jamila develop a plan to manage the current crisis?

Include at least three scholarly references in your paper.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Crisis Counseling


A person is viewed to be in a crisis when they experience a situation which is considered too difficult for them to handle. This issue occurs due to personal inadequacies or insufficient resources. The above factors may make the situation to exceed the individual’s tolerance capabilities. Crisis counseling is therefore a technique that may offer immediate help to an individual in a crisis. To achieve this goal, there are various priorities and models that counselors may use during the intervention (Taylor, & Gibson, 2016).  The essay intends to develop suitable priorities, design ways of creating efficient resources, and develop a suitable management plan for a presented case.

Case Overview

The crisis counseling session focus on a client whose name is Jamila. The client is a teacher’s aide and has two children; a boy and a girl. The son is involved in an accident and needs special care from the mother. In addition, the daughter needs to be placed in a childcare facility to provide time for her son’s care. By caring for her son, Jamila risks her losing her job.

Prioritizing Client’s Concerns

In the scenario, every element is crucial to the client, thereby creating a dilemma to her. From the client’s time and finances are essential concerns for her. Therefore, it would be important to prioritize Jamila’s concerns basing on time and finances. Moreover, it would also focus on the impact of the issue to other issues. The counselor may need to address her job concern first. This is because it would affect her ability to pay for her son’s hospital bill and her daughter’s daycare fees. In addition development of a suitable job schedule may help the client to care for her son without problems. The second issue to be addressed will be son’s care. This concern has been ongoing for the client; hence it is more urgent than her daughter’s daycare concern (Taylor, & Gibson, 2016).

Steps for Attainment of Resources

A systematic approach is suitable in enabling the client to attain resources for controlling the problem. The six-step crisis intervention model will be useful in helping Jamila. In the model, the first step involves defining the problem and understanding it from the client’s perspective. The second step is focused at ensuring the client’s safety. In the scenario, this step focuses on the psychological danger that Jamila may face. Thirdly, the counselor will provide support to the client through suitable communication skills (Silva, Siegmund, & Bredemeier, 2015).

The fourth phase involves examination of different resource alternatives. It may involve assessment of the client’s situational support or involving people close to her. Fifthly, the counselor will engage in making detailed plans and outline the persons and other referral resources that can enhance support to the client. Lastly, the counselor needs to obtain commitment from the client to ensure that the crisis counseling session is effective (Silva, Siegmund, & Bredemeier, 2015).

Developing a Management Plan

Developing a management plan needs suitable strategies. However, there are two broad frameworks that the assistance will follow; nondirective and collaborative counseling. If the client is able to initiate and develop their own management plans, nondirective counseling will be used. Contrarily, collaborative counseling will be suitable if the counselor has established a reliable partnership with the client. A suitable strategy for enhancing proper management planning is creation of awareness. This strategy attempts to bring to the clients thoughts and behaviors that may solve her crisis. In addition, provision of support is essential throughout the six-step process as it validates and expands on suggestions for controlling the situation. Lastly, the practitioner may provide guidance and direction on how to use the resources to manage the crisis (Crosby, Cwik, & Riddle, 2015).


Crises are a common occurrence in people’s lives. However, it is often difficult to manage these challenges without the help of other people. The paper tries to show the role of counselors in helping clients solve their crisis issues. From the paper, it can be shown that using a systematic approach is suitable in helping clients manage their crises. In addition, one can depict that the counseling strategies such as support of clients and offering clients are beneficial tin crisis counseling management.


Crosby B. M., Cwik, M. F., & Riddle, M. A. (2015). Awareness, attitudes, and use of

crisis hotlines among youth at‐risk for suicide. Suicide and LifeThreatening Behavior45(2), 192-198.

Silva, J. A. M. D., Siegmund, G., & Bredemeier, J. (2015). Crisis interventions in online

psychological counseling. Trends in Psychiatry and Psychotherapy37(4), 171-182.

Taylor, J. V., & Gibson, D. M. (2016). Crisis on campus: eating disorder intervention from a

developmental-ecological perspective. Journal of American College Health64(3), 251-255.

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Ethical and Legal Implications of Prescribing Drugs

Ethical and Legal Implications of Prescribing Drugs

You will also evaluate and analyze ethical and legal implications and practices related to prescribing drugs.  As advanced practice nurses, almost every clinical decision you make will have ethical or legal implications. Your ethical and legal knowledge is fundamental to your ability to resolve the multitude of challenging issues encountered in practice.  For the Week 1 Assignment, you will explore the ethical and legal implications of the following scenario, and consider how to appropriately respond:


A friend calls and asks you to prescribe a medication for her. You have this autonomy, but you don’t have your friend’s medical history. You write the prescription anyway.

Write a 2- to 3-page paper that addresses the following: all papers submitted include a title page, introduction, summary, and references.

1.      Explain the ethical and legal implications of the scenario you selected on all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.

2.      Describe strategies to address disclosure and nondisclosure as identified in the scenario you selected. Be sure to reference laws specific to your state.

3.      Explain two strategies that you, as an advanced practice nurse, would use to guide your decision making in this scenario, including whether you would disclose your error. Be sure to justify your explanation.

4.      Explain the process of writing prescriptions, including strategies to minimize medication errors.

To Prepare

Review the Resources for this module and consider the legal and ethical implications of prescribing prescription drugs, disclosure, and nondisclosure.

Review the scenario assigned by your Instructor for this Assignment.

Search specific laws and standards for prescribing prescription drugs and for addressing medication errors for your state or region and reflect on these as you review the scenario assigned by your Instructor.

Consider the ethical and legal implications of the scenario for all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.

Think about two strategies that you, as an advanced practice nurse, would use to guide your ethically and legally responsible decision-making in this scenario, including whether you would disclose any medication errors.


Ethical and Legal Implications of Prescriptions


In healthcare, practitioners often find out that their friends, co-workers, or relatives may request informal medical advice. In addition, people close to the practitioners may ask for medical prescriptions without following medical procedures.  Practitioners realize that engagement in informal prescriptions increase their chances of having malpractice liability. In serious cases, they face legal investigations and risk going to jail or losing their job (Arcangelo et al., 2017). This paper tries to determine the ethical and legal implications that are associated with casual prescriptions. It involves a scenario where a female friend calls for medical prescription while the practitioner does not have her medical history. With that autonomy, the prescription is still written.

Ethical and Legal Implications

The scenario creates an ethical challenge to the practitioner. Due to their close association, the practitioner’s professional objectivity may be affected. The fact that the practitioner prescribes medicine for the client without her medical history shows that the doctor’s judgment is based on their relationship. Legally, if the state law requires the patient to be present during prescription, the process would be against the authority. In addition, the process would be inefficient due to lack of physical examinations (Kling, 2015).

From another perspective, if the state requires an association between the physician and nurse, an investigation may be enforced on the practitioner for engaging in the process alone. Moreover, if the prescription is done away from the facility setting, it will be illegal. It can also be viewed that if the patient’s condition deteriorates after prescription, there will be no documentation to reveal the drugs she had taken. This act would jeopardize further assistance. Also, there will be no evidence of the patient’s informed consent (Arcangelo et al., 2017).

Strategies for Disclosure and Nondisclosure

Disclosure of patient safety is an important aspect in any healthcare situation. From the scenario, the practitioner may choose to orally disclose the error to a colleague and the patient. This act would increase trust between the practitioner and co-workers. In addition, it would create a suitable patient-nurse relationship. Also, the practitioner may create a formal report to the facility, revealing the details of the error in a way to reduce such errors in future (Kling, 2015).

Strategies for Decision Making

When it comes to decision making, the practitioner may choose to reject the patient’s request. This act would be done in a polite way, with the practitioner giving an explanation of associated ethical concerns. This may be followed by the practitioner assigning the patient to a different qualified nurse to engage in the prescription. Contrarily, the practitioner may choose to engage in the prescription process. However, the process needs the nurse to have a professional relationship with the patient. The procedure should be done in a facility setting, with the practitioner making suitable medical assessments of the patient. It would need official documentation which would enhance a suitable follow-up (Bao et al., 2016).

Prescription Writing Process

Having a systematic approach in prescribing drugs is required to enhance prescription quality. The process should start with proper evaluation and definition of the patient’s problem. This step is followed by development of a therapeutic objective. A proper drug therapy is initiated. Thereafter, details, warnings, and instructions should be provided. To avoid errors, the practitioner may apply the five rights of drug prescription. They involve the needs for the right drug, right patient, right dosage, right process, and right time. Another strategy is to employ computer technology in designing the prescription (Ladd & Hoyt, 2016).


The paper shows that prescription of drugs to people close to a practitioner is associated with ethical and legal implications. These issues may make a nurse lose his or her job, especially if it is associated with errors. Nurses need to be careful when administering drugs to patients who are associated with them. The paper tries to reveal that with proper strategies, the process can be done properly, thereby limiting ethical and legal consequences. In addition, it is observed that drug prescription needs to follow a systematic approach to avoid errors.


Arcangelo, V. P., Peterson, A. M., Wilbur, V., & Reinhold, J. A. (Eds.). (2017). Pharmacotheraeutics for advanced practice: A practical approach (4thed.). Ambler, PA: Lippincott Williams & Wilkins.

Bao, Y., Pan, Y., Taylor,A., Radakrishnan, S., Luo, F., Pincus, H. A., &Schackman, B. (2016). Prescription drug monitoring programs are associated with sustained reductions in opioid prescribing by physicians. Health Affairs, 35(6), 1045 -1051.

Kling, S. (2015). Is it ethical to treat one’s family and friends?: ethics article. Current Allergy & Clinical Immunology, 28(2), 118-120.

Ladd, E., & Hoyt, A. (2016). Shedding light on nurse practitioner prescribing. The Journal for Nurse Practitioners, 12(3), 166-173.

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Improving Transition to Telenursing and Telemedicine

Improving Transition to Telenursing and Telemedicine

Telenursing and telemedicine will only be successful if patients engage in the program. You have been asked by your manager to pilot a program aimed at improving transitions of care using the new telemedicine system recently implemented at your hospital. What are some of the ways that you can encourage both patient and provider engagement to ensure the pilot program success? Citations should conform to APA guidelines. You may use this APA Citation Helper as a convenient reference for properly citing resources or connect to the APA style website through the APA icon below.


Improving Transition to Telenursing and Telemedicine

For patients and caregivers to reap the full benefits of telemedicine, they must wholly embrace the revolutionary technology. The engagement of the patient and care-giver is paramount for the effective use of telemedicine since it relies on the ability of stakeholders to use the system (Dantu & Mahapatra, 2013, 3). Collecting from and providing information to users will increase the involvement of both patients and care providers in the integration of telemedicine.

Educating caregivers and patients on the uses and benefits of telemedicine will increase the engagement in the pilot and subsequent roll out of the program. Dispelling myths, and providing knowledge on how to use the system provides all stakeholders with the required information to practice telehealth. Skepticism on compatibility, fear of losing face to face interactions and security concerns are some of the popular myths among physicians (Dantu & Mahapatra, 2013, 3). Providing information to the stakeholders will encourage them to get more involved because patients and providers have knowledge on how to use the system and understand the potential benefits.

Conducting research prior to designing and rolling out implementation strategies is critical in the adoption of the proposed procedures. The data collected informs on preferences and possible barriers to the acceptance of telemedicine. Collecting data from stakeholders ensures that their views are incorporated in making the pilot thus it is more acceptable. Both providers and patients will participate more knowing that their input is valued and will be included in the execution of telehealth procedures.

Patient and provider engagement can be increased through improving communication to and from stakeholders. Transition of care is an important aspect for the recovery of patients and it can benefit greatly from the use of telemedicine While a pilot program designed to improve the transition of care using telehealth systems is a noble initiative, stakeholders in the medical field must be fully engaged in the process to capitalize on the advantages.


Dantu, R., & Mahapatra, R. (2013). Adoption of telemedicine – challenges and opportunities. Retrieved from

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