Counseling Skills

Unit 6 Assignment

 

Unit outcomes addressed in this assignment:

1. Identify counseling skills needed for behavior change

2. Recognize behavioral, cognitive, and psychoeducational treatment strategies

 

Course outcome assessed/addressed in this assignment:

NS420-1: Apply professional nutritional counseling skills to a client session

 

Instructions

 

Imagine yourself in the role of a Nutrition Counselor and Josephine in your client. Josephine

is a 20-year-old female who is present for an eating disorder not otherwise specified. She

currently teaches salsa lessons at the community college and is in her last semester of

college. She reports she is living at home and the food her mom prepares is not the

healthiest because her mom is from Honduras and her father is from Guatemala, so the

food is prepared differently. She indicates she has been thin all her life, but she began

struggling with her weight as soon as she went through puberty. Since she is a salsa

instructor, she has to remain fit. She reports she feels very guilty if she has consumed fried

foods during the day, but since that is the way her mom primarily cooks, she feels awful to

tell her mom to stop cooking that way. She reports if she does consume too much fried

foods or junk food, she will run at least 2-3 miles that day or else force herself to vomit, but

all the food does not come out. She reports sometimes if she has a later class, she will not

eat dinner or only eat 1 meal per day. She has tried counting calories, but then she gets so

mad at herself for having more than 1200 calories it causes her to exercise more, which

then leads her to feeling exhausted. She indicates she is on no medication, but does take a

multivitamin when she remembers. She indicates she has gone from 110 pounds to 125

pounds over 5 years and wants to be back down to 110 or even less. She also had gone to

the doctor and he was quite concerned with her lab values. She has provided you a 24 hour

meal record:

Breakfast:

1-6” corn tortilla

½ cup fried beans cooked with peppers, onions and oil

½ cup rice

1 cup no sugar added orange juice

Lunch:

1 slice of whole wheat bread

2 slices turkey

1 small apple

Dinner:

 

 

2- 6” tortillas

Beef with onions, peppers cooked in oil

Tomato, onion, pepper salad (made with oil and lime juice)

2 cups of rice

Height: 5’2” Weight: 117 pounds (based on your scale in the office)

 

Labs:

Test Result Reference Units

Albumin (visceral protein stores) 3.3 g/dL 3.5-4.8 g/dL

Sodium 133 mEq/L 136-145 mEq/L

Potassium 3.8 mEq/L 3.5-5.2 mEq/L

Iron 0.4 mg/dL 0.6-1.1 mg/dL

Vitamin B12 185 pg/mL 200-835 pg/mL

 

 

Questions for Unit 6:

 

 According to the Stages of Change Model, what stage of change do you believe

Josephine is in? Explain how you determined that stage of change? How does this

affect her readiness to learn?

 For this situation, how would you establish a rapport with the client?

 Identify and discuss 3 counseling skills you would use to encourage behavior change

for the client

 Identify and discuss 2 cognitive-behavioral therapy techniques you would use with

this client.

 How do you educate the client on what is considered normal exercising and

excessive exercising?

 

 Requirements This assignment needs to be at least two pages in length and include

at least two references.

 This Assignment should be in APA format and follow the conventions of Standard

American English (correct grammar, punctuation, etc.). Your writing should be well

ordered, logical, and unified, as well as original and insightful. Your work should

display superior content, organization, style, and mechanics. Be sure to use APA in-

text citations and a reference page to attribute each source.

 

Please be sure to download the file “Writing Center Resources” from Doc Sharing to assist

you with meeting APA expectations for written assignments.

Submitting Your Work

Put your responses in a Microsoft® Word® document. Save it in a location and with the

proper naming convention: username-CourseName-section-Unit 1_Assignment.doc

 

 

(username is your Kaplan username, section is your course section, 1 is your Unit number). When you are ready to submit it, go to the Dropbox and complete the steps below:

1. Click the link that says “Submit an Assignment.”

2. In the “Submit to Basket” menu, select Unit 1: Assignment.

3. In the “Comments” field, make sure to add at least the title of your paper.

4. Click the “Add Attachments” button.

5. Follow the steps listed to attach your Word document.

To view your graded work, come back to the Dropbox or go to the Gradebook after your

instructor has evaluated it. Make sure that you save a copy of your submitted project.

Unit 6 Assignment Grading Rubric =130 points

Assignment Requirements Points

possible

Points

earned by

student

Discuss the stage of change and how this would affect

her readiness to learn.

0-26

Discuss how would you establish a rapport with the

client

 

0-26

Identify and discuss 3 counseling skills you would use

to encourage behavior change for the client

 

0-26

Identify and discuss 2 cognitive-behavioral therapy

techniques you would use with this client.

 

0-26

Discuss how you would educate the client on what is

considered normal exercising and excessive exercising.

 

0-26

Total (Sum of all points)

Points deducted for spelling, grammar, and/or

APA errors.

 

Adjusted total points

Instructor Feedback: