PMHNP PRAC 6645 Clinical Skills: Self-Assessment Form
This assignment is a graduate level Masters in Nursing Psychiatric Nurse Practitioner program, and the work should be reflective of the highest standards of graduate work.
Please use APA 7 format only.
Below is the assignment and instructions, with my initial practicum plan and goals. Please let me know if you have any questions. Thank you in advance.
Tanya.
PMHNP PRAC 6645 Clinical Skills
Self-Assessment Form
Desired Clinical Skills for Students to Achieve Confident (Can complete independently) Mostly confident (Can complete with supervision) Beginning (Have performed with supervision or need supervision to feel confident) New (Have never performed or does not apply)
Comprehensive psychiatric evaluation skills in:
Recognizing clinical signs and symptoms of psychiatric illness across the lifespan Mostly confident
Differentiating between pathophysiological and psychopathological conditions Mostly confident
Performing and interpreting a comprehensive and/or interval history and physical examination (including laboratory and diagnostic studies) Mostly confident
Performing and interpreting a mental status examination Beginning
Performing and interpreting a psychosocial assessment and family psychiatric history Mostly confident
Performing and interpreting a functional assessment (activities of daily living, occupational, social, leisure, educational). Mostly confident
Diagnostic reasoning skill in:
Developing and prioritizing a differential diagnoses list Beginning
Formulating diagnoses according to DSM 5 based on assessment data
Beginning
Differentiating between normal/abnormal age-related physiological and psychological symptoms/changes Beginning
Pharmacotherapeutic skills in:
Selecting appropriate evidence based clinical practice guidelines for medication plan (e.g., risk/benefit, patient preference, developmental considerations, financial, the process of informed consent, symptom management)
Beginning
Evaluating patient response and modify plan as necessary Beginning
Documenting (e.g., adverse reaction, the patient response, changes to the plan of care)
Mostly confident
Psychotherapeutic Treatment Planning:
Recognizes concepts of therapeutic modalities across the lifespan Beginning
Selecting appropriate evidence based clinical practice guidelines for psychotherapeutic plan (e.g., risk/benefit, patient preference, developmental considerations, financial, the process of informed consent, symptom management, modality appropriate for situation) Mostly Confident
Applies age appropriate psychotherapeutic counseling techniques with individuals, families, and/or groups Beginning
Develop an age appropriate individualized plan of care Beginning
Provide psychoeducation to individuals, family, and/or groups Beginning
Promote health and disease prevention techniques Mostly confident
Self-Assessment skills:
Develop SMART goals for practicum experiences Mostly confident
Evaluating outcomes of practicum goals and modify plan as necessary Mostly confident
Documenting and reflecting on learning experiences Mostly confident
Professional skills:
Maintains professional boundaries and therapeutic relationship with clients and staff confident
Collaborate with multi-disciplinary teams to improve clinical practice in mental health settings Mostly confident
Identifies ethical and legal dilemmas with possible resolutions Mostly confident
Demonstrates non-judgmental practice approach and empathy Mostly confident
Practices within scope of practice Confident
Selecting and implementing appropriate screening instrument(s), interpreting results, and making recommendations and referrals:
Demonstrates selecting the correct screening instrument appropriate for the clinical situation
Mostly confident
Implements the screening instrument efficiently and effectively with the clients Mostly confident
Interprets results for screening instruments accurately Mostly Confident
Develops an appropriate plan of care based upon screening instruments response Beginning
Identifies the need to refer to another specialty provider when applicable Mostly confident
Accurately documents recommendations for psychiatric consultations when applicable Beginning
Summary of strengths:
My strength is abiding by the scope of practice while working with teams from different fields to improve clinical practice and patient results in psychiatric settings. I am aware of the several forms of communication that I can use to communicate with patients and other healthcare professionals, such as written, nonverbal, and verbal. Also, the ability to sustain therapeutic alliances and professional boundaries with clients and coworkers is one of my other strengths. I can use psychoeducation to teach health and illness prevention lessons to individuals and families. I am able to record, make changes, and choose suitable treatment plans and educational materials in conjunction with an evidence-based psychotherapy approach in order to attain exceptional patient outcomes.
Opportunities for growth:
Diagnosing mental and behavioral illnesses can be a challenging. Working with individuals, groups, and families will provide me with either the most opportunity or the best potential for growth throughout this quarter, which can be a little bit daunting. Exploring family and group dynamics while handling different personalities, traits, and issues will be intriguing to discover. In order to further foster development, it is essential that I continue to deepen my awareness of mental health issues and take advantage of any chance to use this knowledge and insight when on clinical rotation.
Now, write three to four (3–4) possible goals and objectives for this practicum experience. Ensure that they follow the SMART Strategy, as described in the Learning Resources.
My goals and objective for practicum:
1. Goal: Comply with the legal and ethical requirements of mental health care
a. Objective: Adhere to ethical codes and be aware of ethical and legal concerns that might come up during the process of diagnosis and treatment.
b. Objective: Recognize the cultural and social norms in order to reduce the likelihood of misunderstandings.
c. Objective: To preserve therapeutic and professional boundaries
2. Goal: To demonstrate the ability to correctly recognize the specific clinical signs and symptoms associated with each mental condition in every client encountered during this clinical rotation, as confirmed by my preceptor
a. Objective: Proficiency in conducting thorough psychiatric assessments
b. Objective: Abilities in using diagnostic reasoning
c. Objective: Select an evidence-based treatment approach, including team formation and follow-up.
3. Goal: By week 11, I will have a thorough and precise comprehension of psychotherapy treatment planning.
a. Objective: Develop the ability and expertise to identify therapy approaches suitable for different ages.
b. Objective: Provide patients with age-appropriate diverse psychotherapy strategies, through individual sessions, group therapy, or family therapy.
c. Objective: Maintaining nonjudgmental communication, acting professionally while providing each patient the care and respect they deserve.
4. Goal: Comply with the legal and ethical requirements of mental health care
d. Objective: Adhere to ethical codes and be aware of ethical and legal concerns that might come up during the process of diagnosis and treatment.
e. Objective: Recognize the cultural and social norms in order to reduce the likelihood of misunderstandings.
f. Objective: To preserve therapeutic and professional boundaries
5. Goal: To demonstrate the ability to correctly recognize the specific clinical signs and symptoms associated with each mental condition in every client encountered during this clinical rotation, as confirmed by my preceptor
d. Objective: Proficiency in conducting thorough psychiatric assessments
e. Objective: Abilities in using diagnostic reasoning
f. Objective: Select an evidence-based treatment approach, including team formation and follow-up.
6. Goal: By week 11, I will have a thorough and precise comprehension of psychotherapy treatment planning.
d. Objective: Develop the ability and expertise to identify therapy approaches suitable for different ages.
e. Objective: Provide patients with age-appropriate diverse psychotherapy strategies, through individual sessions, group therapy, or family therapy.
f. Objective: Maintaining nonjudgmental communication, acting professionally while providing each patient the care and respect they deserve.
My Individualized Practicum Learning Objectives
Objective 1: By the end of week 10 of this winter practicum rotation, I will acquire knowledge about the advantages of different therapeutic approaches and their influence on enhancing patient understanding and clinical results.
Planned Activities: Providing and providing diverse forms of therapy that are relevant to the client’s specific diagnosis and conditions.
Mode of Assessment: Direct patient care and joint care with preceptor.
PRAC Course Outcome(s) Addressed:
• Engage in communication with my preceptor, discussing the several modalities of therapy that are required, suggested, or employed.
• I will consistently uphold professional boundaries and establish a therapeutic rapport with my clients throughout our interactions. I will remain unbiased and refrain from making judgments based on differing belief systems.
Objective 2: By the end of week 10 of this winter practicum rotation, I will be able to create and prioritize a list of differential diagnoses based on the information obtained from the psychotherapy interview, which will ultimately lead to a diagnosis that is in accordance with the DSM-5 criteria.
Planned Activities: Perform a detailed psychiatric interview, which should include the chief complaint, current illness, previous psychiatric history, substance abuse, previous medical history, family history, social history, review of systems, mental state exam, physical examination, formulation, DSM-5 diagnoses, and treatment plan.
Mode of Assessment: Direct patient care and joint care with preceptor.
PRAC Course Outcome(s) Addressed:
• Become acquainted with the differential diagnoses and criteria for psychiatric diagnoses found in the DSM-5.
• Ensure that any relevant evidence that influenced the development of the main diagnostic and differential diagnoses is meticulously documented.
Objective 3: By the end of week 10 of this winter practicum rotation, I will assess the responses of patients and make any required adjustments to their treatment plans. By completing the necessary 160 hours for the PMHNP specialty and participating in all client care areas over the next ten weeks.
Planned Activities: I will facilitate group therapy and record each client’s response.
With regard to each client, I will evaluate their level of engagement and understanding.
Mode of Assessment: Direct patient care and joint care with preceptor.
PRAC Course Outcome(s) Addressed:
• Evaluate the ability in documenting in order to identify areas of strength and areas that require refinement.
• Facilitate client engagement by asking for comments and including them in the formulation of their treatment plan, so granting them a degree of autonomy.
Assignment instructions:
JOURNAL ENTRY
Critical reflection on your growth and development during your practicum experience in a clinical setting helps you identify opportunities for improvement in your clinical skills, while also recognizing your strengths and successes.
Use this Journal to reflect on your clinical strengths and opportunities for improvement, the progress you made, and what insights you will carry forward into your next practicum.
TO PREPARE
Refer to the “Population-Focused Nurse Practitioner Competencies” found in the Week 1 Learning Resources and consider the quality measures or indicators advanced nursing practice nurses must possess in your specialty of interest.
American Psychiatric Nurses Association. (2013). Population-focused nurse practitioner competencies.Links to an external site. https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/competencies/compilationpopfocuscomps2013.pdf
Refer to your “Clinical Skills Self-Assessment Form” you submitted in Week 1 and consider your strengths and opportunities for improvement.
Refer to your Patient Log in Meditrek and consider the patient activities you have experienced in your practicum experience and reflect on your observations and experiences.
In 450–500 words, address the following:
Learning From Experiences
Revisit the goals and objectives from your Practicum Experience Plan. Explain the degree to which you achieved each during the practicum experience.
Reflect on the three most challenging patients you encountered during the practicum experience. What was most challenging about each?
What did you learn from this experience?
What resources were available?
What evidence-based practice did you use for the patients?
What would you do differently?
How are you managing patient flow and volume?
Communicating and Feedback
Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.
Answer the questions: How am I doing? What is missing?
Reflect on the formal and informal feedback you received from your Preceptor.
LEARNING RESOURCES:
Required media
• Mometrix Academy. (2017). Counseling: Multicultural clientsLinks to an external site. [Video]. YouTube. https://www.youtube.com/watch?v=3n54C6rNito
• NICABM. (2020). Moving from cultural competence to antiracismLinks to an external site. [Video]. YouTube. https://www.youtube.com/watch?v=_wJ_pvbC3SI
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