Please review the complete attached document for instructions. Use the attached document to complete the assignment and use the assignment from previous course as a guide.
PRAC 6665/6675 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 needs supervision to feel confident) |
New (Have never performed or does not apply) |
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Comprehensive psychiatric evaluation skills in: |
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Recognizing clinical signs and symptoms of psychiatric illness across the lifespan |
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Differentiating between pathophysiological and psychopathological conditions |
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Performing and interpreting a comprehensive and/or interval history and physical examination (including laboratory and diagnostic studies) |
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Performing and interpreting a mental status examination |
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Performing and interpreting a psychosocial assessment and family psychiatric history |
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Performing and interpreting a functional assessment (activities of daily living, occupational, social, leisure, educational). |
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Diagnostic reasoning skill in: |
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Developing and prioritizing a differential diagnoses list |
||||
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Formulating diagnoses according to DSM 5-TR based on assessment data |
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|
Differentiating between normal/abnormal age-related physiological and psychological symptoms/changes |
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|
Pharmacotherapeutic skills in: |
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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) |
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Evaluating patient response and modify plan as necessary |
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Documenting (e.g., adverse reaction, the patient response, changes to the plan of care) |
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Psychotherapeutic Treatment Planning: |
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Recognizes concepts of therapeutic modalities across the lifespan |
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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) |
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Applies age appropriate psychotherapeutic counseling techniques with individuals and/or any caregivers |
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Develop an age appropriate individualized plan of care |
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Provide psychoeducation to individuals and/or any caregivers |
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Promote health and disease prevention techniques |
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Self-assessment skill: |
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Develop SMART goals for practicum experiences |
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Evaluating outcomes of practicum goals and modify plan as necessary |
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Documenting and reflecting on learning experiences |
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Professional skills: |
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Maintains professional boundaries and therapeutic relationship with clients and staff |
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Collaborate with multi-disciplinary teams to improve clinical practice in mental health settings |
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Identifies ethical and legal dilemmas with possible resolutions |
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Demonstrates non-judgmental practice approach and empathy |
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Practices within scope of practice |
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Selecting and implementing appropriate screening instrument(s), interpreting results, and making recommendations and referrals: |
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Demonstrates selecting the correct screening instrument appropriate for the clinical situation |
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Implements the screening instrument efficiently and effectively with the clients |
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|
Interprets results for screening instruments accurately |
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Develops an appropriate plan of care based upon screening instruments response |
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Identifies the need to refer to another specialty provider when applicable |
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Accurately documents recommendations for psychiatric consultations when applicable |
Summary of strengths:
Opportunities for growth:
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.
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1. Goal: a. Objective: b. Objective: c. Objective: 2. Goal: a. Objective: b. Objective: c. Objective: 3. Goal: a. Objective: b. Objective: c. Objective: 4. Goal: a. Objective: b. Objective: c. Objective: |
Signature:
Date:
Course/Section:
,
Week 1_ Assignment 2_Clinical skills self-assessment
Before embarking on any professional or academic activity, it is important to understand the background, knowledge, and experience you bring to it. You might ask yourself, “What do I already know? What do I need to know? And what do I want to know?” This critical self-reflection is especially important for developing clinical skills such as those for advanced practice nursing.
The Psychiatric-Mental Health Nurse Practitioner (PMHNP) Clinical Skills List and Clinical Skills Self-Assessment Form provided in the Learning Resources can be used to celebrate your progress throughout your practicum and identify skills gaps. The list covers all necessary skills you should demonstrate during your practicum experiences.
Just as you have in previous practicum courses, for this Assignment, you assess where you are now in your clinical skill development and make plans for this practicum. Specifically, you will identify strengths and opportunities for improvement regarding the required practicum skills. In this practicum experience, when developing your goals and objectives, be sure to keep assessment and diagnostic reasoning in mind.
TO PREPARE
Review the resources and clinical skills in the PMHNP Clinical Skills List document from previous course. This is the last course so the clinical skill should be better and the goals different from previous course.
THE ASSIGNMENT_INSTRUCTIONS
Use the PMHNP Clinical Skills Self-Assessment Form (see attached document) to complete the following:
Rate yourself according to your confidence level performing the skills identified on the Clinical Skills Self-Assessment Form.
Based on your ratings, summarize your strengths and opportunities for improvement.
Based on your self-assessment and theory of nursing practice, develop 3–4 measurable goals and objectives for this practicum experience. Include them on the designated area of the form.
,
PRAC 6665/6675 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 needs 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 |
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 |
Mostly confident |
|||
|
Performing and interpreting a psychosocial assessment and family psychiatric history |
||||
|
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 |
Mostly confident |
|||
|
Formulating diagnoses according to DSM 5-TR based on assessment data |
Mostly confident |
|||
|
Differentiating between normal/abnormal age-related physiological and psychological symptoms/changes |
Mostly confident |
|||
|
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 |
Mostly confident |
|||
|
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) |
Beginning |
|||
|
Applies age appropriate psychotherapeutic counseling techniques with individuals and/or any caregivers |
Mostly confident |
|||
|
Develop an age appropriate individualized plan of care |
Mostly confident |
|||
|
Provide psychoeducation to individuals and/or any caregivers |
Mostly confident |
|||
|
Promote health and disease prevention techniques |
Mostly confident |
|||
|
Self-assessment skill: |
||||
|
Develop SMART goals for practicum experiences |
Confident |
|||
|
Evaluating outcomes of practicum goals and modify plan as necessary |
Confident |
|||
|
Documenting and reflecting on learning experiences |
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 |
Confident |
|||
|
Practices within scope of practice |
Mostly 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 |
Mostly confident |
|||
|
Identifies the need to refer to another specialty provider when applicable |
Mostly confident |
|||
|
Accurately documents recommendations for psychiatric consultations when applicable |
Confident |
Summary of strengths:
|
My strengths as a nursing professional are built on my ability to identify signs and symptoms of psychiatric conditions that patients might be suffering from. This is important because it aids in the diagnostic process of the patient. The patients are able to get the right course of treatment. It is important to possess ability to perform assessment of mental illnesses and give interpretations based on assessment results (Wright et al., 2021). It is also important to recognize my communication abilities that help in communication with the patient to understand their signs and symptoms of an illness during assessments. Communication is also important when conducting a mental health assessment because it aids in the evaluation of the patient status of health. Communication also helps in the building the patient health history which is important in fast tracking their past health procedures or underlying conditions they might have, and may have significant importance in determining possible health problem that the patient may be suffering from (Wright et al., 2021). For instance, when communicating with a patient who is suffering from a mental health Illness I can identify related symptoms such as hallucination, another related symptoms. When working in a healthcare setting, it is important to collaborate with other healthcare professionals. This is made possible by the fact that I regard professional relationships. This has been profoundly built on cultural competencies that make it easier to work in a multicultural team. For instance, being empathetic with patients and appreciating their cultural diversities has been significant strength to work in a group with diverse patients and other healthcare professionals. I have been able to interact with people with different beliefs without being judgmental (Wright et al., 2021). This has enhanced the effectiveness of the diagnostic plans that I recommend to patients. |
Opportunities for growth:
|
Despite my strengths, there are areas that I need to make improvements so that that I can continue providing services that are unmatched to patients. I have a record of providing quality services to the patients, but I have realized the importance of seeking to improve these services. One area that needs to be improved is using laboratory services to assess patients. This is important because it would aid in not only identifying the condition but also determining the seriousness of the condition under consideration. Another important consideration is developing ethical guideline competencies, which is gaining important considerations when dealing patients at the group level and with patients (Rief, 2021). Patient privacy is primary importance and should be protected. During therapeutic process, a patient may disclose information that is sensitive to their care givers because they trust them. Therefore, they should be protected at all times by the care giver. I want to be honest and gain trust from my patients, which is essential for essential treatment. I also need to improve my development of treatment strategies for patients. This could be improved by comprehension of patients being affected by diverse factors such as age and medical conditions (Rief, 2021). Therefore, it is important to develop personalized treatment plans for patients. It is also important to assess current treatment strategy and make modifications as appropriate. This would be promoted by understanding treatment strategies for patients that differ based on underlying conditions. |
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.
|
1. Goal: By day 5 I need to develop appropriate skills to help in the selection of appropriate treatment plans for patients. a. Objective: I will take an active role in the treatment processes to understand how treatment plans are developed by my preceptor. b. Objective: I will engage in an evaluation for different treatment approaches available and the most reliable approach for patients. c. Objective: develop assessment skills by actively being involved when assessments are conducted by my preceptor. 2. Goal: understand assessment approaches demonstrating proper diagnosis skills by day 5 during the practicum. a. Objective: Study patient history to understand their medical history and how current treatment can be developed based on past medical history. b. Objective: Understand probable diagnostics that the patient should be assessed for. c. Objective: learn to use DSM-5 reference results in determining differential diagnostics. 3. Goal: By week 4, develop clinical abilities to conduct and interpret clinical test results for psychiatric tests more accurately. a. Objective: Develop capabilities to differentiate ethical guidelines for psychotherapeutic processes. b. Objective: Gain skills to conduct psychosocial evaluation independently c. Objective: Use assessment results to make diagnosis and recommend a treatment strategy that suits the patient. |
Signature: Ariel Cordova Lopez
Date: September 4, 2022
Course/Section: PRAC 6665: PMHNP Care Across the Lifespan I Practicum
References
Rief, W. (2021). Moving from tradition-based to competence-based psychotherapy. Evidence-based mental health, 24(3), 115-120.
Wright, A. J., Chávez, L., Edelstein, B. A., Grus, C. L., Krishnamurthy, R., Lieb, R., … & Wilson, M. (2021). Education and training guidelines for psychological assessment in health service psychology. American Psychologist, 76(5), 794.
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