PMHNP-URGENT
- 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.
- 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:
- 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.
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 | · | |||
| Differentiating between pathophysiological and psychopathological conditions | · | |||
| Performing and interpreting a comprehensive and/or interval history and physical examination (including laboratory and diagnostic studies) | · | |||
| Performing and interpreting a mental status examination | · | |||
| Performing and interpreting a psychosocial assessment and family psychiatric history | · | |||
| Performing and interpreting a functional assessment (activities of daily living, occupational, social, leisure, educational). | · | |||
| Diagnostic reasoning skill in: | ||||
| Developing and prioritizing a differential diagnoses list | · | |||
| Formulating diagnoses according to DSM 5 based on assessment data | · | |||
| Differentiating between normal/abnormal age-related physiological and psychological symptoms/changes | · | |||
| 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) | · | |||
| Evaluating patient response and modify plan as necessary | · | |||
| Documenting (e.g., adverse reaction, the patient response, changes to the plan of care) | · | |||
| Psychotherapeutic Treatment Planning: | ||||
| Recognizes concepts of therapeutic modalities across the lifespan | · | |||
| 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) | · | |||
| Applies age appropriate psychotherapeutic counseling techniques with individuals, families, and/or groups | · | |||
| Develop an age appropriate individualized plan of care | · | |||
| Provide psychoeducation to individuals, family, and/or groups | · | |||
| Promote health and disease prevention techniques | · | |||
| Self-Assessment skills: | ||||
| Develop SMART goals for practicum experiences | · | |||
| Evaluating outcomes of practicum goals and modify plan as necessary | · | |||
| Documenting and reflecting on learning experiences | · | |||
| Professional skills: | ||||
| Maintains professional boundaries and therapeutic relationship with clients and staff | · | |||
| Collaborate with multi-disciplinary teams to improve clinical practice in mental health settings | · | |||
| Identifies ethical and legal dilemmas with possible resolutions | · | |||
| Demonstrates non-judgmental practice approach and empathy | · | |||
| Practices within scope of practice | · | |||
| 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 | · | |||
| Implements the screening instrument efficiently and effectively with the clients | · | |||
| Interprets results for screening instruments accurately | · | |||
| Develops an appropriate plan of care based upon screening instruments response | · | |||
| Identifies the need to refer to another specialty provider when applicable | · | |||
| Accurately documents recommendations for psychiatric consultations when applicable | · |
Summary of strengths:
| My strength includes the knowledge to recognize the clinical signs and symptoms of psychiatric illness across the lifespan. Performing and interpreting a comprehensive and/or interval history and physical examination and performing initial interview and follow-up assessment.
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Opportunities for growth:
| There is room for growth in my ability to recognize the concepts of therapeutic modalities across the lifespan and apply age-appropriate psychotherapeutic counseling techniques with individuals, families, and groups Lastly, I would like to become competent in clinical the DSM 5 Criteria and the associated CPT/ICD 10 codes.
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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: Recognize concepts of therapeutic modalities across the lifespan
a. Objective: To learn different therapeutic modalities influencing for psychiatric conditions b. Objective: Use Communication techniques to encourage active participation in therapeutic conversation. c. Objective: Recommend the appropriate therapy modality for various psychiatric condition
2. Goal: Apply age-appropriate psychotherapeutic counseling techniques across the lifespan. a. Objective: Participate in individual, family and group therapy sessions b. Objective: To provide screening to help recognize, intervene, and initiate treatment c. Objective:
3. Goal: Provide psychoeducation to individuals, family, and/or groups a. Objective: To Identify educational deficits concerning different counseling modalities b. Objective: Provide the benefits of non-pharmacologic treatment for psychiatric disorders. c. Objective: Assess the effective of education with teach-back technique.
4. Goal: Formulating diagnoses according to DSM 5 based on assessment data a. Objective: Review the DSM 5 criteria for each diagnosis during hours b. Objective: Develop all differential diagnosis for diagnosis c. Objective: Learn the CPT code and ICD 10 diagnosis associated with diagnosis. |