Comprehensive Self-Assessment Form-Nursing Paper Example

PMHNP PRAC 6645 Clinical Skills 

Comprehensive Self-Assessment Form-Nursing Paper Example

Desired Clinical Skills for Students to AchieveConfident (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.(Comprehensive Self-Assessment Form-Nursing Paper Example) x  
Differentiating between pathophysiological and psychopathological conditions (Comprehensive Self-Assessment Form-Nursing Paper Example)x   
Performing and interpreting a comprehensive and/or interval history and physical examination (including laboratory and diagnostic studies) (Comprehensive Self-Assessment Form-Nursing Paper Example)  x 
Performing and interpreting a mental status examination (Comprehensive Self-Assessment Form-Nursing Paper Example) x  
Performing and interpreting a psychosocial assessment and family psychiatric history (Comprehensive Self-Assessment Form-Nursing Paper Example) x  
Performing and interpreting a functional assessment (activities of daily living, occupational, social, leisure, educational).(Comprehensive Self-Assessment Form-Nursing Paper Example) x  
Diagnostic reasoning skill in:
Developing and prioritizing a differential diagnoses list(Comprehensive Self-Assessment Form-Nursing Paper Example) x  
Formulating diagnoses according to DSM 5 based on assessment data (Comprehensive Self-Assessment Form-Nursing Paper Example) x  
Differentiating between normal/abnormal age-related physiological and psychological symptoms/changes(Comprehensive Self-Assessment Form-Nursing Paper Example)x   
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) (Comprehensive Self-Assessment Form-Nursing Paper Example) x  
Evaluating patient response and modify plan as necessary  x  
Documenting (e.g., adverse reaction, the patient response, changes to the plan of care)(Comprehensive Self-Assessment Form-Nursing Paper Example)x   
Psychotherapeutic Treatment Planning:
Recognizes concepts of therapeutic modalities across the lifespan  x 
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)  x  
Applies age appropriate psychotherapeutic counseling techniques with individuals, families, and/or groups(Comprehensive Self-Assessment Form-Nursing Paper Example)  x 
Develop an age appropriate individualized plan of care  x 
Provide psychoeducation to individuals, family, and/or groups  x 
Promote health and disease prevention techniques(Comprehensive Self-Assessment Form-Nursing Paper Example)x   
Self-Assessment skills:
Develop SMART goals for practicum experiences x   
Evaluating outcomes of practicum goals and modify plan as necessary x   
Documenting and reflecting on learning experiences(Comprehensive Self-Assessment Form-Nursing Paper Example)x   
Professional skills:
Maintains professional boundaries and therapeutic relationship with clients and staffx   
Collaborate with multi-disciplinary teams to improve clinical practice in mental health settings (Comprehensive Self-Assessment Form-Nursing Paper Example)x   
Identifies ethical and legal dilemmas with possible resolutionsx   
Demonstrates non-judgmental practice approach and empathyx   
Practices within scope of practicex   
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  x  
Implements the screening instrument efficiently and effectively with the clients x  
Interprets results for screening instruments accurately x  
Develops an appropriate plan of care based upon screening instruments response(Comprehensive Self-Assessment Form-Nursing Paper Example)x   
Identifies the need to refer to another specialty provider when applicablex   
Accurately documents recommendations for psychiatric consultations when applicable(Comprehensive Self-Assessment Form-Nursing Paper Example)x   
Comprehensive Self-Assessment Form-Nursing Paper Example
Comprehensive Self-Assessment Form-Nursing Paper Example 1

Summary of strengths:

Previous coursework and experiences allowed me to sharpen my abilities in a number of key areas. I started by gaining the expertise required to conduct and make sense of in-depth mental health examinations. My preceptor emphasized the value of these competencies in identifying and treating mental disorders. I did that by giving every patient I saw a thorough examination. Second, the practicum helped me develop my interpersonal and professional skills. As a student, I saw the value of collaborating with other experts to provide the best care for patients. In addition, I learned techniques that are useful when dealing with people of many ages, ethnicities, religious backgrounds, and medical issues. In light of this new knowledge, I am better able to fulfill my provider obligation in any future professional or therapeutic alliances. In all of my work as a nurse, I must demonstrate true compassion, avoid passing judgment, be culturally competent, and adhere to all applicable ethical and regulatory standards.

Opportunities for growth:

Conducting and interpreting a full and/or interval history, physical examination (including diagnostic studies), mental status examinations, and any necessary follow-up examinations.Deciding on the best treatment plan for your condition.Understanding the various therapies that are applicable across the lifespan.Deciding on the most effective first-line psychotherapy approach.The use of psychotherapeutic counseling approaches that are appropriate for the client’s age with individuals, families, and groups.

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.

Goal: My ability to carry out psychiatric evaluations and assessments will advance from the novice to a very confident level by the end of 11 weeks.Objective: During the course of 11 weeks, I will conduct at least 5 psychiatric examinations within the time constraints set by the institution.Objective: Every time I conduct a psychiatric examination, I plan to debrief with my preceptor to discuss areas for growth.Objective: In order to learn how to conduct a thorough psychiatric evaluation, I plan to devote 4 hours per week this quarter to studying relevant materials.Goal: The goal of this 11-week practicum is to equip me with the skills needed to conduct and interpret psychosocial assessments and family psychiatric histories through direct patient contact with at least five patients.Objective: The primary target of this strategy is to use evidence-based practice to identify which family health surveys are best for the various instances that will be encountered.Objective: The objective is to determine the type of family information that needs to be collected based on the indications and symptoms shown when the patient was admitted.Objective: The goal is to successfully discover familial risk factors and their diagnosis to improve clinical results and obtain my preceptor’s feedback.   Goal: This practicum will equip me with the knowledge and abilities to generate a DSM-5 diagnosis based on assessment data from all patients seen (at least 5 by the 11th week).Objective: The aim is to successfully rule out presenting signs and symptoms that are not in the DSM 5 list.Objective: To accurately record and summarize the client’s symptoms, etiology, and duration to guide the development of a diagnosis.Objective: To develop diagnostic criteria that consider the severity of a patient’s condition based on the DSM5-TR.   Goal: Before the end of this academic quarter, I will have developed a plan of care for each of the 2 patients on whom I intend to do psychiatric evaluations and incorporate psychotherapy interventions, subject to my preceptor’s approval.Objective: During the course of this quarter, I intend to become conversant in at least three different therapy modalities, specifically cognitive behavioral (CBT) therapy, dialectical behavioral (DBT) therapy, and exposure and response prevention (ERP) therapy.Objective: In accordance with my preceptor’s instructions, I shall use the aforementioned three therapeutic modalities on patients who will benefit from them.Objective: I will consult with my preceptor about the various ways in which patient treatments can be improved using appropriate screening tools based on the pts Dx and receiving psychotherapy.   The nursing theory chosen is by Doreatha Orem, known as the “Self-Care Deficits,” which focuses on the importance of identifying resourceful needs to best meet the patients needs.  (Comprehensive Self-Assessment Form-Nursing Paper Example)


Date: 3/5/23

Course/Section: PRAC-6645C-27

Comprehensive Self-Assessment Form-Nursing Paper Example
Comprehensive Self-Assessment Form-Nursing Paper Example 2


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Cathy, CS