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Comprehensive Skill Assessment and Reflection Nursing Paper Example
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.(Comprehensive Skill Assessment and Reflection Nursing Paper Example) | þ | |||
| Differentiating between pathophysiological and psychopathological conditions (Comprehensive Skill Assessment and Reflection Nursing Paper Example) | þ | |||
| Performing and interpreting a comprehensive and/or interval history and physical examination (including laboratory and diagnostic studies) (Comprehensive Skill Assessment and Reflection Nursing Paper Example) | þ | |||
| Performing and interpreting a mental status examination | þ | |||
| Performing and interpreting a psychosocial assessment and family psychiatric history (Comprehensive Skill Assessment and Reflection Nursing Paper Example) | þ | |||
| Performing and interpreting a functional assessment (activities of daily living, occupational, social, leisure, educational). | þ | |||
| Diagnostic reasoning skill in: | ||||
| Developing and prioritizing a differential diagnoses list | þ | |||
| Formulating diagnoses according to DSM 5-TR based on assessment data | þ | |||
| Differentiating between normal/abnormal age-related physiological and psychological symptoms/changes(Comprehensive Skill Assessment and Reflection Nursing Paper Example) | þ | |||
| 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) | þ | |||
| Evaluating patient response and modifying plan as necessary (Comprehensive Skill Assessment and Reflection Nursing Paper Example) | þ | |||
| Documenting (e.g., adverse reaction, the patient response, changes to the plan of care) | þ | |||
| Psychotherapeutic Treatment Planning: | ||||
| Recognizes concepts of therapeutic modalities across the lifespan | þ | |||
| Selecting appropriate evidence-based clinical practice guidelines for psychotherapeutic plan (e.g., risk/benefit, patient preference, developmental considerations, finances, the process of informed consent, symptom management, modality appropriate for the situation) | þ | |||
| Applies age-appropriate psychotherapeutic counseling techniques with individuals and/or any caregivers | þ | |||
| Develop an age-appropriate individualized plan of care.(Comprehensive Skill Assessment and Reflection Nursing Paper Example) | þ | |||
| Provide psychoeducation to individuals and/or any caregivers. | þ | |||
| Promote health and disease prevention techniques.(Comprehensive Skill Assessment and Reflection Nursing Paper Example) | þ | |||
| Self-assessment skill: | ||||
| Develop SMART goals for practicum experiences | þ | |||
| Evaluating outcomes of practicum goals and modifying plan as necessary | þ | |||
| Documenting and reflecting on learning experiences(Comprehensive Skill Assessment and Reflection Nursing Paper Example) | þ | |||
| Professional skills: | ||||
| Maintains professional boundaries and therapeutic relationships with clients and staff | þ | |||
| Collaborate with multi-disciplinary teams to improve clinical practice in mental health settings. | þ | |||
| Identifies ethical and legal dilemmas with possible resolutions | þ | |||
| Demonstrates non-judgmental practice approach and empathy(Comprehensive Skill Assessment and Reflection Nursing Paper Example) | þ | |||
| Practices within the scope of practice | þ | |||
| 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 (Comprehensive Skill Assessment and Reflection Nursing Paper Example) | þ | |||
| Implements the screening instrument efficiently and effectively with the clients | þ | |||
| Interprets results for screening instruments accurately(Comprehensive Skill Assessment and Reflection Nursing Paper Example) | þ | |||
| Develops an appropriate plan of care based on screening instruments’ response | þ | |||
| Identifies the need to refer to another specialty provider when applicable | þ | |||
| Accurately documents recommendations for psychiatric consultations when applicable.(Comprehensive Skill Assessment and Reflection Nursing Paper Example) | þ | |||
Summary of strengths:
| The practicum has enabled me to gain and improve various aspects of PMHNP roles, such as effectively educating patients and the community about mental health problems and how to live with mentally ill individuals, as required by the National Organization of Nurse Practitioner Faculties (2017). I can also conduct accurate mental health assessments and interviews, including correctly interpreting screening results to determine suitable interventions for various mental health conditions like schizophrenia and depression. Additionally, I can develop and prioritize mental health problems based on a differential diagnosis list, which is crucial in determining the type of interventions to implement first. In the practicum, I gained knowledge in developing individualized care plans for patients in different age groups, such as applying cognitive behavioral therapy for substance abuse disorders among youths. Finally, I have learned to apply active listening and communication skills to enhance collaboration with multi-disciplinary teams and offer high-quality mental healthcare to patients, as dictated by the nursing core competencies outlined by the National Organization of Nurse Practitioner Faculties (2017). (Comprehensive Skill Assessment and Reflection Nursing Paper Example) |
Opportunities for growth:
| I need to improve on various aspects of PMHNP practice to enhance my role as a PMHNP nurse. For instance, I need to improve my decision-making skills to reduce the challenges in determining appropriate instruments for clinical assessment (The National Organization of Nurse Practitioner Faculties, 2017). Besides, I also need to improve my comprehension of ethical and legal issues, including determining appropriate courses of action when such issues arise. Moreover, I also need to improve my understanding of evidence-based clinical practice guidelines to ensure I provide services within practice standards and decision-making on the appropriate guidelines to be included in a psychotherapeutic plan, such as the process of informed consent, symptom management, and risk/benefit analysis. Additionally, I should improve my SMART goals development and evaluation knowledge to enhance my practicum experience (Walden University Academic Skills Center, 2017). I also experience challenges interpreting DSM 5-TR assessment data to formulate diagnoses and perform and interpret mental status examinations. Finally, I should improve my ability to recognize signs and symptoms of psychiatric illness independently to improve diagnosis. (Comprehensive Skill Assessment and Reflection Nursing Paper Example) |
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: To correctly select a screening instrument suitable for at least six specific clinical situations within the next three weeks without supervision.Objective: List different clinical situations with corresponding screening instruments to identify the situation.Objective: Review the psychometrics of different screening instruments to understand their applications effectively.Objective: Review clinical situations and factors to be considered in identifying the correct screening instrument. Goal: To correctly perform and interpret a mental status examination independently for at least five patients within the next two weeks. Objective: Review signs and symptoms of various mental health problems.Objective: Review factors considered in differential and definitive patient diagnosis to determine a patient’s mental status correctly.Objective: Complete SOAP notes for each patient before interpreting their mental status. Goal: To correctly select an appropriate evidence-based clinical practice guideline to develop a psychotherapeutic plan for at least eight patients within the next five weeks without supervision.Objective: Review evidence-based clinical practice guidelines to understand their significance in psychotherapeutic care. Objective: Determine factors influencing treatment choices for different patients.Objective: Review the necessary treatment interventions for different mental disorders to help determine suitable evidence-based clinical practice guidelines for developing psychotherapeutic plans for each condition. Goal: To effectively recognize clinical signs and symptoms of at least five psychiatric illnesses across an individual’s lifespan within the next four weeks without supervision. Objective: Review the clinical signs and symptoms of different psychiatric illnesses.Objective: Review different types of psychiatric illnesses with specific age groups most affected.Objective: Accurately update and maintain patients’ clinical logs to aid in the identification of the types of psychiatric illnesses affecting them. (Comprehensive Skill Assessment and Reflection Nursing Paper Example) |
Signature:
Date:
Course/Section:
References
The National Organization of Nurse Practitioner Faculties. (2017). Nurse practitioner core competencies content.
https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/competencies/20170516_NPCoreCompsContentF.pdf
Walden University Academic Skills Center. (2017). Developing SMART goals. https://academicguides.waldenu.edu/ld.php?content_id=51901492
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