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Clinical Skills Self-Assessment Form-Comprehensive Nursing Paper Sample
| 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 (Clinical Skills Self-Assessment Form-Comprehensive Nursing Paper Sample) | Ð | |||
| Differentiating between pathophysiological and psychopathological conditions | Ð | |||
| Performing and interpreting a comprehensive and/or interval history and physical examination (including laboratory and diagnostic studies) (Clinical Skills Self-Assessment Form-Comprehensive Nursing Paper Sample) | Ð | |||
| Performing and interpreting a mental status examination (Clinical Skills Self-Assessment Form-Comprehensive Nursing Paper Sample) | Ð | |||
| Performing and interpreting a psychosocial assessment and family psychiatric history | Ð | |||
| Performing and interpreting a functional assessment (activities of daily living, occupational, social, leisure, educational).(Clinical Skills Self-Assessment Form-Comprehensive Nursing Paper Sample) | Ð | |||
| Diagnostic reasoning skill in: | ||||
| Demonstrate knowledge of psychopathology of mental illnesses through discussion for different age groups and mental illnesses | Ð | |||
| Developing and prioritizing a differential diagnoses list(Clinical Skills Self-Assessment Form-Comprehensive Nursing Paper Sample) | Ð | |||
| Formulating diagnoses according to DSM 5-TR based on assessment data | Ð | |||
| Differentiating between normal/abnormal age-related physiological and psychological symptoms/changes(Clinical Skills Self-Assessment Form-Comprehensive Nursing Paper Sample) | Ð | |||
| Psychotherapeutic Treatment Planning: | ||||
| Provide psychoeducation to individuals and/or any caregivers | Ð | |||
| Promote health and disease prevention techniques | Ð | |||
| Self Assessment skill: | ||||
| Develop SMART goals for practicum experiences (Clinical Skills Self-Assessment Form-Comprehensive Nursing Paper Sample) | Ð | |||
| Evaluating outcomes of practicum goals and modify plan as necessary | Ð | |||
| Documenting and reflecting on learning experiences | Ð | |||
| Professional skills: | ||||
| Maintains professional boundaries and therapeutic relationship with clients and staff(Clinical Skills Self-Assessment Form-Comprehensive Nursing Paper Sample) | Ð | |||
| Collaborate with multi-disciplinary teams to improve clinical practice in mental health settings | Ð | |||
| Identifies ethical and legal dilemmas with possible resolutions | Ð | |||
| Demonstrates non-judgmental practice approach and empathy(Clinical Skills Self-Assessment Form-Comprehensive Nursing Paper Sample) | Ð | |||
| Practices within scope of practice | Ð | |||
| Selecting and implementing appropriate screening instrument(s) and interpreting results: | Ð | |||
| Demonstrates selecting the correct screening instrument appropriate for the clinical situation | Ð | |||
| Implements the screening instrument efficiently and effectively with the clients(Clinical Skills Self-Assessment Form-Comprehensive Nursing Paper Sample) | Ð | |||
| Interprets results for screening instruments accurately(Clinical Skills Self-Assessment Form-Comprehensive Nursing Paper Sample) | Ð | |||
| Identifies the need to refer to another specialty provider when applicable | Ð | |||
| Accurately documents recommendations for psychiatric consultations when applicable(Clinical Skills Self-Assessment Form-Comprehensive Nursing Paper Sample) | Ð |
Summary of strengths:
| My strengths include recognizing clinical signs and symptoms of psychiatric illness. I have had many interactions with psychiatric patients working in the emergency department. My other strengths include maintaining a professional boundaries and therapeutic relationships with clients and staff. I do approach clients in a non-judgmental manner seeing every client as a unique case. Ethically I work within the scope of practice to offer competent and compassionate care. |
Opportunities for growth:
| I plan to improve in the following areas during this practicum experience. Improve in performing a mental examination and conducting a comprehensive history and physical examination. Improve in developing differential diagnosis. I plan to perform and interpret a psychosocial assessment and family psychiatric history. |
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: Learn to identify signs and symptoms of anxiety and discover treatment options within the next 11 weeks. Objective: Skillfully use screening tools to identify anxiety.Objective: Learn about first line medications for anxiety.Objective: Learn about concurrent modalities that can help reduce anxiety in patients throughout their lifespan. Goal: Learn to identify signs and symptoms of ADHD and discover treatment options within the next 11 weeks. Objective: Educate patients on the essence of medication adherence. Objective: Educate students on the importance of focusing on schoolwork.Objective: Educate parents and students on the vitality of follow-up visits to evaluate plan of care. Goal: Identify signs and symptoms of depression and learn about first line medications and psychotherapies within the next 11 weeks. Objective: Learn about first-line medications for depression.Objective: Educate patients on the crisis hotline if suicidal ideation occurs. Objective: Educate patients on the need to sleep 7-8 hours per day. Goal: Learn how to conduct comprehensive psychiatric assessments including their family subjective data within the next 11 weeks. Objective: Use psychiatric templates to perform comprehensive psychiatric assessments.Objective: Gather pertinent subjective and objective data to form differential diagnosis. Objective: Learn strategies from my preceptor to illicit positive patient interactions. Nursing Theory: Dorothea Orem’s – Self Care Framework(Clinical Skills Self-Assessment Form-Comprehensive Nursing Paper Sample) |
Signature: Joe D. Losoya, RN BSN
Date: December 4, 2022
Course/Section: PRAC-6635C-54
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