PMHNP PRAC 6645 Clinical Skills
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 | Can complete independently | |||||
| Differentiating between pathophysiological and psychopathological conditions | Can complete independently | |||||
| Performing and interpreting a comprehensive and/or interval history and physical examination (including laboratory and diagnostic studies) | Can complete independently | |||||
| Performing and interpreting a mental status examination | Can complete with supervision | |||||
| Performing and interpreting a psychosocial assessment and family psychiatric history | Have performed with supervision or need supervision to feel confident | |||||
| Performing and interpreting a functional assessment (activities of daily living, occupational, social, leisure, educational). | Have performed with supervision or need supervision to feel confident | |||||
| Diagnostic reasoning skills in: | ||||||
| Developing and prioritizing a differential diagnoses list | Can complete with supervision | |||||
| Formulating diagnoses according to DSM 5 based on assessment data | Can complete with supervision | |||||
| Differentiating between normal/abnormal age-related physiological and psychological symptoms/changes | Have performed with supervision or need supervision to feel 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) | Can complete independently | |||||
| Evaluating patient response and modifying plan as necessary | Can complete with supervision | |||||
| Documenting (e.g., adverse reaction, the patient response, changes to the plan of care) | Can complete with supervision | |||||
| Psychotherapeutic Treatment Planning: | ||||||
| Recognizes concepts of therapeutic modalities across the lifespan | Have performed with supervision or need supervision to feel confident | |||||
| Selecting appropriate evidence-based clinical practice guidelines for the psychotherapeutic plan (e.g., risk/benefit, patient preference, developmental considerations, financial, the process of informed consent, symptom management, modality appropriate for the situation) | Can complete with supervision | |||||
| Applies age-appropriate psychotherapeutic counseling techniques with individuals, families, and/or groups | Can complete with supervision | |||||
| Develop an age-appropriate individualized plan of care | Have performed with supervision or need supervision to feel confident | |||||
| Provide psychoeducation to individuals, families, and/or groups | Can complete with supervision | |||||
| Promote health and disease prevention techniques | Can complete with supervision | |||||
| Self-Assessment skills: | ||||||
| Develop SMART goals for practicum experiences | Can complete independently | |||||
| Evaluating outcomes of practicum goals and modifying plan as necessary | Can complete with supervision | |||||
| Documenting and reflecting on learning experiences | Can complete with supervision | |||||
| Professional skills: | ||||||
| Maintains professional boundaries and therapeutic relationships with clients and staff | Can complete independently | |||||
| Collaborate with multi-disciplinary teams to improve clinical practice in mental health settings | Can complete with supervision | |||||
| Identifies ethical and legal dilemmas with possible resolutions | Can complete independently | |||||
| Demonstrates non-judgmental practice approach and empathy | Can complete independently | |||||
| Practices within the scope of practice | Can complete independently | |||||
| 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 | Can complete with supervision | |||||
| Implements the screening instrument efficiently and effectively with the clients | Can complete with supervision | |||||
| Interprets results for screening instruments accurately | Can complete with supervision | |||||
| Develops an appropriate plan of care based on screening instruments’ response | Have performed with supervision or need supervision to feel confident | |||||
| Identifies the need to refer to another specialty provider when applicable | Have performed with supervision or need supervision to feel confident | |||||
| Accurately documents recommendations for psychiatric consultations when applicable | Can complete with supervision | |||||
Summary of strengths:
| Taking care of patients with mental illness is quite complex with several skills and competencies required in evaluating and treating different patients. I have however gained most of these skills and competencies over the years of clinical practice. Currently, I can comfortably evaluate and diagnose a patient based on their history. I can also come up with the most effective treatment plan to promote the mental health of the patient. At all times, I have always been maintaining professional boundaries and displayed good communication skills to promote interaction with my patients and interdisciplinary team members (Standards of Practice for Nurse Practitioners, 2019). I always ensure that I adequately educate my patients regarding their mental condition and better ways that they can promote their mental health once they leave the clinic.
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Opportunities for growth:
| Through this self-assessment, I have been able to identify areas of weakness that I need to work on to promote safe and quality care services to patients with mental disorders. For instance, I still find it quite challenging to decide on which diagnostic tool to use for patients with comorbidities (International Council of Nurses, 2020). Consequently, since most mental disorders present with similar symptoms, it is quite challenging to decide on the comorbidities the patient is suffering from, such as PTSD and MDD (Shain et al., 2018). Finally, I would like to work on my psychotherapeutic skills to ensure that my patients benefit maximally even when psychotherapeutic agents are not used.
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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: To be able to comfortably assess and diagnose at least two patients every day with comorbid mental illnesses using the DSM-V diagnostic criteria without supervision for the next 6 weeks (Academic Skills Center Success Strategies, 2017).
a. Objective: Complete the patient history and identify pertinent signs and symptoms. b. Objective: Come up with at least 5 differential diagnoses based on patient subjective and objective patient data. c. Objective: Rule out the differentials and come up with a definitive diagnosis based on the DSM-V diagnostic criteria.
2. Goal: To be able to determine and utilize the most effective screening tool necessary to promote accurate diagnosis of at least 5 patients with comorbid mental disorders every day for the following 4 weeks without supervision (Academic Skills Center Success Strategies, 2017). a. Objective: Outline all diagnostics for all the mental conditions from which the patient is suffering. b. Objective: Utilize only evidence-based practice screening tools to promote accurate and reliable results. c. Objective: Interpret the findings of the selected screening tools, and come up with the patient’s diagnosis.
3. Goal: To be able to come up with the most effective treatment plan comprising of both psychotropics and psychotherapeutic interventions for at least 2 patients every day for the following 4 weeks without supervision (Academic Skills Center Success Strategies, 2017). a. Objective: Select the most appropriate clinical practice guideline to promote the selection of the most effective treatment approach for the patient b. Objective: Discuss with the patient the available treatment options, in terms of both their benefits and limitations. c. Objective: Come up with the most effective list of drugs and psychotherapeutic approaches with the patient to promote a positive outcome.
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Signature:
Date:
Course/Section:
References
Academic Skills Center Success Strategies. (2017). Developing SMART goals. https://academicguides.waldenu.edu/ld.php?content_id=51901492
International Council of Nurses. (2020). International Council of Nurses Guidelines on Advanced Practice Nursing 2020.
Shain, B., Sherry, A., Advisor, R., Chang, J., Advisor, A., Wang, K.-P., Berland, D., O’keefe, D., & Ferguson, K. (2018). CPT Code Training Module Maintained by the CPT Coding and Reimbursement Committee.
Standards of Practice for Nurse Practitioners. (2019). Retrieved December 29, 2019, from
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