PRAC 6665/6675 Clinical Skills assessment

Posted: May 5th, 2020

TO PREPARE
• Review the resources and clinical skills in the PMHNP Clinical Skills List document. It is recommended that you print out this document to serve as a guide throughout your practicum.
• Review the “Developing SMART Goals” resource on how to develop goals and objectives that follow the SMART framework.
• Review the resources on nursing competencies and nursing theory, and consider how these inform your practice.
• Download the Clinical Skills Self-Assessment Form to complete this Assignment.
THE ASSIGNMENT
Use the PMHNP Clinical Skills Self-Assessment Form to complete the following:
• Rate yourself according to your confidence level performing the skills identified on the Clinical Skills Self-Assessment Form.
• Based on your ratings, summarize your strengths and opportunities for improvement.
• Based on your self-assessment and theory of nursing practice, develop 3–4 measurable goals and objectives for this practicum experience. Include them on the designated area of the form.

Target Patient Population: 40 children/adolescents and 40 adults/older adults

Desired Clinical Skills for Students to Achieve
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-TR 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 and/or any caregivers
• Develop an age appropriate individualized plan of care
• Provide psychoeducation to individuals and/or any caregivers
• Promote health and disease prevention techniques
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

• Demonstrate ability
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

Documentation of Completed Competency/Clinical Skill

Competency/Clinical Skill
COMPLETED

PRECEPTOR SIGNATURE
DATE

Competency/Clinical Skill
COMPLETED

PRECEPTOR SIGNATURE
DATE

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
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-TR 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 and/or any caregivers
Develop an age appropriate individualized plan of care
Provide psychoeducation to individuals and/or any caregivers
Promote health and disease prevention techniques
Self-assessment skill:
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:

Opportunities for growth:

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:
a. Objective:
b. Objective:
c. Objective:

2. Goal:
a. Objective:
b. Objective:
c. Objective:

3. Goal:
a. Objective:
b. Objective:
c. Objective:

4. Goal:
a. Objective:
b. Objective:
c. Objective:

Signature:
Date:
Course/Section: