Description
Before embarking on any professional or academic activity, it is important to understand the background, knowledge, and experience you bring to it. You might ask yourself, “What do I already know? What do I need to know? And what do I want to know?” This critical self-reflection is especially important for developing clinical skills such as those for advanced practice nursing.
The PMHNP Clinical Skills List and PMHNP Clinical Skills Self-Assessment Form provided in the Learning Resources can be used to celebrate your progress throughout your practicum and identify skills gaps. The skills list covers all necessary skills you should demonstrate during your practicum experiences.
For this Assignment (just as you did in PRAC 6645), you assess where you are now in your clinical skill development and make plans for this practicum. Specifically, you will identify strengths and opportunities for improvement regarding the required practicum skills. In this practicum experience, when developing your goals and objectives, be sure to keep assessment and diagnostic reasoning in mind. As you complete your self-assessment this week, you may wish to look back over your self-assessments from prior practicums to reflect on your growth.
TO PREPARE
Review the 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 PMHNP 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 in 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 three to four (3–4) measurable goals and objectives for this practicum experience. Include them on the designated area of the form.
Unformatted Attachment Preview
Walden University PMHNP PRAC 6665/6675 Clinical Skills List
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
Walden University PMHNP PRAC 6665/6675 Clinical Skills List
• 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
DATE
PRECEPTOR SIGNATURE
Walden University PMHNP PRAC 6665/6675 Clinical Skills List
Competency/Clinical Skill
COMPLETED
DATE
PRECEPTOR SIGNATURE
PRAC 6665/6675 Clinical Skills
Self-Assessment Form
Desired Clinical Skills for
Students to Achieve
Confident (Can
complete
independently)
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-
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)
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 multidisciplinary teams to
improve clinical practice in
mental health settings
Identifies ethical and legal
dilemmas with possible
resolutions
Demonstrates nonjudgmental 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:
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