UNM2 — UNM2 TASK 2: MIDTERM OBJECTIVE STRUCTURED CLINICAL EXPERIENCE (OSCE)
PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER CLINICAL INTERNSHIP II — D349
PRFA — UNM2
Preparation Task Overview Submissions Evaluation Report
COMPETENCIES
7091.7.1 : Assessing Individuals, Families, and Populations for Mental and Behavioral Health Conditions Across the Lifespan and Care Settings
The learner gathers patient mental health data in the care of individuals, families, and populations across the lifespan and care settings as an advanced beginner.
7091.7.2 : Diagnosing Acute and Chronic Mental and Behavioral Health Disorders for Individuals, Families, and Populations Across the Lifespan and Care Settings
The learner synthesizes subjective and objective data from individuals, families, and populations across the lifespan in order to provide accurate mental health diagnoses in a range of care settings as an advanced beginner.
7091.7.3 : Creating Evidence-Based Individual-, Family-, and Population-Centered Mental and Behavioral Health Plans in a Range of Care Settings
The learner creates evidence-based individual-, family-, and population-centered mental health plans, including guidelines, clinical expertise, consumer preferences and values, organizational context, and resource limitations in a range of care settings as an advanced beginner.
7091.7.4 : Evaluating Individual-, Family-, and Population-Centered Mental and Behavioral Health Plans and Modification of Health Plans in a Range of Care Settings
The learner evaluates the effectiveness of individual-, family-, and population-centered mental health plans in order to modify the plan, offer additional mental health education, or refer patients to other providers to improve quality outcomes in a range of settings as an advanced beginner.
INTRODUCTION
In this task, you will act as a psychiatric mental health nurse practitioner and conduct a virtual visit with a live standardized patient using the linked “PMHNP Initial Psychiatric Evaluation.” You will use Panopto to video record yourself completing an objective structured clinical examination (OSCE) within the virtual WGU CareSpan Clinic. To do this, complete the objective structured clinical examination (OSCE) that corresponds to the first initial of your last name (see table below) within the virtual WGU CareSpan Clinic. During the patient exam, you will gather information to formulate a diagnosis, as well as three differential diagnoses, and create an evidence-based plan of care.
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Last Name
OSCE
A–D
OSCE 1
E–K
OSCE 2
L–R
OSCE 3
S–Z
OSCE 4
Note: For instructions on how to access and use Panopto, use the “Panopto How-To Videos” web link provided in the Web Links section. To access Panopto’s website, navigate to the web link titled “Panopto Access” and then choose to log in using the “WGU” option. If prompted, log in using your WGU student portal credentials, and then it will forward you to Panopto’s website.
Note: You must ensure that both you and the standardized patient are recorded and able to be heard on the recording. If either of you cannot be heard, your submission will not be evaluated, and you will need to retake the OSCE.
Note: To submit your recording, upload it to the Panopto drop box titled ”Psychiatric Mental Health Nurse Practitioner Clinical Internship II – UNM2|D349.” Once the recording has been uploaded and processed in Panopto’s system, retrieve the URL of the recording from Panopto and copy and paste it into the Links option. Upload the remaining task requirements using the Attachments option.
Note: All student Panopto video submissions are viewable by the faculty group.
REQUIREMENTS
Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. The similarity report that is provided when you submit your task can be used as a guide.
You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.
Tasks may not be submitted as cloud links, such as links to Google Docs, Google Slides, OneDrive, etc., unless specified in the task requirements. All other submissions must be file types that are uploaded and submitted as attachments (e.g., .docx, .pdf, .ppt).
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Identify the OSCE that corresponds with the first initial of your last name, according to the table in the task introduction. Schedule the OSCE with a live standardized patient by following the instructions in the attached “PMHNP Internship OSCE Information Guide.” Then, using the linked “PMHNP Initial Psychiatric Evaluation,” conduct the OSCE at the scheduled time by doing the following:
Video Recording
A. Demonstrate professionalism at all times during the virtual visit with the patient by doing the following: 1. Conduct the video visit in a private and appropriate location.
2. Wear professional attire.
3. Establish rapport with the patient at the start of the visit.
4. Provide an appropriate transition to the mental health status exam, including asking for permission to conduct the exam.
5. Ask the patient to restate the plan of care to check for understanding.
Note: You must obtain verbal consent to assess and treat. The age of consent is 18 years old.
B. Provide a link to the Panopto video you recorded while conducting the mental health examination with the standardized patient.
Note: For instructions on how to access and use Panopto, use the “Panopto How-To Videos” web link provided in the Web Links section. To access Panopto’s website, navigate to the web link titled “Panopto Access” and then choose to log in using the “WGU” option. If prompted, log in using your WGU student portal credentials, and then it will forward you to Panopto’s website.
Note: You must ensure that both you and the standardized patient are recorded and able to be heard on the recording. If either of you cannot be heard, your submission will not be evaluated, and you will need to retake the OSCE.
Note: To submit your recording, upload it to the D349 Panopto Drop Box titled “Psychiatric Mental Health Nurse Practitioner Clinical Internship II – UNM2|D349.” Once the recording has been uploaded and processed in Panopto’s system, retrieve the URL of the recording from Panopto and copy and paste it into the Links option. Upload the remaining task requirements using the Attachments option.
Documentation
C. Complete the linked “PMHNP Initial Psychiatric Evaluation” for the patient visit by documenting the following:
1. Patient information
2. Chief complaint
3. A written narrative of the history of present illness that includes OLDCARTS-generated data from the patient
4. Medical history
5. Surgical history
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Note: If a patient does not have a surgical history, state this in the PMHNP Initial Psychiatric
Evaluation.
6. Previous hospitalizations—medical/surgical and psychiatric
Note: If a patient does not have any previous hospitalizations, state this in the PMHNP Initial
Psychiatric Evaluation.
7. Current medications
Note: If a patient does not currently take any over-the-counter or prescription medications, vitamins, or supplements, state this in the PMHNP Initial Psychiatric Evaluation.
8. Any known allergies
Note: If a patient does not have any known drug, environmental, or food allergies, state this in the PMHNP Initial Psychiatric Evaluation.
9. Family medical history and family psychiatric history
Note: If a family member type or history is not applicable to the patient, state this in the PMHNP Initial Psychiatric Evaluation.
10. Social history
Note: If a social history category is not applicable to the patient, state this in the PMHNP Initial Psychiatric Evaluation.
11. Past psychiatric history
Note: If past psychiatric history is not applicable to the patient, state this in the PMHNP Initial Psychiatric Evaluation.
12. A focused review of medical and psychiatric systems pertinent to the present illness
Note: If a system is not pertinent to the present illness, state this in the PMHNP Initial Psychiatric Evaluation.
13. A focused mental status examination pertinent to the present illness
14. One diagnostic or medical lab
a. Provide your rationale for the lab or diagnostic that includes evidence from the patient interview and one scholarly source.
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15. The DSM-5-TR diagnosis
Note: If a secondary diagnosis is not applicable, state this in the PMHNP Initial Psychiatric Evaluation.
16. Three differential diagnoses
a. Provide your rationale for each differential diagnosis, including evidence from the patient
interview and one scholarly source for each rationale.
Note: All differential diagnoses must be distinct from the primary diagnosis.
17. An evidence-based treatment plan as a written narrative, which includes the following:
a. Two SMART psychotherapeutic intervention goals and one objective per goal for monitoring patient progress
b. Your rationale for each treatment, including evidence from the patient interview and one scholarly source for each rationale
18. One pharmacological treatment, if necessary
a. Provide your rationale that includes evidence from the patient interview and one scholarly source.
Note: If no pharmacological treatment is necessary, note this in your submission and provide evidence to support your rationale.
19. Two interdisciplinary team members and your rationale for each
20. A patient follow-up plan that includes emergency services, if necessary
Note: If emergency services are not necessary, state this in the PMHNP Initial Psychiatric Evaluation. 21. A referral, if necessary
Note: If a referral is not necessary, state this in the PMHNP Initial Psychiatric Evaluation.
22. Psychoeducation that includes the following:
• Prescribed medication
• Disease management
• Safety interventions (e.g., self-harm prevention, medication safety, support system strategies, domestic environment safety)
Note: If safety interventions are not necessary, state this in the PMHNP Initial Psychiatric
Evaluation.
• Recommendation for higher level of care if patient does not improve
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D. Review the Panopto video of the OSCE you conducted and write a self-reflection of your performance as a psychiatric mental health nurse practitioner.
Note: Your reflection could include a self-evaluation of interviewing techniques, any additional questions or topics you would have liked to address with the patient, anything you did well or would like to improve upon, etc.
E. Discuss any changes you would make to your overall assessment or treatment plan if the patient were in a different setting (i.e., inpatient versus outpatient or outpatient versus inpatient).
Note: The focus should be on how your assessment or treatment plan would be different if the patient acuity was the opposite of what was presented in the OSCE scenario (i.e., higher acuity to lower acuity or vice versa).
F. Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.
G. Demonstrate professional communication in the content and presentation of your submission. File Restrictions
File name may contain only letters, numbers, spaces, and these symbols: ! -_. * ‘ ( )
File size limit: 200 MB
File types allowed: doc, docx, rtf, xls, xlsx, ppt, pptx, odt, pdf, csv, txt, qt, mov, mpg, avi, mp3, wav, mp4, wma, flv, asf, mpeg, wmv, m4v, svg, tif, tiff, jpeg, jpg, gif, png, zip, rar, tar, 7z
RUBRIC
A1:PRIVATE LOCATION
NOT EVIDENT
The OSCE location is not private or appropriate.
A2:PROFESSIONAL ATTIRE
NOT EVIDENT
The attire worn is not
professional.
APPROACHING COMPETENCE
Not applicable.
APPROACHING COMPETENCE
Not applicable.
COMPETENT
The OSCE location is private and appropriate.
COMPETENT
The attire worn is professional.
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1/6/26, 6:42 PM WGU Performance Assessment A3:RAPPORT
NOT EVIDENT
Rapport with the patient is not established.
APPROACHING
COMPETENCE
Rapport with the patient is es tablished but not until after the start of the exam.
COMPETENT
Rapport with the patient is es tablished at the start of the exam.
A4:TRANSITION TO MENTAL HEALTH STATUS EXAM
NOT EVIDENT
A transition to the mental health status exam is not
demonstrated.
APPROACHING
COMPETENCE
The transition is not appropriate or does not include asking for permission to conduct the exam.
COMPETENT
The transition is appropriate and includes asking for permission to conduct the exam.
A5:RESTATING PLAN OF CARE FOR UNDERSTANDING
NOT EVIDENT
A request to the patient to re state the plan of care is not demonstrated.
B:PANOPTO VIDEO LINK
NOT EVIDENT
A link to the OSCE Panopto video recording is not provided.
C1:PATIENT INFORMATION
APPROACHING
COMPETENCE
Not applicable.
APPROACHING
COMPETENCE
The video recording is not audible.
COMPETENT
A request to the patient to re state the plan of care is
demonstrated.
COMPETENT
The link to the OSCE Panopto video recording is provided, and the recording is audible.
NOT EVIDENT APPROACHING COMPETENCE
COMPETENT
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Patient information is not
documented.
C2:CHIEF COMPLAINT
NOT EVIDENT
A chief complaint is not
documented.
C3:HISTORY OF PRESENT ILLNESS NARRATIVE
NOT EVIDENT
A history of present illness nar rative is not documented.
C4:MEDICAL HISTORY
NOT EVIDENT
A medical history is not
documented.
C5:SURGICAL HISTORY
NOT EVIDENT
The existence of an applicable surgical history is not docu
mented in the Initial Psychiatric Evaluation.
The patient information section is incomplete.
APPROACHING
COMPETENCE
The chief complaint does not align with the patient account.
APPROACHING
COMPETENCE
1 or more pertinent positives or negatives from OLDCARTS are not addressed.
APPROACHING
COMPETENCE
1 or more current or residual conditions are missing or are missing the year of diagnosis. Or the medical history does not align with the patient account.
APPROACHING
COMPETENCE
1 or more surgeries are missing the type or year. Or the surgical history does not align with the patient account.
The patient information section is complete.
COMPETENT
The chief complaint is consistent with the patient account.
COMPETENT
The history of present illness nar rative addresses all pertinent positives and negatives from OLDCARTS.
COMPETENT
The medical history is complete for current and residual condi tions, includes the year of diag nosis, and aligns with the patient account.
COMPETENT
All surgeries include the type and year and align with the patient account, or no applicable surgical history exists, and this is
recorded in the Initial Psychiatric Evaluation.
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1/6/26, 6:42 PM WGU Performance Assessment C6:PREVIOUS HOSPITALIZATIONS
NOT EVIDENT
The existence of previous appli cable hospitalizations is not doc umented in the Initial
Psychiatric Evaluation.
C7:CURRENT MEDICATIONS
NOT EVIDENT
The use of current medications is not documented in the Initial
Psychiatric Evaluation.
C8:KNOWN ALLERGIES
NOT EVIDENT
A necessary list of allergies is
not documented in the Initial
Psychiatric Evaluation.
C9:FAMILY MEDICAL AND PSYCHIATRIC HISTORY
NOT EVIDENT
An applicable family medical and psychiatric history is not docu
mented in the Initial Psychiatric Evaluation.
APPROACHING
COMPETENCE
1 or more hospitalizations are missing the reason, year, or length or do not align with the patient account.
APPROACHING
COMPETENCE
1 or more categories of medica tions are not addressed, are missing dosages or timing, or do not align with the patient account.
APPROACHING
COMPETENCE
1 or more types of allergies are not addressed, are missing the reaction type or severity, or do
not align with the patient account.
APPROACHING
COMPETENCE
The medical history for 1 or more family member types is not addressed or does not align with the patient account. Or the psychiatric history for 1 or more family member types is not ad
COMPETENT
All previous hospitalizations in clude the reason, year, and length, and they align with the patient account, or no applicable hospitalizations exist, and this is recorded in the Initial Psychiatric Evaluation.
COMPETENT
All current medications are ad dressed, include dosages and timing, and align with the patient account, or no medication use ex ists, and this is documented in the Initial Psychiatric Evaluation.
COMPETENT
All known allergies are ad dressed, include the reaction type and severity, and align with the patient account, or no rele vant allergies exist, and this is documented in the Initial Psychiatric Evaluation.
COMPETENT
The medical and psychiatric his tory of all family members is ad dressed and aligns with the pa tient account, or any family mem ber types or histories not appli cable to the patient are docu
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the patient account.
C10:SOCIAL HISTORY
mented in the Initial Psychiatric Evaluation.
NOT EVIDENT
Applicable social histories are not documented in the Initial Psychiatric Evaluation.
C11:PAST PSYCHIATRIC HISTORY
NOT EVIDENT
An applicable past psychiatric history is not documented in the Initial Psychiatric Evaluation.
C12:REVIEW OF SYSTEMS
NOT EVIDENT
A review of pertinent medical and psychiatric systems is not documented.
C13:MENTAL STATUS EXAMINATION
NOT EVIDENT
A mental status exam is not documented.
APPROACHING
COMPETENCE
1 or more social history cate gories are not addressed or do not align with the patient account.
APPROACHING
COMPETENCE
1 or more past psychiatric his tory categories are not ad dressed or do not align with the patient account.
APPROACHING
COMPETENCE
1 or more pertinent systems are not addressed or do not align with the patient account.
APPROACHING
COMPETENCE
1 or more pertinent mental sta tus examination categories are not addressed or do not align with the case presentation.
COMPETENT
All social history categories are addressed and align with the pa tient account, and any social his tory categories not applicable to
the patient are documented in the Initial Psychiatric Evaluation.
COMPETENT
All past psychiatric history cate gories are addressed and align with the patient account, or past psychiatric history is not applica ble to the patient and is docu mented in the Initial Psychiatric Evaluation.
COMPETENT
All pertinent systems are ad dressed and align with the pa tient account, and systems not pertinent to the present illness are documented in the Initial Psychiatric Evaluation.
COMPETENT
All pertinent mental status exam ination categories are addressed and align with the case
presentation.
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1/6/26, 6:42 PM WGU Performance Assessment C14:DIAGNOSTIC OR MEDICAL LAB
NOT EVIDENT
A medical lab or diagnostic is not provided.
C14A:DIAGNOSTIC OR LAB RATIONALE
NOT EVIDENT
A rationale for the medical lab or diagnostic is not provided.
C15:DSM-5-TR DIAGNOSIS
NOT EVIDENT
A diagnosis is not provided.
C16:DIFFERENTIAL DIAGNOSES
NOT EVIDENT
3 differential diagnoses are not provided.
C16A:DIFFERENTIAL DIAGNOSES RATIONALES
APPROACHING
COMPETENCE
The medical lab or diagnostic does not align with the diagnosis or clinical presentation.
APPROACHING
COMPETENCE
The rationale for the medical lab or diagnostic is not plausible or does not include evidence from the patient interview. Or sup port from a scholarly source is missing or does not align with the treatment plan.
APPROACHING
COMPETENCE
The diagnosis identified does not align with the clinical presentation.
APPROACHING
COMPETENCE
1 or more differential diagnoses do not align with the clinical presentation.
COMPETENT
The medical lab or diagnostic aligns with the diagnosis and clin ical presentation.
COMPETENT
The rationale for the medical lab or diagnostic is plausible and in cludes evidence from the patient interview and support from a scholarly source that aligns with the treatment plan.
COMPETENT
The diagnosis aligns with the clin ical presentation.
COMPETENT
All differential diagnoses align with the clinical presentation.
NOT EVIDENT APPROACHING COMPETENCE
COMPETENT
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A rationale for each differential diagnosis is not provided.
The rationale for 1 or more dif ferential diagnoses is not plausi ble or does not include evidence from the patient interview. Or support from a scholarly source for 1 or more differential diag noses is missing or does not align with the corresponding dif ferential diagnosis.
The rationale for each differen tial diagnosis is plausible and in cludes evidence from the patient interview and support from a scholarly source that aligns with the corresponding differential diagnosis.
C17A:SMART PSYCHOTHERAPEUTIC INTERVENTION GOALS
NOT EVIDENT
2 SMART psychotherapeutic in tervention goals and one objec tive per goal are not provided.
APPROACHING
COMPETENCE
1 or both SMART psychothera peutic intervention goals are in complete or do not align with the diagnosis or clinical presen tation. Or 1 or more goals do not include an objective. Or 1 or more objectives are not appro priate for monitoring patient progress.
COMPETENT
Both SMART psychotherapeutic intervention goals are complete and align with the diagnosis and clinical presentation. Each goal
includes an appropriate objective for monitoring patient progress.
C17B:PSYCHOTHERAPEUTIC TREATMENTS RATIONALES
NOT EVIDENT
A rationale for each psychother apeutic treatment is not
provided.
C18:PHARMACOLOGICAL TREATMENT
NOT EVIDENT
A pharmacological treatment is not provided. Or it is not noted
APPROACHING
COMPETENCE
The rationale for 1 or both treat ments is not plausible or does not include reasonable evidence from the patient interview. Or support from a scholarly source for 1 or both treatments is miss ing or does not align with the psychotherapeutic treatment.
APPROACHING
COMPETENCE
The pharmacological treatment, or lack thereof, does not align
COMPETENT
The rationale for each treatment is plausible and includes reason able evidence from the patient interview and support from a scholarly source that aligns with the psychotherapeutic
treatment.
COMPETENT
The pharmacological treatment, or lack thereof, aligns with the di agnosis and clinical presentation.
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that a pharmacological treat ment is unnecessary.
with the diagnosis or clinical presentation.
C18A:PHARMACOLOGICAL TREATMENT RATIONALE
NOT EVIDENT
A rationale for the pharmacolog ical treatment or lack thereof is
not provided.
C19:INTERDISCIPLINARY TEAM AND RATIONALES
NOT EVIDENT
2 interdisciplinary team mem
bers are not provided.
C20:FOLLOW-UP PLAN
NOT EVIDENT
A follow-up plan with necessary emergency services is not docu mented in the Initial Psychiatric Evaluation.
C21:REFERRAL
NOT EVIDENT
A necessary referral is not docu mented in the Initial Psychiatric Evaluation.
APPROACHING
COMPETENCE
The rationale for the pharmaco logical treatment or lack thereof is not plausible or does not in clude reasonable evidence from the patient interview. Or sup port from a scholarly source is missing or does not align with the pharmacological treatment choice.
APPROACHING
COMPETENCE
1 or both interdisciplinary team members do not align with the diagnosis or treatment goals. Or 1 or both rationales are missing or not plausible.
APPROACHING
COMPETENCE
The follow-up plan is missing necessary emergency services, is not pertinent to the case, or is not evidence based.
APPROACHING
COMPETENCE
The referral does not align with the case presentation.
COMPETENT
The rationale for the pharmaco logical treatment or lack thereof is plausible and includes reason
able evidence from the patient interview and support from a scholarly source that aligns with the pharmacological treatment choice.
COMPETENT
Both interdisciplinary team members align with the diagnosis and treatment goals. The ratio nale for each is plausible.
COMPETENT
The follow-up plan is complete, is pertinent to the case, and is evi dence based. Applicability of emergency services is docu mented in the Initial Psychiatric Evaluation.
COMPETENT
The referral aligns with the case presentation. Applicability of a
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1/6/26, 6:42 PM WGU Performance Assessment C22:PSYCHOEDUCATION
referral is documented in the Initial Psychiatric Evaluation.
NOT EVIDENT
Psychoeducation is not
provided.
D:REFLECTION
NOT EVIDENT
A reflection of OSCE is not provided.
E:DIFFERENT CLINICAL SETTING
NOT EVIDENT
A discussion of changes to the patient assessment or treat ment plan is not provided.
F:SOURCES
NOT EVIDENT
The submission does not include both in-text citations and a ref erence list for sources that are quoted, paraphrased, or
summarized.
APPROACHING
COMPETENCE
1 or more given points are not addressed or are not plausible or do not align with the treat ment plan or the clinical
presentation.
APPROACHING
COMPETENCE
The reflection is not plausible or does not relate to the learner’s performance as a psychiatric mental health nurse practitioner during the patient interview.
APPROACHING
COMPETENCE
The changes are not plausible or do not align with the opposite setting or the patient diagnosis.
APPROACHING
COMPETENCE
The submission includes in-text citations for sources that are quoted, paraphrased, or summa rized and a reference list; how ever, the citations and/or refer
COMPETENT
All given points are plausibly ad dressed and align with the treat ment plan and the clinical pre sentation. Applicability of safety interventions are documented in the Initial Psychiatric Evaluation.
COMPETENT
The reflection is plausible and re lates to the learner’s perfor mance as a psychiatric mental health nurse practitioner during the patient interview.
COMPETENT
The changes are plausible and align with the opposite setting and the patient diagnosis.
COMPETENT
The submission includes in-text citations for sources that are properly quoted, paraphrased, or summarized and a reference list that accurately identifies the au thor, date, title, and source loca tion as available.
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1/6/26, 6:42 PM WGU Performance Assessment ence list is incomplete or
inaccurate.
G:PROFESSIONAL COMMUNICATION
NOT EVIDENT
Content is unstructured, is dis jointed, or contains pervasive errors in mechanics, usage, or
grammar. Vocabulary or tone is unprofessional or distracts from the topic.
WEB LINKS
D349 Panopto Drop Box
OSCE Scheduling
Panopto Access
Panopto How-To Videos
WGU CareSpan Clinic
APPROACHING
COMPETENCE
Content is poorly organized, is difficult to follow, or contains er rors in mechanics, usage, or grammar that cause confusion. Terminology is misused or ineffective.
COMPETENT
Content reflects attention to de tail, is organized, and focuses on the main ideas as prescribed in the task or chosen by the candi date. Terminology is pertinent, is used correctly, and effectively conveys the intended meaning. Mechanics, usage, and grammar promote accurate interpretation and understanding.
SUPPORTING DOCUMENTS
PMHNP Internship OSCE Information Guide.docx
PMHNP Internships Initial Psychiatric Evaluation.docx
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