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PMHNP PRAC 6645 Clinical Skills Discussion

PMHNP PRAC 6645 Clinical Skills Discussion

 

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)

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Comprehensive psychiatric evaluation skills in: 

Recognizing clinical signs and symptoms of psychiatric illness across the lifespan PMHNP PRAC 6645 Clinical Skills Discussion  

 

 

 

 

 

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). √ PMHNP PRAC 6645 Clinical Skills Discussion
Diagnostic reasoning skill in:
Developing and prioritizing a differential diagnoses list
Formulating diagnoses according to DSM 5 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  PMHNP PRAC 6645 Clinical Skills Discussion
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, families, and/or groups
Develop an age appropriate individualized plan of care
Provide psychoeducation to individuals, family, and/or groups
Promote health and disease prevention techniques
Self-Assessment skills:
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 √ PMHNP PRAC 6645 Clinical Skills Discussion
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 PMHNP PRAC 6645 Clinical Skills Discussion
Identifies the need to refer to another specialty provider when applicable
Accurately documents recommendations for psychiatric consultations when applicable

 

Summary of strengths:

 

I have compared the clinical skills assessment from the previous, and I noticed that many skills had been improved. I am thrilled after seeing how much I am improved. When I first started my PMHNP clinical, I was shocked and realized that there were many skills that I should acquire. I was afraid, but now that I checked the skills that I have learned, I feel so much more confident. I noticed that I have performed at least once that is mentioned on this form. I am comfortable doing comprehensive psychiatric evaluations on patients with maintaining professional boundaries and the therapeutic relationship. I can stay calm and listen to patient concerns with solid empathy while maintaining professional boundaries. I also noticed that I am good at building a trusting relationship with them. PMHNP PRAC 6645 Clinical Skills Discussion

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Opportunities for growth:

 

During this clinical, I will be doing more psychotherapy with patients. From previous clinical, I noticed that many patients want to rely on medication and hope everything will be fine automatically without trying anything else. I firmly believe these patients need medications to help them through it. However, patients also need to work for themselves to fight their illnesses. As I am doing psychotherapy, I would love to learn how healthcare providers are helping people with psychotherapy and educating and motivating them. As doing a self-skills assessment, I found out that my weakest part is selecting and implementing appropriate screening instruments, interpreting results, and making recommendations, as I have yet to do much in the last clinical. This time, I would want to practice more and be more confident in implementing and do actual recommendations. PMHNP PRAC 6645 Clinical Skills Discussion

 

 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.       I will formulate differential diagnoses for every patient I assess. By the end of this quarter, I will feel confident in diagnostic reasoning.

 

2.       I will get involved in formulating care plans for patients that incorporate individual, family, or group psychotherapy interventions with my preceptor as much as possible during this quarter.

 

3.       I will advocate health promotion and patient education with knowledge that I will acquire in this class and evaluate how patients follow the instruction during this quarter. PMHNP PRAC 6645 Clinical Skills Discussion

 

Initial post should be a minimum of 400 words. Responses/cross posts should be 200 words for each.

Post responses to the following discussion topics. Students must respond to a minimum of two of their peers’ postings on different dates.

You must have 2 or more references for your initial post and 1 or more (different) references for responses/cross posts.

You are reviewing your student evaluations from the course you taught last semester. Several comments include, “the instructor just rambles about her personal life and does not lecture about the content”. How do you feel about the comments? What will you do differently the next time this course is taught? Please use the posted readings to support your responses/actions. PMHNP PRAC 6645 Clinical Skills Discussion