PRAC 6645 WEEK 1 Clinical Skills Self-Assessment

PMHNP PRAC 6645 Clinical Skills Self-Assessment Form

As a Psychiatric-Mental Health Nurse Practitioner (PMHNP) student, it is essential to obtain a comprehensive array of clinical competencies throughout the lifespan to provide safe, effective, and evidence-based mental health treatment (Kent, 2024). This clinical skills self-assessment seeks to appraise my present proficiency in psychiatric evaluation, diagnostic reasoning, pharmacotherapeutics, psychotherapeutic treatment planning, and professional practice. By figuring out my expertise and areas where I can improve, I can set clear, measurable goals for my practicum. This practice for reflection will help me grow as a clinician and make me better prepared to meet the different needs of individuals, families, and groups in mental health settings.

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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	×
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 diagnosis 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 the medication plan (e.g., risk/benefit, patient preference, developmental considerations, financial, the process of informed consent, symptom management)		×
Evaluating patient response and modifying the plan as necessary		×
Documenting (e.g., adverse reaction, the patient’s 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, families, and/or groups.	×
Promote health and disease prevention techniques.	×
Self-assessment skills:
Develop SMART goals for practicum experiences.	×
Evaluating outcomes of practicum goals and modifying the plan as necessary		×
Documenting and reflecting on learning experiences	×
Professional skills:
Maintains professional boundaries and therapeutic relationships 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 a non-judgmental practice approach and empathy	×
Practices within the 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 on the 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:

My primary strength is performing thorough psychiatric evaluations across the lifetime, encompassing mental state examinations, psychosocial assessments, and functional evaluations. I am proficient in identifying clinical signs and symptoms of psychiatric diseases and distinguishing between pathophysiological and psychopathological manifestations. I exhibit professionalism by sustaining therapeutic connections and upholding boundaries with clients and staff. I can select suitable screening instruments and accurately analyze results, enabling me to make informed clinical decisions. Collaboration with interdisciplinary teams has increased my comprehension of patient-centered care and refined treatment planning. I possess confidence in formulating age-appropriate care plans, delivering psychoeducation, and integrating preventive health methods. These abilities allow me to operate efficiently in diverse mental health environments, where I implement evidence-based practices, cultural awareness, and clinical reasoning to assist patients and their families along their mental health journey (Stewart, 2024).

Growth opportunities:

I acknowledge the necessity to enhance my diagnostic reasoning and pharmacotherapeutic management skills, notwithstanding my steady improvement. I would gain from enhanced experience in prioritizing differential diagnoses and independently developing DSM-5 diagnoses with increased precision (Myers et al., 2024). I seek to enhance my confidence in choosing suitable psychotherapy methods according to client presentations. I aim to improve my capacity to assess patient reactions to drugs and modify treatment plans as necessary. I need to enhance my comprehension of risk-benefit analysis in medication management and participate more actively in assessing therapeutic outcomes. Enhancing my documentation, particularly concerning drug modifications, bad reactions, and justifications, will guarantee thorough, justifiable clinical records. By focusing on these aspects, I can evolve into a more independent, proficient, and resourceful psychiatric mental health nurse practitioner in my forthcoming clinical practice.

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: Improve diagnostic reasoning and formulation of DSM-5-based diagnoses.

a. Objective: Weekly review and application of DSM-5 criteria for five distinct psychiatric diseases during patient evaluations.

b. Objective: Work with the preceptor to confirm diagnoses and enhance the differential diagnosis list for each new patient interaction.

c. Objective: Record the justification for all conclusive diagnoses utilizing corroborative evidence from evaluations and screens (Myers et al., 2024).

2. Goal: Strengthen psychopharmacological decision-making skills.

a. Objective: Engage in the medication planning process for a minimum of three patients each week.

b. Objective: Observe and record patient reactions to drugs and communicate findings during case discussions.

c. Objective: Identify adverse effects and propose requisite modifications to the pharmaceutical regimen by evidence-based standards (Stewart, 2024).

3. Goal: Increase proficiency in using screening instruments.

a. Objective: Implement a minimum of one validated screening instrument (such as the Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), and Anxiety Sensitivity Index (ASI)) per clinical day.

b. Objective: Precisely analyze scores and incorporate findings into the clinical evaluation.

c. Objective: Review screening outcomes and referral determinations with the preceptor for all patients evaluated (Kent, 2024).

4. Goal: Develop and apply individualized psychotherapeutic treatment plans.

a. Objective: Develop a minimum of three personalized care plans weekly that incorporate psychotherapy interventions.

b. Objective: Employ a minimum of one age-appropriate counselling approach (for example, cognitive-behavioral therapy or motivational interviewing) during each session.

c. Objective: Assess the efficacy of psychotherapy interventions on a weekly basis and adjust as necessary (Wesemann et al., 2022).

Conclusion:

This clinical self-assessment has enabled me to pinpoint critical areas of confidence and those necessitating development during my practicum. By establishing SMART goals, I am equipped to concentrate my learning and skill enhancement to provide superior mental health care. With my preceptor’s direction and reflection on my development, I am assured that I will enhance my skills and deliver appropriate care throughout my lifetime in psychiatric environments.

Signature:

Date:

Course/Section:

References

Kent, K. G. (2024). Psychotherapy skills for Psychiatric Mental Health nurse practitioner Students in the age of Competency-Based Education. Nursing Education Perspectives, 45(5), 316–318. https://doi.org/10.1097/01.nep.0000000000001311

Myers, T., Chappell, K., Godwin, C., Krissel, J., Ramirez, J., & Smith, J. (2024). Nurse practitioner certification examination development: from reflecting clinical practice to ensuring lifelong learning. Journal of the American Psychiatric Nurses Association. https://doi.org/10.1177/10783903241240075

Stewart, T. (2024). Psychiatric-Mental Health Nurse Practitioner Program Companion and Board Certification Exam Review Workbook. SpringerLink. https://doi.org/10.1007-978-3-031-60894-0

Wesemann, D., Convoy, S., Goldstein, D., & Melino, K. (2022). How PMHNP Program Directors Facilitate Psychotherapeutic Skill Acquisition. Journal of the American Psychiatric Nurses Association, 30(2), 288–299. https://doi.org/10.1177/10783903221091980‌

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Clinical Skills Self-Assessment

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 Psychiatric-Mental Health Nurse Practitioner (PMHNP) Clinical Skills List and 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 list covers all necessary skills you should demonstrate during your practicum experiences.

Just as you did in PRAC 6635, for this Assignment, 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.

Resources

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.

WEEKLY RESOURCES

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.?

Assignment

Use the PMHNP Clinical Skills Self-Assessment Form to complete the following:

Rate yourself?according to?your confidence level?performing the procedures 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.??

By Day 7

Submit your completed Clinical Skills Self-Assessment Form.

submission information

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To submit your completed assignment, save your Assignment as WK1Assgn2+last name+first initial.
Then, click on Start Assignment near the top of the page.
Next, click on Upload File and select Submit Assignment for review.

Rubric

PRAC_6645_Week1_Assignment2_Rubric

PRAC_6645_Week1_Assignment2_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeRate yourself according to your confidence level performing the skills identified on the Clinical Skills Self-Assessment Form.	25 to >22.0 ptsExcellentThe response provides ratings for all skills on the form. 22 to >19.0 ptsGoodThe response provides ratings for most of the skills on the form. 19 to >17.0 ptsFairThe response provides ratings for some of the skills on the form. 17 to >0 ptsPoorThe response provides ratings for only a few skills on the form, or ratings are missing.	25 pts
This criterion is linked to a Learning OutcomeBased on your ratings, summarize your strengths and opportunities for improvement.	30 to >26.0 ptsExcellentThe response provides an accurate, clear, and complete summary of both the strengths and opportunities for improvement. 26 to >23.0 ptsGoodThe response provides an accurate summary of both the strengths and opportunities for improvement. 23 to >20.0 ptsFairThe response provides a somewhat vague, inaccurate, or incomplete summary of both the strengths and opportunities for improvement. 20 to >0 ptsPoorThe response provides a vague, inaccurate, or incomplete summary of the strengths and/or opportunities for improvement, or the summaries are missing.	30 pts
This criterion is linked to a Learning OutcomeBased 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.	30 to >26.0 ptsExcellentThe response provides three to four (3–4) clear, appropriate, and measurable goals and objectives for the practicum experience. 26 to >23.0 ptsGoodThe response provides three to four (3–4) appropriate, measurable goals and objectives for the practicum experience. 23 to >20.0 ptsFairThe response provides three to four (3–4) unclear or inappropriate goals and objectives for the practicum experience. 20 to >0 ptsPoorThe response provides three to four (3–4) unclear or inappropriate goals and objectives for the practicum experience, or goals and objectives are missing.	30 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting—Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling, nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided, which delineates all required criteria.	5 to >4.0 ptsExcellentParagraphs and sentences follow writing standards for flow, continuity, and clarity…. A clear and comprehensive purpose statement, introduction, and conclusion is provided, which delineates all required criteria. 4 to >3.5 ptsGoodParagraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time…. Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive. 3.5 to >3.0 ptsFairParagraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time…. Purpose, introduction, and conclusion of the assignment is vague or off topic. 3 to >0 ptsPoorParagraphs and sentences follow writing standards for flow, continuity, and clarity <60% of the time…. No purpose statement, introduction, or conclusion was provided.	5 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting—English Writing Standards: Correct grammar, mechanics, and proper punctuation	5 to >4.0 ptsExcellentUses correct grammar, spelling, and punctuation with no errors. 4 to >3.5 ptsGoodContains a few (1 or 2) grammar, spelling, and punctuation errors. 3.5 to >3.0 ptsFairContains several (3 or 4) grammar, spelling, and punctuation errors. 3 to >0 ptsPoorContains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.	5 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting—APA Format: The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and Reference List.	5 to >4.0 ptsExcellentUses correct APA format with no errors. 4 to >3.5 ptsGoodContains a few (1 or 2) APA format errors. 3.5 to >3.0 ptsFairContains several (3 or 4) APA format errors. 3 to >0 ptsPoorContains many (≥5) APA format errors.	5 pts

Total Points: 100