PRAC 6635 Assignment 2: Clinical Skills Self-Assessment

Before commencing any academic or professional assignment, it is critical to understand your background, abilities, and experience. Perhaps you’re wondering, “What do I already know?” I have to be mindful of what. So, what exactly do I want to know? This critical self-reflection is especially important for developing clinical competencies, such as those required for advanced practice nursing.

Use the Clinical Skills Self-Assessment Form and Clinical Skills List for Psychiatric-Mental Health Nurse Practitioners (PMHNP) in the Learning Resources to recognize your triumphs and identify any skill deficits throughout your practicum. During your practical activities, you must demonstrate each of the prerequisite competencies on the list.

For this assignment, you must assess where you are in the development of your clinical abilities and plan for the practicum, just as you did in PRAC 6635. You will identify your own areas of strength and weakness in relation to the required practicum competencies. Keep assessment and diagnostic reasoning in mind as you develop your practicum goals and objectives.

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PMHNP PRAC 6645 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 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  

 

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  

 

 

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  

 

 

IS THIS ASSIGNMENT VERY URGENT? WE’LL HANDLE IT INSTANTLY!

Summary of strengths:

 

 

1.       I approach patients in most respectful manner as possible even when patients appear out of control.

2.       My ability to communicate with patients and peers with active listening and making effort to understand their situation as best as possible.

3.       I am always eager and ready to learn more and keep an open mind to accept changes when needed

 

 

 

 

 

 

Opportunities for growth:

Every moment is an opportunity for growth. Striving to learn and improve my personal and professional life is important. Participation in continued education, accepting constructive criticism and acting on it for improvement, improving job performance by applying learned information to practice, participation in organizations that share the same arena.

 

 

 

 

 

 

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: Maintain a schedule of 8 hours per day, 2 days per week for 11 weeks to comply with the 160 required practicum hours for this class.

 

a.       Objective: set and maintain a schedule of 8 hours per day, 2 days a week x 11 weeks

b.      Objective: allow enough time to finish practicum according to deadline

c.       Objective: Complete the required 160 practicum hours

 

2.       Goal: By the end of this practicum, I will have a comprehensive and meticulous understanding of

 

psychotherapeutic treatment planning

3.        

a.       Objective: Understand how to recognize concepts of therapeutic modalities across the lifespan.

b.      Objective: Develop and implement psychotherapeutic approach and plan of care including psychoeducation to individuals/families/groups, health promotion, and disease prevention.

c.       Objective: Apply age-appropriate psychotherapeutic counseling techniques with clients individually, with family, and/or groups.

 

4.       Goal: To perform the above-mentioned clinical skills confidently and independently by the end of week 11.

a.       Objective: Confident in independently recognizing concepts of therapeutic modalities across lifespan

b.      Objective: Confident in independently developing and implementing psychotherapeutic treatment plan.

d.      Objective: Confident in independently applying age-appropriate psychotherapeutic counseling techniques with clients individually, with family, and/or groups.

 

 

 

 

 

Signature: Jaya R. James

Date: 9/7/21

Course/Section: PMHNP PRAC 6645/7

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 and Grading Information

To submit your completed Assignment for review and grading, do the following:

  • Please save your Assignment using the naming convention “WK1Assgn2+last name+first initial.(extension)” as the name.
  • Click the Week 1 Assignment 2 Rubric to review the Grading Criteria for the Assignment.
  • Click the Week 1 Assignment 2 link. You will also be able to “View Rubric for grading criteria from this area.
  • Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK1Assgn2+last name+first initial.(extension)” and click Open.
  • If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
  • Click on the Submit button to complete your submission.
Excellent Good Fair Poor
Rate yourself according to your confidence level performing the skills identified on the Clinical Skills Self-Assessment Form.
Points Range: 23 (23%) – 25 (25%)
The response provides ratings for all skills on the form.
Points Range: 20 (20%) – 22 (22%)
The response provides ratings for most of the skills on the form.
Points Range: 18 (18%) – 19 (19%)
The response provides ratings for some of the skills on the form.
Points Range: 0 (0%) – 17 (17%)
The response provides ratings for only a few skills on the form, or ratings are missing.
Based on your ratings, summarize your strengths and opportunities for improvement.
Points Range: 27 (27%) – 30 (30%)
The response provides an accurate, clear, and complete summary of both the strengths and opportunities for improvement.
Points Range: 24 (24%) – 26 (26%)
The response provides an accurate summary of both the strengths and opportunities for improvement.
Points Range: 21 (21%) – 23 (23%)
The response provides a somewhat vague, inaccurate, or incomplete summary of both the strengths and opportunities for improvement.
Points Range: 0 (0%) – 20 (20%)
The response provides a vague, inaccurate, or incomplete summary of the strengths and/or opportunities for improvement, or the summaries are missing.
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.
Points Range: 27 (27%) – 30 (30%)
The response provides three to four (3–4) clear, appropriate, and measurable goals and objectives for the practicum experience.
Points Range: 24 (24%) – 26 (26%)
The response provides three to four (3–4) appropriate, measurable goals and objectives for the practicum experience.
Points Range: 21 (21%) – 23 (23%)
The response provides three to four (3–4) unclear or inappropriate goals and objectives for the practicum experience.
Points Range: 0 (0%) – 20 (20%)
The response provides three to four (3–4) unclear or inappropriate goals and objectives for the practicum experience, or goals and objectives are missing.
Written 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.
Points Range: 5 (5%) – 5 (5%)

Paragraphs 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.

Points Range: 4 (4%) – 4 (4%)

Paragraphs 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.

Points Range: 3.5 (3.5%) – 3.5 (3.5%)

Paragraphs 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.

Points Range: 0 (0%) – 3 (3%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity <60% of the time.

No purpose statement, introduction, or conclusion was provided.

Written Expression and Formatting—English Writing Standards: Correct grammar, mechanics, and proper punctuation
Points Range: 5 (5%) – 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors.
Points Range: 4 (4%) – 4 (4%)
Contains a few (1 or 2) grammar, spelling, and punctuation errors.
Points Range: 3.5 (3.5%) – 3.5 (3.5%)
Contains several (3 or 4) grammar, spelling, and punctuation errors.
Points Range: 0 (0%) – 3 (3%)
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
Written 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.
Points Range: 5 (5%) – 5 (5%)
Uses correct APA format with no errors.
Points Range: 4 (4%) – 4 (4%)
Contains a few (1 or 2) APA format errors.
Points Range: 3.5 (3.5%) – 3.5 (3.5%)
Contains several (3 or 4) APA format errors.
Points Range: 0 (0%) – 3 (3%)
Contains many (≥5) APA format errors.
Total Points: 100

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