Care Across the Lifespan Il

Desired Clinical Skills for Students to Achieve

Confident (Can complete independently)

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)

Comprehensive psychiatric evaluation skills in: 

Recognizing clinical signs and symptoms of psychiatric illness across the lifespan

X

Differentiating between pathophysiological and psychopathological conditions 

X

Performing and interpreting a comprehensive and/or interval history and physical examination (including laboratory and diagnostic studies) 

X

Performing and interpreting a mental status examination 

X

Performing and interpreting a psychosocial assessment and family psychiatric history 

X

Performing and interpreting a functional assessment (activities of daily living, occupational, social, leisure, educational).

X

Diagnostic reasoning skill in:

Developing and prioritizing a differential diagnoses list

X

Formulating diagnoses according to DSM 5-TR based on assessment data 

Differentiating between normal/abnormal age-related physiological and psychological symptoms/changes

X

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) 

X

Evaluating patient response and modify plan as necessary 

X

Documenting (e.g., adverse reaction, the patient response, changes to the plan of care)

X

Psychotherapeutic Treatment Planning:

Recognizes concepts of therapeutic modalities across the lifespan

X

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) 

X

Applies age appropriate psychotherapeutic counseling techniques with individuals and/or any caregivers

X

Develop an age appropriate individualized plan of care

X

Provide psychoeducation to individuals and/or any caregivers

X

Promote health and disease prevention techniques

X

Self-assessment skill:

Develop SMART goals for practicum experiences 

X

Evaluating outcomes of practicum goals and modify plan as necessary 

X

Documenting and reflecting on learning experiences

X

Professional skills:

Maintains professional boundaries and therapeutic relationship with clients and staff

X

Collaborate with multi-disciplinary teams to improve clinical practice in mental health settings 

X

Identifies ethical and legal dilemmas with possible resolutions

X

Demonstrates non-judgmental practice approach and empathy

X

Practices within scope of practice

X

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 

X

Implements the screening instrument efficiently and effectively with the clients

X

Interprets results for screening instruments accurately

X

Develops an appropriate plan of care based upon screening instruments response

X

Identifies the need to refer to another specialty provider when applicable

X

Accurately documents recommendations for psychiatric consultations when applicable

X

I understand my responsibilities and know how to set attainable goals for myself. I have a propensity of being goal oriented in my everyday life, and thus it is not difficult to use this practice professionally. I identify my areas of weakness strengths and work toward an applicable balance. I am committed to treating psychiatric disorders in individuals and groups through psychotherapy and medication. I focus on the requirements and scope of practice for PMHNPs. The practicality of communicating with multidisciplinary teams involves using verbal, non-verbal, and written forms. Key elements in obtaining my goals are to my professionalism and communicating skills. Sharing information with nurse practitioners and physicians improves the safety and welfare of patients (Durmaz et al., 2018). Also, I am taking the necessary steps to prepare myself to obtain and maintain my PMHNP certification and licensure.

This quarter I will have the opportunity to grow and improve my skills in the examination of psychiatric emergencies. Patient assessment is vital in developing accurate diagnoses (Pelin & Ayise, 2019). During this quarter I will continue my focus on assessing children and adolescents. I will broaden my knowledge pertaining to psychiatric emergencies such as suicide, threats of violence, or drug overdoses and the ethical and legal issues surrounding them. This will facilitate selecting the appropriate evidence based clinical practice guidelines for psychotherapeutic plan.

1. Goal: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state. By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.