PSYCHIATRIC NURSING CARE PLAN-

5/14/2020 Rubric Detail – DA_NURS223L_202004SPII_A

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Rubric Detail A rubric lists grading criteria that instructors use to evaluate student work. Your instructor linked a rubric to this item and made it available to you. Select Grid View or List View to change the rubric's layout.

  Meets or Exceeds

Mostly Meets Approaches Does Not Me Expectations

Client’s Demographics and Psychiatric Legal Status

5 (5.00%) Clearly and accurately describes the client’s demographics and psychiatric legal status in detail.

3.8 (3.80%) Adequately describes the client demographics and psychiatric legal status with adequate detail.

2.5 (2.50%) Vaguely describes the client’s demographics and psychiatric legal status with some detail.

1.25 (1.25% Lack descripti of the client’s demographics and psychiatr legal status th presents no detail.

Client’s Vital Signs and Allergies

5 (5.00%) Clearly and accurately documented the client’s vital signs and allergies in full detail.

3.8 (3.80%) Adequately documented the client’s vital signs and allergies. Missing few minor details.

2.5 (2.50%) Incomplete documentation of the client’s vital signs and allergies.

1.25 (1.25% Fails to document the client’s vital si and allergies.

History of Present Illness and

6 (6.00%) Clearly and

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4.56 (4.56%) Adequately d ib th

3 (3.00%) Vaguely d ib th

1.5 (1.50%) Lack descripti

f li t’ hi t

Name: Psychiatric Care Plan Rubric Exit

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5/14/2020 Rubric Detail – DA_NURS223L_202004SPII_A

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  Meets or Exceeds

Mostly Meets Approaches Does Not Me Expectations

Multiaxial Diagnostic System

accurately describes the client’s history of present illness. The Multiaxial Diagnostic System clearly and accurately supports the identi�ed chief complaint and presenting signs/symptoms.

describes the client’s history of present illness. The Multiaxial Diagnostic System adequately supports the identi�ed chief complaint and presenting signs/symptoms.

describes the client’s history of present illness. The Multiaxial Diagnostic System vaguely supports the identi�ed chief complaint and presenting signs/symptoms.

of client’s hist of present illness. The Multiaxial Diagnostic System does n support the identi�ed chie complaint and presenting signs/symptom

Psychopathology and biophysical pathology of admitting and/or related psychiatric and medical diagnosis

6 (6.00%) Clearly and accurately identi�es psychopathology and biophysical pathology related to the identi�ed diagnostic criterion based on the client’s history and presenting symptoms.

4.56 (4.56%) Adequately identi�es psychopathology and biophysical pathology related to the identi�ed diagnostic criterion based on the client’s history and presenting symptoms.

3 (3.00%) Vaguely identi�es psychopathology and biophysical pathology related to the identi�ed diagnostic criterion based on the client’s history and presenting symptoms.

1.5 (1.50%) Fails to identif psychopathol and biophysic pathology related to the identi�ed diagnostic criterion base on the client’s history and presenting symptoms.

Erikson’s Developmental Stages

6 (6.00%) Clearly and accurately identi�es client’s developmental stage with rationales based on the client’s developmental tasks.

4.56 (4.56%) Adequately identi�es client’s developmental stage with rationales based on the client’s developmental tasks.

3 (3.00%) Vaguely identi�es client’s developmental stage without adequate rationale based on the client’s developmental tasks.

1.5 (1.50%) Fail to identify client’s developmenta stage and lack rationale base on the client’s developmenta tasks.

Mental Status Examination

6 (6.00%) Clearly and

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4.56 (4.56%) Adequately d ib

1.5 (1.50%) Vaguely d ib

0 (0.00%) Fails to descri

f

5/14/2020 Rubric Detail – DA_NURS223L_202004SPII_A

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  Meets or Exceeds

Mostly Meets Approaches Does Not Me Expectations

accurately describes all components of the mental status examination based on the client’s presenting symptoms.

describes components of the mental status examination based on the client’s presenting symptoms.

describes components of the mental status examination based on the client’s presenting symptoms.

any of components o the mental status examination based on the client’s presenting symptoms.

Substance Abuse and other Addictions

6 (6.00%) Clearly and accurately identi�es abused substances and problems associated with substance and other addictions.

4.56 (4.56%) Adequately identi�es abused substances and problems associated with substance and other addictions.

3 (3.00%) Vaguely identi�es abused substances and problems associated with substance and other addictions.

1.5 (1.50%) Fails to identif abused substances an problems associated wit substance and other addictio

Risk Assessment 6 (6.00%) Clearly and accurately identi�es all risk factors related to the client’s history and presenting symptoms.

4.56 (4.56%) Adequately identi�es some risk factors related to the client’s history and presenting symptoms.

3 (3.00%) Vaguely identi�es risk factors related to the client’s history and presenting symptoms.

1.5 (1.50%) Fails to identif any of the risk factors related to the client’s history and presenting symptoms.

Multidisciplinary Client Outcome & Discharge Planning.

6 (6.00%) Clearly and accurately describes collaborative issues and concerns related multidisciplinary client outcome and discharge planning.

4.56 (4.56%) Adequately describes collaborative issues and concerns related multidisciplinary client outcome and discharge planning.

3 (3.00%) Vaguely describes collaborative issues and concerns related multidisciplinary client outcome and discharge planning.

1.5 (1.50%) Fails to descri collaborative issues and concerns relat multidisciplina outcome and discharge planning.

Learning Needs Assessment and Client Education

6 (6.00%) Clearly and

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4.56 (4.56%) Adequately id ti�

3 (3.00%) Vaguely id ti�

1.5 (1.50%) Fails to identif

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5/14/2020 Rubric Detail – DA_NURS223L_202004SPII_A

https://learn.westcoastuniversity.edu/webapps/rubric/do/course/gradeRubric?mode=grid&isPopup=true&rubricCount=1&prefix=_3099120_1&course_i… 4/8

  Meets or Exceeds

Mostly Meets Approaches Does Not Me Expectations

accurately identi�es areas of instructional needs, learning preference and learning barriers. Provided clear and concise client education the will aid in health promotion, health maintenance and self-care activities.

identi�es areas of instructional needs, learning preference and learning barriers. Provided some and adequate client education the will aid in health promotion, health maintenance and self-care activities.

identi�es areas of instructional needs, learning preference and learning barriers. Provided minimal and vague client education the will aid in health promotion, health maintenance and self-care activities.

areas of instructional needs, learnin preference an learning barriers. Did n provide client education the will aid in hea promotion, health maintenance and self-care activities.

Pertinent Lab Test & Abnormal Involuntary Movement

6 (6.00%) Clearly and accurately identi�es pertinent laboratory test and abnormal movements related to client’s disease process.

4.56 (4.56%) Adequately identi�es pertinent laboratory test and abnormal movements related to client’s disease process.

1.5 (1.50%) Vaguely identi�es pertinent laboratory test and abnormal movements related to client’s disease process.

0 (0.00%) Fails to identif pertinent laboratory tes and abnorma movements related to clie disease proce

NANDA Nursing Diagnosis (prioritized) Nursing Diagnosis De�nition

6 (6.00%) Both nursing diagnoses are accurate and prioritized per NANDA format with clear etiology and data to support diagnosis. Clear and accurate nursing diagnosis de�nition.

4.56 (4.56%) Both nursing diagnoses are adequate and prioritized per NANDA format with su�cient etiology and data to support diagnosis. Adequate nursing diagnosis de�nition.

3 (3.00%) Both nursing diagnosis are vague and not prioritized per NANDA format with vague etiology and unclear correlation with the assessment data. Inaccurate nursing diagnosis de�nition.

1.5 (1.50%) Both nursing diagnosis are inde�nable pe NANDA forma and do not correlate with assessment data. Lack nursing diagnosis de�nition.

Nursing Outcome Criteria

6 (6.00%) Clearly and

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4.56 (4.56%) Adequately

t bli h

3 (3.00%) Vaguely

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1.5 (1.50%) Fails to establ li t’ t

5/14/2020 Rubric Detail – DA_NURS223L_202004SPII_A

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  Meets or Exceeds

Mostly Meets Approaches Does Not Me Expectations

accurately establishes client’s outcome criteria and can be achieved with nursing assistance. The goal clearly supports the nursing diagnosis and plan of care. The goals are easily measurable and realistic.

establishes client’s outcome criteria and can be achieved with nursing assistance. The goal somewhat supports the nursing diagnosis and plan of care. The goals are somewhat measurable and realistic.

establishes client’s outcome criteria and may or may not be achieved with nursing assistance. The goals are inconsistent with the nursing diagnosis and plan of care. The goals are vaguely realistic and measurable.

client’s outcom criteria that cannot be me by nursing assistance. Th goals lack support and nonspeci�c fr gathered data Outcome crite are not realist and not measurable.

Nursing Intervention Criteria &

6 (6.00%) Clearly and

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4.56 (4.56%) Adequately Id ti�

3 (3.00%) Vaguely Id ti�

1.5 (1.50%) Fails to identif i t ti

5/14/2020 Rubric Detail – DA_NURS223L_202004SPII_A

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  Meets or Exceeds

Mostly Meets Approaches Does Not Me Expectations

Rationale accurately Identi�es independent nursing interventions criteria with teaching supported by scienti�c rationale and evidence- based practice. Interventions are always individualized, prioritized, organized, speci�c and realistic. Nursing actions are always aimed at the client’s goals and directed at the stated health deviation based on nursing assessment and Erickson’s stages of development.

Identi�es nursing interventions with adequate teaching. Scienti�c rationale is adequately supported by evidence-based practice. Interventions are adequate, individualized, organized, speci�c and realistic. Interventions can be implemented adequately that is focused on client’s goal and health deviation based on nursing assessment and Erickson’s stages of development.

Identi�es nursing interventions with unclear teaching. Scienti�c rationale is vaguely relevant & not supported by evidence- based practice. Interventions are inconsistent, non-speci�c, disorganized, and not adequately focused on the client’s goal. Interventions are di�cult to implement and has weak relationship to nursing diagnosis based on nursing assessment and Erickson’s stages of development.

interventions and teaching. Lack Scienti�c rationale and not supported by evidence- based practice Interventions are non- spec inappropriate unrealistic, un measurable a do not relate t nursing diagnosis. Intervention does do not focus on clien goals and/or t stated health deviation base on nursing assessment a Erickson’s stag of developme

Evaluation 6 (6.00%) Skillfully and i d d tl

4.56 (4.56%) Adequately id ti� it i

3 (3.00%) Di�culty

tili i it i

1.5 (1.50%) Does not

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5/14/2020 Rubric Detail – DA_NURS223L_202004SPII_A

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  Meets or Exceeds

Mostly Meets Approaches Does Not Me Expectations

independently identi�es criteria for evaluation. Evaluates e�ectiveness of interventions and measures goal completion. Modi�es, revises and recommends alternative intervention.

identi�es criteria for evaluation. Adequately determines e�ectiveness of nursing interventions and measures goal completion with appropriate modi�cation and revisions to the treatment plan.

utilizing criteria for evaluation. Di�culty determining e�ectiveness of interventions and goal completion. Evaluation vaguely supports if goal is met or not met with inaccurate revisions to the treatment plan.

support nor utilize criteria evaluation. Do not determine e�ectiveness interventions and goal completion. There is a lack alternative interventions the treatment plan.

Medications 6 (6.00%) Clearly and accurately identi�es all components of the medication list, including mechanism of action, purpose, range, side e�ects, interactions, levels and nursing considerations relevant to the client.

4.56 (4.56%) Adequately identi�es components of the medication list. Adequate description of mechanism of action, purpose, range, side e�ects, interactions, levels and nursing considerations relevant to the client.

3 (3.00%) Vaguely identi�es components of the medication list. Lack description of mechanism of action, purpose, range side e�ects, interactions, levels and nursing considerations relevant to the client.

1.5 (1.50%) Fails to identif components o the medicatio list. Failed to include mechanism of action, purpos range side e�ects, interactions, levels and nursing consideration relevant to the client.

General Organization

6 (6.00%) Accurate APA format, Appropriate citations & references,No spelling or grammar errors

4.56 (4.56%) Adequate APA format. Minimal citations and references are appropriate. Few spelling or grammar errors.

3 (3.00%) Numerous APA format errors, Inaccurate citations and references. Few spelling and grammar errors.

1.5 (1.50%) Fails to utilize APA format. N citations or references included numerous spelling and grammar erro

Name:Psychiatric Care Plan Rubric

Exit

5/14/2020 Rubric Detail – DA_NURS223L_202004SPII_A

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