Care Plan
Mental Health Care Plan (Updated) Course: NUR4020-03:Nursing Care of Mental Health Patients (2022 Fall Term 2)-15650
Part I Criteria Level 4 6 points
Level 3 4 points
Level 2 2 points
Level 1 0 points
Criterion Score
Demographic
s and Brief
History
/ 6Demonstrates a
mastery level of
understanding in
completion of
section & all of
the following
areas:
- Diagnosis
extracted from
DSM-V manual.
- Provides
relevant data
regarding past
medical history
(pertinent & how
managed).
- Significant
events during
current
hospitalization
with times &
dates.
- All sections
completed.
Demonstrates a
satisfactory level
of understanding
in completion of
section &/or is
deficient in 1 of
the following
areas:
- Diagnosis
extracted from
DSM-V manual.
- Provides
relevant data
regarding past
medical history
(pertinent & how
managed).
- Significant
events during
current
hospitalization
with times &
dates.
- All sections
completed.
Demonstrates a
basic level of
understanding in
completion of
section &/or is
deficient in 2 of
the following
areas:
- Diagnosis
extracted from
DSM-V manual.
- Provides
relevant data
regarding past
medical history
(pertinent & how
managed).
- Significant
events during
current
hospitalization
with times &
dates.
- All sections
completed.
Does not
demonstrate
understanding in
completion of
section &/or is
deficient in 3 or
more of the
following areas:
- Diagnosis
extracted from
DSM-V manual.
- Provides
relevant data
regarding past
medical history
(pertinent & how
managed).
- Significant
events during
current
hospitalization
with times &
dates.
- All sections
completed.
Part I Criteria Level 4 6 points
Level 3 4 points
Level 2 2 points
Level 1 0 points
Criterion Score
Physical
Assessments
and
Interventions
/ 6Demonstrates a
mastery level of
understanding in
completion of
section & all of
the following
areas:
- Vital Signs, 2
sets.
- General
appearance &
ADLs.
- Review of
systems, each
area documented
fully.
- Lab values.
Demonstrates a
satisfactory level
of understanding
in completion of
section &/or is
deficient in 1 of
the following
areas:
- Vital Signs, 2
sets.
- General
appearance &
ADLs.
- Review of
systems, each
area documented
fully.
- Lab values.
Demonstrates a
basic level of
understanding in
completion of
section &/or is
deficient in 2 of
the following
areas:
- Vital Signs, 2
sets.
- General
appearance &
ADLs.
- Review of
systems, each
area documented
fully.
- Lab values.
Does not
demonstrate
understanding in
completion of
section &/or is
deficient in 3 or
more of the
following areas:
- Vital Signs, 2
sets.
- General
appearance &
ADLs.
- Review of
systems, each
area documented
fully.
- Lab values.
Part I Criteria Level 4 6 points
Level 3 4 points
Level 2 2 points
Level 1 0 points
Criterion Score
Psychosocial
Assessment
/ 6Demonstrates a
mastery level of
understanding in
completion of
section & all of
the following
areas:
- General
information
(1st section).
- Stages of
development.
- Support system.
- Stressors/stress
management
practices.
Demonstrates a
satisfactory level
of understanding
in completion of
section &/or is
deficient in 1 of
the following
areas:
- General
information
(1st section).
- Stages of
development.
- Support system.
- Stressors/stress
management
practices.
Demonstrates a
basic level of
understanding in
completion of
section &/or is
deficient in 2 of
the following
areas:
- General
information
(1st section).
- Stages of
development.
- Support system.
- Stressors/stress
management
practices.
Does not
demonstrate
understanding in
completion of
section &/or is
deficient in 3 or
more of the
following areas:
- General
information
(1st section).
- Stages of
development.
- Support system.
- Stressors/stress
management
practices.
Part I Criteria Level 4 6 points
Level 3 4 points
Level 2 2 points
Level 1 0 points
Criterion Score
Pathophysica
l Discussion
/ 6Demonstrates a
mastery level of
understanding in
completion of
section & all of
the following
areas:
- Discussion of
the current
disease process.
- Discussion of
the etiology of
the patient’s
illness.
- Complications
that may occur
with treatment &
the patient’s
overall prognosis.
- Summary of
article written
using APA
format.
Demonstrates a
satisfactory level
of understanding
in completion of
section &/or is
deficient in 1 of
the following
areas:
- Discussion of
the current
disease process.
- Discussion of
the etiology of
the patient’s
illness.
- Complications
that may occur
with treatment &
the patient’s
overall prognosis.
- Summary of
article written
using APA format.
Demonstrates a
basic level of
understanding in
completion of
section &/or is
deficient in 2 of
the following
areas:
- Discussion of
the current
disease process.
- Discussion of
the etiology of
the patient’s
illness.
- Complications
that may occur
with treatment &
the patient’s
overall prognosis.
- Summary of
article written
using APA format.
Does not
demonstrate
understanding in
completion of
section &/or is
deficient in 3 or
more of the
following areas:
- Discussion of
the current
disease process.
- Discussion of
the etiology of
the patient’s
illness.
- Complications
that may occur
with treatment &
the patient’s
overall prognosis.
- Summary of
article written
using APA format.
Part I Criteria Level 4 6 points
Level 3 4 points
Level 2 2 points
Level 1 0 points
Criterion Score
Medications / 6Demonstrates a
mastery level of
understanding in
completion of
section & all of
the following
areas:
- Medications
- Classification
- Dose
- Route
- Frequency
-
Purpose/Mechani
sm of Action
- Side Effects
- Nursing
Implications
Demonstrates a
satisfactory level
of understanding
in completion of
section &/or is
deficient in 1 of
the following
areas:
- Medications
- Classification
- Dose
- Route
- Frequency
-
Purpose/Mechani
sm of Action
- Side Effects
- Nursing
Implications
Demonstrates a
basic level of
understanding in
completion of
section &/or is
deficient in 2 of
the following
areas:
- Medications
- Classification
- Dose
- Route
- Frequency
-
Purpose/Mechani
sm of Action
- Side Effects
- Nursing
Implications
Does not
demonstrate
understanding in
completion of
section &/or is
deficient in 3 or
more of the
following areas:
- Medications
- Classification
- Dose
- Route
- Frequency
-
Purpose/Mechani
sm of Action
- Side Effects
- Nursing
Implications
Part II Criteria Level 3 3 points
Level 2 2 points
Level 1 1 point
Level 0 0 points
Criterion Score
Part II Criteria Level 3 3 points
Level 2 2 points
Level 1 1 point
Level 0 0 points
Criterion Score
Nursing
Diagnosis
/ 3
Table 1
Assessment
/ 3
Demonstrates a
mastery level of
understanding in
completion of
section & all of
the following
areas:
- List of nursing
diagnoses.
- Related to . . .
- As Evidenced by
. . .
- Rationale
(reason for
priority).
Demonstrates a
satisfactory level
of understanding
in completion of
section &/or is
deficient in 1 of
the following
areas:
- List of nursing
diagnoses.
- Related to . . .
- As Evidenced by
. . .
- Rationale
(reason for
priority).
Demonstrates a
basic level of
understanding in
completion of
section &/or is
deficient in 2 of
the following
areas:
- List of nursing
diagnoses.
- Related to . . .
- As Evidenced by
. . .
- Rationale
(reason for
priority).
Does not
demonstrate
understanding in
completion of
section &/or is
deficient in 3 or
more of the
following areas:
- List of nursing
diagnoses.
- Related to . . .
- As Evidenced by
. . .
- Rationale
(reason for
priority).
Demonstrates a
mastery level of
understanding in
completion of
section & all of
the following
areas:
- Signs &
Symptoms:
a. 2 objective.
b. 2 subjective.
Demonstrates a
satisfactory level
of understanding
in completion of
section &/or is
deficient in 1 of
the following
areas:
- Signs &
Symptoms:
a. 2 objective.
b. 2 subjective.
Demonstrates a
basic level of
understanding in
completion of
section &/or is
deficient in 2 of
the following
areas:
- Signs &
Symptoms:
a. 2 objective.
b. 2 subjective.
Does not
demonstrate
understanding in
completion of
section &/or is
deficient in 3 or
more of the
following areas:
- Signs &
Symptoms:
a. 2 objective.
b. 2 subjective.
Part II Criteria Level 3 3 points
Level 2 2 points
Level 1 1 point
Level 0 0 points
Criterion Score
Table 1
Patient
Outcome
/ 3Demonstrates a
mastery level of
understanding in
completion of
section & all of
the following
areas:
- SMART:
a. Specific
b. Measurable
c. Attainable
d. Realistic
e. Timely
Demonstrates a
satisfactory level
of understanding
in completion of
section &/or is
deficient in 1 of
the following
areas:
- SMART:
a. Specific
b. Measurable
c. Attainable
d. Realistic
e. Timely
Demonstrates a
basic level of
understanding in
completion of
section &/or is
deficient in 2 of
the following
areas:
- SMART:
a. Specific
b. Measurable
c. Attainable
d. Realistic
e. Timely
Does not
demonstrate
understanding in
completion of
section &/or is
deficient in 3 or
more of the
following areas:
- SMART:
a. Specific
b. Measurable
c. Attainable
d. Realistic
e. Timely
Part II Criteria Level 3 3 points
Level 2 2 points
Level 1 1 point
Level 0 0 points
Criterion Score
Table 1
Intervention
/ 3
Table 1
Evaluation
/ 3
Demonstrates a
mastery level of
understanding in
completion of
section & all of
the following
areas:
- Includes
interventions/nur
sing actions
directly relating to
pt. outcomes.
- Specific in
action, frequency,
& contain
rationale.
- Minimum of 3
interventions
appropriate to
help pt./family
meet their
outcomes.
Demonstrates a
satisfactory level
of understanding
in completion of
section &/or is
deficient in 1 of
the following
areas:
- Includes
interventions/nur
sing actions
directly relating to
pt. outcomes.
- Specific in
action, frequency,
& contain
rationale.
- Minimum of 3
interventions
appropriate to
help pt./family
meet their
outcomes.
Demonstrates a
basic level of
understanding in
completion of
section &/or is
deficient in 2 of
the following
areas:
- Includes
interventions/nur
sing actions
directly relating to
pt. outcomes.
- Specific in
action, frequency,
& contain
rationale.
- Minimum of 3
interventions
appropriate to
help pt./family
meet their
outcomes.
Does not
demonstrate
understanding in
completion of
section &/or is
deficient in 3 or
more of the
following areas:
- Includes
interventions/nur
sing actions
directly relating to
pt. outcomes.
- Specific in
action, frequency,
& contain
rationale.
- Minimum of 3
interventions
appropriate to
help pt./family
meet their
outcomes.
Demonstrates a
mastery level of
understanding in
completion of
section & all of
the following
areas:
- Effectiveness/
Successful – How.
- Not Effective –
Why.
Demonstrates a
satisfactory level
of understanding
in completion of
section &/or is
deficient in 1 of
the following
areas:
- Effectiveness/
Successful – How.
- Not Effective –
Why.
Demonstrates a
basic level of
understanding in
completion of
section &/or is
deficient in 2 of
the following
areas:
- Effectiveness/
Successful – How.
- Not Effective –
Why.
Does not
demonstrate
understanding in
completion of
section &/or is
deficient in 3 or
more of the
following areas:
- Effectiveness/
Successful – How.
- Not Effective –
Why.
Total / 57
Part II Criteria Level 3 3 points
Level 2 2 points
Level 1 1 point
Level 0 0 points
Criterion Score
Table 2
Assessment
/ 3
Table 2
Patient
Outcome
Table 2
Intervention
Table 2
Evaluation
Demonstrates a
mastery level of
understanding in
completion of
section & all of
the following
areas:
- Signs &
Symptoms:
a. 2 objective.
b. 2 subjective.
Demonstrates a
satisfactory level
of understanding
in completion of
section &/or is
deficient in 1 of
the following
areas:
- Signs &
Symptoms:
a. 2 objective.
b. 2 subjective.
Demonstrates a
basic level of
understanding in
completion of
section &/or is
deficient in 2 of
the following
areas:
- Signs &
Symptoms:
a. 2 objective.
b. 2 subjective.
Does not
demonstrate
understanding in
completion of
section &/or is
deficient in 3 or
more of the
following areas:
- Signs &
Symptoms:
a. 2 objective.
b. 2 subjective.
Demonstrates a
mastery level of
understanding in
completion of
section & all of
the following
areas:
- SMART:
a. Specific
b. Measurable
c. Attainable
d. Realistic
e. Timely
Demonstrates a
satisfactory level
of understanding
in completion of
section &/or is
deficient in 1 of
the following
areas:
- SMART:
a. Specific
b. Measurable
c. Attainable
d. Realistic
e. Timely
Demonstrates a
basic level of
understanding in
completion of
section &/or is
deficient in 2 of
the following
areas:
- SMART:
a. Specific
b. Measurable
c. Attainable
d. Realistic
e. Timely
Does not
demonstrate
understanding in
completion of
section &/or is
deficient in 3 or
more of the
following areas:
- SMART:
a. Specific
b. Measurable
c. Attainable
d. Realistic
e. Timely
Overall Score
Level 4 52 points minimum
Level 3 47 points minimum
Level 2 42 points minimum
Level 1 37 points minimum