Assigment .Apa seven . All instructions attached.
2
Raciel Olivera
College of Nursing-PMHNP, Walden University
PRAC 6645: Psychotherapy Mult Modalities Prc-Summer 2024
Professor: Dr. Nataliya Ishkova
September 1, 2024
PRAC 6665/6675 Clinical Skills
Self-Assessment Form
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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) |
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Comprehensive psychiatric evaluation skills in: |
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Recognizing clinical signs and symptoms of psychiatric illness across the lifespan |
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Mostly confident: Can complete with supervision. |
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Differentiating between pathophysiological and psychopathological conditions |
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Mostly confident: Can complete with supervision. |
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Performing and interpreting a comprehensive and/or interval history and physical examination (including laboratory and diagnostic studies) |
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Beginning: Have performed with supervision or need supervision to feel confident. |
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Performing and interpreting a mental status examination |
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Mostly confident: Can complete with supervision. |
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Performing and interpreting a psychosocial assessment and family psychiatric history |
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Beginning: Have performed with supervision or need supervision to feel confident. |
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Performing and interpreting a functional assessment (activities of daily living, occupational, social, leisure, educational). |
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Beginning: Have performed with supervision or need supervision to feel confident. |
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Diagnostic reasoning skill in: |
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Developing and prioritizing a differential diagnoses list |
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Mostly confident: Can complete with supervision. |
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Formulating diagnoses according to DSM 5-TR based on assessment data |
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Mostly confident: Can complete with supervision. |
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Differentiating between normal/abnormal age-related physiological and psychological symptoms/changes |
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Mostly confident: Can complete with supervision. |
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Pharmacotherapeutic skills in: |
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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) |
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Beginning: Have performed with supervision or need supervision to feel confident. |
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Evaluating patient response and modify plan as necessary |
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Beginning: Have performed with supervision or need supervision to feel confident. |
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Documenting (e.g., adverse reaction, the patient response, changes to the plan of care) |
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Mostly confident: Can complete with supervision. |
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Psychotherapeutic Treatment Planning: |
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Recognizes concepts of therapeutic modalities across the lifespan |
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Mostly confident: Can complete with supervision. |
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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) |
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Beginning: Have performed with supervision or need supervision to feel confident. |
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Applies age appropriate psychotherapeutic counseling techniques with individuals and/or any caregivers |
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Beginning: Have performed with supervision or need supervision to feel confident. |
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Develop an age appropriate individualized plan of care |
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Beginning: Have performed with supervision or need supervision to feel confident. |
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Provide psychoeducation to individuals and/or any caregivers |
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Mostly confident: Can complete with supervision. |
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Promote health and disease prevention techniques |
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Mostly confident: Can complete with supervision. |
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Self-assessment skill: |
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Develop SMART goals for practicum experiences |
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Mostly confident: Can complete with supervision. |
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Evaluating outcomes of practicum goals and modify plan as necessary |
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Mostly confident: Can complete with supervision. |
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Documenting and reflecting on learning experiences |
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Mostly confident: Can complete with supervision. |
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Professional skills: |
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Maintains professional boundaries and therapeutic relationship with clients and staff |
Confident: Can complete independently. |
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Collaborate with multi-disciplinary teams to improve clinical practice in mental health settings |
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Mostly confident: Can complete with supervision. |
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Identifies ethical and legal dilemmas with possible resolutions |
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Mostly confident: Can complete with supervision. |
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Demonstrates non-judgmental practice approach and empathy |
Confident: Can complete independently. |
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Practices within scope of practice |
Confident: Can complete independently. |
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Selecting and implementing appropriate screening instrument(s), interpreting results, and making recommendations and referrals: |
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Demonstrates selecting the correct screening instrument appropriate for the clinical situation |
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Mostly confident: Can complete with supervision. |
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Implements the screening instrument efficiently and effectively with the clients |
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Mostly confident: Can complete with supervision. |
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Interprets results for screening instruments accurately |
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Mostly confident: Can complete with supervision. |
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Develops an appropriate plan of care based upon screening instruments response |
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Mostly confident: Can complete with supervision. |
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Identifies the need to refer to another specialty provider when applicable |
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Mostly confident: Can complete with supervision. |
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Accurately documents recommendations for psychiatric consultations when applicable |
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Mostly confident: Can complete with supervision. |
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Summary of strengths:
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· Maintaining professional boundaries and therapeutic relationships. · Demonstrating a non-judgmental practice approach and empathy. · Practicing within the scope of practice. · Recognizing concepts of therapeutic modalities across the lifespan.
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Opportunities for growth:
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· Performing and interpreting comprehensive history and physical examinations. · Performing and interpreting psychosocial and functional assessments. · Selecting and applying age-appropriate psychotherapeutic counseling techniques. · Formulating and prioritizing differential diagnoses and diagnoses according to DSM 5-TR. · Evaluating patient responses to pharmacotherapy and modifying plans as necessary.
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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.
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Goal 1: Improve proficiency in performing comprehensive psychiatric evaluations. a) Objective 1: Conduct at least five supervised comprehensive psychiatric evaluations. b) Objective 2: Successfully differentiate between pathophysiological and psychopathological conditions in three case studies. c) Objective 3: Perform and interpret comprehensive history and physical examinations independently in two cases by the end of the practicum. Goal 2: Enhance diagnostic reasoning skills. a) Objective 1: Develop and prioritize differential diagnoses lists for five patients with supervision. b) Objective 2: Formulate accurate DSM 5-TR diagnoses based on assessment data for three patients. c) Objective 3: Participate in diagnostic case discussions and present differential diagnoses in three sessions. Goal 3: Advance psychotherapeutic treatment planning abilities. a) Objective 1: Develop and implement age-appropriate individualized care plans for three patients. b) Objective 2: Apply psychotherapeutic counseling techniques with at least two patients under supervision. c) Objective 3: Provide psychoeducation to individuals and caregivers in three sessions. Goal 4: Strengthen pharmacotherapeutic skills. a) Objective 1: Select and justify evidence-based medication plans for three patients. b) Objective 2: Evaluate and document patient responses to pharmacotherapy in two cases. c) Objective 3: Modify treatment plans based on patient responses in at least two supervised sessions.
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Reflective Statement:
These goals align with my professional development as a future Psychiatric-Mental Health Nurse Practitioner (PMHNP). By focusing on these objectives, I aim to bridge the gap between my current skill level and the competencies required for independent practice. This practicum will enhance my diagnostic and treatment planning abilities, ensuring I can provide comprehensive, patient-centered care in a clinical setting. My long-term goal is to integrate these skills into my practice, ultimately improving patient outcomes and advancing my career in mental health care.
Signature: Raciel Olivera
Date: 08/27/2024
Course/Section: 6675 F PMHNP Across Lifespan II Pract-Fall 2024