Assigment .Apa seven . All instructions attached.

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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

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

Mostly confident: Can complete with supervision.

Differentiating between pathophysiological and psychopathological conditions 

Mostly confident: Can complete with supervision.

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

Beginning: Have performed with supervision or need supervision to feel confident.

Performing and interpreting a mental status examination 

Mostly confident: Can complete with supervision.

Performing and interpreting a psychosocial assessment and family psychiatric history 

Beginning: Have performed with supervision or need supervision to feel confident.

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

Beginning: Have performed with supervision or need supervision to feel confident.

Diagnostic reasoning skill in:

Developing and prioritizing a differential diagnoses list

Mostly confident: Can complete with supervision.

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

Mostly confident: Can complete with supervision.

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

Mostly confident: Can complete with supervision.

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) 

Beginning: Have performed with supervision or need supervision to feel confident.

Evaluating patient response and modify plan as necessary 

Beginning: Have performed with supervision or need supervision to feel confident.

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

Mostly confident: Can complete with supervision.

Psychotherapeutic Treatment Planning:

Recognizes concepts of therapeutic modalities across the lifespan

Mostly confident: Can complete with supervision.

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) 

Beginning: Have performed with supervision or need supervision to feel confident.

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

Beginning: Have performed with supervision or need supervision to feel confident.

Develop an age appropriate individualized plan of care

Beginning: Have performed with supervision or need supervision to feel confident.

Provide psychoeducation to individuals and/or any caregivers

Mostly confident: Can complete with supervision.

Promote health and disease prevention techniques

Mostly confident: Can complete with supervision.

Self-assessment skill:

Develop SMART goals for practicum experiences 

Mostly confident: Can complete with supervision.

Evaluating outcomes of practicum goals and modify plan as necessary 

Mostly confident: Can complete with supervision.

Documenting and reflecting on learning experiences

Mostly confident: Can complete with supervision.

Professional skills:

Maintains professional boundaries and therapeutic relationship with clients and staff

Confident: Can complete independently.

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

Mostly confident: Can complete with supervision.

Identifies ethical and legal dilemmas with possible resolutions

Mostly confident: Can complete with supervision.

Demonstrates non-judgmental practice approach and empathy

Confident: Can complete independently.

Practices within scope of practice

Confident: Can complete independently.

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 

Mostly confident: Can complete with supervision.

Implements the screening instrument efficiently and effectively with the clients

Mostly confident: Can complete with supervision.

Interprets results for screening instruments accurately

Mostly confident: Can complete with supervision.

Develops an appropriate plan of care based upon screening instruments response

Mostly confident: Can complete with supervision.

Identifies the need to refer to another specialty provider when applicable

Mostly confident: Can complete with supervision.

Accurately documents recommendations for psychiatric consultations when applicable

Mostly confident: Can complete with supervision.

Summary of strengths:

· 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.

Opportunities for growth:

· 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.

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.

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.

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