Refer to the Population-Focused Nurse Practitioner Competencies? found in the Week 1 Learning Resources and consider the quality measures or indicators adv

Refer to the “Population-Focused Nurse Practitioner Competencies” found in the Week 1 Learning Resources and consider the quality measures or indicators advanced nursing practice nurses must possess in your specialty of interest.
Refer to your “Clinical Skills Self-Assessment Form” you submitted in Week 1 and consider your strengths and opportunities for improvement.
Refer to your Patient Log in Meditrek and consider the patient activities you have experienced in your practicum experience and reflect on your observations and experiences.

In 450–500 words, address the following:

Learning From Experiences

Revisit the goals and objectives from your Practicum Experience Plan. Explain the degree to which you achieved each during the practicum experience.
Reflect on the three most challenging patients you encountered during the practicum experience. What was most challenging about each?
What did you learn from this experience?
What resources were available?
What evidence-based practice did you use for the patients?
What would you do differently?
How are you managing patient flow and volume?

Communicating and Feedback

Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.
Answer the questions: How am I doing? What is missing?
Reflect on the formal and informal feedback you received from your Preceptor.

PMHNP PRAC 6645 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 need 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	·
Differentiating between pathophysiological and psychopathological conditions		·
Performing and interpreting a comprehensive and/or interval history and physical examination (including laboratory and diagnostic studies)	·
Performing and interpreting a mental status examination	·
Performing and interpreting a psychosocial assessment and family psychiatric history		·
Performing and interpreting a functional assessment (activities of daily living, occupational, social, leisure, educational).	·
Diagnostic reasoning skill in:
Developing and prioritizing a differential diagnoses list	·
Formulating diagnoses according to DSM 5 based on assessment data		·
Differentiating between normal/abnormal age-related physiological and psychological symptoms/changes	·
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)		·
Evaluating patient response and modify plan as necessary	·
Documenting (e.g., adverse reaction, the patient response, changes to the plan of care)	·
Psychotherapeutic Treatment Planning:
Recognizes concepts of therapeutic modalities across the lifespan			·
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)		·
Applies age appropriate psychotherapeutic counseling techniques with individuals, families, and/or groups				·
Develop an age appropriate individualized plan of care	·
Provide psychoeducation to individuals, family, and/or groups			·
Promote health and disease prevention techniques	·
Self-Assessment skills:
Develop SMART goals for practicum experiences	·
Evaluating outcomes of practicum goals and modify plan as necessary	·
Documenting and reflecting on learning experiences	·
Professional skills:
Maintains professional boundaries and therapeutic relationship with clients and staff	·
Collaborate with multi-disciplinary teams to improve clinical practice in mental health settings	·
Identifies ethical and legal dilemmas with possible resolutions	·
Demonstrates non-judgmental practice approach and empathy	·
Practices within scope of practice	·
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		·
Implements the screening instrument efficiently and effectively with the clients		·
Interprets results for screening instruments accurately		·
Develops an appropriate plan of care based upon screening instruments response		·
Identifies the need to refer to another specialty provider when applicable		·
Accurately documents recommendations for psychiatric consultations when applicable		·

Summary of strengths:

My strength includes the knowledge to recognize the clinical signs and symptoms of psychiatric illness across the lifespan. Performing and interpreting a comprehensive and/or interval history and physical examination and performing initial interview and follow-up assessment.

Opportunities for growth:

There is room for growth in my ability to recognize the concepts of therapeutic modalities across the lifespan and apply age-appropriate psychotherapeutic counseling techniques with individuals, families, and groups Lastly, I would like to become competent in clinical the DSM 5 Criteria and the associated CPT/ICD 10 codes.

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.

1. Goal: Recognize concepts of therapeutic modalities across the lifespan

a. Objective: To learn different therapeutic modalities influencing for psychiatric conditions

b. Objective: Use Communication techniques to encourage active participation in therapeutic conversation.

c. Objective: Recommend the appropriate therapy modality for various psychiatric condition

2. Goal: Apply age-appropriate psychotherapeutic counseling techniques across the lifespan.

a. Objective: Participate in individual, family and group therapy sessions

b. Objective: To provide screening to help recognize, intervene, and initiate treatment

c. Objective:

3. Goal: Provide psychoeducation to individuals, family, and/or groups

a. Objective: To Identify educational deficits concerning different counseling modalities

b. Objective: Provide the benefits of non-pharmacologic treatment for psychiatric disorders.

c. Objective: Assess the effective of education with teach-back technique.

4. Goal: Formulating diagnoses according to DSM 5 based on assessment data

a. Objective: Review the DSM 5 criteria for each diagnosis during hours

b. Objective: Develop all differential diagnosis for diagnosis

c. Objective: Learn the CPT code and ICD 10 diagnosis associated with diagnosis.

Signature: Dora Agyemangate:08/27/2024

Course/Section: 6645 Practicum

Due Nov 10 by 11:59pm Points 100 Submitting a text entry box or a file upload Attempts 0 Allowed Attempts 2

Start Assignment

RESOURCES

Back to Week at a Glance (https://waldenu.instructure.com/courses/133548/modules/items/4925003

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Critical reflection on your growth and development during your practicum experience in a clinical setting helps you identify opportunities for improvement in your clinical skills, while also recognizing your strengths and successes.

Use this Journal to reflect on your clinical strengths and opportunities for improvement, the progress you made, and what insights you will carry forward into your next practicum.

JOURNAL ENTRY

10/25/24, 12:35 PM Week 11: Assignment

https://waldenu.instructure.com/courses/133548/assignments/1615543?module_item_id=4925008 1/5

Be sure to review the Learning Resources before completing this activity. Click the weekly resources link to access the resources.

WEEKLY RESOURCES (https://waldenu.instructure.com/courses/133548/modules/items/4925010)

TO PREPARE Refer to the “Population-Focused Nurse Practitioner Competencies” found in the Week 1 Learning Resources and consider the quality measures or indicators advanced nursing practice nurses must possess in your specialty of interest. Refer to your “Clinical Skills Self-Assessment Form” you submitted in Week 1 and consider your strengths and opportunities for improvement. Refer to your Patient Log in Meditrek and consider the patient activities you have experienced in your practicum experience and reflect on your observations and experiences.

In 450–500 words, address the following:

Learning From Experiences

Revisit the goals and objectives from your Practicum Experience Plan. Explain the degree to which you achieved each during the practicum experience. Reflect on the three most challenging patients you encountered during the practicum experience. What was most challenging about each? What did you learn from this experience? What resources were available? What evidence-based practice did you use for the patients? What would you do differently? How are you managing patient flow and volume?

Communicating and Feedback

Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor. Answer the questions: How am I doing? What is missing? Reflect on the formal and informal feedback you received from your Preceptor.

BY DAY 7 Submit your Journal.

SUBMISSION INFORMATION Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.

10/25/24, 12:35 PM Week 11: Assignment

https://waldenu.instructure.com/courses/133548/assignments/1615543?module_item_id=4925008 2/5

PRAC_6645_Week11_Assignment_Rubric

1. To submit your completed assignment, save your Assignment as WK11Assgn+last name+first initial.

2. Then, click on Start Assignment near the top of the page. 3. Next, click on Upload File and select Submit Assignment for review.

10/25/24, 12:35 PM Week 11: Assignment

https://waldenu.instructure.com/courses/133548/assignments/1615543?module_item_id=4925008 3/5

Criteria Ratings Pts

50 pts

30 pts

15 pts

Assimilation and Synthesis: Content Reflection

50 to >44.0 pts Excellent

Reflection demonstrates a high level of critical thinking in applying and integrating key course concepts and theories from readings, lectures, and/or experiences. Insightful and relevant connections are made through contextual explanations and examples.

44 to >39.0 pts Good

Reflection demonstrates moderate level of critical thinking in applying and integrating key course concepts and theories from readings, lectures, and/or experiences. Connections are made through explanations and/or examples.

39 to >34.0 pts Fair

Reflection demonstrates minimal critical thinking in applying and integrating key course concepts and theories from readings, lectures, and/or experiences. Minimal connections made through explanations and/or examples.

34 to >0 pts Poor

Reflection lacks critical thinking. Superficial connections are made with key course concepts and resources, and/or assignments.

Assimilation and Synthesis: Personal Growth

30 to >26.0 pts Excellent Expresses solid evidence of reflection on own work. Demonstrates substantial personal growth and awareness of deeper meaning through inferences, well developed insights, and significant depth in awareness and challenges. Synthesizes current exp

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