Posted: April 24th, 2025

PMHNP-URGENT

 

• 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

(https://waldenu.instructure.com/courses/133548/files/9835297/preview)

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

https://waldenu.instructure.com/courses/133548/modules/items/4925003

https://waldenu.instructure.com/courses/133548/modules/items/4925003

https://waldenu.instructure.com/courses/133548/files/9835297/preview

https://waldenu.instructure.com/courses/133548/files/9835297/preview

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

https://waldenu.instructure.com/courses/133548/modules/items/4925010

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

1

5 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
experience into
future implications.

26 to >23.0 pts
Good
Expresses
moderate evidence
of reflection on own
work. Demonstrates
satisfactory
personal growth and
awareness through
some inferences,
insights, and
challenges. There is
mention of the
future implications
of student’s current
experience.

23 to >20.0 pts
Fair
Expresses minimal
evidence of reflection
on own work.
Demonstrates less
than adequate
personal growth and
awareness through
limited or simplistic
inferences made,
insights, and/or
challenges that are
not well developed.
Minimal thought of
future implications of
student’s current
experience.

20 to >0 pts
Poor
Expresses
inadequate
evidence of
reflection on own
work. Personal
growth and
awareness are
not evident
and/or
demonstrate an
impersonal
experience.
Lacks personal
insights,
challenges,
inferences,
and/or future
implications are
overlooked.Written

Expression
and
Formatting

15 to >13.0 pts
Excellent

Well written and
clearly organized
using standard
English, characterized
by elements of a
strong writing style

13 to >11.0 pts
Good

Above average
writing style and
logically organized
using standard
English with minor
errors in grammar,

11 to >10.0 pts
Fair

Average writing
style that is
sometimes unclear
and/or with some
errors in grammar,

10 to >0 pts
Poor

Poor writing style
lacking in
standard English,
clarity, language
used, and/or
frequent errors in

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

https://waldenu.instructure.com/courses/133548/assignments/1615543?module_item_id=4925008 4/5

Total Points: 100

Criteria Ratings Pts

5 pts

and basically free
from grammar,
punctuation, usage,
and spelling errors.

punctuation, usage,
and spelling.

punctuation, usage,
and spelling.

grammar,
punctuation,
usage, and
spelling. Needs
work.APA 5 to >4.0 pts

Excellent

Contains no
APA errors.

4 to >3.5 pts
Good

Contains one to two
(1–2) APA errors.

3.5 to >2.0 pts
Fair

Contains three to five
(3–5) APA errors.

2 to >0 pts
Poor

Contains more than
five (>5) APA errors.

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

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