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Nurse practitioners partner up with a variety of other healthcare providers to provide prompt, secure, and efficient care. Advanced patient care necessitates a diverse set of clinical skills.

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Nurse practitioners partner up with a variety of other healthcare providers to provide prompt, secure, and efficient care. Advanced patient care necessitates a diverse set of clinical skills. The ability to detect and treat people suffering from various mental diseases is primarily reliant on clinical competence (Singh et al., 2022). Clinical talents must be evaluated in order to determine one’s potential and places for improvement. This paper explores my practicum’s strengths, flaws, and growth opportunities.

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

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 lis

Formulating diagnoses according to DSM 5-TR 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 and/or any caregivers

Develop an age appropriate individualized plan of care

Provide psychoeducation to individuals and/or any caregivers

Promote health and disease prevention techniques

Self-assessment skill:

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 areas of expertise include patients and families of patients, as well as multidisciplinary teams. Modes of communication include vocal, nonverbal, and written communication. When communicating with clients and families members, I always try to be empathic. Sharing knowledge with other practitioners, such as nurse practitioners and physicians is critical in ensuring the health and safety of patients (Nilsen et al., 2020). To reduce the possibility of medical errors, for example, I ensure it is a priority to offer accurate information to practitioners during the handing over. In communicating with patients and their families, it is critical to utilize good language and demonstrate compassion. Clients want to have confidence that their nurses are looking out for them. Communication between patients and nurses is critical for establishing mutual confidence between the two sides. Treatment strategies and education for patients are essential for getting exceptional results. The loved ones of a patient require regular information on their family’s information. I am strong in diagnosing and treating mental conditions. I’ve evaluated a broad spectrum of people with diverse mental health disorders. Throughout my practicum, I encountered a diverse range of patients. For example, I look to see if an individual has lost interest in their normal routine or if they have an overtime negative attitude on life. A correct diagnosis necessitates the appropriate identification of signs and indicators. I am able to develop and maintain professional relationships with patients. My goal is to avoid having unprofessional relationships with my clients. If I suspect an emotional connection that would affect treatment, I would ensure to refer the client to another therapist. Patients’ have to trust the healthcare system to be dependent on ethical and legal considerations at all times. Regardless of their racial or sexual background, stage of life, or diseases, every patient get This study source was downloaded by 100000776081219 from CourseHero.com on 08-31-2023 11:54:48 GMT -05:00 /

handled with dignity and compassion the provider. Healthcare is a basic human right no matter the ethnicity of an individual. Patient confidence and a nonjudgmental approach to healthcare can help to enhance diversity. Opportunities for growth: Nursing is a career that is always evolving to guarantee that individuals with diverse needs receive the quality care (Flaubert et al., 2021). My preceptor and I will have nursing mentorship relationship as my initial opportunity for growth. Additional interactions with my preceptor can help me better grasp the areas where I am week. Two of the areas where I have to improve to help assist the patients in psychosocial evaluation and family psychiatric history. Psychosocial assessment is where I can have an advantage by practicing. Only comprehensive patient assessments allow for appropriate diagnoses. I will need the details clients have provided in order to appropriately and reliably evaluate them. I will need the help of my preceptor to develop my abilities to conduct and comprehend psychosocial evaluations and family psychiatric histories. Online courses, webinars, and conferences offer a secondary way to improve. The accessibility and simplicity of use of this platform is extremely beneficial to nurse practitioners. Webinars and seminars offered by nursing organizations, reputable practitioners, and hospitals are two examples. For instance, the webinars will address bias and the development of therapy regimens tailored to every patient’s needs. It is feasible to join nursing groups as a third option to advancement. I am working on becoming a member of the American and National Leagues of This study source was downloaded by 100000776081219 from CourseHero.com on 08-31-2023 11:54:48 GMT -05:00

Nursing. Without the assistance of nursing organizations, the field of nursing would not be what it is today (Chiu et al., 2021). Membership includes personal development, networking, financial aid, and other educational opportunities. The fourth option for advancement is to volunteer for organizations that give mental health services to low-income families. My charitable work will allow me to connect with a diverse spectrum of individuals while discovering about the complexities of mental health care. My ideal times to volunteer will be on weekends and specific days of the week. By discussing how to use various screening instruments for mental health disorders, fellow students and my preceptor will support me in learning advanced technology skills. Participating in the group will improve my ability to employ a variety of skills. My goal is to utilize the school library to enhance my skills. Using peer-reviewed literature, I will seek out recent, credible, and scientifically information. Due to the high-quality data, I will be able to discover current trends in mental healthcare solutions. 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: Improve my communication skills when handling clients and working with an inter-professional team a. Objective: Provide information to patients and their families and offer explanation on what the information means b. Objective: Improve on effective inter-personal relationships in inter-professional teams using effective communication c. Objective: Develop therapeutic relationships with my patients by using good communication

2. Goal: Improve my knowledge in using diagnostic screening tools and techniques for different patients and how to use the results a. Objective: Use the skills I have acquired to differentiate between screening tools b. Objective: Assess the symptoms of the patient and arrive at their diagnosis using screening tools c. Objective: Have the ability to select and use a diagnostic tool for the patient This study source was downloaded by 100000776081219 from CourseHero.com on 08-31-2023 11:54:48 GMT -05:00

3. Goal: Select the appropriate primary diagnosis, differential diagnoses, effective treatment plan and follow-up strategies a. Objective: Develop the diagnosis list using different diagnostic strategies b. Objective: Ensure to utilize advanced nurse knowledge to get differential diagnosis c. Objective: Create a treatment plan that has a specific timeline and follow-up metrics

4. Goal: Meet ethical and legal standards when caring for patients a. Objective: Cultivate an environment that gives patients an opportunity have open communication b. Objective: I will conduct myself professionally by adhering to ethical and legal standards c. Objective: Use advanced nurse knowledge to identify and adhere to cultural differences in a professional setting.

Signature:

Date:

Course/Section:

This study source was downloaded by 100000776081219 from CourseHero.com on 08-31-2023 11:54:48 GMT -05:00

References

Chiu, P., Cummings, G. G., Thorne, S., & Schick-Makaroff, K. (2021). Policy advocacy and

nursing organizations: a scoping review. Policy, Politics, & Nursing Practice, 22(4), 276–

 

296. https://doi.org/10.1177/15271544211050611

Flaubert, J. L., Menestrel, S. L., Williams, D. R., & Wakefield, M. K. (2021). The role of nurses in improving health care access and quality. In www.ncbi.nlm.nih.gov. National

Academies Press (US). https://www.ncbi.nlm.nih.gov/books/NBK573910/

Nilsen, P., Seing, I., Ericsson, C., Birken, S. A., & Schildmeijer, K. (2020). Characteristics of

successful changes in health care organizations: an interview study with physicians,

registered nurses and assistant nurses. BMC Health Services Research, 20(1).

https://doi.org/10.1186/s12913-020-4999-8

Singh, V., Kumar, A., & Gupta, S. (2022). Mental health prevention and promotion—a narrative

review. Frontiers in Psychiatry, 13. https://doi.org/10.3389/fpsyt.2022.898009

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