This is a Nursing paper that focuses on Clinical skills self-assessment. Based on the ratings provided below, I would consider my strengths as

• Performing and interpreting a comprehensive and/or interval history and physical examination: I am confident in my ability to gather relevant patient information and interpret it accurately to inform diagnosis and treatment plans.
• Performing and interpreting a mental status examination: I am skilled in assessing patients’ cognitive, emotional, and behavioral functioning to inform diagnosis and treatment plans.
• Collaborating with multi-disciplinary teams to improve clinical practice in mental health settings: I can work effectively with other healthcare professionals to provide comprehensive patient care.
• Maintaining professional boundaries and therapeutic relationships with clients and staff: I am skilled in establishing and maintaining appropriate boundaries with patients and colleagues to ensure ethical and practical care.
• Identifying ethical and legal dilemmas with possible resolutions: I can recognize and address ethical and legal issues that may arise in clinical practice.
• Practicing within my scope of practice: I can provide care within the limits of my training and expertise.

Additionally, on the Clinical skills self-assessment, I would consider My opportunities for improvement  to include the following ;

• Selecting appropriate evidence-based clinical practice guidelines for medication plans: I need to improve my ability to choose the most appropriate medication plan for patients based on evidence-based guidelines.
• Evaluating patient response and modifying plans as necessary: I need to improve my ability to monitor patients’ responses to treatment and modify plans to ensure optimal outcomes.
• Selecting appropriate evidence-based clinical practice guidelines for psychotherapeutic plans: I need to improve my ability to choose the most appropriate psychotherapeutic plan for patients based on evidence-based guidelines.
• Recognizing clinical signs and symptoms of psychiatric illness across the lifespan: I need to improve my ability to identify symptoms of mental illness in patients of all ages.
• Differentiating between pathophysiological and psychopathological conditions: I need to improve my ability to distinguish between physical and mental health conditions that may present with similar symptoms.
• Formulating diagnoses according to DSM 5 based on assessment data: I need to improve my ability to use the DSM 5 to diagnose mental health conditions based on assessment data.

Attached below is the Self-Assessment Form on Clinical Skills self-assessment 

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

In this section about Clinical skills self-assessment, write three to four (3–4) achievable goals and objectives for this practicum experience. Ensure that they follow the SMART Strategy described in the Learning Resources.

1.       Goal: Enhance pharmacotherapeutic skills a.       Objective: Research and familiarize with at least three evidence-based clinical practice guidelines for medication plans by the end of the first month of the practicum. b.       Objective: Observe and assist in evaluating patient responses and modifying medication plans in at least five cases under supervision by the end of the second month. c.       Objective: Independently evaluate patient responses and modify medication plans in at least three cases by the end of the practicum. 2.       Goal: Improve psychotherapeutic treatment planning skills a.       Objective: Study and understand the principles of at least two new evidence-based psychotherapeutic modalities by the end of the first month of the practicum. b.       Objective: Apply the selected psychotherapeutic modalities in at least three cases under supervision by the end of the second month. c.       Objective: Independently develop and implement age-appropriate individualized plans of care using the selected psychotherapeutic modalities in at least two cases by the end of the practicum. 3.       Goal: Strengthen diagnostic reasoning skills a.       Objective: Observe and participate in at least five cases where differential diagnoses are developed and prioritized under supervision by the end of the first month of the practicum. b.       Objective: Independently develop and prioritize differential diagnoses lists in at least three cases by the end of the second month. c.       Objective: Accurately formulate diagnoses according to DSM 5 based on assessment data in at least three cases independently by the end of the practicum. 4.       Goal: Develop expertise in selecting and implementing appropriate screening instruments a.       Objective: Review and understand the application of at least three new screening instruments by the end of the first month of the practicum. b.       Objective: Implement the selected screening instruments efficiently and effectively in at least five cases under supervision by the end of the second month. c.       Objective: Independently select, implement, and interpret results for appropriate screening instruments in at least three cases by the end of the practicum.

 

PMHNP PRAC 6645 Clinical skills self assessment