Care Across the Lifespan Il - Assignment Essays

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Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Your Practicum experience includes working in a clinical setting that will help you gain the knowledge and skills needed as an advanced practice nurse. In your practicum experience, you will develop a practicum plan that sets forth objectives to frame and guide your practicum experience.

As part of your Practicum Experience Plan, you will not only plan for your learning in your practicum experience but also work through various patient visits with focused notes as well as one (1) journal entry.

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

Refer to the instructions in Week 2 to create individualized practicum learning objectives that meet the requirements for this course. These objectives should be aligned specifically to your Practicum experience. Your objectives should address your self-assessment of the skills found in the “PMHNP Clinical Skills Self-Assessment Form” you completed in Week 1.

As you develop your individualized practicum learning objective, be sure to write them using the SMART format. Use the resources found in Week 2 to guide your development. Once you review your resources, continue and complete the following.
Note: Please make sure each of your objectives are connected to your self-assessment. Also, consider that you will need to demonstrate how you are advancing your knowledge in the clinical specialty.

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

6.
Planned Activities: By the end of this quarter, I will create a nurse practitioner career planner which will articulate and highlight my experience and potential to contribute to a future organization.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

Estimate how many hours you expect to work on your Practicum each week. *
Note: All of your hours and activities must be supervised by your Preceptor and completed onsite. Your Preceptor will approve all hours, but your activities will be approved by both your Preceptor and Instructor. Any changes to this plan must be approved.

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

patients during my practicum experience. I understand that I may not complete my practicum hours sooner than 8 weeks. I understand I may not be in the practicum setting longer than 8 hours per day unless pre-approved by my faculty.

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-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:

I understand my responsibilities and know how to set attainable goals for myself. I have a propensity of being goal oriented in my everyday life, and thus it is not difficult to use this practice professionally. I identify my areas of weakness strengths and work toward an applicable balance. I am committed to treating psychiatric disorders in individuals and groups through psychotherapy and medication. I focus on the requirements and scope of practice for PMHNPs. The practicality of communicating with multidisciplinary teams involves using verbal, non-verbal, and written forms. Key elements in obtaining my goals are to my professionalism and communicating skills. Sharing information with nurse practitioners and physicians improves the safety and welfare of patients (Durmaz et al., 2018). Also, I am taking the necessary steps to prepare myself to obtain and maintain my PMHNP certification and licensure.

Opportunities for growth:

This quarter I will have the opportunity to grow and improve my skills in the examination of psychiatric emergencies. Patient assessment is vital in developing accurate diagnoses (Pelin & Ayise, 2019). During this quarter I will continue my focus on assessing children and adolescents. I will broaden my knowledge pertaining to psychiatric emergencies such as suicide, threats of violence, or drug overdoses and the ethical and legal issues surrounding them. This will facilitate selecting the appropriate evidence based clinical practice guidelines for psychotherapeutic plan.

Goal: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state. By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

a. I will identify the application process for certification in Georgia
b. I will identify what is included in my state practice agreement
c. I will identify how my state defines the scope of practice of a nurse practitioner

2.
Goal: This quarter I will identify what information is needed to understanding billing and coding. By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing
c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

3.
Goal: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam. By the end of this quarter, I will create a nurse practitioner career planner which will articulate and highlight my experience and potential to contribute to a future organization.

a. I will identify resources that support personal career development
b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies
c. I will explain legislative and advocacy activities related to nurse practitioner practice

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

HPI:
HPI: A.G. is a 79-year-old male patient presenting with symptoms of depression. The patient has memory loss issues and often gets in trouble with his wife because of this condition. Although the patient denies being depressed, He presents depression symptoms. He is currently on medication to treat his memory loss issues.

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

The patient is calm and highly cooperative throughout the assessment. The only problem noted is that the patient takes too long to process questions, and sometimes He even forgest the questions and answers to the question during the assessment. The patient has no suicidal ideations neither is he delusional.

Differential diagnosis :

Depression

Depression refers to a mood disorder that triggers insistent feelings of grief and loss of interest. This type of mental condition affects how a person feels, thinks, and behaves and causes various psychological and physical problems (Hasin et al., 2018). The major symptoms of depression include feelings of sadness, tiredness, lack of energy, angry outburst, reduced appetite, and weight loss. The other major symptom of depression is memory loss (Hasin et al., 2018). Studies have shown that depression is linked to memory loss issues such as forgetfulness or confusion (Hasin et al., 2018). Schramm et al. (2020) also asserts that depression can make it difficult for an affected person to concentrate on work or other important tasks, make decisions, and think clearly. Depression is often associated with short-term memory loss. For a person to be diagnosed with depression, feelings of sadness, mood swings, and loss of interest in activities must alter a person’s previous level of function and ought to have persistent for at least two weeks (Hasin et al., 2018). The symptoms exhibited by the patient, such as loss of appetite, weight loss, and memory loss, have significantly altered the patient’s functioning and hence meet the DSM diagnostic criteria for depression. This is a primary diagnosis for this patient.

Bipolar disorders

Bipolar disorder is a mental illness that causes extreme episodes of mania and hypomania. The illness is associated with changes in energy levels, ability to concentrate, sleep pattern, and other features which impact significantly impact a person’s life (Kessing et al., 2021). Most persons with bipolar disorder experience extreme moods characterized by high and low episodes. Others experience psychosis which includes paranoia, delusion, and hallucinations. There are two types of bipolar disorders; Bipolar 1 disorder and Bipolar II disorder. According to DSM 5 -TR diagnostic criteria, a person must have experienced a single manic experience and must also have had a previous major depressive disorder, and the patient must rule out other possible disorders like schizophrenia disorders (Kessing et al., 2021). In order to be diagnosed with bipolar II, a person must have experienced at least episodes of depression, one hypomanic episode, and other diagnoses to elucidate mood changes. The significant symptoms and diagnostic criteria highlighted by DSM 5-TR rule out bipolar disorder as the primary patient diagnosis. Thus Bipolar disorder is a secondary diagnosis.

Schizophrenia disorders

Schizophrenia is a chronic server mental illness that impacts how an individual thinks, behaves, expresses emotions, and perceives reality. The DSM-5 -TR diagnostic criteria state that a person must be at least two of the five major symptoms of Schizophrenia to qualify for the diagnosis (Pearson & Berry, 2019). These five symptoms of Schizophrenia are delusional, incoherent speaking, hallucinations, unusual movement, and other undesirable symptoms (Pearson & Berry, 2019). Although this condition causes memory loss, at least two major symptoms that qualify a patient for a schizophrenia diagnosis are not present.

Treatment Plan

The treatment plan will combine pharmacological and non-pharmacological interventions. For this case, the pharmacological intervention for this patient will include prescribing Selective serotonin reuptake inhibitors. This medication has few bothersome side effects compared to other antidepressant types (Furukawa et al., 2019). Furthermore, the patient in question is an elderly person; thus, the prescribed medication should not intensify comorbidity issues related to his age. The patient will take 10 mg of Citalopram twice a day, that is, in the morning and the evening.

Psychotherapy will be applied as the non-pharmacologic treatment intervention for the patient. In particular, cognitive-behavioral therapy will be used to treat this patient. CBT sessions train the patient to develop compensatory tactics for their lapse in memory, thus helping them to circumnavigate their daily challenges. CBT strives to structure the human brain by establishing neural patterns via neural thinking. This psychotherapy session is effective in treating patients with depression (Zhang et al., 2018). The patient will be encouraged to attend all Cognitive therapy sessions and adhere to prescribed medication. In addition to complying with the recommended medication, the treatment plan also integrates nutritional education. For this patient, I will advise the patient to eat food rich in omega-3 Fatty Acids, vitamin D, Zinc, and protein.

Reflections:

During the assessment, I could not capture sufficient data from the patient to inform proper diagnosis and treatment. In subsequent meetings with patients presenting with comparable symptoms, I woud ensure I gather sufficient data pertaining especially to their psychiatric and substance use history, which also captures the patient family history. I will also apply therapeutic communication to enhance interaction with the patient presenting depressive symptoms. Such communication helps calm the patient and helps create a conducive environment for them to share their vulnerabilities.

References

Furukawa, T. A., Cipriani, A., Cowen, P. J., Leucht, S., Egger, M., & Salanti, G. (2019). Optimal dose of selective serotonin reuptake inhibitors, venlafaxine, and mirtazapine in major depression: a systematic review and dose-response meta-analysis.
The Lancet Psychiatry,
6(7), 601-609.

Guu, T. W., Mischoulon, D., Sarris, J., Hibbeln, J., McNamara, R. K., Hamazaki, K., … & Su, K. P. (2019). International society for nutritional psychiatry research practice guidelines for omega-3 fatty acids in the treatment of major depressive disorder.
Psychotherapy and psychosomatics,
88(5), 263-273.

Hasin, D. S., Sarvet, A. L., Meyers, J. L., Saha, T. D., Ruan, W. J., Stohl, M., & Grant, B. F. (2018). Epidemiology of adult DSM-5 major depressive disorder and its specifiers in the United States.
JAMA psychiatry,
75(4), 336-346.

Kessing, L. V., González-Pinto, A., Fagiolini, A., Bechdolf, A., Reif, A., Yildiz, A., … & Vieta, E. (2021). DSM-5 and ICD-11 criteria for bipolar disorder: Implications for the prevalence of bipolar disorder and validity of the diagnosis–A narrative review from the ECNP bipolar disorders network.
European Neuropsychopharmacology,
47, 54-61.

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Schramm, E., Klein, D. N., Elsaesser, M., Furukawa, T. A., & Domschke, K. (2020). Review of dysthymia and persistent depressive disorder: history, correlates, and clinical implications.
The Lancet Psychiatry,
7(9), 801-812.

Zhang, Z., Zhang, L., Zhang, G., Jin, J., & Zheng, Z. (2018). The effect of CBT and its modifications for relapse prevention in major depressive disorder: a systematic review and meta-analysis.
BMC psychiatry,
18(1), 1-14.

Page 7 of 7

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

Refer to the “Population-Focused Nurse Practitioner Competencies” in the Learning Resources, and consider the quality measures or indicators advanced practice nurses must possess in your specialty.

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

JOURNAL ENTRY

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.

O PREPARE

· 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; 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 3 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? How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.

· Answer these questions: How am I doing? What is missing?

· Rubric

PRAC_6675_Week11_Assignment_Rubric

PRAC_6675_Week11_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssimilation 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 are 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.	50 pts
This criterion is linked to a Learning OutcomeAssimilation 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. There is 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.	30 pts
This criterion is linked to a Learning OutcomeWritten 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; and basically free from grammar, punctuation, usage, and spelling errors. 13 to >11.0 pts Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. 11 to >10.0 pts Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. 10 to >0 pts Poor oor writing style lacking in standard English, clarity, language used, and/or contains frequent errors in grammar, punctuation, usage, and spelling. Needs work.	1 5 pts
This criterion is linked to a Learning OutcomeAPA	5 to >4.0 pts Excellent Contains no APA errors. 4 to >3.5 pts Good Contains 1–2 APA errors. 3.5 to >3.0 pts Fair Contains 3–5 APA errors. 3 to >0 pts Poor Contains more than 5 APA errors.	5 pts
Total Points: 100

Master of Science in Nursing

Practicum Experience Plan

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 6, 2022

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A:

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Quarter/Term/Year: Winter 2022/2023

STUDENT INFORMATION

Student name: Tina Cherry

Student phone number (primary): 347-971-0

City/town: Suwanee

State: GA

Walden email address: tina.cherry@waldenu.edu

Alternative email address: tinacherry100@gmail.com

Time zone: Eastern

Student practicum site schedule: see below*

PRECEPTOR AND SITE INFORMATION

Preceptor name (first and last): Neil Jariwala

Preceptor credentials (MD, FNP, DO, etc.): MD

Site name: Virtual Consult MD

Site address: 5444 Indiana Street, Ste 109

City/town: Evansville

State: IN

Preceptor email address: info@virtualconsultmd.com

Preceptor phone number:

-848-2322

Site phone number: 812-848-2322

Field Site Clinic hours: Monday-Friday 8am-5pm

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

1.
Objective 1: This quarter I will focus on the certification and licensure requirements for PMHNPs in Georgia and prepare for the standards you will need to meet to practice in my state.

2.
Planned Activities: By the end of this quarter, I will know my states specific PMHNP certification and licensure requirements and scope of practice, as well as prescriptive authority issues.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify the application process for certification in Georgia

b. I will identify what is included in my state practice agreement

c. I will identify how my state defines the scope of practice of a nurse practitioner

3.
Objective 2: This quarter I will identify what information is needed to understanding billing and coding.

4.
Planned Activities: By the end of this quarter, I will be able to identify and explain what information is needed to support the coding of services I provide to my patients.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

b. I will analyze the relationships among documentation, coding, and billing in advanced practice nursing

c. I will evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

5.
Objective 3: This quarter I will evaluate my progress and determine what revisions are necessary to prepare for the PMHNP certification exam.

Mode of Assessment: Direct patient care

PRAC Course Outcome(s) Addressed:

a. I will identify resources that support personal career development

b. I will analyze how the nurse practitioner program contributes to mastery of National Organization for Nurse Practitioner Faculties competencies

c. I will explain legislative and advocacy activities related to nurse practitioner practice

Part 3: Projected Timeline/Schedule

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or

0 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)

Number of Weekly Hours for Professional Development (these are not practicum hour)

Number of Weekly Hours for Practicum Coursework (these are not practicum hours)

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Tina Cherry Date: December 6, 2022

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan
on or before Day 7 of
Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 4, 2022

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

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-TR based on assessment data

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

Pharmacotherapeutic skills in:

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

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:

Opportunities for growth:

a. I will apply
DSM-5-TR diagnosis criteria and ICD-10 codes to patient service documentation

Signature: Tina Cherry

Date: December 4, 2022

Course/Section: PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46

Reference

Durmaz, Y. C., Serin, E. K., & Polat, H. T. (2018). Determination of Problem-Solving and

Communication Skills of Nursing/Midwifery Students. International journal of caring sciences, 11(3).

Pelin, K., & Ayise, K. (2019). Assessment of mentorship applications in nursing clinical

education. International Journal of Caring Sciences, 12(2), 869-876.

Focused SOAP Psychiatric Evaluation

Tina Cherry

College of Nursing-PMHNP, Walden University

PRAC-6675-46/PRAC-6675F-46/PRAC-6675C-46 : Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II

Dr. Nataliya Ishkova

December 18, 2022

Subjective:

CC (chief complaint): Memory loss

Past Psychiatric History:

·
General Statement: The patient has memory loss issues The Patient hallucinates a lot

·
Caregivers (if applicable): The patient caregiver is his wife

·
Hospitalizations: No record of previous hospitalization but the patient has previously seen a psychiatrist to aid him with memory loss problems

·
Medication trials: The patient is currently on three medications; Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg

Psychotherapy or
Previous Psychiatric Diagnosis: Previously diagnosed with memory loss issues

Substance Current Use and History:

Family Psychiatric/Substance Use History: There is no specific history of family psychiatric issues or substance use.

Psychosocial History: There are no legal issues raised by the patient during the examination.

·
Current Medications: Wellbutrin 200 mg, Trazadone 50 mg, and Primidone 100 mg.

·
Allergies: Allergic to Risperidone and Seroquel

·
Reproductive Hx: The patient has no children

ROS:

· GENERAL: The patient tends to forget simple with a short span of time

· HEENT: The conjunctiva is clear, No sinus infection, and eyesight is not clear

· Mouth: There are no muscossal lesions

· Teeth; brownish-staining

· Neck: thyroid non-enlarged

· SKIN: denies rash and pruritus; skin is not sufficiently moist

· CARDIOVASCULAR: bradycardia

· RESPIRATORY: Bilaterally clear

· GASTROINTESTINAL: denies nausea, diarrhea, abdominal pain, loss of appetite

· GENITOURINARY: Denies dysuria

· NEUROLOGICAL: memory loss issues; denies headache

· MUSCULOSKELETAL: No musculoskeletal issues

· HEMATOLOGIC: No anemia

· LYMPHATICS: No swollen lymph nodes

· ENDOCRINOLOGIC: No endocrinal conditions present

Objective:

Physical exam: Blood pressure 130/90 weight 175 lbs

Diagnostic results: no labs ordered

Assessment:

Mental Status Examination:

Differential diagnosis :

Depression

Bipolar disorders

Schizophrenia disorders

Treatment Plan

Reflections:

References

Pearson, N. T., & Berry, J. H. (2019). Cannabis and psychosis through the lens of DSM-5.
International journal of environmental research and public health,
16(21), 4149.

Page 7 of 7

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