PMHNP PRAC 6665/6675 Clinical Skills
Self-Assessment Form
Desired Clinical Skills for Confident (Can Mostly Beginning (Have New (Have
Students to Achieve complete confident (Can performed with never
independently) complete with supervision or performed or
supervision) need does not apply)
supervision to
feel confident)
Comprehensive psychiatric evaluation skills in:
Recognizing clinical signs X
and symptoms of
psychiatric illness across
the lifespan
Differentiating between X
pathophysiological and
psychopathological
conditions
Performing and X
interpreting a
comprehensive and/or
interval history and
physical examination
(including laboratory and
diagnostic studies)
Performing and X
interpreting a mental
status examination
Performing and X
interpreting a psychosocial
assessment and family
psychiatric history
Performing and X
interpreting a functional
assessment (activities of
daily living, occupational,
social, leisure,
educational).
Diagnostic reasoning skill in:
Developing and prioritizing X
a differential diagnoses list
Formulating diagnoses X
according to DSM 5 based
on assessment data
Differentiating between X
normal/abnormal age-
related physiological and
psychological
symptoms/changes
Pharmacotherapeutic skills in:
Selecting appropriate X
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 X
response and modify plan
as necessary
Documenting (e.g., adverse X
reaction, the patient
response, changes to the
plan of care)
Psychotherapeutic Treatment Planning:
Recognizes concepts of X
therapeutic modalities
across the lifespan
Selecting appropriate X
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 X
psychotherapeutic
counseling techniques with
individuals, families, and/or
groups
Develop an age X
appropriate individualized
plan of care
Provide psychoeducation X
to individuals, family,
and/or groups
Promote health and
disease prevention
techniques
Self-Assessment skills:
Develop SMART goals for X
practicum experiences
Evaluating outcomes of X
practicum goals and modify
plan as necessary
Documenting and X
reflecting on learning
experiences
Professional skills:
Maintains professional X
boundaries and
therapeutic relationship
with clients and staff
Collaborate with multi- X
disciplinary teams to
improve clinical practice in
mental health settings
Identifies ethical and legal X
dilemmas with possible
resolutions
Demonstrates non- X
judgmental practice
approach and empathy
Practices within scope of X
practice
Selecting and implementing appropriate screening instrument(s), interpreting results, and making
recommendations and referrals:
Demonstrates selecting the X
correct screening
instrument appropriate for
the clinical situation
Implements the screening X
instrument efficiently and
effectively with the clients
Interprets results for X
screening instruments
accurately
Develops an appropriate X
plan of care based upon
screening instruments
response
Identifies the need to refer X
to another specialty
provider when applicable
Accurately documents X
recommendations for
psychiatric consultations
when applicable
Summary of strengths:
I can maintain professional boundaries while effectively building therapeutic relationships. I have
developed my skills using various tools to complete a comprehensive psychiatric evaluation.
Opportunities for growth:
I need to develop my skills in pharmacotherapeutic treatment planning processes using evidence
based clinical practices. I need to develop my skills with creating medication plans and modifying as
necessary based on the patient’s response across the lifespan using evidence-based practice.
Now, write three to four (3–4) possible goals and objectives for this practicum experience. Ensure that
they follow the SMART Strategy, as described in the Learning Resources.
1. Goal: Conduct a comprehensive psychiatric evaluation independently
a. Objective: Gain more confidence working with clients across the lifespan to recognize
psychiatric illness clinical signs and symptoms, by the end of week 4
b. Objective: Gain more confidence distinguishing conditions that are pathophysiological
versus psychopathological, by the end of week 6
c. Objective: Gain more confidence using assessment data to formulate a psychiatric illness
diagnosis that is based according to the DSM-5, by the end of week 6
2. Goal: Continue to improve my diagnostic reasoning skills
a. Objective: Continue to strengthen my skills to effectively develop and prioritize a
differential diagnoses list, by the end of week 4
b. Objective: Continue to strengthen my skills to develop diagnoses based on assessment
data according to the DSM-5, by the end of week 6
c. Objective: Differentiate physiological and psychological symptoms/changes based on
normal/abnormal age, by the end of week 6
3. Goal: Improve my pharmacotherapeutic skills
a. Objective: Develop medication plan by utilizing clinical based practice guidelines, by end of
week 4
b. Objective: Assess patient for therapeutic response to medication and modify as needed, by
the end of week 6
c. Objective: Document effectiveness or failed trail of medication and update the plan of
care, by the end of week 6
Signature:
Date: 8/1/2024
Course/Section: PRAC-6665-18