Practicum Objectives for the Psychiatric-Mental Health Nurse Practitioner (PMHNP) Essay

Develop 6-7 Practicum Objectives for psychiatric mental health nurse practitioner student in an outpatient clinic. Student must see at least 6 patients on each clinical day. Objectives are pertinent to child, adolescent and family psychiatric mental health clinical rotations. Use the SMART Guidelines and Link each practicum objective with corresponding Measurable Learning Outcomes (see below).

Points to elaborate:
-Client Interview
-Diagnosis of mental illnesses
-Treatment/ disease management
-Interdisciplinary collaboration
-Evaluation of care provided/follow-up
-Health promotion/Disease prevention
-Documentation/Electronic system

Examples:
1. Complete at least two comprehensive mental health assessments of the child, adolescent, and family with a focus on gaining an insight into my client’s mental health history. I will accomplish this goal by exploring multiple contexts such as the client’s physical, genetic, environmental, social, cognitive, emotional, developmental and educational background. A comprehensive mental assessment will facilitate the analysis of evidence to support clinical decision-making and appraise the effectiveness of my clinical decision.Practicum Objectives for the Psychiatric-Mental Health Nurse Practitioner (PMHNP) Essay.  Being proficient in conducting comprehensive assessment is a progressive skill, however, I shall be able to grasp the necessary abilities which will allow me to function as a PMHNP by the end of the semester (Meets course learning objectives 1, 2, 3, 4)

2. Complete 4 psychiatric assessment of acute episode of eating disorders in adolescents with a focus on assessment, interview techniques and minimizing risk factors. I am in a psychiatric inpatient setting this semester where my preceptor treats adolescents with eating disorders and I will be able to accomplish this goal by the end of the semester

MEASURABLE LEARNING OUTCOMES

1. Integrate the Christian world view in the delivery of psychiatric mental health care to pediatric individuals and families
2. Apply nursing, pathophysiology, biological, psycho-social, genetics, and population health knowledge in the assessment and management of pediatric individuals and families including health promotion and disease prevention and chronic disease and complex acute psychiatric mental health issues
3. Formulate evidence-based pharmacological and non-pharmacological therapeutic treatment plans including health promotion and disease prevention, care of chronic and complex acute psychiatric mental health issues of pediatric individuals and families
4. Evaluate cultural, ethical, legal and socioeconomic factors that affect pediatric individuals and families seeking care, including health promotion and disease prevention, chronic and complex acute psychiatric mental health issues in various mental health care settings
5. Collaborate with health professionals and community key resources in health promotion and disease prevention, management of chronic and complex acute psychiatric mental health issues of pediatric individuals and families.
6. Utilize health care technology in clinical practice: Technology and Information Literacy Competencies. Practicum Objectives for the Psychiatric-Mental Health Nurse Practitioner (PMHNP) Essay.
7. Evaluate evidence-based therapeutic models of interview techniques to develop a relationship and patient-centered care for pediatric individuals and families.
8. Analyze evidence to support clinical decision making and evaluate the effectiveness of clinical decisions in the psychiatric care of pediatric individuals and families who present for health promotion/disease prevention, chronic and complex acute psychiatric mental health issues.

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Student in an Outpatient Setup

The following are seven practicum objectives for the PMHNP who must attend to at least six patients a day. They are relevant to child, adolescent, and family rotations, and are linked to corresponding Measurable Learning Outcomes.

1. Conduct an initial clinical interview with a child, adolescent, and their families in three cases. I will conduct this interview while integrating the Christian worldview in reassuring the clients and their families that God is in charge of their condition and that he would hear their prayers to be well again. My focus will be to get the subjective history of the present mental illness in the child or adolescent, but with full realization that the historian will be a parent or guardian. I will accomplish this task by posing targeted questions that would lead to getting information on the onset of the illness, its symptoms and their severity, any medications currently being taken, the social history, the medical history, the family history, immunization history, and birth history amongst others (Sadock et al., 2015; AA, 203).
2. Make a diagnosis of at least 3 psychiatric illnesses in a child or adolescent and involving their families in the treatment planning. I will achieve this by drawing on my knowledge of pathophysiology, genetic etiological factors, and other causative factors of mental illness. Proper diagnosis will require that the clinical impression be aligned with the diagnostic criteria in the DSM-5 (Sadock et al., 2015; APA, 2013).
3. Plan and write the treatment of 2 psychiatric patients (a child or an adolescent) whose diagnoses were made in objective (2) above. I will come up with the best available evidence-based psychopharmacologic and psychotherapeutic interventions to treat the two patients each day. This requires that I be conversant with the pharmacokinetics and pharmacodynamics of psychopharmacologic agents. I must also know the expected effect of psychotherapeutic treatments such as cognitive behavioral therapy (CBT) and family therapy. I will also need to reassure and counsel the family as well as give them health promotion on mental illness prevention (Corrigan, 2016; Sadock et al., 2015; APA, 203). Practicum Objectives for the Psychiatric-Mental Health Nurse Practitioner (PMHNP) Essay.
4. Demonstrate interdisciplinary collaboration by working as a team with the other healthcare professionals in the clinic. I will evaluate the needs of 4 child and adolescent patients and their families. This will mean that I assess their cultural, ethical, spiritual, physical, mental, socioeconomic, and legal convictions and worries to determine whether I will need to refer to a member of the interdisciplinary team such as the physician (Corrigan, 2016; Sadock et al., 2015).
5. Evaluate care and provide a follow-up plan for 3 patients and their families. I will review their treatment and management in general to see if they need to be discharged. Then I will liaise with the other healthcare professionals such as the social worker to find out and plan how the patient and their family will be assisted to cope and reintegrate into the society. Health promotion and information on prevention will also be given (Corrigan, 2016; Sadock et al., 2015).
6. To undertake health promotion and disease prevention for at least 4 patients daily. I will teach the patient and their family what to do to avoid mental illness or a relapse, but also how to remain healthy psychologically. This will be made possible by harnessing the electronic health record (EHR) technological system’s capability to permit data mining of the patient’s history and clinical data. I will use this technologically mined information about the patient to tailor their health promotion and prevention education (Corrigan, 2016; Sadock et al., 2015).
7. Electronic documentation of the psychiatric records of 4 children and adolescents with mental illness. I will correctly enter and archive all the relevant patient data related to treatment in the EHR system of the facility. This archived information will enable proper decision making after analysis of available evidence (Corrigan, 2016).

References

American Psychological Association [APA] (2013). Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 5^th ed. Author.

Corrigan, P.W. (2016). Principles and practice of psychiatric rehabilitation: An empirical approach, 2^nd ed. The Guilford Press.

Sadock, B.J., Sadock, V.A., & Ruiz, P. (2015). Synopsis of psychiatry: Behavioral sciences clinical psychiatry, 11^th ed. Wolters Kluwer. Practicum Objectives for the Psychiatric-Mental Health Nurse Practitioner (PMHNP) Essay .