Use the PMHNP Clinical Skills Self-Assessment Form to complete the following:    ·        Rate yourself according to your confidence level performing the procedures identified on the Clinical Skills Self-Assessment Form.  Based on

Desired Clinical Skills for Students to Achieve

Confident (Can complete independently)

Mostly confident (Can complete with supervision)

Beginning (Have performed with supervision or need supervision
to feel confident)

New (Have never performed or does not apply)

Comprehensive psychiatric evaluation skills in: 

Recognizing clinical signs and symptoms of psychiatric
illness across the lifespan

Beginning (Have performed with supervision or need supervision
to feel confident

Differentiating between pathophysiological and
psychopathological conditions 

Beginning (Have performed with supervision or need supervision
to feel confident

Performing and interpreting a comprehensive and/or interval
history and physical examination (including laboratory and diagnostic
studies) 

Beginning (Have performed with supervision or need supervision
to feel confident

Performing and interpreting a mental status examination 

Mostly confident (Can complete with supervision

Performing and interpreting a psychosocial assessment and family
psychiatric history 

Mostly confident (Can complete with supervision

Performing and interpreting a functional assessment (activities
of daily living, occupational, social, leisure, educational).

Beginning (Have performed with supervision or need supervision
to feel confident

Diagnostic reasoning skill in:

Developing and prioritizing a differential diagnoses list

Mostly confident (Can complete with supervision

Formulating diagnoses according to DSM 5 based on assessment
data 

Mostly confident (Can complete with supervision

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

Mostly confident (Can complete with supervision

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) 

Mostly confident (Can complete with supervision

Evaluating patient response and modify plan as necessary 

Mostly confident (Can complete with supervision

Documenting (e.g., adverse reaction, the patient response,
changes to the plan of care)

Beginning (Have performed with supervision or need supervision
to feel confident

Psychotherapeutic Treatment Planning:

Recognizes
concepts of therapeutic modalities across the lifespan

Beginning (Have performed with supervision or need supervision
to feel confident

Selecting appropriate evidence based clinical practice
guidelines for psychotherapeutic plan (e.g., risk/benefit, patient
preference, developmental considerations, financial, the process of informed
consent, symptom management, modality appropriate for situation) 

Mostly confident (Can complete with supervision

Applies
age appropriate psychotherapeutic counseling techniques with individuals,
families, and/or groups

Beginning (Have performed with supervision or need supervision
to feel confident

Develop an age appropriate
individualized plan of care

Confident (Can complete independently

Provide psychoeducation to
individuals, family, and/or groups

Beginning (Have performed with supervision or need supervision
to feel confident

Promote health and disease
prevention techniques

Mostly confident (Can complete with supervision

Self-Assessment skills:

Develop SMART goals for practicum experiences 

Mostly confident (Can complete with supervision

Evaluating outcomes of practicum goals and modify plan as
necessary 

Beginning (Have performed with supervision or need supervision
to feel confident

Documenting and reflecting on learning experiences

Mostly confident (Can complete with supervision

Professional skills:

Maintains
professional boundaries and therapeutic
relationship with clients and
staff

Mostly confident (Can complete with supervision

Collaborate
with multi-disciplinary teams to improve clinical practice in mental health
settings 

Beginning (Have performed with supervision or need supervision
to feel confident

Identifies ethical and legal
dilemmas with possible resolutions

Mostly confident (Can complete with supervision

Demonstrates non-judgmental
practice approach and empathy

Mostly confident (Can complete with supervision

Practices within scope of
practice

Beginning (Have performed with supervision or need supervision
to feel confident

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 

Mostly confident (Can complete with supervision

Implements the screening instrument
efficiently and effectively with the clients

Confident (Can complete independently

Interprets results for
screening instruments accurately

Mostly confident (Can complete with supervision

Develops an appropriate plan
of care based upon screening instruments response

Mostly confident (Can complete with supervision

Identifies the need to refer
to another specialty provider when applicable

Mostly confident (Can complete with supervision

Accurately documents
recommendations for psychiatric consultations when applicable

Mostly confident (Can complete with supervision

1.       Goal:

a.      
Objective:

b.     
Objective:

c.      
Objective:

2.       Goal:

a.      
Objective:

b.     
Objective:

c.      
Objective:

3.       Goal:

a.      
Objective:

b.     
Objective:

c.      
Objective:

4.       Goal:

a.      
Objective:

b.     
Objective:

c.      
Objective: