Posted: January 26th, 2023

PRAC – 6665 Psychiatric Mental Health Nurse Practitioner Care

PRAC – 6665 Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan I Practicum

Week 1: Competencies of Advanced Nursing Practice
What do I have to do? When do I have to do it?
Review your Learning Resources. Days 1–7
Assignment 1: Practicum Site Information Submit Assignment 1 by Day 2.
Assignment 2: Clinical Skills Self-Assessment Submit Assignment 2 by Day 7.
Assignment 3: Clinical Hour and Patient Logs Track your clinical hours and patient encounters in
Meditrek throughout this practicum course. Each week,
your logs must be completed by Day 7.
Introduction
Tell me and I forget, teach me and I may remember, involve me and I learn.
—Xun Kuang, Chinese Confucian philosopher

Welcome to your PMHNP Care Across the Lifespan I Practicum! The practicum experience is an experiential learning opportunity which allows you to gain and refine your clinical advanced nursing skills under the mentorship of a Preceptor. As you engage with patients in the practicum setting, your involvement will extend your learning about a variety of psychiatric and mental health care needs for patients across the lifespan.

Throughout the next 11 weeks, you will evaluate your skill development, reflect on patient encounters, and generate goals related to your growth as an advanced practice nurse. This week, you start by assessing your strengths and opportunities related to psychiatric-mental health nurse practitioner (PMHNP) clinical skills. PRAC – 6665 Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan I Practicum

Learning Objectives

Students will:

Complete practicum site form
Assess clinical skills related to advanced psychiatric-mental health nursing practice
Develop measurable goals and objectives for the practicum experience
Describe clinical hours and patient encounters
—>
Advanced psychiatric-mental health nursing practice involves a wide range of clinical skills, including assessment and diagnosis, treatment planning and implementation, crisis intervention, psychopharmacology, and collaboration with other healthcare providers.
Measurable goals and objectives for a psychiatric-mental health nursing practicum experience should be developed in collaboration with the preceptor and should align with the student’s learning needs and career goals. Examples of goals and objectives include:
Developing and implementing a comprehensive assessment of a patient with a mental illness
Creating and implementing an individualized treatment plan for a patient with a co-occurring mental health and substance abuse disorder
Demonstrating proficiency in the administration and monitoring of psychopharmacological agents
Collaborating with other healthcare providers to provide coordinated care for a patient with a serious mental illness
Clinical hours for a psychiatric-mental health nursing practicum will vary depending on the program and the individual student’s needs. Typically, students will spend several hours per week in direct patient care, with additional time spent in didactic and seminar sessions. Patient encounters may include individual and group therapy sessions, medication management appointments, and participation in interdisciplinary team meetings.

Learning Resources

Required Readings

American Academy of Child and Adolescent Psychiatry. (2018). CPT code training module. https://www.aacap.org/App_Themes/AACAP/docs/clinical_practice_center/business_of_practice/cpt/2018_CPT_module_revised_March_2018.pdf
American Association of Nurse Practitioners. (2019). Discussion paper: Standards of practice for nurse practitioners. https://storage.aanp.org/www/documents/advocacy/position-papers/StandardsOfPractice.pdf
American Psychiatric Association. (2020). Coding and reimbursement. https://www.psychiatry.org/psychiatrists/practice/practice-management/coding-reimbursement-medicare-and-medicaid/coding-and-reimbursement
American Psychiatric Nurses Association. (2013). Population-focused nurse practitioner competencies. https://www.apna.org/files/Councils/Population-Focused-NP-Competencies-2013.pdf
Note: Review the Psychiatric Mental Health Nurse Practitioner Competencies.
International Council of Nurses. (2020). Guidelines on advanced practice nursing 2020. https://www.icn.ch/system/files/documents/2020-04/ICN_APN%20Report_EN_WEB.pdf
Meditrek
https://edu.meditrek.com/Default.html
Note: Use this link to log into Meditrek to report your clinical hours and patient encounters.
The National Organization of Nurse Practitioner Faculties
https://www.nonpf.org/
The National Organization of Nurse Practitioner Faculties. (2017). Nurse practitioner core competencies content.
https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/competencies/20170516_NPCoreCompsContentF.pdf
Walden University Academic Skills Center. (2017). Developing SMART goals.
https://academicguides.waldenu.edu/ld.php?content_id=51901492
Walden University Field Experience. (2020a). Field experience: College of Nursing.
https://academicguides.waldenu.edu/fieldexperience/son/home
Walden University Field Experience. (2020b). MSN nurse practitioner practicum manual.
https://academicguides.waldenu.edu/fieldexperience/son/formsanddocuments
Walden University Field Experience. (2020c). Walden University School of Nursing: Practicum orientation and resource guide for students: MSN—nurse practitioner.
https://academicguides.waldenu.edu/StudentPracticum/NP_StudentOrientation
Document: Practicum Site Information Form (Word document)
Document: PMHNP Clinical Skills List (PDF)
Document: PMHNP Clinical Skills Self-Assessment Form (Word document)
Acknowledgment

Practicum Manual Acknowledgment

The Practicum Manual describes the structure and timing of the classroom-based and practicum experiences and the policies students must follow to be successful in the nurse practitioner (NP) specialties.

Field Experience: MSN Nurse Practitioner Practicum Manual
Click here and follow the instructions to confirm you have downloaded and read the entire MSN Nurse Practitioner Practicum Manual and will abide by the requirements described in order to successfully complete this program.

Assignment 1: Practicum Site Information
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Prior to starting the course, you should have applied for a practicum site following the guidelines for psychiatric-mental health nurse practitioner (PMHNP) practice. Now it is time to make it official. For this Assignment, you provide your Clinical Faculty with information about your practicum site, your Preceptor, and your clinical calendar.

To Prepare

Verify that your practicum application has been approved by logging in to Meditrek.
Access the Practicum Site Information Form from the Learning Resources.
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The Assignment

Complete the designated areas of the Practicum Site Information Form, including your practicum site and contact information, your Preceptor and contact information, and a schedule of when you plan to engage in practicum activities onsite. PRAC – 6665 Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan I Practicum

By Day 2 of Week 1

Submit your completed Practicum Site Information Form.

Submit Your Assignment by Day 7 of Week 1

To participate in this Assignment:

Week 1 Assignment 1

Assignment 2: Clinical Skills Self-Assessment
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Before embarking on any professional or academic activity, it is important to understand the background, knowledge, and experience you bring to it. You might ask yourself, “What do I already know? What do I need to know? And what do I want to know?” This critical self-reflection is especially important for developing clinical skills such as those for advanced practice nursing.

The PMHNP Clinical Skills List and PMHNP Clinical Skills Self-Assessment Form provided in the Learning Resources can be used to celebrate your progress throughout your practicum and identify skills gaps. The skills list covers all necessary skills you should demonstrate during your practicum experiences.

For this Assignment (just as you did in PRAC 6645), you assess where you are now in your clinical skill development and make plans for this practicum. Specifically, you will identify strengths and opportunities for improvement regarding the required practicum skills. In this practicum experience, when developing your goals and objectives, be sure to keep assessment and diagnostic reasoning in mind. As you complete your self-assessment this week, you may wish to look back over your self-assessments from prior practicums to reflect on your growth.

To Prepare

Review the clinical skills in the PMHNP Clinical Skills List document. It is recommended that you print out this document to serve as a guide throughout your practicum.
Review the “Developing SMART Goals” resource on how to develop goals and objectives that follow the SMART framework.
Review the resources on nursing competencies and nursing theory, and consider how these inform your practice.
Download the PMHNP Clinical Skills Self-Assessment Form to complete this Assignment.
The Assignment

Use the PMHNP Clinical Skills Self-Assessment Form to complete the following:

Rate yourself according to your confidence level performing the skills identified in the Clinical Skills Self-Assessment Form.
Based on your ratings, summarize your strengths and opportunities for improvement.
Based on your self-assessment and theory of nursing practice, develop three to four (3–4) measurable goals and objectives for this practicum experience. Include them on the designated area of the form.
By Day 7 of Week 1

Submit your completed PMHNP Clinical Skills Self-Assessment Form.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK1Assgn2+last name+first initial.(extension)” as the name.
Click the Week 1 Assignment 2 Rubric to review the Grading Criteria for the Assignment.
Click the Week 1 Assignment 2 link. You will also be able to “View Rubric” for grading criteria from this area.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK1Assgn2+last name+first initial.(extension)” and click Open.
If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
Click on the Submit button to complete your submission.
Grading Criteria

To access your rubric:

Week 1 Assignment 2 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 1 Assignment 2 draft and review the originality report.

Submit Your Assignment by Day 7 of Week 1

To participate in this Assignment:

Week 1 Assignment 2

Assignment 3: Clinical Hour and Patient Logs

Photo Credit: auremar / Adobe Stock

Clinical Hour Log
For this course, all practicum activity hours are logged within the Meditrek system. Hours completed must be logged in Meditrek within 48 hours of completion in order to be counted.
You may only log hours with Preceptors that are approved in Meditrek. Students with catalog years before Spring 2018 must complete a minimum of 576 hours of supervised clinical experience (144 hours in each practicum course). Students with catalog years beginning Spring 2018 must complete a minimum of 640 hours of supervised clinical experience (160 hours in each practicum course). By the end of Week 1, make sure you confirm that your Preceptor and Clinical Faculty are set up in Meditrek.

Each log entry must be linked with an individual practicum Learning Objective or a graduate Program Objective. You should track your hours in Meditrek as they are completed.

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Your clinical hour log must include the following:

Dates
Course
Clinical Faculty
Preceptor
Total Time (for the day)
Notes/Comments (including the objective to which the log entry is aligned)
Patient Log

Throughout this course, you will also keep a log of patient encounters using Meditrek. You must record at least 80 encounters with patients by the end of this practicum (40 children/adolescents and 40 adult/older adult).

The patient log must include the following:

Date
Course
Clinical Faculty
Preceptor
Patient Number
Client Information
Visit Information
Practice Management
Diagnosis
Treatment Plan and Notes: You must include a brief summary/synopsis of the patient visit. This does not need to be a SOAP note, however the note needs to be sufficient to remember your patient encounter.
By Day 7 of Week 1

Record your clinical hours and patient encounters in Meditrek.

What’s Coming Up in Week 2?

Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images

Next week, you will coordinate contact with your Clinical Faculty and Preceptor for orientation and onboarding, as well as to discuss goals and any related questions. You will continue recording your clinical hours and patient encounters in Meditrek. You will also engage with resources to bolster your confidence in assessing, diagnosing, and treating patients.

Looking Ahead: Practicum Experience Plan (PEP)

Now that you have completed your self-assessment in Week 1, in Week 2 you will begin developing your Practicum Experience Plan (PEP). Your self-assessment will inform your plan.

Photo Credit: anyaberkut / iStock / Getty Images Plus / Getty Images

Week 2: Practicum Experience Plan
What do I have to do? When do I have to do it?
Review your Learning Resources. Days 1–7
Reminder: Introductory Communication Complete your orientation email by Day 7.
Assignment 1: Clinical Hour and Patient Logs Record your clinical hours and patient encounters
in Meditrek by Day 7.
Assignment 2: Practicum Experience Plan (PEP) Submit Assignment 2 by Day 7.
Introduction
When setting sharp, clearly defined goals and objectives, you focus on what you wish to accomplish and how and when you will get there. Based on your assessment of your strengths and opportunities related to psychiatric-mental health nurse practitioner (PMHNP) clinical skills,
—>
Psychiatric-Mental Health Nurse Practitioners (PMHNPs) are advanced practice registered nurses who have completed additional training and education in the field of psychiatry and mental health. They possess a unique set of clinical skills that allow them to diagnose, treat, and manage mental health conditions in individuals across the lifespan.

Some of the key clinical skills of a PMHNP include:
Assessment: PMHNPs are skilled in conducting comprehensive assessments of individuals to evaluate their mental health status and determine appropriate treatment plans. This includes taking a thorough medical and psychiatric history, performing physical and mental health examinations, and administering and interpreting psychological tests.
Diagnosis: PMHNPs are trained to diagnose a wide range of mental health disorders using the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) and the International Classification of Diseases (ICD-10). They also consider other factors such as cultural, social, and environmental influences.
Treatment Planning: PMHNPs develop and implement treatment plans that are tailored to the individual’s specific needs. They consider the person’s preferences, cultural background, and overall health status when creating a plan that may include medications, psychotherapy, or other interventions.
Medication Management: PMHNPs have advanced training in psychopharmacology, which allows them to prescribe and manage medications for a wide range of mental health conditions. They are also able to monitor patients for side effects and adjust medications as needed.
Psychotherapy: PMHNPs are trained to provide a range of psychotherapeutic interventions, including individual, group, and family therapy. They are able to use a variety of therapeutic modalities, such as cognitive-behavioral therapy, psychodynamic therapy, and others to help individuals manage their mental health conditions.
Coordination of Care: PMHNPs work closely with other healthcare professionals, including psychiatrists, primary care physicians, and other specialists, to provide comprehensive and coordinated care to individuals with mental health conditions.
PMHNPs are highly skilled healthcare professionals who are trained to provide a wide range of mental health services to individuals of all ages. They possess unique clinical skills that enable them to diagnose, treat, and manage mental health conditions and work closely with other healthcare professionals to provide comprehensive and coordinated care.
you can develop goals and objectives for your clinical practicum that can guide your activities. What are some steps you can take on the way to a larger goal? How might you gain confidence in a clinical skill or seek out more opportunities to practice? What external activities might boost your professionalism or enhance your skill set? As you settle in at your practicum site, keep these questions in mind.

This week, you continue engaging with patients at your practicum site, recording your time and experiences in your Clinical Hour and Patient Logs. You will also develop a Practicum Experience Plan (PEP) made up of goals and objectives designed to formally identify specific categories of clinical skills you wish to gain during your practicum experience. PRAC – 6665 Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan I Practicum

Learning Objectives

Students will:

Describe clinical hours and patient encounters
Develop a Practicum Experience Plan
Create a timeline of practicum activities based on your practicum requirements
Learning Resources

Required Readings

American Academy of Child and Adolescent Psychiatry. (n.d.). Toolbox of forms. Retrieved November 18, 2020, from

https://www.aacap.org/AACAP/Member_Resources/AACAP_Toolbox_for_Clinical_Practice_and_Outcomes/Forms.aspx

American Geriatrics Society 2019 Beers Criteria Update Expert Panel. (2019). American Geriatrics Society 2019 updated AGS Beers Criteria for potentially inappropriate medication use in older adults. Journal of the American Geriatrics Society, 67(4), 674–694. https://doi.org/10.1111/jgs.15767

Carlat, D. J. (2017). The psychiatric interview (4th ed.). Wolters Kluwer.

Section I. General Principles of Effective Interviewing (Chapters 1–13)
Section III. Interviewing for Diagnosis: The Psychiatric Review of Symptoms (Chapters 19–22)
Appendixes A–C
Meditrek

https://edu.meditrek.com/Default.html
Note: Use this link to log into Meditrek to report your clinical hours and patient encounters.

Pumariega, A. J., Rothe, E., Mian, A., Carlisle, L., Toppelberg, C., Harris, T., Gogineni, R. R., Webb, S., Smith, J., & American Academy of Child and Adolescent Psychiatry Committee on Quality Issues. (2013). Practice parameter for cultural competence in child and adolescent psychiatric practice. Journal of the American Academy of Child and Adolescent Psychiatry, 52(10), 1101–1115. https://doi.org/10.1016/j.jaac.2013.06.019

Walden University Academic Skills Center. (2017). Developing SMART goals.

https://academicguides.waldenu.edu/ld.php?content_id=51901492

Document: Practicum Experience Plan Template (Word document)

Reminder: Introductory Communication

Photo Credit: Ellagrin / iStock / Getty Images Plus / Getty Images

This week, you must coordinate an introductory email with your Clinical Faculty and Preceptor. The purpose of this communication is for orientation and onboarding, goals discussion, and questions.

By Day 7 of Week 2

Complete your orientation email. Attach your clinical schedule calendar developed in Week 1 in your email. Include a summary of your goals and objectives for this practicum experience.

Assignment 1: Clinical Hour and Patient Logs

Photo Credit: auremar / Adobe Stock

Clinical Hour Log
For this course, all practicum activity hours are logged within the Meditrek system. Hours completed must be logged in Meditrek within 48 hours of completion in order to be counted.
You may only log hours with Preceptors that are approved in Meditrek. Students with catalog years before Spring 2018 must complete a minimum of 576 hours of supervised clinical experience (144 hours in each practicum course). Students with catalog years beginning Spring 2018 must complete a minimum of 640 hours of supervised clinical experience (160 hours in each practicum course).

Each log entry must be linked with an individual practicum Learning Objective or a graduate Program Objective. You should track your hours in Meditrek as they are completed.

Your clinical hour log must include the following:

Dates
Course
Clinical Faculty
Preceptor
Total Time (i.e., for the day)
Notes/Comments (including the objective to which the log entry is aligned)
Patient Log

Throughout this course, you will also keep a log of patient encounters using Meditrek. You must record at least 80 encounters with patients by the end of this practicum (40 children/adolescents and 40 adult/older adult).

The patient log must include the following:

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Date
Course
Clinical Faculty
Preceptor
Patient Number
Client Information
Visit Information
Practice Management
Diagnosis
Treatment Plan and Notes: You must include a brief summary/synopsis of the patient visit. This does not need to be a SOAP note, however the note needs to be sufficient to remember your patient encounter.
By Day 7 of Week 2

Record your clinical hours and patient encounters in Meditrek.

Assignment 2: Practicum Experience Plan (PEP)
Photo Credit: Getty Images

As you establish your goals and objectives for this course, you are committing to an organized plan that will frame your practicum experience in a clinical setting, including planned activities, assessment, and achievement of defined outcomes. In particular, your plan must address the categories of clinical reasoning, quality in your clinical specialty, and interpersonal collaborative practice.

For this Assignment, you will consider the areas you aim to focus on to gain practical experience as an advanced practice nurse. Then, you will develop a Practicum Experience Plan (PEP) containing the objectives you will fulfill in order to achieve your aims. In this practicum experience, when developing your goals and objectives, be sure to keep PMHNP clinical skills in mind.

To Prepare

Review your Clinical Skills Self-Assessment Form you submitted last week, and think about areas for which you would like to gain application-level experience and/or continued growth as an advanced practice nurse. How can your experiences in the practicum help you achieve these aims? There may be overlap between your skills goals and your PEP goals.
Review the information related to developing objectives provided in this week’s Learning Resources. Your practicum learning objectives that you want to achieve during your practicum experience must be: PRAC – 6665 Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan I Practicum
Specific
Measurable
Attainable
Results-focused
Time-bound
Reflective of the higher-order domains of Bloom’s taxonomy (i.e., application level and above)
Discuss your professional aims and your proposed practicum objectives with your Preceptor to ascertain if the necessary resources are available at your practicum site.
Select one nursing theory and one counseling theory to best guide your clinical practice. Explain why you selected these theories. Support your approach with evidence-based literature.
Create a timeline of practicum activities that demonstrates how you plan to meet these goals and objectives based on your practicum requirements.
The Assignment

Record the required information in each area of the Practicum Experience Plan template, including three to four (3–4) measurable practicum Learning Objectives you will use to facilitate your learning during the practicum experience.

By Day 7 of Week 2

Submit your Experience Plan for assessment and Faculty approval.

When your Instructor has approved your plan, forward the signed PEP to your Preceptor, and retain a copy for your records.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK2Assgn2+last name+first initial.(extension)” as the name.
Click the Week 2 Assignment 2 Rubric to review the Grading Criteria for the Assignment.
Click the Week 2 Assignment 2 link. You will also be able to “View Rubric” for grading criteria from this area.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK2Assgn2+last name+first initial.(extension)” and click Open.
If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
Click on the Submit button to complete your submission.
Grading Criteria

To access your rubric:

Week 2 Assignment 2 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 2 Assignment 2 draft and review the originality report.

Submit Your Assignment by Day 7 of Week 2

To participate in this Assignment:

Week 2 Assignment

What’s Coming Up in Week 3?

Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images

Next week, you will select a clinical patient from your practicum setting and complete a Focused SOAP Note to formulate differential diagnoses and document treatment. Based on this Assessment note, you will then develop a case study presentation on this patient. You will also track your clinical hours and patient encounters in Meditrek.

Week 3: Focused SOAP Note and Patient Case Presentation
What do I have to do? When do I have to do it?
Review your Learning Resources. Days 1–7
Assignment 1: Clinical Hour and Patient Logs Record your clinical hours and patient encounters in Meditrek by Day 7.
Assignment 2: Focused SOAP Note and Patient Case Presentation Submit by Day 7.
Introduction
Consider the experiences you have had thus far, either in the healthcare workplace or at your practicum site. As you likely know, a nurse’s job does not begin and end with one-to-one patient contact. It includes meetings, documentation, trainings, and collaboration. In particular, the nurse is a member of an interdisciplinary team and must use oral and written communication to inform others of a patient’s status. A central skill of advanced practice nursing, then, is the ability to present a patient’s history, symptoms, diagnosis, and treatment plan to relevant parties involved in treatment.PRAC – 6665 Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan I Practicum

This week, in addition to your Meditrek tracking, you will develop a focused SOAP note and video case presentation on one of the patients you have examined in your clinical practicum.

Learning Objectives

Students will:

Describe clinical hours and patient encounters
Assess patients across the lifespan in mental health settings
Formulate differential diagnoses for patients across the lifespan in mental health settings
Develop plans of care for patients across the lifespan in mental health settings
Advocate health promotion and patient education strategies across the lifespan
Develop a case study presentation based on a clinical patient
Learning Resources

Required Readings

Carlat, D. J. (2017). The psychiatric interview (4th ed.). Wolters Kluwer.

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Section II. The Psychiatric History (Chapters 14–18)
Section III. Interviewing for Diagnosis: The Psychiatric Review of Symptoms (Chapters 23–24)
Lorberg, B., Davico, C., Martsenkovskyi, D., & Vitiello, B. (2019). Principles in using psychotropic medication in children and adolescents. In J. M. Rey & A. Martin (Eds.), IACAPAP e-textbook of child and adolescent mental health (2019 ed., pp. 1–25). International Association for Child and Adolescent Psychiatry and Allied Professions. https://iacapap.org/content/uploads/A.7-Psychopharmacology-2019.1.pdf

Meditrek

https://edu.meditrek.com/Default.html
Note: Use this link to log into Meditrek to report your clinical hours and patient encounters.

Document: Focused SOAP Note Template (Word document)

Document: Focused SOAP Note Exemplar (Word document)

Assignment 1: Clinical Hour and Patient Logs
Photo Credit: auremar / Adobe Stock

Clinical Hour Log
For this course, all practicum activity hours are logged within the Meditrek system. Hours completed must be logged in Meditrek within 48 hours of completion in order to be counted.
You may only log hours with Preceptors that are approved in Meditrek. Students with catalog years before Spring 2018 must complete a minimum of 576 hours of supervised clinical experience (144 hours in each practicum course). Students with catalog years beginning Spring 2018 must complete a minimum of 640 hours of supervised clinical experience (160 hours in each practicum course).

Each log entry must be linked with an individual practicum Learning Objective or a graduate Program Objective. You should track your hours in Meditrek as they are completed.

Your clinical hour log must include the following:

Dates
Course
Clinical Faculty
Preceptor
Total Time (for the day)
Notes/Comments (including the objective to which the log entry is aligned)
Patient Log

Throughout this course, you will also keep a log of patient encounters using Meditrek. You must record at least 80 encounters with patients by the end of this practicum (40 children/adolescents and 40 adult/older adult).

The patient log must include the following:

Date
Course
Clinical Faculty
Preceptor
Patient Number
Client Information
Visit Information
Practice Management
Diagnosis
Treatment Plan and Notes: You must include a brief summary/synopsis of the patient visit. This does not need to be a SOAP note, however the note needs to be sufficient to remember your patient encounter.
By Day 7 of Week 3

Record your clinical hours and patient encounters in Meditrek.

Assignment 2: Focused SOAP Note and Patient Case Presentation

Photo Credit: Pexels

Psychiatric notes are a way to reflect on your practicum experiences and connect them to the didactic learning you gain from your NRNP courses. Focused SOAP notes, such as the ones required in this practicum course, are often used in clinical settings to document patient care.

For this Assignment, you will document information about a patient that you examined during the last three weeks, using the Focused SOAP Note Template provided. You will then use this note to develop and record a case presentation for this patient.

To Prepare

Review this week’s Learning Resources and consider the insights they provide. Also review the Kaltura Media Uploader resource in the left-hand navigation of the classroom for help creating your self-recorded Kaltura video.
Select a patient of any age (either a child or an adult) that you examined during the last 3 weeks.
Create a Focused SOAP Note on this patient using the template provided in the Learning Resources. There is also a completed Focused SOAP Note Exemplar provided to serve as a guide to assignment expectations.
Please Note:
All SOAP notes must be signed, and each page must be initialed by your Preceptor. Note: Electronic signatures are not accepted.
When you submit your note, you should include the complete focused SOAP note as a Word document and PDF/images of each page that is initialed and signed by your Preceptor.
You must submit your SOAP note using SafeAssign. Note: If both files are not received by the due date, faculty will deduct points per the Walden Grading Policy.
Then, based on your SOAP note of this patient, develop a video case study presentation. Take time to practice your presentation before you record.
Include at least five scholarly resources to support your assessment, diagnosis, and treatment planning.
Ensure that you have the appropriate lighting and equipment to record the presentation.
The Assignment
Record yourself presenting the complex case study for your clinical patient. In your presentation:

Dress professionally with a lab coat and present yourself in a professional manner.
Display your photo ID at the start of the video when you introduce yourself.
Ensure that you do not include any information that violates the principles of HIPAA (i.e., don’t use the patient’s name or any other identifying information).
Present the full complex case study. Include chief complaint; history of present illness; any pertinent past psychiatric, substance use, medical, social, family history; most recent mental status exam; current psychiatric diagnosis including differentials that were ruled out; and plan for treatment and management.
Report normal diagnostic results as the name of the test and “normal” (rather than specific value). Abnormal results should be reported as a specific value.
Be succinct in your presentation, and do not exceed 8 minutes. Specifically address the following for the patient, using your SOAP note as a guide:
Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?
Objective: What observations did you make during the psychiatric assessment?
Assessment: Discuss their mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses and why you chose them. List them from highest priority to lowest priority. What was your primary diagnosis and why? Describe how your primary diagnosis aligns with DSM-5 diagnostic criteria and supported by the patient’s symptoms. PRAC – 6665 Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan I Practicum
Plan: What was your plan for psychotherapy? What was your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan. Also be sure to include at least one health promotion activity and one patient education strategy.
Reflection notes: What would you do differently with this patient if you could conduct the session again? If you are able to follow up with your patient, explain whether these interventions were successful and why or why not. If you were not able to conduct a follow up, discuss what your next intervention would be.
By Day 7 of Week 3

Submit your Video and Focused SOAP Note Assignment. You must submit two files for the note, including a Word document and scanned pdf/images of each page that is initialed and signed by your Preceptor.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK3Assgn2+last name+first initial.(extension)” as the name.
Click the Week 3 Assignment 2 Rubric to review the Grading Criteria for the Assignment.
Click the Week 3 Assignment 2 link. You will also be able to “View Rubric” for grading criteria from this area.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK3Assgn2+last name+first initial.(extension)” and click Open.
If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
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Week 3 Assignment 2 Rubric

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Submit your Week 3 Assignment 2 draft and review the originality report.

Submit Your Assignment by Day 7 of Week 3

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Week 3 Assignment 2

What’s Coming Up in Week 4?

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Next week, you will continue your clinical hour and patient logs in Meditrek. The week’s resource selections will support your knowledge of assessing and treating mood disorders.

Week 4: Mood Disorders Across the Lifespan
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What do I have to do? When do I have to do it?
Review your Learning Resources. Days 1–7
Assignment: Clinical Hour and Patient Logs Record your clinical hours and patient encounters
in Meditrek by Day 7.
Introduction
There is a strong likelihood that you will encounter both children/adolescents and adults at your practicum site who suffer from mood disorders. Depressive disorders, for instance, affect up to 3 percent of children and 8 percent of adolescents (Thapar et al., 2015). This increases in adulthood to a lifetime prevalence of up to 25% in women and 12% in men (Wang et al., 2017). Based on your prior work, you may have more experience working with adults. If this is the case, it is important to recognize that while mood disorders may appear across the lifespan, even in young children, the symptoms children and adolescents experience may be different from those present in adults. Seek out information from your current and prior Learning Resources and from your Preceptor to help guide your diagnosis of these disorders in different age groups.

This week, you review resources on assessing, diagnosing, and treating mood disorders across the lifespan. You also continue to record your clinical hours and patient encounters in Meditrek. PRAC – 6665 Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan I Practicum

References:
Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (Eds.). (2015). Rutter’s child and adolescent psychiatry (6th ed.). Wiley Blackwell.
Wang, J., Wu, X., Lai, W., Long, E., Zhang, X., Li, W., Zhu, Y., Chen, C., Zhong, X., Liu, Z., Wang, D., & Lin, H. (2017). Prevalence of depression and depressive symptoms among outpatients: A systematic review and meta-analysis. BMJ Open, 7(8), e017173. https://doi.org/10.1136/bmjopen-2017-017173

Learning Objectives

Students will:

Describe clinical hours and patient encounters
Learning Resources

Required Readings

Carlat, D. J. (2017). The psychiatric interview (4th ed.). Wolters Kluwer.

Chapter 23, “Assessing Mood Disorders I: Depressive Disorders”
Chapter 24, “Assessing Mood Disorders II: Bipolar Disorder”
Meditrek

https://edu.meditrek.com/Default.html
Note: Use this link to log into Meditrek to report your clinical hours and patient encounters.

Stern, T. A., Fava, M., Wilens, T. E., & Rosenbaum, J. F. (2016). Massachusetts General Hospital psychopharmacology and neurotherapeutics. Elsevier.

Chapter 4, “Antidepressants”
Chapter 5, “Bipolar Disorder”
Chapter 8, “Lithium and Its Role in Psychiatry”
Chapter 9, “Use of Antiepileptic Drugs in Psychiatry”
Assignment: Clinical Hour and Patient Logs
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Clinical Hour Log
For this course, all practicum activity hours are logged within the Meditrek system. Hours completed must be logged in Meditrek within 48 hours of completion in order to be counted.
You may only log hours with Preceptors that are approved in Meditrek. Students with catalog years before Spring 2018 must complete a minimum of 576 hours of supervised clinical experience (144 hours in each practicum course). Students with catalog years beginning Spring 2018 must complete a minimum of 640 hours of supervised clinical experience (160 hours in each practicum course). PRAC – 6665 Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan I Practicum

Each log entry must be linked with an individual practicum Learning Objective or a graduate Program Objective. You should track your hours in Meditrek as they are completed.

Your clinical hour log must include the following:

Dates
Course
Clinical Faculty
Preceptor
Total Time (for the day)
Notes/Comments (including the objective to which the log entry is aligned)
Patient Log

Throughout this course, you will also keep a log of patient encounters using Meditrek. You must record at least 80 encounters with patients by the end of this practicum (40 children/adolescents and 40 adult/older adult).

The patient log must include the following:

Date
Course
Clinical Faculty
Preceptor
Patient Number
Client Information
Visit Information
Practice Management
Diagnosis
Treatment Plan and Notes: You must include a brief summary/synopsis of the patient visit. This does not need to be a SOAP note, however the note needs to be sufficient to remember your patient encounter.
By Day 7 of Week 4

Record your clinical hours and patient encounters in Meditrek.

What’s Coming Up in Week 5?

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Next week, your Preceptor will be required to complete your Midterm Assessment in the Meditrek system.

Ensure that both you and your Preceptor have submitted the required online Assessment in the Meditrek system. You must complete all fields in the log and ask your Preceptor to verify your completed hours in Meditrek. There is nothing to submit in the classroom for this assignment; it is submitted through Meditrek.

Week 5: Midterm Clinical Assessment

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