PMHNP PRAC 6645 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 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

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 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,
families, and/or groups

Develop an age appropriate
individualized plan of care

Provide psychoeducation to individuals,
family, and/or groups

Promote health and disease
prevention techniques

Self-Assessment skills:

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

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3.       Goal:

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4.       Goal:

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Objective:

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