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Nursing Question

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.



1. Following the assignment of your topic you will be expected to research the topic using several
sources of data. This will NOT be a formal paper. The topic will be presented using a
PowerPoint. You may be imaginative in how you set it up.
2. Even though this is not a formal paper a list of resources will be included that does require
APA format using the 6th edition on your last slide.
3. Some topics will be more controversial than others. Discussion of your topic should clearly
explain the concept that is your topic as well as advantages/disadvantages, pros/cons or
other related data including statistics and cost as necessary.
4. The topic presentation will occur on Zoom week 12, at the date and time noted on your
clinical schedule.
5. A student who does not receive a satisfactory grade will be given another topic to be
researched and submitted by a date to be determined. Failure to do so will result in an
incomplete grade for the course.
6. Presentations typically last 15-20 minutes each with a question and answer session after the
content is presented.
To be graded as satisfactory:
A. Student will use proper grammar, spelling and punctuation.
B. Clarity will be a focus so the content can be interpreted without confusion.
C. Data should be used consistently for support and references used for the data should be
D. Opposing points of view should be discussed where appropriate

Nursing Question

Many assessment principles are the same for children and adults; however, unlike with adults/older adults, where consent for participation in the assessment comes from the actual client, with children it is the parents or guardians who must make the decision for treatment. Issues of confidentiality, privacy, and consent must be addressed. When working with children, it is not only important to be able to connect with the pediatric patient, but also to be able to collaborate effectively with the caregivers, other family members, teachers, and school counselors/psychologists, all of whom will be able to provide important context and details to aid in your assessment and treatment plans.
Some children/adolescents may be more difficult to assess than adults, as they can be less psychologically minded. That is, they have less insights into themselves and their motivations than adults (although this is not universally true). The PMHNP must also take into consideration the child’s culture and environmental context. Additionally, with children/adolescents, there are lower rates of neurocognitive disorders superimposed on other clinical conditions, such as depression or anxiety, which create additional diagnostic challenges.
In this Discussion, you review and critique the techniques and methods of a mental health professional as the practitioner completes a comprehensive, integrated psychiatric assessment of an adolescent. You also identify rating scales and treatment options that are specifically appropriate for children/adolescents.
To Prepare
Review the Learning Resources and consider the insights they provide on comprehensive, integrated psychiatric assessment. Watch the Mental Status Examination B-6 and Simulation Scenario-Adolescent Risk Assessment videos.
Watch the YMH Boston Vignette 5 video and take notes; you will use this video as the basis for your Discussion post.
By Day 3 of Week 1Based on the YMH Boston Vignette 5 video, post answers to the following questions:
What did the practitioner do well? In what areas can the practitioner improve?
At this point in the clinical interview, do you have any compelling concerns? If so, what are they?
What would be your next question, and why?
Then, address the following. Your answers to these prompts do not have to be tailored to the patient in the YMH Boston video.
Explain why a thorough psychiatric assessment of a child/adolescent is important.
Describe two different symptom rating scales that would be appropriate to use during the psychiatric assessment of a child/adolescent.
Describe two psychiatric treatment options for children and adolescents that may not be used when treating adults.
Explain the role parents/guardians play in assessment.
Support your response with at least three peer-reviewed, evidence-based sources and explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources.

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