MSU College of Nursing
Family Psychiatric Mental Health Nurse Practitioner Option
NRSG 526 Family Mental Health Nursing II
Clinical Faculty Site Visit Documentation
Date of Clinical Site Visit/Meeting/Call:
Type of Review:
(i.e. phone call, clinical site visit, on campus, etc.)
Student’s Name:
Preceptor’s Name:
Clinical Facility:
Location:
Term (i.e. Summer/Fall or Winter/Spring):
Year:
Clinical Faculty Reporting:
Evaluation of Learning Experience (from Preceptor, Student, Clinical Site):
______
Clinical Faculty SignatureDate
Adapted from the University of Tennessee Health Science Center, College of Nursing, DNP Psychiatric Mental Health Nursing Option
MSU College of Nursing
Family Psychiatric Mental Health Nurse Practitioner Option
N526 Family Mental Health Nursing II
Clinical Faculty Evaluation of Student
Student name:
S = Satisfactory Performance U = Unsatisfactory Performance
Behavior / S / U / CommentsObjective 1: Analyze the advanced nursing practice role in the utilization of psychotherapeutic modalities for family members with mental health problems across the life span.
a)Understands the role of the APRN in the psychiatric setting
b)Understands the scope of practice of the FPMHNP in an interdisciplinary context.
c)Provides rationale for the utilization of psychotherapeutic modalities across the lifespan
d)Monitors self for personal growth and enhancement of therapeutic effectiveness
Objective 2: Assess and interpret the mental health treatment needs of family members across the lifespan based on an understanding of biological, psychological, and developmental theories.
a)Obtains a comprehensive psychiatric/physical history and assessment of patients across the life span: child/adolescent, middle adult, older adult.
b)Addresses physical health concerns and refers appropriately
c)Interviewing technique uses both structured and open ended questions to solicit patient concerns, participates in treatment planning, and gathers necessary information for diagnosis and safety disposition.
d)Demonstrates empathy, genuine interest, and concern for the patient’s situation, condition, or personal/social problems.
e)Documentation is accurate, concise, non-speculative, and follows standard medical records formatting for the clinical setting.
f)Demonstrates ability to dictate concisely and effectively
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Objective 3: Formulate advanced nursing strategies for the use of specific psychotherapeutic modalities for family members across the life span based on biopsychosocial theories, evidence-based standards of care, and practice guidelines.a)Identifies and prioritizes all problems that become evident
b)Identifies working diagnosis with consideration of differential diagnoses to be ruled out
c)Presentation to preceptor is systematic and concise
d)Identifies a plan for diagnostic tests and treatment if indicated
Objective 4: Implement advanced nursing strategies using specific psychotherapeutic modalities in the treatment of mental health problems and psychiatric disorders for individuals and families across the lifespan.
a)Interventions include patient education on disease management and health promotion
b)Presentation of findings and plan to the patient/family is thorough and at a knowledge level appropriate to prior education and current cognitive status
c)Uses the nurse-patient relationship to facilitate therapeutic patient outcomes
d)Uses therapeutic modalities to facilitate therapeutic patient outcomes
Objective 5: Evaluate the effectiveness of nursing strategies used to provide mental health care for family members across the life span.
a)Demonstrates critical thinking in all assessments and clinical decision-making to ensure comprehensive diagnoses and case disposition
b)Monitors positive and negative indicators for patient outcome
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Objective 6: Incorporate knowledge about culture and ethnicity into the development, implementation, and evaluation of nursing strategies.a)Care is planned with a holistic approach and encompasses cultural and family values
b)Provides culturally congruent care while being sensitive to the patient’s ethnicity, traditions, and beliefs
c)Respects bio-psycho-social-cultural-spiritual variables that may affect health status and psychiatric/mental health care
Objective 7: Apply legal and ethical principles to the development, implementation, and evaluation of nursing strategies.
a)Analyzes legal and ethical aspects of the confidential nurse-patient relationship
b)Is sensitive to the complexities of dual relationships, particularly in rural areas
c)Oral communication and written documentation meet established medico-legal standards
d)Adheres to HIPAA standards
Objective 8: Use research evidence in the development, implementation, and evaluation of nursing strategies.
a)Plans and implements evidence-based interventions for psychiatric mental health disorders or mental health problems
b)Documents the use of current research in the planning and implementing of patient care
______
Clinical Faculty SignatureDate
MSU College of Nursing
Family Psychiatric Mental Health Nurse Practitioner Option
N526 Family Mental Health Nursing II
Clinical Faculty Evaluation of Student Clinical Activities
Student name:
S = Satisfactory Performance U = Unsatisfactory Performance
Student Activity / S / U / CommentsClinical Log:
- Submitted to faculty in a timely manner
- Clear, succinct recording of progress notes
- Documents nursing strategies for implementing treatment, prevention & health promotion with individuals and/or families
Synchronous Group Meeting:
- Actively participates in group discussions
- Presents required case presentations
- Utilizes pertinent research articles in case presentations
Individual Meetings with Clinical Faculty:
- Clinical objectives completed in a timely manner
- Utilizes time to explore clinical questions, ethical dilemmas or role issues
- Participates in self evaluation
- Receptive to mentoring and constructive feedback
Narrative summary of the student’s overall performance including observations from clinical site visits.
(This should be a summation of the clinical site checklist.)
Student’s Strengths:
Areas for Improvements:
Please give a brief statement about the student’s progress in the areas of role issues, nursing identity and expertise.
Evaluation of Student Clinical Performance Criteria:SatisfactoryUnsatisfactory
Grade: Pass Fail (Select One)
______
Clinical Faculty SignatureDate
______
Student’s SignatureDate
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