MSU College of Nursing
Family Psychiatric Mental Health Nurse Practitioner Option
NRSG 525 Family Mental Health Nursing I
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 Signature
____________________
Date
Adapted from the University of Tennessee Health Science Center, College of Nursing, DNP Psychiatric Mental Health
Nursing Option
1
MSU College of Nursing
Family Psychiatric Mental Health Nurse Practitioner Option
NRSG 525 Family Mental Health Nursing I
Clinical Faculty Evaluation of Student
Student name:
S = Satisfactory Performance U = Unsatisfactory Performance
Behavior
S
U
Comments
Objective 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 individuals and families 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, nonspeculative, 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 treatment of individuals and families 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 used to provide mental health and intervention in response to the
mental health needs of 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 individuals and
families 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 FPMHNPpatient 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 Signature
____________________
Date
4
MSU College of Nursing
Family Psychiatric Mental Health Nurse Practitioner Option
NRSG 525 Family Mental Health Nursing I
Clinical Faculty Evaluation of Student Clinical Activities
Student name:
S = Satisfactory Performance U = Unsatisfactory Performance
Student Activity
S
U
Comments
Clinical Log:
1.
Submitted to faculty in a timely manner
2.
Clear, succinct recording of progress notes
3.
Documents nursing strategies for implementing
treatment, prevention & health promotion with
individuals and/or families
Synchronous Group Meeting:
1.
Actively participates in group discussions
2.
Presents required case presentations
3.
Utilizes pertinent research articles in case
presentations
Individual Meetings with Clinical Faculty:
1.
Clinical objectives completed in a timely manner
2.
Utilizes time to explore clinical questions, ethical
dilemmas or role issues
3.
Participates in self evaluation
4.
Receptive to mentoring and constructive
feedback
5
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:
Grade:
Pass
Satisfactory
Unsatisfactory
Fail (Select One)
_________________________________________
Clinical Faculty Signature
____________________
Date
_________________________________________
Student’s Signature
____________________
Date
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