Montana State University-Bozeman College of Nursing
N525 Family Mental Health Nursing I
Preceptor Evaluation of Student
Preceptor Name:
Agency Name:
Student Name:
Today’s Date:
Please assist with the evaluation of the Family Psychiatric Mental Health Nurse Practitioner student by completing this evaluation tool. Please check the box that best represents your evaluation of the behaviors listed. Feel free to include any additional written comments or suggestions.
NA = cannot evaluate; 1 = unsatisfactory; 2 = needs improvement;
3 = average; 4 = above average; 5 = excellent
BEHAVIOR NA 1 2 3 4 5 COMMENTS
Objective 1: Analyze the role of the advanced practice registered nurse (APRN) 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 assigned clinical setting. b) Understands the scope of practice of the APRN in an interdisciplinary context. c) Provides rationale for the utilization of psychotherapeutic modalities across the life-span. 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, participation in treatment planning, and 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.
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f) Demonstrates ability to dictate concisely and effectively.
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 as 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.
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.
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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
FPMHNP-patient relationship b) Is sensitive to the complexities of dual relationships, particularly in rural areas. c) Oral communications 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 planning and implementing patient care.
I verify that the student, , worked hours in my agency.
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Student Signature Preceptor Signature
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