D348 Psychiatric Mental Health Nurse Practitioner Clinical Internship I – UMM2

Requirements
Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. The similarity report that is provided when you submit your task can be used as a guide.

You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.

Tasks may not be submitted as cloud links, such as links to Google Docs, Google Slides, OneDrive, etc., unless specified in the task requirements. All other submissions must be file types that are uploaded and submitted as attachments (e.g., .docx, .pdf, .ppt).

Identify the OSCE that corresponds with the first initial of your last name, according to the table in the task introduction. Schedule the OSCE with a live standardized patient by following the instructions in the attached “PMHNP Internship OSCE Information Guide.” Then, using the linked “PMHNP Initial Psychiatric Evaluation,” conduct the OSCE at the scheduled time by doing the following:

Video Recording

A. Demonstrate professionalism at all times during the virtual visit with the patient by doing the following:

1. Conduct the video visit in a private and appropriate location.
2. Wear professional attire.
3. Establish rapport with the patient at the start of the visit.
4. Provide an appropriate transition to the mental health status exam, including asking for permission to conduct the exam.
5. Ask the patient to restate the plan of care to check for understanding.

B. Provide a link to the Panopto video you recorded while conducting the mental health examination with the standardized patient.

Note: For instructions on how to access and use Panopto, use the \”Panopto How-To Videos\” web link provided in the Web Links section. To access Panopto\’s website, navigate to the web link titled \”Panopto Access\” and then choose to log in using the “WGU” option. If prompted, log in using your WGU student portal credentials, and then it will forward you to Panopto’s website.

Note: You must ensure that both you and the standardized patient are recorded and able to be heard on the recording. If either of you cannot be heard, your submission will not be evaluated, and you will need to retake the OSCE.

Note: To submit your recording, upload it to the D348 Panopto Drop Box titled “Psychiatric Mental Health Nurse Practitioner Clinical Internship I – UMM2 |D348.” Once the recording has been uploaded and processed in Panopto\’s system, retrieve the URL of the recording from Panopto and copy and paste it into the Links option. Upload the remaining task requirements using the Attachments option.

Documentation

C. Complete the linked “PMHNP Initial Psychiatric Evaluation” for the patient visit by documenting the following:

1. Patient information
2. Chief complaint
3. A written narrative of the history of present illness that includes OLDCARTS-generated data from the patient
4. Medical history
5. Surgical history

Note: If a patient does not have a surgical history, state this in the PMHNP Initial Psychiatric Evaluation.

6. Previous hospitalizations—medical/surgical and psychiatric

Note: If a patient does not have any previous hospitalizations, state this in the PMHNP Initial Psychiatric Evaluation.

7. Current medications

Note: If a patient does not currently take any over-the-counter or prescription medications, vitamins, or supplements, state this in the PMHNP Initial Psychiatric Evaluation.

8. Any known allergies

Note: If a patient does not have any known drug, environmental, or food allergies, state this in the PMHNP Initial Psychiatric Evaluation.

9. Family medical history and family psychiatric history

Note: If a family member type or history is not applicable to the patient, state this in the PMHNP Initial Psychiatric Evaluation.

10. Social history

Note: If a social history category is not applicable to the patient, state this in the PMHNP Initial Psychiatric Evaluation.

11. Past psychiatric history

Note: If past psychiatric history is not applicable to the patient, state this in the PMHNP Initial Psychiatric Evaluation.

12. A focused review of medical and psychiatric systems pertinent to the present illness

Note: If a system is not pertinent to the present illness, state this in the PMHNP Initial Psychiatric Evaluation.

13. A focused mental status examination pertinent to the present illness
14. One diagnostic or medical lab

a. Provide your rationale for the lab or diagnostic that includes evidence from the patient interview and one scholarly source.

15. The DSM-5-TR diagnosis

Note: If a secondary diagnosis is not applicable, state this in the PMHNP Initial Psychiatric Evaluation.

16. Three differential diagnoses

a. Provide your rationale for each differential diagnosis, including evidence from the patient interview and one scholarly source for each rationale.

Note: All differential diagnoses must be distinct from the primary diagnosis.

17. An evidence-based treatment plan as a written narrative which includes the following:

a. Two SMART psychotherapeutic intervention goals and one objective per goal for monitoring patient progress

b. Your rationale for each treatment, including evidence from the patient interview and one scholarly source for each rationale

18. One pharmacological treatment, if necessary

a. Provide your rationale that includes evidence from the patient interview and one scholarly source.

Note: If no pharmacological treatment is necessary, note this in your submission and provide evidence to support your rationale.

19. Two interdisciplinary team members and your rationale for each
20. A patient follow-up plan that includes emergency services, if necessary

Note: If emergency services are not necessary, state this in the PMHNP Initial Psychiatric Evaluation.

21. A referral, if necessary

Note: If a referral is not necessary, state this in the PMHNP Initial Psychiatric Evaluation.

22. Psychoeducation that includes the following:

• Prescribed medication
• Disease management
• Safety interventions (e.g., self-harm prevention, medication safety, support system strategies, domestic environment safety)

Note: If safety interventions are not necessary, state this in the PMHNP Initial Psychiatric Evaluation.

• Recommendation for higher level of care if patient does not improve

D. Review the Panopto video of the OSCE you conducted and write a self-reflection of your performance as a psychiatric mental health nurse practitioner.

Note: Your reflection could include a self-evaluation of interviewing techniques, any additional questions or topics you would have liked to address with the patient, anything you did well or would like to improve upon, etc.

E. Discuss any changes you would make to your overall assessment or treatment plan if the patient were in a different setting (i.e., inpatient versus outpatient or outpatient versus inpatient).

Note: The focus should be on how your assessment or treatment plan would be different if the patient acuity was the opposite of what was presented in the OSCE scenario (i.e., higher acuity to lower acuity or vice versa).

F. Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.

G. Demonstrate professional communication in the content and presentation of your submission