ASSIGNMENT: JOURNAL ENTRY 1

Assignment: Journal Entry

Student name

College of Nursing-PMHNP, Walden University

PRAC 6645: Psychotherapy with Multiple Modalities Practicum

Faculty Name: Dr.

Assignment Due Date:

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ASSIGNMENT: JOURNAL ENTRY 2

During my psychiatric practicum experience, I was able to achieve 90%of my

goals. One of the goals I had was to provide psychoeducation to individuals in a community

center setting. I provided information to the patients about the treatment and features of the

disease. Another goal was to interpret the results for screening instruments accurately. I provided

treatment accurately, reducing the expenses of medicine. I was also able to identify diseases and

infections, which made me more reliable.

The most challenging patient I encountered was a client with attention-

deficit/hyperactivity disorder. The communication was poor; getting the client to understand their

diagnosis was puzzling (Bartels-Velthuis et al., 2018). Another challenging patient claimed that

his religious beliefs were against any form of medication. The patient had complex PSTD, and he

refused to take any neurotransmitters serotonin. Untreated PTSD could lead to chronic illnesses

such as hypertension, and therefore refusing to take any form of medication was harmful to the

client. Educating and convincing the client to choose his health and take medication was the

most challenging part. Another difficult patient was a young adult who was homeless and had

previous suicidal ideation. The young adult refused to cooperate with other health professionals

but instead requested them to take her life. Restricting access to any lethal means and restraining

her to the psychiatric ward was challenging.

I have learned how to maintain professional boundaries and therapeutic relationships with

the clients and the staff. I have learned to use prevention techniques for patients who have minor

symptoms of psychotic disorders. Amazingly, I have used the recent technology and documented

patient records. This has helped in the easy retrieving of documents by the physicians.

The available resources included drop-in workshops. These workshops helped one to

learn the ways of controlling and managing stress, emotions, and thoughts. This helped me a lot

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ASSIGNMENT: JOURNAL ENTRY 3

in dealing with patients with stress disorders. Another source was wellness coaching, where we

were guided on improving our strengths (Holley et al.,2020). This also helped me in developing

meaningful goals and working to accomplish them. The mental health strategies series was a

forum with videos that showed us how to deal with mental health disorders. This forum provided

knowledge and skills to treat mental health disorders.

I used symptom management as an evidence-based practice for my patients. by

interacting with my patients, I learned their symptoms better. I had to look at the consistent

results of the previous interventions to compare the signs and know what kind of therapy would

benefit them. I also had to look at the sex, race, and background of my patients in order not to

interfere with their experiences/

I would have provided a patient-centered environment. This would have improved the

privacy and the confidentiality of the patients. It would also have provided the patient with the

emotional support they deserved and their respect (Thomas et al., 2013). I would also have

advocated for patients' control over their decision-making. I would negotiate the dates and times

when the patient was willing to come for treatment. I would also provide a variety of activities in

the health care services. This would have included health promotion, disease prevention, and

health protection to my patients.

I have managed the patient flow and volume by using the technology systems to view the

data and variables of the patients. This has reduced the time to treat each patient since technology

systems are faster (Thomas et al.,2013). The technology systems have also helped me manage

the flow of patients by documenting patients' diagnoses in an organized manner such that the

physician will not spend a lot of time looking for the diagnosis reports. I have also applied my

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ASSIGNMENT: JOURNAL ENTRY 4

skills to use the screening instruments, which has helped me provide the results faster, making

the flow of patients move more quickly.

I might improve my skills and knowledge by using of network online. Social media

platforms could help me improve my creativity and help me keep in contact with clients. I might

improve my skills and knowledge by reading case studies. These case studies can help me to stay

updated on the trends of the clinical setup. I can also find some organization that would help me

when I need consultation. I would communicate this to my preceptor by asking questions about

whether the ideas I have are essential. I would also share with my preceptors by creating time to

meet them and submit my issues.

The formal feedback that I got from the preceptors was that he would like me to get

myself more familiar with DSM-5 diagnoses, continue to work on assessment and diagnostic

skills and learn how to write measurable treatment plans. I understand that it will take some time

for me to feel competent, but I am grateful for the opportunity to work with the preceptor I had

for this course.

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ASSIGNMENT: JOURNAL ENTRY 5

References

Bartels-Velthuis, A. A., Visser, E., Arends, J., Pijnenborg, G. H., Wunderink, L., Jörg,

F., … & Bruggeman, R. (2018). Towards a comprehensive routine outcome monitoring program

for people with psychotic disorders: the pharmacotherapy monitoring and outcome survey

(PHAMOUS). Schizophrenia Research, 197, 281-287.

Holley, L. C., Charles, J. L., Kondrat, D. C., & Walter-McCabe, H. A. (2020). Supports

and Gatekeeping: experiences of schools of social work with students with mental health

conditions. Journal of Social Work Education, 1-20.

Thomas, A., Bissinger, R., Brackley, M., Buron, B., Davis, R., Delaney, K. R., & Weber,

M. (2013). Population-focused nurse practitioner competencies. National Organization of Nurse

Practitioner Faculties (NONPF).

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