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in clinical, I am expected to verify all the learning outcomes for all the courses. For the mental health outcomes, how to verfiy "implements the nursing care required to support clients and their families experiencing an alteration in psychosocial functioning: family violence"

how is this to be verified (I'll be on either a surgical or a medical unit)

(likewise - "substance abuse," "schizophrenia," "affective or mood disorders")

do we role-play?

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Specializes in Cardiac Telemetry, ED.

I'm not sure I understand your question. My clinical instructor verifies my learning outcomes.

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I'm not sure I understand your question. My clinical instructor verifies my learning outcomes.

I'll be with a preceptor, and be assigned one patient, maybe two patients (for only 4 days of clinical) and I'm expected to make the learning plan (with the preceptor).

and if I don't meet all the learning outcomes, then I have to discuss this with the dean, and arrange for extra clinical days (that I have to pay for).

so, obviously I want to have these learning outcomes verified during the 4 clinical days.

The learning outcomes for all the courses so far are included in the list.

So, how do I organize to implement the nursing care for : family violence, substance abuse, schizophrenia? - I'll be on a surgical unit or a medical unit. Do we role-play the above mentioned problems because it is unlikely that the one or two patients will demonstrate family violence, etc.

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Specializes in Cardiac Telemetry, ED.

Sounds like you and your preceptor need to agree on some criteria for evaluating these objectives. I haven't done my preceptorship yet, so I'm ill equipped to advise you. The only thing I can think of is that if your preceptor has precepted before, she or he may already have an idea of how this works best for them.

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I won't know until clinical starts - who is my preceptor, therefore, in order to be prepared (since I am considered to be responsible for this clinical), I am trying to come up with ideas that will demonstrate these kinds of interventions (since I doubt that I will be assigned to a patient exhibiting family violence, substance abuse, schizophrenia)

this is so that these can be verified

So, the ideas that I have to demonstrate these are: role-playing, discussing, listing my answers - what else might I do to demonstrate these (without a real situation)?

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Specializes in ED/Psych.

Hi:

While in school, we had a similar thing. I would just try to get to work with the patients who had the specific dx. I would have to tell my preceptor that I needed X, Y, & Z, and she usually would try to make sure that I would be exposed to those patients that I needed to fulfill my objectives. If that were not possible, I would inform my instructor and then we went from there.

Carla

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thanks - I can see that working for things like skills (bathing, transfers, v/s), but am I going to ask for "family violence"? If there is no one going through family violence, for me to intervene (are they going to go find a student [me] to intervene in someone's family violence) - and I have to have these verified during these 4 days. So, if there is no family violence on the unit - then what kinds of alternatives are possible?

Just looking for ideas so that I'll be ready.

thanks again

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It may not be as hard to find a patient that is affected by "family violence" as you think. The impact of family/domestic violence is significant and extends well beyond an acute event. Physical, psychological, and sexual abuse are serious and significant situations that have long-lasting effects on everyone assoicated (victim, perpertrator/victimizer, and family members).

The impact of this/these events affect how the individual(s) respond to all other life events. For example a victim of long standing domestic violence is not likely to be able to focus positively on the future and make decisions in the interest of their health and well-being. Therefore you will have to be aware that your patient has this in their history (current or past), note the impact this has on their present psychosocial functioning, and adapt your nursing care accordingly. You may have to be a bit creative in your documentation (write-up) but it isn't a reach. Work with your preceptor and you won't have to look too hard to find someone with a history of family violence, sexaul assault, child abuse, etc. assess how this affects your patient's present level of psychosocial functioning, and adapt your care (method of therapeutic communication, teaching, arranging follow-up care, etc.) to maximize their recovery and you will be able to meet your learning outcome.

Read a bit about these issues in your psychiatric/mental health nursing textbook and you will discover that it won't be as difficult to meet your learning outcomes as you think.

Best wishes for a successful clinical experience.

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Specializes in med/surg, telemetry, IV therapy, mgmt.

verification is determining whether or not your client achieved the goals/outcomes you developed for them. if, during evaluation, the client hasn't been able to achieve an outcome that you came up with, then you need to reassess and rewrite your goal(s). you have to, from your patient assessment, decide what each client is capable of doing. this involves breaking things down into very, very simple steps. this is sometimes harder to put on paper than we imagine!

see post #157 on https://allnurses.com/forums/f50/careplans-help-please-r-t-aeb-121128.html for exact information on how goals/outcomes are developed.

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