D347 Objective Structured Clinical Examination (OSCE) Scenarios
Competencies
7091.5.1 : Diagnoses Mental Conditions in Children and Adolescents across Care Settings
The learner diagnoses acute and chronic mental conditions in children and adolescent patients across care settings using the Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR).
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7091.5.2 : Synthesizes Psychotherapeutic/Pharmacological Treatments for Children and Adolescents Across Care Settings
The learner synthesizes patient-centered treatment plans including psychotherapeutic and/or pharmacological treatments for children and adolescent patients across care settings.
7091.5.3 : Incorporate Mental Health Practice for Children, Adolescent Patients, and Their Families Across Care Settings
The learner incorporates mental health best practice approaches, therapeutic interventions, and health teaching into the care of children, adolescent patients, and their families across care settings.
Introduction
In this task, you will act as a psychiatric mental health nurse practitioner by conducting a comprehensive mental health evaluation (CMHE) with a live standardized patient and then create a treatment plan for the patient. To do so, you will video record yourself completing an objective structured clinical examination (OSCE) with a standardized patient within the virtual WGU CareSpan Clinic. You will then use the information from this patient interview to formulate a diagnosis and an evidence-based treatment plan for the patient.
In order to respond to this task, you will first identify and review the OSCE within the attached “D347 Objective Structured Clinical Examination (OSCE) Scenarios” that corresponds to the first initial of your last name, as follows:
Last Name
OSCE
A-D
OSCE 1
E-K
OSCE 2
L-R
OSCE 3
S-Z
OSCE 4
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 and analyze the OSCE from the attached “D347 Objective Structured Clinical Examination (OSCE) Scenarios” that corresponds with the first initial of your last name, according to the table in the “Introduction” section. Schedule and conduct the OSCE with a live standardized patient by following the instructions in the attached “PMHNP OSCE Information Guide,” and then do the following:
A. Submit the following deliverables from the OSCE you conducted:
The link to the Panopto video you recorded while conducting the mental health examination with your 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 D347 Panopto drop box titled “Advanced Psychological Care of Children and Adolescent patients Across Care Settings – UDM1 | D347.” 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.
The completed Patient Intake Form.
Note: You may submit the completed Patient Intake Form as an image or PDF.
B. Using the findings and information gathered during the OSCE on the Patient Intake Form, create an evidence-based treatment plan by including the following:
The DSM-5-TR diagnosis
Three differential diagnoses
a. Provide your rationale for each differential diagnosis that includes evidence from the patient interview and one scholarly source for each.
Two SMART treatment goals and one objective per goal for monitoring patient progress
Two psychotherapeutic treatments
a. Provide your rationale for each treatment that includes evidence from the patient interview and one scholarly source for each.
One pharmacological treatment, if necessary
Note: If no pharmacological treatment is necessary, note this in your submission and provide evidence to support your rationale.
a. Provide your rationale that includes evidence from the patient interview and one scholarly source.
Two interdisciplinary team members and your rationale for each
One medical lab or diagnostic
a. Provide your rationale that includes evidence from the patient interview and one scholarly source.
Patient- and family-centered psychoeducation that includes the following:
Safety interventions (e.g., self-harm prevention, medication safety, support system strategies, domestic environment safety)
Recommendation for higher level of care if patient does not improve
C. Review your 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.
D. Discuss any changes you would make to your overall assessment or treatment plan if the patient were in a different setting (i.e., inpatient vs. outpatient, or outpatient vs. 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).
E. Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.
F. Demonstrate professional communication in the content and presentation of your submission.
D347 Objective Structured Clinical Examination (OSCE) Scenario