Part I:  Pick ONE of the journal goals under A, B, or C: A.  Psychiatric Evaluations/Diagnoses Goals: Completion of a full psychiatric evaluation on an adult, geriatric or pediatric patient.

 REFLECTIVE JOURNAL ASSIGNMENT:

 	
Each journal should be focused on your clinical experience as it will be part of a professional portfolio
 	
This formational reflective journal is in APA format, double-spaced, #12 font, answering each question in paragraph form
 	
APA format with references and CON APA TITLE PAGE with students' name, site, preceptor's name, course, clinical instructor's name
Goals and Questions for Journals
Approved list of goals to utilize in your journals: The approved list of goals for writing journals appears below. Please, no exact repetition of goals. The use of AI to write the reflective journal will result in course failure.

Goal Development From General to Specific: Goals should ideally start off more “general” and become more “specific” over time. Goals should not be the same as what you are studying in your theory class at the time.
Part I:  Pick ONE of the journal goals under A, B, or C:
A.  Psychiatric Evaluations/Diagnoses Goals:

 	
Completion of a full psychiatric evaluation on an adult, geriatric or pediatric patient.

B.  Medications Goals (pick only one: 1, 2 3, OR 4):

 	
Elaborate upon the principles of action, interaction, and prescribing principles for __________ (list the medication).
 	
Describe the integration of case-based complexities when caring for and prescribing medications for a patient using polypharmacological agents.
 	
Indicate additional options within medication classes with the pros and cons of each choice in relation to the decision made for your particular patient. (e.g.; mood stabilizers, antipsychotics, etc.).
 	
Point out the considerations including possible drug-drug interactions between birth control medications and ____________ (list specific category of medications or a specific medication).

C.  Laboratories Goals (pick only one: 1,2 or 3):

 	
Indicate when to discontinue or switch a medication based upon a certain laboratory value and why. (E.g.; kidney, liver, CBC, thyroid, etc.)
 	
Discuss thoroughly why and what guidelines are pertinent to the management of patients for which clozapine is prescribed and the implications for a patient on Clozaril (or other critical laboratory value for medication)
 	
Interpret the application of laboratory values when prescribing ________ (for a certain drug or category of medication).



2 Goal/Learning Objective The learning objective and goal chosen for clinical experience as an Advanced Practice Nurse is completing a full psychiatric evaluation. A general psychiatric evaluation is a thorough assessment carried out by mental health specialists to determine the overall functioning, symptoms, and mental health status of a patient. It serves as the basis for making a diagnosis and formulating a course of therapy. Students pursuing an advanced practice in nursing must possess critical thinking abilities to deliver quality care since they may come into circumstances in which their decision might impact a patient's prognosis. Advanced practice nurses must complete a thorough patient assessment and draw on preexisting knowledge and beliefs to provide high- quality care. It aids in determining the patient's current state of health, identifying any underlying illnesses, and creating a suitable treatment plan that aligns with the patient's values and goals. Combining the patient's evaluation with prior knowledge and opinions allows you to deliver a more individualized, comprehensive treatment plan considering the patient's particular requirements and preferences. During future practice, care delivery will be respectful, patient- centered, and sensitive to patients' values and beliefs (John Hopkins Medicine, 2019). Medications Goals 2 Regular use of five or more medications is known as polypharmacy, and it is more common in younger at-risk populations and older persons. Polypharmacy raises the risk of adverse medical outcomes. Polypharmacy can result from several risk factors. A patient's persistent mental health issues, many medical problems under the care of multiple subspecialist physicians, and long-term care facility residency are all considered patient-related factors. As with starting a clinically acceptable therapy, doctors should see deprescribing as a therapeutic intervention. When deprescribing, doctors should take into account the viewpoints of the patien