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PATIENT CARE WORKSHEET (Mental Health) (1)
CriteriaRatingsPts
This criterion is linked to a Learning OutcomeI. Patient Information A. Chief complaint on admission B. Admitting diagnosis and /or current diagnosis.
10 ptsExcellent
Thorough assessment of data. Explained in detail including an accurate and in-depth understanding of chief complaints and presenting signs/symptoms of the disease process.
7.5 ptsGood
Data underdeveloped. Less accuracy in detail and understanding of chief complaints and presenting signs/symptoms
5 ptsAverage
Missing data. Minimal detail and limited understanding of chief complaints and presenting signs/ symptoms.
2.5 ptsPoor
50% of data missing. Absence of detail and understanding of chief complaints and presenting signs/symptoms of the disease process.
10 pts
This criterion is linked to a Learning OutcomeII. History of present illness, Predisposing Factors, Precipitating event, Perception of Stress,
10 ptsExcellent
Thorough assessment of data on History of present illness, Predisposing Factors, Precipitating event, Perception of Stress,
7.5 ptsGood
Data underdeveloped. Less accuracy in detail and understanding of History of present illness, Predisposing Factors, Precipitating event, Perception of Stress,
5 ptsAverage
Missing data. Minimal detail and limited understanding of History of present illness, Predisposing Factors, Precipitating event, Perception of Stress,
2.5 ptsPoor
50% of data missing. Absence of detail and understanding of History of present illness, Predisposing Factors, Precipitating event, Perception of Stress,
10 pts
This criterion is linked to a Learning OutcomeIII. Psychosocial Assessment
10 ptsExcellent
Thorough psychosocial assessment performed. Data provided is complete.
7.5 ptsGood
Less accurate psychosocial assessment performed. Data provided is underdeveloped.
5 ptsAverage
Less accurate psychosocial assessment performed. Data provided is underdeveloped
2.5 ptsPoor
50% of data missing. Absence of detail.
10 pts
This criterion is linked to a Learning OutcomeAbnormal lab and hemodynamic values are explained
10 ptsExcellent
Identified ordered /prescribed laboratory and diagnostic tests. Provide detail explanation of abnormal results.
7.5 ptsGood
Listed the majority of ordered and or prescribed laboratory and diagnostic tests, abnormalities explained
5 ptsAverage
Stated few ordered/ prescribed laboratory and diagnostic tests. Provides partial explanation of abnormal results.
2.5 ptsPoor
Ordered /prescribed laboratory and diagnostic tests are not explained. Failed to explain about abnormal results
10 pts
This criterion is linked to a Learning OutcomeV. Mental Status Assessment
10 ptsExcellent
Thorough mental status assessment performed. Data provided is complete.
7.5 ptsGood
Less accurate psychosocial assessment performed. Data provided is underdeveloped.
5 ptsAverage
Less accurate mental status assessment performed. Data provided is underdeveloped
2.5 ptsPoor
50% of data missing. Absence of detail.
10 pts
This criterion is linked to a Learning OutcomeVI. Physical Assessment
10 ptsExcellent
Listed all body systems and identified the abnormalities that are relevant to patient’s diagnosis and nursing problem/diagnosis
7.5 ptsGood
Listed most of the body systems and identified most abnormalities relevant to patient’s diagnosis and nursing problem/diagnosis
5 ptsAverage
Listed 50% body systems and identified most abnormalities relevant to patient’s diagnosis and nursing problem/diagnosis
2.5 ptsPoor
Listed few body systems and identified most abnormalities relevant to patient’s diagnosis and nursing problem/diagnosis
10 pts
This criterion is linked to a Learning OutcomeVII. Medication Assessment
10 ptsExcellent
Listed all current medications citing rationale and relevance to patient’s diagnosis and nursing problem/diagnosis
7.5 ptsGood
Listed most of the medications on MAR and relevance to patient’s diagnosis and nursing problem/diagnosis
5 ptsAverage
Listed 50% of the medications on MAR and relevance to patient’s diagnosis and nursing problems/diagnosis
2.5 ptsPoor
Listed no medication related to patient’s medical condition
10 pts
This criterion is linked to a Learning OutcomeVIII.Clinical Judgment
10 ptsExcellent
student provides a comprehensive list of prioritized recommendations for health promotion substantiated with referenced rationales. (more than 3 problems
7.5 ptsGood
Student provides at least 3 prioritized recommendations for health promotion with rationales provided.
5 ptsAverage
Student provides 0-1 recommendations with no rationales provided
2.5 ptsPoor
student did not submit data
10 pts
This criterion is linked to a Learning OutcomeIX. References
10 ptsExcellent
3 sources from multiple peer-review articles/journals in last 5 years
7.5 ptsGood
2 sources from multiple peer-review articles/journals in last 5 years
5 ptsAverage
1 source from peer review articles/journals in 10 years
2.5 ptsPoor
ailed to provide reference from single peer review article/journal
10 pts
This criterion is linked to a Learning OutcomeX. Overall quality of the submission Coherent, Grammar, punctuation.
10 ptsExcellent
No errors
7.5 ptsGood
Few errors (