Fredesminda Guevara

0513 Kamloops
Learning Objectives

Standard 1
Therapeutic Interpersonal
Relationships
Competency 6.07
During goal-oriented interactions
demonstrates empathy, warmth
and respect
Rationale
By being genuine, empathic and
warm, I will be creating a
reassuring and respectful
environment where clients will feel
secure enough to open up and
engage in the treatment process.
By the end of each week, I will
have engaged with at least one
client using empathy, sincerity and
respect.

Resources and Strategies

Types of Evidence of
achievement

Criteria to
validate
objectives
achieved

Consult appropriate texts:

Phil Barker, Psychiatric and Mental Health Nursing:
The craft of caring, 2nd edition
Chapters 36 -37 talks about the clinical
importance of therapeutic relationship in
nursing and empathy as the a core value in
psychiatric care
Gail Stuart, Principles and Practice of Psychiatric
Nursing, 10th edition
Chapter 2 discusses the positive effects of the
therapeutic relationship on the patients wellbeing and health outcomes. It presents
examples on the most appropriate response
that the nurse give to a patient in certain
situations.
Strategies
I will record my thoughts and reflections on how I
did with clients throughout the week and take
particular care in highlighting negative feelings
such as reluctance to be open and nonjudgmental,
or difficulty in being empathic and understanding.
I will note on transferences and counter
transferences that may affect my ability to be
empathic and nonjudgmental.

Learning Plan
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Fredesminda Guevara
0513 Kamloops
Standard 2
Application and Integration of
Theory-based Knowledge
Competency 8.06
Recognizes the behavior patterns
of consumer population in relation
to multl-culturalism
Rationale
By familiarizing myself with the
behaviors associated with certain
ethnic and cultural affiliations
(including sexual orientation), I
can provide clients with culturally
competent care that will help me
treat them with the appropriate
degree of dignity and respect that
they deserve. I feel that I would
have been able to do this when
they state being satisfied by the
level of care they received.
I hope to achieve this goal by the
midterm of this semester.

Consult appropriate texts:

Phil Barker, Psychiatric and Mental Health Nursing:
The craft of caring, 2nd edition (p. 510-511)
This text talks about the need to include cultural
considerations when assessing for and treating
for mental health condition that may have
different contexts from mainstream beliefs and
perceptions.
Gail Stuart, Principles and Practice of Psychiatric
Nursing, 10th edition
Pages 98-109 articulates the five areas of
cultural competency in nursing and discusses
the roles of social, cultural, and spiritual
contexts in the disparities in mental health care
Consult appropriate videos
Workshop on cultural competence in healthcare
professions: https://www.youtube.com/watch?
v=O31aZD3sEew&index=1&list=PLfBzO3LPVivqai
WYIuEm8VVuSrv4RG9d_
Strategies
I will read additional texts and articles on cultural
competency, and on health and mental health
behaviors by different cultures such as Aboriginal
and Asian which are the top minority groups in my
community. I will also watch more videos about
how nurses can work towards cultural competency
through communication, assessment and
implementation of nursing actions.
In my weekly journaling, I will provide evidence of
self-reflection pertaining to dealing with clients
who are culturally diverse.

Learning Plan
PSYN 216-12

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Fredesminda Guevara
0513 Kamloops

Learning Plan
PSYN 216-12

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Fredesminda Guevara
0513 Kamloops
Standard 2:
Application and Integration of
Theory-based Knowledge
Competency 8.09
Recognizes and Interprets the
manifestations of emotional and
physical states
Rationale
By identifying and correctly
assessing for mental health and
physical status as well as
indicators of concurrent disorders,
I can assist with prioritizing clients
greatest need on intake and on
follow-up checks. I would like to be
more knowledgeable about the
many ways that clients with
substance use problems present
with, and especially when they
have coexisting psychiatric issues.
I hope to participate in intake
assessment by the fourth week of
my practicum.

Consult appropriate texts:

Gail Stuart, Principles and Practice of Psychiatric
Nursing, 10th edition:

Pages 88-97 discusses the elements of the

Mental Status Exam (MSE)
Chapter 23 (Chemically-mediated responses
and substance-related disorders) talks about
behaviors associated with substance use and
misuse.
Chapter 18 covers the continuum of emotional
responses and mood disorders

Irene Ralph, Addictions and Mental Health, 5th

edition: Chapter Two (Substances of abuse)
outlines signs and symptoms of use,
intoxication and withdrawal in relation to
substance use and misuse
Strategies
I will continue to read, research and review
materials related to this topic. I will make sure to
observe how case workers and nurses perform
assessments at clinical practicum, and to ask and
clarify for further understanding.
I will write down proofs of this competency in my
weekly journal and include my self-assessment on
what areas I can continue to improve on.

Learning Plan
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Fredesminda Guevara
0513 Kamloops
Standard 2:
Application and Integration of
Theory-based Knowledge
Competency 9.05
Selects and implements
psychiatric nursing interventions
calculated to be most effective in
the management of dysfunctional
behavior patterns, e.g. hostile,
acting-out, elopement, suicidal,
depressed, psychotic, addictions,
suspicious, confused, elated,
ritualistic, and anxious
Rationale
By choosing and carrying out the
appropriate nursing actions for
clients with maladaptive responses
and behaviors, I am complying
with CRPNBCs indicators for
effective planning and
implementation standards.
By the middle of this semester, I
will have performed at least two
psychiatric interventions.

Consult appropriate texts:

Gail Stuart, Principles and Practice of Psychiatric
Nursing, 10th edition:
The following chapters from this text notes the
different interventions that psychiatric nurses
can use in dealing with common maladaptive
behaviors:
Chapter 15: Anxiety and anxiety disorders
Chapter 18: Depression, grief, bipolar disorder
Chapter 19: Suicidal behavior
Chapter 20: Psychosis, schizophrenia and
related disorders Chapter 21: Personality
disorders
Chapter 22:
Delirium, dementia & organic mental disorders
Chapter 23: Substance-related responses and
disorders Chapter 24: Eating disorders
Chapter 25: Sexual responses and disorders
Phil Barker, Psychiatric and Mental Health Nursing:
The craft of caring, 2nd edition
Section 4 (pages 164-303) contains articles
focused on dealing with persons who experience
anxiety, depression, psychosis, mood disorders,
schizophrenia, sexual abuse or homelessness,
dual diagnosis, eating disorders, dementia, and
violence or aggression.
Strategies
I will continue reading and supplementing
practical knowledge with research. At clinical, I will
make sure to read documents on SOPs and case
notes (if allowed). Before performing any
intervention, I will ensure that my preceptor
approves it first. I will also clarify and verify with
appropriate personnel with any query, doubts or
misperceptions relevant to the clinical situation.
In my weekly journal, I will cite instances or
situations where I had selected and used
interventions which I believed to be most suitable.

Learning Plan
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Fredesminda Guevara
0513 Kamloops

Learning Plan
PSYN 216-12

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Fredesminda Guevara
0513 Kamloops
Standard 2:
Application and Integration of
Theory-based Knowledge
Competency 9.08
Uses the techniques of social
learning, reality therapy,
supportive therapy, behavior
modification, cognitivebehaviorism, and psychotherapy
among others to help client deal
with his/her health problems
Rationale
By applying evidence-based
practices such as therapy
strategies mentioned above, I will
assist in implementing nursing
actions that are focused on
facilitating changes in behavior
and thinking which will encourage
coping and recovery among
clients.
I hope to have gained sufficient
knowledge of and perform some of
these different techniques by the
end of the semester.

Consult appropriate texts:

Phil Barker, Psychiatric and Mental Health Nursing:
The craft of caring, 2nd edition:
Pages 257-259 identify psychological
interventions that are seen as effective for
helping clients with substance use problems such
as Brief Intervention (BI), Cognitive-Behavioral
Therapy (CBT), Motivational Interviewing (MI),
relapse prevention and harm reduction.
Gail Stuart, Principles and Practice of Psychiatric
Nursing, 10th edition
Page 464 notes that motivational approaches,
family counseling and cognitive behavioral
strategies are evidence-based strategies that deal
effectively with clients with substance use issues.
Consult appropriate videos
Social Learning Theory:
https://www.youtube.com/watch?v=N_hQTGR8YqI
Strategies
I will need to get familiar with different forms of
therapy that are used in clients with substance
use issues and/or mental health problems by
further reading and researching, observing and
consulting with my preceptor, monitor and other
staff.
I will record instances where I had participated in
assisting clients using therapeutic techniques in
my weekly journal as continuing evidence of
achievement of this competency.

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Fredesminda Guevara
0513 Kamloops
Standard 2:
Application and Integration of
Theory-based Knowledge
Competency 9.12
Participates in client/family
counseling and therapy
Rationale
By joining counseling and therapy
sessions with clients/families, I will
be acquiring techniques,
understanding and insight into
personal and family dynamics
relevant to assisting clients with
substance use and/or mental
health issues. I will also be
building my knowledge base in
preparation for my own practice
and learn more from professionals
about effective counseling skills.
By midterm, I will have joined at
least a single session in counseling
or therapy.

Consult appropriate texts:

Gail Stuart, Principles and Practice of Psychiatric
Nursing, 10th edition

Page 466 recommends counseling for couples

and families in relation to substance use to
enhance support systems and address family
dynamics that influence substance use
behaviors
Page 211 notes the contribution of family
support to clients recovery process
Page 632 talks about the potential of family
psychotherapy to enhance supportive
interactions among clients and family
members

Strategies
I will request for opportunities to observe
counseling and therapy sessions for the client
and/or family. I will continue to read relevant
materials to increase my knowledge about these
interventions and also to consult my preceptor or
monitor for clarifications.
I will write about any sessions I would have
attended in my weekly journal and include my
observations and self-reflections.

Learning Plan
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Fredesminda Guevara
0513 Kamloops
Standard 2:
Application and Integration of
Theory-based Knowledge
Competency 10.04
Provides client and family with
relevant information about
community resources
Rationale
By sharing information related to
accessible resources to clients and
their families, I am adhering to
standards of practice consistent
with performance factors in
planning clients treatment
programs. Supplying this
information enables clients and
families to make informed choices
which is also consistent with
promoting autonomy.
My goal for accomplishing this
competency is before midterm
evaluation.

Consult appropriate texts:

Gail Stuart, Principles and Practice of Psychiatric
Nursing, 10th edition:
Page 205 states the importance of nurses
having extensive knowledge about community
resources that can assist with clients treatment
programs.
Julie Repper & Rachel Perkins, Social Inclusion and
Recovery: A Model for Mental Health Practice
Pages 159-161 recommends steps to take for
mental health workers to promote inclusion of
their clients by not only offering information on
local resources but also expounding on
expectations or responsibilities that their clients
may have to adhere to.
Consult appropriate websites:
ASK Wellness website: http://www.askwellness.ca
Canadian Mental Health Association:
http://www.cmha.bc.ca
Ministry of Social Development and Social
Innovation website: http://www.gov.bc.ca/sdsi/
Open Group Door: http://www.opendoorgroup.org
Strategies
I will look for opportunities to include the family
when sharing information about community
resources and opportunities. I will ask for an
extensive list of local resources from the facility
and supplement this with a list from neighboring
towns which can be researched online.
I will record in my weekly journal evidence of
information-giving as well as my responses and
thoughts about the process.

Learning Plan
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Fredesminda Guevara
0513 Kamloops
Standard 2
Application and Integration of
Theory-based Knowledge
Competency 9.06
Uses crisis intervention techniques
Rationale
By learning about strategies in
crisis intervention, I will be
enabled to assist during mental
and physical crises which will
ensure safety and reassurance for
clients. This will also improve my
skills set and critical thinking
abilities in relation to dealing with
clients in distress and providing
the appropriate and culturally
competent response.
By the end of the semester, I will
have participated in de-escalation
of clients in crises and/or
intervening in crises situations.

Consult appropriate texts:

Gail Stuart, Principles and Practice of Psychiatric
Nursing, 10th edition
Pages 181-195 discusses what kind of
responses are appropriate for varying forms of
crises and the role of nurses in assessment and
implementation of corresponding interventions.
Pages 585-588 notes the elements in crisis
management such as team response, use of
least restrictive interventions and use of
seclusion and restraints as the last resort.
Mental Health Commission of Canada (MHCA),
Mental Health First Aid
This booklet (given at workshop seminars)
outlines steps to take during mental health
emergency or crisis situations while waiting for
professional medical care to arrive.
Consult appropriate videos
Nonviolent crisis intervention training program:
https://www.youtube.com/watch?
v=DZwMLGb0M48&list=PLE952EE419A42432F&in
dex=4
De-escalation techniques:
https://www.youtube.com/watch?
v=pBe4A32fpyI&index=1&list=PLE952EE419A424
32F
Strategies
I will continue to read and review texts and watch
videos before clinical starts. Then I will observe,
ask and read procedures, and make sure that I am
properly informed as to the correct protocol as a
practicum student. I will clarify with my preceptor
or monitor for any questions or issue that relate to
handling of and behaving in crisis situations and
ensure that I write about all these in my weekly

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Fredesminda Guevara
0513 Kamloops
journal as evidence of achievement.

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Fredesminda Guevara
0513 Kamloops
Standard 3:
Application and Integration of
Theory-based Knowledge
Competency 5.11
Assumes responsibility for own
professional development and
updates skills and knowledge base
according to emerging trends and
needs of the consumer population
Rationale
Keeping up with new
developments and evidence-based
practices in substance use and
mental health will ensure that my
knowledge base is current and
appropriate to address diversity of
issues among clients.
By the end of this placement, I will
have attended
workshops/trainings, or have taken
at least one course outside the
curriculum related to substance
use such as FASD, alcoholism and
other relevant issues.

Consult appropriate texts:

Gail Stuart, Principles and Practice of Psychiatric
Nursing, 10th edition
Pages 157-158 notes the expectations for
psychiatric nurses to engage in continuous
learning to enhance competency through
educational opportunities.
Consult appropriate websites:
CRPNBC website: Professional Development
Resources http://www.crpnbc.ca
RPNC website: http://www.rpnc.ca/
Conayt Friendship Society website:
http://www.conayt.com
Scwexmx Child and Family Services Society:
http://www.scwexmx.com
ASK Wellness Merritt: http://www.askwellness.ca
Canadian Mental Health Association website:
http//www.cmha.bc.ca
Strategies
I will monitor local agencies such as non-profits
and Aboriginal friendship centers for upcoming
training/info sessions related to substance use and
mental health. I will record and expound on what I
have learned or what I would like to learn on my
weekly journal. To increase my theoretical
knowledge base, I will also continue to read
journals and textbooks relevant to my clinical
placement.

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Fredesminda Guevara
0513 Kamloops
Standard 4:
Professional Ethics
Competency 7.05
Perceives and interprets verbal
and nonverbal communication
Rationale
By observing and understanding
communication cues from clients, I
will be able to perceive their
underlying emotions and to not
take anything personally. Doing so
will be consistent with professional
standards of ethical and
professional behavior.
By the end of each week, I will
have noted and reported
successes, near-misses and
failures on my part to correctly
engage in communicating with
clients.

Learning Plan
PSYN 216-12

Consult appropriate texts:

Gail Stuart, Principles and Practice of Psychiatric
Nursing, 10th edition:
Pages 38-42 notes the disruptions in the
therapeutic relationship due to transferences
and counter-transferences and ethical violations
when nurses go beyond defined boundaries
Phil Barker, Psychiatric and Mental Health Nursing:
The craft of caring, 2nd edition:
Pages 338-344 discusses the psychodynamic
influences of transference and
countertransference on nurse-patient
interactions, and on how awareness of these
dynamics can help nurses to pursue a
therapeutic alliance with patients.
Strategies:
I will journal my thoughts and feelings each week
as I reflect on my attitudes and responses to
clients and look for ways to improve. I intend to be
aware of how I react to negative and intensely
positive emotions from clients and learn how to
manage my own reactive responses so that I can
act professionally with them.

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