mental health
25 for anyone that can do
Rubric Detail
A rubric lists grading criteria that instructors use to evaluate student work. Your instructor linked a rubric to this item and made it available to you. Select Grid View or List View to change the rubric’s layout.
Content
Name:Psychiatric Care Plan Rubric
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List View
Meets or Exceeds
Mostly Meets
Approaches
Does Not Meet Expectations
Clients Demographics and Psychiatric Legal Status
Points:
5 (5.00%)
Clearly and accurately describes the clients demographics and psychiatric legal status in detail.
Feedback:
Points:
3.8 (3.80%)
Adequately describes the client demographics and psychiatric legal status with adequate detail.
Feedback:
Points:
2.5 (2.50%)
Vaguely describes the clients demographics and psychiatric legal status with some detail.
Feedback:
Points:
1.25 (1.25%)
Lack description of the clients demographics and psychiatric legal status that presents no detail.
Feedback:
Clients Vital Signs
and Allergies
Points:
5 (5.00%)
Clearly and accurately documented the clients vital signs and allergies in full detail.
Feedback:
Points:
3.8 (3.80%)
Adequately documented the clients vital signs and allergies. Missing few minor details.
Feedback:
Points:
2.5 (2.50%)
Incomplete documentation of the clients vital signs and allergies.
Feedback:
Points:
1.25 (1.25%)
Fails to document the clients vital signs and allergies.
Feedback:
History of Present
Illness and Multiaxial
Diagnostic System
Points:
6 (6.00%)
Clearly and accurately describes the clients history of present illness. The Multiaxial Diagnostic System clearly and accurately supports the identified chief complaint and presenting signs/symptoms.
Feedback:
Points:
4.56 (4.56%)
Adequately describes the
clients history of present illness. The Multiaxial Diagnostic System adequately supports the identified chief complaint and presenting signs/symptoms.
Feedback:
Points:
3 (3.00%)
Vaguely describes the clients history of present illness. The Multiaxial Diagnostic System vaguely supports the identified chief complaint and presenting signs/symptoms.
Feedback:
Points:
1.5 (1.50%)
Lack description of clients history of present illness. The Multiaxial Diagnostic System does not support the identified chief complaint and presenting signs/symptoms.
Feedback:
Psychopathology and
biophysical pathology of admitting and/or related psychiatric
and medical diagnosis
Points:
6 (6.00%)
Clearly and accurately identifies psychopathology and biophysical pathology related to the identified diagnostic criterion based on the clients history and presenting symptoms.
Feedback:
Points:
4.56 (4.56%)
Adequately identifies
psychopathology and biophysical pathology related to the identified diagnostic criterion based on the clients history and presenting symptoms.
Feedback:
Points:
3 (3.00%)
Vaguely identifies
psychopathology and biophysical pathology related to the identified diagnostic criterion based on the clients history and presenting symptoms.
Feedback:
Points:
1.5 (1.50%)
Fails to identify
psychopathology and biophysical pathology related to the identified diagnostic criterion based on the clients history and presenting symptoms.
Feedback:
Eriksons Developmental Stages
Points:
6 (6.00%)
Clearly and accurately identifies clients developmental stage with rationales based on the clients developmental tasks.
Feedback:
Points:
4.56 (4.56%)
Adequately identifies clients developmental stage with rationales based on the clients developmental tasks.
Feedback:
Points:
3 (3.00%)
Vaguely identifies clients developmental stage without adequate rationale based on the clients developmental tasks.
Feedback:
Points:
1.5 (1.50%)
Fail to identify clients developmental stage and lack rationale based on the clients developmental tasks.
Feedback:
Mental Status
Examination
Points:
6 (6.00%)
Clearly and accurately describes all components of the mental status examination based on the clients presenting symptoms.
Feedback:
Points:
4.56 (4.56%)
Adequately describes components of the mental status examination based on the clients presenting symptoms.
Feedback:
Points:
1.5 (1.50%)
Vaguely describes components of the mental status examination based on the clients presenting symptoms.
Feedback:
Points:
0 (0.00%)
Fails to describe any of components of the mental status examination based on the clients presenting symptoms.
Feedback:
Substance Abuse and other Addictions
Points:
6 (6.00%)
Clearly and accurately identifies abused substances and problems associated with substance and other addictions.
Feedback:
Points:
4.56 (4.56%)
Adequately identifies abused substances and problems associated with substance and other addictions.
Feedback:
Points:
3 (3.00%)
Vaguely identifies abused substances and problems associated with substance and other addictions.
Feedback:
Points:
1.5 (1.50%)
Fails to identify abused substances and problems associated with substance and other addictions.
Feedback:
Risk Assessment
Points:
6 (6.00%)
Clearly and accurately identifies all risk factors related to the clients history and presenting symptoms.
Feedback:
Points:
4.56 (4.56%)
Adequately identifies some risk factors related to the clients history and presenting symptoms.
Feedback:
Points:
3 (3.00%)
Vaguely identifies risk factors related to the clients history and presenting symptoms.
Feedback:
Points:
1.5 (1.50%)
Fails to identify any of the risk factors related to the clients history and presenting symptoms.
Feedback:
Multidisciplinary
Client Outcome & Discharge Planning.
Points:
6 (6.00%)
Clearly and accurately describes collaborative issues and concerns related multidisciplinary client outcome and discharge planning.
Feedback:
Points:
4.56 (4.56%)
Adequately describes collaborative issues and concerns related multidisciplinary client outcome and discharge planning.
Feedback:
Points:
3 (3.00%)
Vaguely describes collaborative issues and concerns related multidisciplinary client outcome and discharge planning.
Feedback:
Points:
1.5 (1.50%)
Fails to describe collaborative issues and concerns related multidisciplinary outcome and discharge planning.
Feedback:
Learning Needs Assessment and Client Education
Points:
6 (6.00%)
Clearly and accurately identifies areas of instructional needs, learning preference and learning barriers. Provided clear and concise client education the will aid in health promotion, health maintenance and self-care activities.
Feedback:
Points:
4.56 (4.56%)
Adequately identifies areas of instructional needs, learning preference and learning barriers. Provided some and adequate client education the will aid in health promotion, health maintenance and self-care activities.
Feedback:
Points:
3 (3.00%)
Vaguely identifies areas of instructional needs, learning preference and learning barriers. Provided minimal and vague client education the will aid in health promotion, health maintenance and self-care activities.
Feedback:
Points:
1.5 (1.50%)
Fails to identify areas of instructional needs, learning preference and learning barriers. Did not provide client education the will aid in health promotion, health maintenance and self-care activities.
Feedback:
Pertinent Lab Test
& Abnormal
Involuntary
Movement
Points:
6 (6.00%)
Clearly and accurately identifies pertinent laboratory test and abnormal movements related to clients disease process.
Feedback:
Points:
4.56 (4.56%)
Adequately identifies pertinent laboratory test and abnormal movements related to clients disease process.
Feedback:
Points:
1.5 (1.50%)
Vaguely identifies pertinent laboratory test and abnormal movements related to clients disease process.
Feedback:
Points:
0 (0.00%)
Fails to identify pertinent laboratory test and abnormal movements related to clients disease process.
Feedback:
NANDA Nursing
Diagnosis (prioritized)
Nursing Diagnosis
Definition
Points:
6 (6.00%)
Both nursing diagnoses are accurate and prioritized per NANDA format with clear etiology and data to support diagnosis. Clear and accurate nursing diagnosis definition.
Feedback:
Points:
4.56 (4.56%)
Both nursing diagnoses are adequate and prioritized per NANDA format with sufficient etiology and data to support diagnosis. Adequate nursing diagnosis definition.
Feedback:
Points:
3 (3.00%)
Both nursing diagnosis are vague and not prioritized per NANDA format with vague etiology and unclear correlation with the assessment data. Inaccurate nursing diagnosis definition.
Feedback:
Points:
1.5 (1.50%)
Both nursing diagnosis are indefinable per NANDA format and do not correlate with assessment data. Lack nursing diagnosis definition.
Feedback:
Nursing Outcome
Criteria
Points:
6 (6.00%)
Clearly and accurately establishes clients outcome criteria and can be achieved with nursing assistance. The goal clearly supports the nursing diagnosis and plan of care. The goals are easily measurable and realistic.
Feedback:
Points:
4.56 (4.56%)
Adequately establishes clients outcome criteria and can be achieved with nursing assistance. The goal somewhat supports the nursing diagnosis and plan of care. The goals are somewhat measurable and realistic.
Feedback:
Points:
3 (3.00%)
Vaguely establishes clients outcome criteria and may or may not be achieved with nursing assistance. The goals are inconsistent with the nursing diagnosis and plan of care. The goals are vaguely realistic and measurable.
Feedback:
Points:
1.5 (1.50%)
Fails to establish clients outcome criteria that cannot be met by nursing assistance. The goals lack support and nonspecific from gathered data, Outcome criteria are not realistic and not measurable.
Feedback:
Nursing Intervention
Criteria & Rationale
Points:
6 (6.00%)
Clearly and accurately
Identifies independent nursing interventions criteria with teaching supported by scientific rationale and evidence- based practice. Interventions are always individualized, prioritized, organized, specific and realistic. Nursing actions are always aimed at the clients goals and directed at the stated health deviation based on nursing assessment and Ericksons stages of development.
Feedback:
Points:
4.56 (4.56%)
Adequately Identifies nursing interventions with adequate teaching. Scientific rationale is adequately supported by evidence-based practice. Interventions are adequate, individualized, organized, specific and realistic. Interventions can be implemented adequately that is focused on clients goal and health deviation based on nursing assessment and Ericksons stages of development.
Feedback:
Points:
3 (3.00%)
Vaguely Identifies nursing interventions with unclear teaching. Scientific rationale is vaguely relevant & not supported by evidence-based practice.
Interventions are inconsistent, non-specific, disorganized, and not adequately focused on the clients goal. Interventions are difficult to implement and has weak relationship to nursing diagnosis based on nursing assessment and Ericksons stages of development.
Feedback:
Points:
1.5 (1.50%)
Fails to identify
interventions and teaching. Lack Scientific rationale
and is not supported by
evidence-based practice. Interventions are non- specific, inappropriate, unrealistic, un-measurable and do not relate to nursing diagnosis. Intervention does do not focus on client goals and/or the stated health deviation based on nursing assessment and Ericksons stages of development.
Feedback:
Evaluation
Points:
6 (6.00%)
Skillfully and independently identifies criteria for evaluation. Evaluates effectiveness of interventions and measures goal completion. Modifies, revises and recommends alternative intervention.
Feedback:
Points:
4.56 (4.56%)
Adequately identifies criteria for evaluation. Adequately determines effectiveness of nursing interventions and measures goal completion with appropriate modification and revisions to the treatment plan.
Feedback:
Points:
3 (3.00%)
Difficulty utilizing criteria for evaluation. Difficulty determining effectiveness of interventions and goal completion. Evaluation vaguely supports if goal is met or not met with inaccurate revisions to the treatment plan.
Feedback:
Points:
1.5 (1.50%)
Does not support nor utilize criteria for evaluation. Does not determine effectiveness of interventions and goal completion. There is a lack of alternative interventions to the treatment plan.
Feedback:
Medications
Points:
6 (6.00%)
Clearly and accurately identifies all components of the medication list, including mechanism of action, purpose, range, side effects, interactions, levels and nursing considerations relevant to the client.
Feedback:
Points:
4.56 (4.56%)
Adequately identifies components of the medication list. Adequate description of mechanism of action, purpose, range, side effects, interactions, levels and nursing considerations relevant to the client.
Feedback:
Points:
3 (3.00%)
Vaguely identifies components of the medication list. Lack description of mechanism of action, purpose, range side effects, interactions, levels and nursing considerations relevant to the client.
Feedback:
Points:
1.5 (1.50%)
Fails to identify components of the medication list. Failed to include mechanism of action, purpose, range side effects, interactions, levels and nursing considerations relevant to the client.
Feedback:
General Organization
Points:
6 (6.00%)
Accurate APA format,
Appropriate citations & references,No spelling or grammar errors
Feedback:
Points:
4.56 (4.56%)
Adequate APA format.
Minimal citations and references are appropriate. Few spelling or grammar errors.
Feedback:
Points:
3 (3.00%)
Numerous APA format
errors, Inaccurate citations and references.
Few spelling and grammar errors.
Feedback:
Points:
1.5 (1.50%)
Fails to utilize APA format.
No citations or references included numerous spelling and grammar errors.
Feedback:
Show Descriptions
Show Feedback
Clients Demographics and Psychiatric Legal Status–
Levels of Achievement:
Meets or Exceeds
5 (5.00%) points
Clearly and accurately describes the clients demographics and psychiatric legal status in detail.
Mostly Meets
3.8 (3.80%) points
Adequately describes the client demographics and psychiatric legal status with adequate detail.
Approaches
2.5 (2.50%) points
Vaguely describes the clients demographics and psychiatric legal status with some detail.
Does Not Meet Expectations
1.25 (1.25%) points
Lack description of the clients demographics and psychiatric legal status that presents no detail.
Feedback:
Clients Vital Signs
and Allergies–
Levels of Achievement:
Meets or Exceeds
5 (5.00%) points
Clearly and accurately documented the clients vital signs and allergies in full detail.
Mostly Meets
3.8 (3.80%) points
Adequately documented the clients vital signs and allergies. Missing few minor details.
Approaches
2.5 (2.50%) points
Incomplete documentation of the clients vital signs and allergies.
Does Not Meet Expectations
1.25 (1.25%) points
Fails to document the clients vital signs and allergies.
Feedback:
History of Present
Illness and Multiaxial
Diagnostic System–
Levels of Achievement:
Meets or Exceeds
6 (6.00%) points
Clearly and accurately describes the clients history of present illness. The Multiaxial Diagnostic System clearly and accurately supports the identified chief complaint and presenting signs/symptoms.
Mostly Meets
4.56 (4.56%) points
Adequately describes the
clients history of present illness. The Multiaxial Diagnostic System adequately supports the identified chief complaint and presenting signs/symptoms.
Approaches
3 (3.00%) points
Vaguely describes the clients history of present illness. The Multiaxial Diagnostic System vaguely supports the identified chief complaint and presenting signs/symptoms.
Does Not Meet Expectations
1.5 (1.50%) points
Lack description of clients history of present illness. The Multiaxial Diagnostic System does not support the identified chief complaint and presenting signs/symptoms.
Feedback:
Psychopathology and
biophysical pathology of admitting and/or related psychiatric
and medical diagnosis–
Levels of Achievement:
Meets or Exceeds
6 (6.00%) points
Clearly and accurately identifies psychopathology and biophysical pathology related to the identified diagnostic criterion based on the clients history and presenting symptoms.
Mostly Meets
4.56 (4.56%) points
Adequately identifies
psychopathology and biophysical pathology related to the identified diagnostic criterion based on the clients history and presenting symptoms.
Approaches
3 (3.00%) points
Vaguely identifies
psychopathology and biophysical pathology related to the identified diagnostic criterion based on the clients history and presenting symptoms.
Does Not Meet Expectations
1.5 (1.50%) points
Fails to identify
psychopathology and biophysical pathology related to the identified diagnostic criterion based on the clients history and presenting symptoms.
Feedback:
Eriksons Developmental Stages–
Levels of Achievement:
Meets or Exceeds
6 (6.00%) points
Clearly and accurately identifies clients developmental stage with rationales based on the clients developmental tasks.
Mostly Meets
4.56 (4.56%) points
Adequately identifies clients developmental stage with rationales based on the clients developmental tasks.
Approaches
3 (3.00%) points
Vaguely identifies clients developmental stage without adequate rationale based on the clients developmental tasks.
Does Not Meet Expectations
1.5 (1.50%) points
Fail to identify clients developmental stage and lack rationale based on the clients developmental tasks.
Feedback:
Mental Status
Examination–
Levels of Achievement:
Meets or Exceeds
6 (6.00%) points
Clearly and accurately describes all components of the mental status examination based on the clients presenting symptoms.
Mostly Meets
4.56 (4.56%) points
Adequately describes components of the mental status examination based on the clients presenting symptoms.
Approaches
1.5 (1.50%) points
Vaguely describes components of the mental status examination based on the clients presenting symptoms.
Does Not Meet Expectations
0 (0.00%) points
Fails to describe any of components of the mental status examination based on the clients presenting symptoms.
Feedback:
Substance Abuse and other Addictions–
Levels of Achievement:
Meets or Exceeds
6 (6.00%) points
Clearly and accurately identifies abused substances and problems associated with substance and other addictions.
Mostly Meets
4.56 (4.56%) points
Adequately identifies abused substances and problems associated with substance and other addictions.
Approaches
3 (3.00%) points
Vaguely identifies abused substances and problems associated with substance and other addictions.
Does Not Meet Expectations
1.5 (1.50%) points
Fails to identify abused substances and problems associated with substance and other addictions.
Feedback:
Risk Assessment–
Levels of Achievement:
Meets or Exceeds
6 (6.00%) points
Clearly and accurately identifies all risk factors related to the clients history and presenting symptoms.
Mostly Meets
4.56 (4.56%) points
Adequately identifies some risk factors related to the clients history and presenting symptoms.
Approaches
3 (3.00%) points
Vaguely identifies risk factors related to the clients history and presenting symptoms.
Does Not Meet Expectations
1.5 (1.50%) points
Fails to identify any of the risk factors related to the clients history and presenting symptoms.
Feedback:
Multidisciplinary
Client Outcome & Discharge Planning.–
Levels of Achievement:
Meets or Exceeds
6 (6.00%) points
Clearly and accurately describes collaborative issues and concerns related multidisciplinary client outcome and discharge planning.
Mostly Meets
4.56 (4.56%) points
Adequately describes collaborative issues and concerns related multidisciplinary client outcome and discharge planning.
Approaches
3 (3.00%) points
Vaguely describes collaborative issues and concerns related multidisciplinary client outcome and discharge planning.
Does Not Meet Expectations
1.5 (1.50%) points
Fails to describe collaborative issues and concerns related multidisciplinary outcome and discharge planning.
Feedback:
Learning Needs Assessment and Client Education–
Levels of Achievement:
Meets or Exceeds
6 (6.00%) points
Clearly and accurately identifies areas of instructional needs, learning preference and learning barriers. Provided clear and concise client education the will aid in health promotion, health maintenance and self-care activities.
Mostly Meets
4.56 (4.56%) points
Adequately identifies areas of instructional needs, learning preference and learning barriers. Provided some and adequate client education the will aid in health promotion, health maintenance and self-care activities.
Approaches
3 (3.00%) points
Vaguely identifies areas of instructional needs, learning preference and learning barriers. Provided minimal and vague client education the will aid in health promotion, health maintenance and self-care activities.
Does Not Meet Expectations
1.5 (1.50%) points
Fails to identify areas of instructional needs, learning preference and learning barriers. Did not provide client education the will aid in health promotion, health maintenance and self-care activities.
Feedback:
Pertinent Lab Test
& Abnormal
Involuntary
Movement–
Levels of Achievement:
Meets or Exceeds
6 (6.00%) points
Clearly and accurately identifies pertinent laboratory test and abnormal movements related to clients disease process.
Mostly Meets
4.56 (4.56%) points
Adequately identifies pertinent laboratory test and abnormal movements related to clients disease process.
Approaches
1.5 (1.50%) points
Vaguely identifies pertinent laboratory test and abnormal movements related to clients disease process.
Does Not Meet Expectations
0 (0.00%) points
Fails to identify pertinent laboratory test and abnormal movements related to clients disease process.
Feedback:
NANDA Nursing
Diagnosis (prioritized)
Nursing Diagnosis
Definition–
Levels of Achievement:
Meets or Exceeds
6 (6.00%) points
Both nursing diagnoses are accurate and prioritized per NANDA format with clear etiology and data to support diagnosis. Clear and accurate nursing diagnosis definition.
Mostly Meets
4.56 (4.56%) points
Both nursing diagnoses are adequate and prioritized per NANDA format with sufficient etiology and data to support diagnosis. Adequate nursing diagnosis definition.
Approaches
3 (3.00%) points
Both nursing diagnosis are vague and not prioritized per NANDA format with vague etiology and unclear correlation with the assessment data. Inaccurate nursing diagnosis definition.
Does Not Meet Expectations
1.5 (1.50%) points
Both nursing diagnosis are indefinable per NANDA format and do not correlate with assessment data. Lack nursing diagnosis definition.
Feedback:
Nursing Outcome
Criteria–
Levels of Achievement:
Meets or Exceeds
6 (6.00%) points
Clearly and accurately establishes clients outcome criteria and can be achieved with nursing assistance. The goal clearly supports the nursing diagnosis and plan of care. The goals are easily measurable and realistic.
Mostly Meets
4.56 (4.56%) points
Adequately establishes clients outcome criteria and can be achieved with nursing assistance. The goal somewhat supports the nursing diagnosis and plan of care. The goals are somewhat measurable and realistic.
Approaches
3 (3.00%) points
Vaguely establishes clients outcome criteria and may or may not be achieved with nursing assistance. The goals are inconsistent with the nursing diagnosis and plan of care. The goals are vaguely realistic and measurable.
Does Not Meet Expectations
1.5 (1.50%) points
Fails to establish clients outcome criteria that cannot be met by nursing assistance. The goals lack support and nonspecific from gathered data, Outcome criteria are not realistic and not measurable.
Feedback:
Nursing Intervention
Criteria & Rationale–
Levels of Achievement:
Meets or Exceeds
