CENTRO ESCOLAR UNIVERSITY

SCHOOL OF NURSING
MANILA
Rubrics for Psychiatric Case Study

NAME : ________________________________ SCORE : ____________________

Situation: You will be assigned in one patient with maladaptive patterns of behaviour and you are required to complete a written case study to highlight the appropriate mental status assessment
(MSA), use of therapeutic communications using the prescribed format of nurse-patient interaction (NPI), identification of highly prioritized psychiatric nursing diagnosis and implementation of highly
relevant interventions to respond to the specific needs of the assigned client. You are required to follow the given format of the case study and submit it two weeks after the last day of clinical exposure.

Task Description: This is the rubrics that will assess the student competency on developing a case study presentation that shows proficiency in applying concepts and principles of psychiatric
nursing that is focus on mental health assessment, documentation of nurse-patient interaction, psychodynamics, psychopathology, identification of Nursing diagnosis and developing nursing care
plan including the documentation of the various psychotherapies.
w Exemplary Accomplished Developing Beginning Scores Remark
e 4 3 2 1 s
i
Criteria
g
h
t
-Quality of information is -Some details are -Details are somewhat sketchy. -Unable to find specific details
supporting details specific to non-supporting to the subject Do not support topic -Poorly organized; no logical
subject -Organized; points are -Some organization; points progression
Introduction and -Good organization; points are somewhat jumpy jump around - Totally unrelated; Does not include
2
Literature Review logically ordered - Somewhat relevant; - Remotely related; some references
- Directly relevant; references references are somewhat references are appropriate and
are appropriate and adequate appropriate and used at least adequate at least three
at least seven five
- All relevant biographical - Biographical information is - Biographical information is - Content is incomplete; there is
information is clearly stated and clearly stated and accurate. included, however lacks minimal information on the
accurate. - There is some diversity in the breadth and depth. background of the client.
- Biographical information areas of the character's life that - Few categories are discussed - Biographical information is
discusses a wide range of areas are discussed. or incorporated. non-existent or very unclear.
History 1 of the client's life including
developmental stage, family,
education, social support,
financial status, and anything
else that seems pertinent to
that client's life history.

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Joylyn L. Mejilla, MAN
March 25, 2019] Page 1
 - All symptoms the client is - The symptoms the client is - Some symptoms are - Very few or no symptoms are
3 experiencing are stated and experiencing are stated and included, with few examples. identified
clearly explained with ample backed up by some examples. - Assessment and information - Assessment and information is not
Mental Health examples. - Assessment and information is is less clear, appropriate & clear, appropriate & accurate
Examination - All assessment and somewhat clear, appropriate & accurate
information is clear, appropriate accurate
& accurate
- Identified more than three - Identified least three factors - Identified least two factors - Unable to identified factors that may
factors that may lead to the that may lead to the disease of that may lead to the disease of lead to the disease of the client
disease of the client the client the client - Does not display an understanding of
3 - Assessment and - Current status and presenting - Ideas are present, but not the relationship between presenting
understanding of client in terms problems are organized in well supported in relation to problems, psychodynamics and
of current status and presenting relation to psychodynamics and psychodynamics and psychopathology .
problems are organized psychopathology . psychopathology . - Psychopathology/psychodynamics is
Psychodynamics/ meaningfully in relation to - - not coherent and does not show the
Psychopathology psychodynamics and Psychopathology/psychodynami Psychopathology/psychodyna development of the mental illness;
psychopathology . cs is somewhat coherent mics is less coherent and show does not incorporates relevant
-Psychopathology/psychodyna showing the development of the development of the theories
mics is well coherent showing the mental illness; incorporates mental illness; does
detailed development of the somewhat relevant theories incorporates relevant theories
mental illness; incorporates
relevant theories

-Accurately identifies three - Accurately identifies two - One diagnosis is identified , - A diagnosis is not present, or lacking
clinically significant nursing clinically significant nursing somewhat based on the client in several aspects.
diagnoses based on the client diagnoses based on the client needs but not supported by - A diagnosis does not display
2 needs. needs symptoms in the MSE relationship between the symptoms
Nursing Diagnoses
- Symptoms are organized - Symptoms are somewhat in the MSE
meaningfully into diagnoses organized meaningfully into
which are adequately diagnoses which are minimally
supported in the MSE supported in the MSE
-Includes measurable long term Most long term goals and short -Some long term goals and -Long term goals and short term
goals and short term objectives term objectives are measurable short term objectives are objectives are not measurable
relevant to the identified and relevant to the identified measurable and relevant to and/or relevant to the identified
2 problems. problems. the identified problems. problems. –
-Includes interventions used -Most interventions used are -Some interventions used are -Interventions used are not relevant
Planning, Interventions
that are relevant to the short relevant to the short term relevant to the short term to the short term objectives, and
& Recommendation
term objectives, and treatment objectives, and treatment objectives, and treatment treatment recommendations within
recommendations within the recommendations within the recommendations within the the continuum of care are not
continuum of care that are continuum of care are mostly continuum of care are appropriate to the severity of client's
appropriate to the severity of appropriate to the severity of somewhat appropriate to the symptoms.
client's symptoms. client's symptoms. severity of client's symptoms.

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Joylyn L. Mejilla, MAN
March 25, 2019] Page 2
 3 -Mastery of principle in -Mastery of principle in -Mastery of therapeutic -Mastery of therapeutic
therapeutic communication is therapeutic communication is communication is less evident communication is not evident
very evident somewhat evident -Meets requirements of what -Does not meet requirements of
Nurse-Patient -Meets all requirements for -Meets most requirements for should be asked/ included in what should be asked/ included in
Interaction what should be included and what should be included and the therapeutic the therapeutic communication
recorded in process recording recorded in the process communication
recording

1 -Very good discussion of the -Good discussion of the drugs -Incomplete discussion of the -No discussion of the drugs
Psychopharmacology drugs drugs

1 -Shows careful analysis of Shows a good analysis of -Superficial analysis of patients -Poor analysis of patients response
Psychotherapy
patients response to therapy patients response to therapy response to therapy to therapy
- Rules of grammar, usage, and - Rules of grammar, and - There are some errors - Paper contains numerous
punctuation are followed; punctuation are followed with throughout the paper in grammatical, punctuation, and
1 spelling is correct. minor errors. Spelling is correct. punctuation, spelling, and/or spelling errors.
Grammar,
- Language is clear and precise; - Language is mostly language. - Language uses jargon, slang or
Punctuation, &
sentences display consistently professional - Language is somewhat conversational tone.
Spelling
strong, varied structure. - Overall, the paper is professional; some
- Professional language is used comprehensive and easy to conversational tone
throughout the paper read.
- Case study meets all the - Case study somewhat meets - Case study minimally - Case study did not follow the
1 required format the required format followed the required format required format
-Format and flow between - Format and flow are good and - Format and flow neither add -Format and/or flow make it difficult
Format
paragraphs enhances deliberate. to nor subtract from the to follow the writing.
readability of paper. readability of the paper.

Total Score 80
Adapted from https://www.rcampus.com/rubricshowc.cfm?sp=yes&code=KX74768&; https://www.rcampus.com/rubricshowc.cfm?code=EC964W&sp=yes&

________________________________________
Printed Name of Clinical Instructor & Signature

_______________
Date

Prepared by :
Joylyn L. Mejilla, MAN
March 25, 2019] Page 3