Client Encounter Journal Entry

Instructions
Journaling is a continual reflection on clinical experiences and your related thoughts, feelings, and behaviors surrounding those experiences. You will not be graded on the experiences you have had, but instead on your commitment to reflecting on those experiences and utilizing those reflections to improve your professional identity and skillset. Your journal is a place where you can record thoughts regarding a specific client encounter. Think of the journal as a personal, one-to-one communication tool between you and your instructor. Journal entries are viewable only by you and your instructor. All clinical discussion or communication will protect the confidentiality of clients.

While being mindful of integrating critical thinking into the management of clients during the clinical experience, you will also be evaluating health promotion and maintenance for children, adolescents, adults and/or older adults, to include medically underserved groups. The PMHNP role also encompasses analyzing cultural proficiency and spirituality in the assessment, diagnosis, treatment, and management of clients with mental health conditions.

Your entry must be about a client encounter you had this week and should be no more than 500 words. Journal entries should also include an analysis of the nurse practitioner role or the potential role in the clinical setting. Select one of the following options to help guide you:

Option 1
Write about a situation that you felt you handled well. What did you do? Provide justification and reasoning for your actions. This commentary should include reference to relevant course content or research.

Option 2
Write about a situation where you felt unsure of yourself. What happened? What made you question your decision-making? If faced with the same situation in the future, how would you like to handle it differently? Provide justification and reasoning for your actions. This commentary should include reference to relevant course content or research.

Option 3
Write about a situation that you felt you handled incorrectly. What happened? How would you change your actions to result in a different outcome? Provide justification and reasoning for your actions. This commentary should include reference to relevant course content or research.

Option 4
Write about a continuation of a situation that you faced earlier in your clinical. How has the situation evolved? What have you done to guide the relationship? What interventions and so on have you tried? What is the current outcome? What are your goals with this patient? Provide justification and reasoning for your actions. This commentary should include reference to relevant course content or research.

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You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.