Clinical Assessment and Management of Depression in a Primary Care Telehealth Setting Simulation

2.3: Integrate assessment skills in practice. 

• 2.3h: Demonstrate that one’s practice is informed by a comprehensive assessment appropriate to the functional area of advanced nursing practice. 

• 2.3h: Gather assessment data relevant to the patient’s condition and advanced practice specialty.
• 2.3h: Apply advanced nursing knowledge to interpret assessment findings within specific functional areas. 

NP 2.3: Integrate advanced assessment in NP practice.

• NP 2.3i: Utilize advanced critical thinking to determine the appropriate focused or comprehensive relevant patient history.
• NP 2.3j: Apply advanced assessment skills to perform a comprehensive patient physical assessment utilizing appropriate techniques.
• NP 2.3k: Apply advanced assessment skills to perform a focused patient physical assessment utilizing appropriate techniques.
• NP 2.3l: Order the appropriate diagnostic and screening tests based on patient's risk factors and chief complaint.
• NP 2.3m: Identify health risk factors.
• NP 2.3n: Evaluate determinants of health that may influence the patient's well-being.
• NP 2.3o: Utilize appropriate evidence-based screening tools.
• NP 2.3p: Document comprehensive history, screening, and assessment.
  

Assessment and synthesis of relevant clinical data.
Consider implementing all of the following options:

1. Attached Learner self-assessment: Post-encounter SOAP Note Reflection.
2. SP Checklist – Clinical Actions.
3. Debriefing questions

Domain 2 competency progression.
Consider implementing one of the following options:

1. NPSCA (Ainslie et al., 2024; Pintz et al., 2025).
2. C-CEI 2.0 © (Manz & Todd, 2025; Todd et al., 2023; Todd et al., 2023).
3. Other competency assessment tool with evidence of validity and reliability.

8.2: Use information and communication technology to gather data, create information, and generate knowledge.

• 8.2f: Generate information and knowledge from health information technology databases.
  

• 8.2f. Retrieve and organize relevant clinical data from health information technology (HIT) databases.

NP 8.2: Use information and communication technologies to gather data, create information, and generate knowledge.

• NP 8.2k: Analyze data to impact care delivery at the person, population, or systems’ levels.

2.4: Diagnose actual or potential health problems and needs.

• 2.4f: Employ context driven, advanced reasoning to the diagnostic and decision-making process.
• 2.4g: Integrate advanced scientific knowledge to guide decision making.

•  2.4f: Analyze practice situations holistically using an unbiased and systematic approach.
• 2.4f: Ask targeted, evidence-based questions to assess diagnostic priorities.
• 2.4f: Recognize emerging patterns in patient data to identify potential diagnoses using advanced reasoning frameworks.
• 2.4f: Develop initial differential diagnoses aligning with the patient, system, or population context.
• 2.4g: Incorporate the best available scientific evidence, clinical guidelines, and research findings into decision-making.
• 2.4g: Apply advanced scientific concepts to healthcare delivery. 

NP 2.4: Diagnose actual or potential health problems and needs.

• NP 2.4h: Analyze physical findings to differentiate between normal, variations of normal, and signs of pathology to formulate actual and differential diagnoses.
• NP 2.4i: Utilize diagnostic reasoning to formulate actual and differential diagnoses.
  

Prioritized differential diagnosis.
Consider implementing both of the following options:

1. Attached learner self-assessment: Post-encounter SOAP Note Reflection. 
   Note: this reflection integrates elements of the individual diagnostic competencies (Olson et al., 2019).
2. Debriefing questions 

Domain 2 competency progression.
Consider implementing one of the following options:

1. NPSCA (Ainslie et al., 2024; Pintz et al., 2025).
2. C-CEI 2.0 © (Manz & Todd, 2025; Todd et al., 2023; Todd et al., 2023).
3. Other competency assessment tool with evidence of validity and reliability.

2.5: Develop a plan of care.

• 2.5i: Prioritize risk mitigation strategies to prevent or reduce adverse outcomes. 
• 2.5j: Develop evidence-based interventions to improve outcomes and safety.

•  2.5i: Educate the patient and other stakeholders on strategies to minimize risks and promote adherence to preventive measures.
• 2.5j: Document relevant evidence to inform intervention selection.
• 2.5j: Prioritize interventions enhancing patient safety and minimizing potential harm.

NP 2.5: Manage care of individuals.

• NP 2.5l: Synthesize data to develop and initiate a person-centered plan of care.
• NP 2.5m: Prescribe medications safely and accurately using patient data and following legal and regulatory guidelines.
• NP 2.5n: Order appropriate nonpharmacological interventions. 
  NP 2.5o: Anticipate risks and take action to mitigate adverse events.

Treatment plan for a patient with major depressive disorder.
Consider implementing all of the following options:

1. SP Checklist- Clinical Actions.
2. Attached learner self-assessment: Post-encounter SOAP Note Reflection.
3. Debriefing questions.

Domain 2 competency progression.
Consider implementing one of the following options:

1. NPSCA (Ainslie et al., 2024; Pintz et al., 2025).
2. C-CEI 2.0 © (Manz & Todd, 2025; Todd et al., 2023; Todd et al., 2023).
3. Other competency assessment tool with evidence of validity and reliability.

8.4: Use information and communication technology to support documentation of care and communication among providers, patients, and all system levels

• 8.4f: Employ electronic health, mobile health, and telehealth systems to enable quality, ethical, and efficient patient care.

• 8.4f: Utilize telehealth platforms to conduct patient assessments, provide education, and deliver care to remote or underserved populations.

NP 8.4: Use information and communication technology to support documentation of care and communication among providers, patients, and all system levels.

• No specific sub-competency.

Telehealth skill development.
Consider implementing one or more of the following options:

1. iSOAP Framework Checklist (Chike-Harris et al., 2021).
2. Attached “SP Checklist – Telehealth.”
3. Debriefing questions

9.3: Demonstrate accountability to the individual, society, and the profession.

• 9.3i: Advocate for nursing’s professional responsibility for ensuring optimal care outcomes.
• 9.3l: Foster a practice environment that promotes accountability for care outcomes.

• 9.3i: Promote adherence to professional responsibilities that directly impact patient safety and care quality.
• 9.3l: Articulate one’s role in contributing to patient outcomes.

No specific competency/sub-competency.

Professional identity and role transition. 
Consider implementing both of the following options:

1. Self-assessment: Post-simulation written reflection.
2. Debriefing questions

9.5: Demonstrate the professional identity of nursing.

• 9.5g: Evaluate practice environment to ensure that nursing core values are demonstrated.

• 9.5g: Assess the presence of core values in practice environments.