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Pres. Diosdado Macapagal Blvd.

, Metropolitan Park, Pasay City


INTENSIVE NURSING PRACTICUM- MENTAL HEALTH AND PSYCHIATRIC NURSING
SAMPLE PROCESS RECORDING
Name : ________________________________________________________________________________ Group: ___________________________Date : ___________________________ DAY:_____________________
SETTING : _____________________________________________________________________________ TIME STARTED : _____________________________ TIME ENDED: _________________________________
PHASE OF NURSE PATIENT INTERACTION : Orientation Phase ( ), Working Phase ( ), Termination Phase ( )- TIC ONE
OBJECTIVES : __________________________________________________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________________________________________________________________
NURSE PATIENT ANALYSIS REMARKS OF THE
VERBAL NON VERBAL VERBAL NON VERBAL THEMES THERAPEUTIC CLINICAL
COMMUNICATION INSTRUCTIOR
TECHNIQUES

What do you prefer to Has pen in hand, other (pause) Anita Patient is looking at Content – Seeking
be called, Mrs. Jarvis or hand is flat on desk; is floor. Patient’s information
Anita? looking at patient. preference in terns
of addressing Consensual
Reaction- validation
cooperative
Mood- euthymic

Anita , we will be better (Same as above) (pause) I couldn’t get Content – Offering self
able to help you if we out of bed. (pause) I was Is turning head slightly . Describes fatigue
know more about you. so tired. still looking at the floor; and inability to Seeking
What has happened in is not smiling or get out of bed. information
your life recently? frowning. Mood – dysphoric
Interaction- opens
up with nurse

How long have you been Is writing, then looking I don’t know ( Same as above) Content – unsure Placing event in
feeling so tired? at patient ( pause) A week I guess of time frames, time or
sequence

What happened a week Leans toward patient . (pause) my husband Teary eyed; tries to Content – conflict Focusing and
ago? I can see this is Moves tissue box. Look (pause) left. open purse. Is nodding with husband seeking
difficult for you to talk at patient; both arms head; raises eyes Reaction- is more information
about. (pause) What did are on lap. That he was fed up. slightly; is still not trusting of nurse
he say when he left? (pause) That he wanted a looking at the nurse.
divorce. Starts to cry; gets tissue.
Sobs occasionally.

______________________________ ___________________________________
Student’s Signature Clinical Instructor’s Signature

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