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FORMAT FOR PROCESS RECORDING (EXAMPLES)

Student _____________________________________________ PROCESS RECORDING Clients initials ________ Age ____________ Instructor ___________________________________________________ Date _______________________________________________ Nursing System ______________________________________________ Facility _____________________________________________________

Brief description of client: Student's and Client's Verbal & Nonverbal Communication

The verbal exchange that transpires between the nurse and the patient. "_____________________________" N "__________________________" P The patient's non-verbal behavior; descriptive information about the environment and the patient available through the senses (what you see, smell, taste, touch, and hear) N "What is going on with Joe?" His eyes are downcast and he is sitting alone. His eyes are downcast and he is sitting alone. His forehead is wrinkled. I am smiling. P "Oh, I don't know: It seems like you're pretty interested in me."

Student's Comments (Rationale for Interaction)

Thoughts and Feelings: Your emotional and intellectual responses to what is occurring.

Analysis and Technique

Theoretic concepts and reasons for utilizing interventions tat increase your understanding of the patient's behavior; evaluate effective and ineffective therapeutic skills used in the interactions. Giving a broad opening offers the patient an invitation to talk. Joe really did not say what was wrong. I thought this was due to the fact that he doesn't know me. Before a person can open up, he must be able to trust.

Instructor's Comments

He looked somewhat lonesome: I wonder if he feels like talking. He appears worried. I wanted the patient to know and feel that I care about his welfare.

Norfolk State University -- Department of Nursing

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