For this assignment, please use the attached file to assist yourself. Conduct 3 different process recordings, (similar to, but not identical to the attached example: each should be conducted with different dialog) with an imaginary patient. (use initials.. for example M.J) Each process recording should be 10-15 pages. Use 6 different communication techniques for the dialog of each of the process recordings (ex: ). The six different communication techniques are 1. Introduction, 2. Silence 3. Exploring 4. Open-ended question 5. Reflection 6. Communication
process_recording_1__1_.docx
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Running Head: Process Recording
1
Process Recording
Psychiatric Nursing and Mental Health Nursing Care- NURS 386-001
April 10th 2018
Student:
Liaison:
Client’s first Name: A.N
Date: April 21st, 2018
Agency: Spring Groove Hospital Center
Running Head: Process Recording
2
Purpose of Interview: To establish a positive rapport with client upon introduction
Content
Nurse
Client
Hi, my name is
I am a student
nurse from
Bowie State
University.
Was wandering
if you might be
willing to speak
with me.
Sure
Nurse
I will like to
know what
brought you to
this place.
Client
I joined wrong
group of
friends in my
neighborhood
that introduced
me to drugs at a
young age.
How old
exactly where
you when you
began doing
drugs?
Nurse
Client( Still
maintaining eye
contact)
12 years old. I
had started with
marijuana, and
later to ecstasy
at the age of
15.I got so
addicted that
my mind was
messed up and
then I saw
myself here. I
Skill Used
Your gut
Reaction
Introduction: An
Client was
introduction refers relaxed
to a beginning, act
of introducing
something.
Your Analysis
The approach
was therapeutic
because it was
initiating a
conversation
He was open to
conversation
I became
reassured
Client’s
response was
encouraging.
Broad Opening :
This technique
allows patient to
set the tone of the
conversation
He felt free
I used a broad
opening so that
he could feel in
charge and set
the tone
I like the fact
that he began
from the on the
onset
It worked more
than I
anticipated.
Clarification : An
act of making a
statement more
clear
Did not want to
form opinions or
guess when it all
began.
Clarification- to
know exactly
how young he
started
I felt it was
parental neglect.
He was not
proud of his
action
Client could
think back
memory
functioning.
Running Head: Process Recording
Nurse
Client
Nurse
Client
Nurse
Client
Nurse
have been in
and out of here.
Listening
I have been
granted
conditional
release twice
but somehow I
still went back
to drugs and
they sent me
back.
Where your
parents aware
of what was
going on with
you when all
this started?
I Was leaving
with my
mother, who
did not know
by the time she
found out it
was too late.
Then what
effort did she
make to help
you?
My mom tried,
cried, and
prayed because
she is a good
Christian
How about
school, did you
go to school?
3
Active listening:
An act of full
concentration on
what is being said
I wandered how
his parents let
this happen
Clarification- the
action of making
a statement or
situation less
confusing and
more
comprehensible.
Being inquisitive Client had a
about his
supposedly good
upbringing.
upbringing but
just could not
put it together.
Broad Opening: It
allows the patient
to set the direction
of the
conversation
Probing: This is
an act of getting
him talk more
Most times
children from
abusive home
tend to wander
off in life, could
this be the
reason?
Seems client
does not want
apportion any
blame on his
parents
Client
maintained
straight face no
hideous
expression
May be I should
not have not
have asked this
question hoping
it will not block
our conversation.
He tried to
defend his
mother, I still
feel that she did
not play her part
Making enquiry
of his as
He did not
express sad
countenance
maybe the
question was not
bad at all.
Client’s voice
getting weaker,
showing regret.
Seems client has
some form of
education speaks
Running Head: Process Recording
4
about his opinion
and feelings
Client ( looking
down)
Nurse
Client
Nurse
I did but
stopped after
high school.
Although I took
my GED and
passed very
well but mind
was messed up
with ecstasy.
How do you
Reflecting – This
feel about it?
is the act of
thinking deeply or
carefully about
something
I feel horrible. I
have made
terrible choices
in the past that
I wish I never
did. By now I
am supposed to
have finished
school and
probably
working
somewhere.
Let’s take a
Focusing- This is
look at what
a central point of
you said earlier, attention
Client
What exactly?
Nurse
When you said Restating- saying
in and out of
something in a
here do you
new way.
mean
conditional
release?
Yes, but I have
not been able to
Client
academic
background
I could feel his
disappointment
for making
wrong choices
and articulates.
well
Regrets is
inevitable
I asked him that
question to know
how he feels
about
everything.
I sincerely felt
empathic
thinking of all
the wasted years.
Just to know if
he has a sense of
remorse at all.
Curious to know
what his
experience at the
supervisory
home was like.
Thinking he
might not want
to continue as
his voice
breaking down.
Give the client
the reassurance
that I was paying
attention
Analyzing
client’s strength
and weaknesses.
Guess this is
how he sees it,
Showing anger
in his voice now
Holding unto
this feeling
would help him
to pull through
and turn over a
new leaf, for a
fresh start.
Assessing
patient’s
cognitive ability.
Running Head: Process Recording
Nurse
Client
Nurse
Client
Nurse
Client
5
meet the
requirement.
Because the
system is
designed for
you to fail
Can you tell me Exploring –
more about
inquire into or
that?
discuss in detail
The time I was
out,
government
was giving me
money every
month but the
supervisor
takes most of it
and give me
just $60.
“Hmm” I
understand
I make a lot of
money selling
drugs. That’s
why am always
tempted to fall
back.
So you were
not only taking
it but also
selling drugs?
That was the
only way I
could pay bills
and support my
girlfriend
through school
Accepting –
believe or come to
recognize an
opinion as valid
or correct.
he feels
deceived.
My heart
skipped a beat,
that statement is
too deep.
Just thinking
now how I will
be able to tackle
this point so that
I don’t end up
giving him
wrong
impression.
The client seems
to be giving up
hope with this
statement.
The client feels
he is been
cheated as long
as that continues
he might not be
able.
I am a bit
Client appealing
confused it is
to the nurse’s
what it is
conscience
however I did
not want to show
the confusion on
my face.
Still maintaining
eye contact
I don’t think he
seems very willing
to give up drugs at
this point. What
should I do to
make him more
willing?
He has a rational
for his action
Justifying his
actions
Running Head: Process Recording
Nurse
Client
Nurse
Client
Nurse
Client
6
Do you think
Restating
that was the
only way you
could have
survived? Now
you are here are
those needs
been met for
your girlfriend?
No, she is
taking care of
herself. She
warned me to
stop doing
drugs though.
Going back to Suggesting
the conditional tentative.
release
requirements.
What if it set
up to test your
patience, or
ability to
survive in the
society?
Maybe. I have
not thought of
it that way.
What would
you do if you
walk through
the door next
time you are
granted
conditional
release
I have leant
from my
mistakes. I
want to live a
normal life, go
back to school
have my own
Encouraging
formulation of a
plan of action
Giving him
options other
than what he
thinks and
believe.
Evaluation of
purpose. Client
might not have
thought in this
direction
Seems very
proud he can
take care of
someone.
Societal pressure
seems part of his
problem
I feel the system
is set up for basis
of training and
correction and
not to punish,
that why I made
the suggestion.
Not so sure
that’s the case
though. Purpose
here is to help
him set a goal
Memory is very
much in tact can
recall stuff
easily
Feel it would be
better if it comes
from him
Shows client’s
willingness and
eagerness for a
change.
Was amazed by
his response.
Believe he is
getting it
together
Running Head: Process Recording
Nurse
Client
Nurse
family not
getting younger
That is the best
decision but
you have to
start practicing
that from here
keeping away
from trouble to
facilitate your
release.
I hope to
succeed this
time
7
At this point I
feel the client is
willing and
ready to do all it
takes to lead a
better life.
Client presents
positive mental
assessment,
shows he is
maintaining his
drug regimen
Positive mindset
with positive
behavior yields
positive result
Thank you very
much for your
time hope to
see you when
next I come
around.
During my therapeutic nurse-patient interaction, I realized that I need more patience than I
think and still need to listen more. I learned that speaking therapeutically is much harder than
just talking with patients. Contrary to what I thought, A.N was very co-operative which made me
more comfortable talking.
Talking to A.N has helped me demonstrate what I learned about therapeutic
communication and nurse-patient relationship, because it is a base for providing behavioral
change in mental health patients. To sum it all, I have learnt that my response as a nurse goes a
long way to produce a therapeutic outcome thereby achieving optimal health.
…
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