Example of Interaction Process Recording Student Patient Verbal

Example of Interaction Process Recording Student Patient Verbal and Non-Verbal Critique and Analysis (effective? Or non Client’s Defense/Coping -effective? Could have said, “_________” “Good Morning, Mr. Smith. ” “Who are you and where the devil am I? ” Gazes around with a confused look on his face - Quickly sits on the edge of the bed. Defense: Displacement Coping: Maladaptive I am Lisa. I am a student nurse from Mt St. Mary College, and you are at Kaiser Mental Health Center. I would like to spend some time with you today. ” “What am I doing here? How did I get here? ” Spoken in a loud, demanding voice. “You were brought in by your wife last night after swallowing a bottle of aspirin. You had to have your stomach pumped. ” “Oh…Yeah, ” Silence for 2 minutes. Shoulders slumped, Mr. Smith stares at the floor and drops his head Defense: Displacement Coping: Maladaptive Defense: Adaptive (Self. Observation) Coping: Palliative Interpersonal Techniques Therapeutic. Giving recognition. Acknowledging a client by name can enhance self-esteem and communicates that the client is viewed as an individual by the nurse. Therapeutic. Giving Information. Informing the client of facts needed to make decisions or come to realistic conclusions. Therapeutic. Offering self. Making oneself available to the client. Therapeutic. Giving information. Giving needed facts so that the client can orient himself and better evaluate his situation. I was feeling nervous. He had attempted suicide and I didn’t know if I could help him. Initially I was feeling somewhat overwhelmed with history. I felt a bit intimidated when he raised his voice. I was uncomfortable with the silence, but since I didn’t have anything useful to say, I stayed with him in silence for the 2 minutes.

Continue Student Patient Interpersonal Techniques Critique and Analysis “You seem upset, Mr. Smith. What are you thinking about? ” I just remembered… I wanted to kill myself. ” Said in a low tone of voice, almost to himself. Therapeutic. Making observations. He looks sad. Giving broad openings in an attempt to get at his feelings Defense: Repression Coping: Dysfunctional “Why did you do that? ” “My life is over” Defense: Dissociation Coping: Dysfunctional “Oh, Mr. Long, you have so much to live for, You have such a loving family. ” “What do you know about my life? You want to know about my family? …My wife is leaving me, that’s what!” Faces the student with an angry expression on his face and speaks in a loud tone. Nontherapeutic: Requesting an explanation Nontherapeutic. Defending. Nontherapeutic. Introducing an unrelated topic. Defense: Displacement Coping: Maladaptive “I didn’t know. You must be upset by her leaving. ” “I don’t know what to do. We have been together for almost 15 years” Defense: Rationalization Coping: Palliative “I know how that feels, I’ve been married for 8 years” “I just want to end my life” Defense: Minimizing Coping: Maladaptive Therapeutic. Reflective. Observing the angry tone and content of the client’s message and reflecting back the client’s feelings. Nontherapeutic: I began to feel sorry for him; he looked so sad and helpless. I didn’t know what to say at that point. I could have said, What were you feeling before that happened? I felt overwhelmed. I didn't know what to say- his talking about killing himself made me nervous. I could have said, “You must be very upset” or “Tell me more about this” Again I felt intimidated by his anger, but now I linked it with his wife’s leaving him, so I didn’t take it as personally as I did the first time.