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Practicum Process Recording Name of Nurse: Name of Client: Date: Nurse (non-verbal)
Client (non-verbal)
Nurses Thoughts and Feelings about Interaction
Analysis of Interaction
Hello there! (Getting up smiling; looks straight at the face of the client. )
Hi (Stands at the door, looking at nurse doubtfully; not knowing what to do. )
He looks a bit unsure. Must make him comfortable first.
(Therapeutic) I am effectively trying to put her at ease.
Why dont you sit down? (Points to a chair across the table; continues to smile; extends a hand as the client comes closer. )
Thanks. (Walks slowly to the chair; shakes hand and sits down. )
He is responding a little more positively now.
(Therapeutic) I am trying to ensure her comfort.
Would you prefer to have something? Tea, coffee or (Sitting down. )
Nothing really Thanks. (A hint of a smile; puts his hands in the lap. )
He is getting a bit friendlier now.
I do not seem to know where to start.
(Therapeutic) My empathy should help building up his confidence.
Before I start asking a few questions, would you tell me how do you feel about the whole thing? (Leaning forward; trying to make eye contacts with the client.
Miserable! I mean (Stops; looks down at his hands nervously. )
He appears nervous and remorseful.
(Therapeutic) My verbal as well as non-verbal communication will help in revealing his present state of mind.
Do you still feel that way about killing yourself? (Looking steadily at the client. )
No. Not now I dont know how it happened! (Slowly raises his head; eyes look misty. )
He looks sad as well as sorry.
(Therapeutic) I am asking a direct question to ascertain his reaction and intent in relation to his suicide bid.
Is this the first time that you tried to kill yourself? (Softly; still looking at the client. )
Yeah, you can say that. Wealth thought entered a few times earlier too (Fidgets; glances a little apprehensively at the nurse. )
He is feeling a little embarrassed.
(Therapeutic) Asking a direct question to ascertain his past psychosomatic history.
Oh I see (Shifts his gaze to the far wall. )
(Continues to stare at the nurse without saying any thing; then at his hands again. )
He is looking apprehensive about the possible outcome. Am I vacillating?
(Non-therapeutic) Apparently an anxious gesture on my own part. Must avoid it.
(Turns his head and glances at the client without saying anything. )
Do you feel Ill have a go at it again? (Looking up at the nurse. )
He seems to be full of doubts now due to my odd reaction.
(Non-therapeutic) Negative non-verbal communication on my part. Must make a positive response quickly.
I dont know. But I dont think youll do that if you get the right kind of treatment. (Grins lightly; looks intently at the client. )
Thanks. (Smiling; shifting his gaze away. )
He is starting to get a bit more cheerful.
(Therapeutic) I am trying to offer him encouragement through verbal and non-verbal interaction.
I want to ask you something. Dont answer it if you dont want to. Is there a very valid reason for you to have thought of doing this? (Softly asked with a pause in between. )
I think so. Its I just could not stand rejections from the girls I loved.
I always failed miserably. (Too much of fumbling; looking down at the floor. )
He seems utterly confused and a little angry. I am trying to sound as amenable as possible.
(Therapeutic) I have effectively avoided asking why. A direct question was certainly warranted to ascertain the cause of his action.
Another question. Incidentally, do you know any one in the family who may have psychiatric problems leading to suicide? (The tone was firm; eyes steady on the client. )
Yes. Two of them had this problem.
One was a granduncle and the other an aunt. The aunt killed herself. Took poison But how could that be related to my to what I did? (Voice defensive; gazes back at his hands still placed in his lap. )
He is being a bit defensive. Possibly ashamed about the relatives action. Also apprehensive.
(Therapeutic) I asked a direct question to elicit history, if any, of psychosomatic problems in his family.
I dont know for sure. There could be some connection. But mind you, they never had the same treatment methods that we do have now. (Grins. )
(Nods with a light grin; does not say anything. )
He seems relieved a bit. Beginning to get apparently happy.
(Therapeutic) My statement as well as non-verbal communication was aimed at cheering up the client.
Did you voluntarily seek psychiatric help earlier for some possible problem?
No, I didnt. I didnt think I had any Is there a big problem? (The smile was replaced with an apprehension. )
He is worried once again.
(Therapeutic) I asked a direct question to ascertain his past psychosomatic history.
I dont think so. There have been many cases like yours. Some of the cases are pretty old. Interestingly, there has been no recurrence in majority of them.
People who followed doctors order lived happily ever after. Those who didnt were not as lucky. (Grins pleasantly. )
Oh, thanks a lot. I will always remember that. (A big smile was forming up. )
His relief seems to be complete.
(Therapeutic) My statement as well as non-verbal interaction was aimed at cheering and encouraging the client.
Thats better. (Stands up, and extends his hand. )
Thanks again for everything. (Shakes hand. )
He seems to have recovered some of his confidence.
(Therapeutic) I am offering him hope and encouragement.
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