Nurse-Client Interaction

NSG 100

Patient’s Initials___________ Student Name_______________________

Age/Gender/Diagnosis____________________________Clinical Instructor____________________

Date_____________Setting__________________

Record (in writing, do not tape) about 5 minutes of conversation and complete all areas.

Goal of
conversation_________________________________________________________________________

You may add more rows to the table below as needed.

Speaker Verbal communication Nonverbal Technique Evaluation

Analysis