Saint Mary’s University

Bayombong, Nueva Vizcaya

School of Health & Natural Sciences

NURSING DEPARTMENT
Course No. NCM 117 RLE
Subject: Care of Client with Maladaptive Patterns of Behavior, Acute and Chronic
Yr. Level: BSN 3
Skills Lab. 4 units (204 hours)

SKILL 2

Nurse-Patient Interaction
(Process Recording)

I. Introduction:

Establishing a healthy nurse-patient interaction is vital. Nurses should greet the patient by name, make eye
contact, and display confidence and professionalism. They should explain everything they will be doing and
review the plan of care, making sure to involve them in decision making. Maintaining patient privacy is also
essential. For some patients, touch is a way to demonstrate compassion and caring, but nurses should be
aware of personal boundaries, as some patients prefer not to be touched. Remaining culturally sensitive as
well is vital; providing handouts and patient information in a patient's primary language should be offered,
as well as an interpreter if needed. These essential items help to develop trust and open the lines of
communication.

II. Learning Objectives:

1. Apply the skill of relaying information as effectively as possible.

2. Formulate questions to obtain information in each category.
3. Explain the basic communication skills needed when performing a patient interview.
4. Describe the components of the patient interview.
5. Adapt the interview technique based on the needs of the patient.

III. Core Content of the Chapter:

Sample Process Recording:

Nurse introduces himself and leads the way to office, walking slowly but slightly ahead of the patient. The
patient follows without looking at the nurse.

In the office, the nurse sits in a chair at a desk and opens a folder of papers. The patient sits in chair at
side of desk.

Nurse Patient Analysis

Verbal Nonverbal Verbal Nonverbal Therapeutic Techniques
What do you Has pen in hand. (pause) Nellie Looking at the Questioning
prefer to be Other hand flat floor.
called, Mrs.___ on desk. Looking Active listening
or ______patients at the patient.
name?

Nellie, we will be (same as above) (pause) I couldn't Turns head slightly, still Giving information
better able to help you get out of bed. looking at floor. No
if we know more (pause) I was so smile or frown. Questioning
about you. What has tired.
happened in your life
recently?
How long were you Writing and looking I don't know. (same as above) Placing event in time or sequence
feeling so tired? at patient (pause) A week, I
guess. Active listening
What happened a Leans toward client. (pause) My Tears in eyes. Tries to Focusing
week ago? Moves tissue box. husband (pause) open purse.
I can see this is Looking at client. left. Nods head. Raises Empathy
difficult for you to talk Both arms on lap. That he was fed eyes slightly, still not
about, (pause) What up. looking at nurse. Use of silence
did he say when he (pause) That he Starts to cry. Gets
left? wanted a tissue. Sobs Questioning
separation. occasionally.
What did you say to Leans slightly toward I don't know. I Crying quietly. Focusing
him? client. One arm on don't remember,
lap. Other on arm of (pause) Maybe I Active listening
chair. asked him to stay.
Then what (same as above) It's all a blur, I (same as above) Focusing
happened? think I cried all
day.
Whom did you talk to? (same as above) No one. (pause) Same but crying less Focusing
My kids are often
married and gone.
I just stayed in
bed.
When you were (same as above) (pause) I was so Looks at nurse for the Questioning
feeling so tired, did scared of being first time. Both hands
you have thoughts of alone. I thought I'd in lap.
killing yourself? rather be dead.
How did you think (same as above) I couldn't think of Looks at floor again. Focusing
about killing yourself? anything. I didn't Fumbling in purse.
know what to do.
Are you still thinking Hands client a Not really. But Blows nose and then Focusing
about suicide? tissue. (pause) I still wish puts hands in lap.
I were dead. I Looks at nurse.
don't know what to
do.
While you are here, Leans forward. (silence) Looking at floor. Crying Suggesting collaboration
we are going to help Looking at the client. has stopped. Looks at
you consider some Both hands on lap. nurse. Verbalizing the implied
options about what to
do so you won't feel Active listening.
so alone and scared,
(pause)
It will help us if I ask Turns back to OK. Looking at nurse Giving information
you some questions. papers, ready to
write.
IV. Activity:
Long Quiz

V. Bibliography:
Videbeck, S. (2020). Psychiatric-Mental Health Nursing. Wolters
Keltner, N., Bostrom C., & McGuiness T. (2012). Psychiatric Nursing. Elsevier Inc.