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JURUSAN KEPERAWATAN

FAKULTAS KEDOKTERAN UNIVERSITAS BRAWIJAYA

RENCANA ASUHAN KEPERAWATAN

Nama Klien :
No. Reg. :
No
Tanggal Diagnosa Keperawatan Tujuan Kriteria Standart Intervensi Rasional TT
Dx
JURUSAN KEPERAWATAN
FAKULTAS KEDOKTERAN UNIVERSITAS BRAWIJAYA

IMPLEMENTASI DAN EVALUASI


KEPERAWATAN KESEHATAN JIWA

Nama : _________________ Ruangan : _____________________ RM No. : _________________

NO Tanggal
IMPLEMENTASI KEPERAWATAN EVALUASI
Dx & Jam
JURUSAN KEPERAWATAN
FAKULTAS KEDOKTERAN UNIVERSITAS BRAWIJAYA

ANALISA PROSES INTERAKSI

Inisial klien : ................................................................... Nama Mahasiswa :...................................................................


Status interaksi perawat-klien : ................................................................... Tanggal :...................................................................
Lingkungan : ................................................................... Jam :...................................................................
Deskripsi klien : ................................................................... Bangsal :...................................................................
Tujuan (berorientasi pada klien : ...................................................................

KOMUNIKASI NON ANALISA BERPUSAT ANALISA BERPUSAT


KOMUNIKASI VERBAL RASIONAL
VERBAL PADA PERAWAT PADA KLIEN
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Rekomendasi
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