Mindanao State University – Iligan Institute of Technology

COLLEGE OF NURSING

Psychiatric Mental Health Nursing

NURSE-PATIENT INTERACTION
Process Recording

The process recording is a written account of an interaction between the patient and student. Through
the reconstruction of the interaction the student is provided with an opportunity to retrospectively examine and
analyze his/her communication skills, therapeutic use of self and the client's part in the interaction. Process
recording is used to evaluate both client and student behaviors and approaches the nurse analyzes what is
said (the content of the interaction) and the flow of the interaction (the process). This analysis develops the
student's ability to increase awareness of feelings, values, expectation and assumptions. He or she is able to
analyze verbal and non-verbal responses. Process recordings also help students to distinguish between
thoughts and feelings. Client behavior can be retrospectively examined and analyzed, and congruency of
verbal and non-verbal behaviors are identified.
Discuss the terms of completion and submission of your process recording with your clinical instructor.
Attached is a scoring rubric to guide your completion and to define the scoring of this exercise by your
instructor.

Part I. Psychiatric Nursing Assessment Tool (please refer to designated format)

Part II. Nurse Patient Interaction

Introductory Day ____ : _____________ phase
Label
A. General Objective: at least 1
Objectives Specific Objectives: at least 3
Student- and Patient-centered
B. Daily A Appearance
assessmen B Behaviour
t C Communication
C. Setting Picture and description of the place where conversation took place
D. NPI
Proper Evaluation/Analysis
Student’s of the Interaction
Communication
Communication Thoughts and Including
: Student
: Patient (Verbal Feelings Therapeutic Reference/s
(Verbal &
& Nonverbal) Concerning Approach and
Nonverbal)
the Interaction Techniques
Applied
Nonverbal communication is as Describe your a. Your perception of Enumerate
important as verbal communication. reactions to the the client's feelings books used
Identify the nonverbal communication. and behaviors as
communication. There must be What kind of b. Defense references
congruence between the verbal and emotions did mechanisms used in justifying
nonverbal communication. Recording you feel and by the client therapeutic
of verbal communication should be why? Were you c. Client's level of approach
verbatim. If the meeting includes a at ease or insight into problems and
period of an activity that you uncomfortable? d. Client’s Anxiety technique
participate in with the client, record Did you feel you level applied
only the beginning, the termination, had to struggle e. Outcomes of
and what you consider significant to remain therapeutic
material in the remaining time. objective? Did techniques used
you feel like you f. Alternatives to
could help the therapeutic
client? Did you techniques
feel confident at g. Assess the client's
the end of the needs and your
communication ability to meet one or
? more of them
h. Analyze the

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 effectiveness of the
communication to
the best of your
ability

D. General Objective: at least 1

Evaluation Specific Objectives: at least 3
Student- and Patient-centered
E. NCP Please refer to designated format.

Part III. Drug Study (please refer to designated format)

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SAMPLE NPI

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