PROCESS RECORDING: NURSE PATIENT INTERACTION
Case: Depression 37 y/o male
ORIENTATION PHASE: June 29, 2021 8:00 am
STUDENT NURSE
VERBAL
Good morning, Mr. Chase. I
am (Name), a student nurse.
I will be your nurse today
and will do some minimal
tests and procedures with
your cooperation. We can
talk casually and you can tell
me any concerns.
Can you state your name and
birthday, please?
Good to see and hear from
you, Mr. Chase Jones. You
were born on May, a very
good month to see the
beach.
You seem nervous about the
procedures; would it help to
discuss your feelings?
NON-VERBAL
Wave hands then smile at
the client.
Creates eye contact with the
client and use hand gestures.
Looks at the client’s eyes and
smile slightly.
Smile and walks a little closer
to the client.
Stand beside the client’s bed.
Leans toward the client with
arms at the back. Waiting for
PATIENT
VERBAL NON-VERBAL
None Looks at the student nurse.
Ok. Looks at the student nurse
for a while but turns head
away.
I am Chase Jones, born on Stares at the floor then look
May 17, 1984. towards the nurse.
Yes. Would you mind to tell Looks toward the nurse, with
me about the procedures nervous eyes.
that will be done? I feel quite
nervous.
Yeah, a bit. Looks toward the nurse
slightly then turns head
away.
THERAPEUTIC RATIONALE
COMMUNICATION
TECHNIQUE
Introducing self helps
facilitate trust and rapport.
Being specific Explain the purpose of visit
to obtain the patient’s
Offering self
consent and cooperation.
Offering self, for the client to
develop sense of trust to the
nurse.
Being specific and tentative To identify the patient and to
see if he is oriented.
Restating or paraphrasing Acknowledging allows
positive feedback on
Acknowledging
depressed patients.
Focusing General leads facilitate and
encourage the client to
Providing general leads
verbalize.

Your doctor will be here at
10:00 am and he will ask
questions to you casually, I
will be there too when he
arrives. You can freely ask
me for any concerns.
WORKING PHASE: June 29, 2021 10:00 am
STUDENT NURSE
VERBAL
Mr. Chase, your doctor will
be here in a few minutes, let
me know if you need
something or you have
concerns. I’ll stay with you
until your doctor arrives.
You said you were nervous
earlier. How do you feel
now?
the client to speak.
Creates eye contact with the
client and uses hand
gestures while explaining
then gave a smile after.
NON-VERBAL
Stands beside the client and
smiles after speaking.
Leans forward, closer to the
client.
Using silence Silence allows depressed
clients to put their thoughts
and feelings into words.
Ok. Thank you. Looks at the nurse then turns Giving information Giving factual information,
back. requested or not allows the
Offering self client to be engaged in his
Summarizing and Planning health and known of the
things that will be done to
him.
Summarizing and planning
helps in future care planning.
PATIENT THERAPEUTIC RATIONALE
COMMUNICATION
TECHNIQUE
VERBAL NON-VERBAL
Ok. Thank you. Looks slightly nervous and Giving information Staying beside the depressed
anxious. client facilitates positive
Offering self feedback and reduces
anxiety.
Yes, until now I feel nervous. Stares at the floor and keeps Using open-ended questions Open-ended questions allow
on touching his nape the client to engage in
continued conversation.
Its ok. I’d like to hear more
about that.
Not all people who went to
the hospital dies, you are
here to get treated. Perhaps
you would like to talk about
eliminating your anxiety.
What do you think would be
helpful?
Would you tell me more?
Was that last night?
Leans forward and puts an
arm over the client’s
shoulder.
Nurse hands tissue to the
client and places hand over
the client’s hand.
Hands tissue to client and
creates eye contact with the
client.
Hands tissue to client and
places hand over client’s
shoulder
Hands tissue to client and
places hand over client’s
shoulder
Will I die? In movies, all
people die in the hospital.
What can I do?
It started when I cannot
sleep because of my
thoughts.
I hate thinking at night
because I cannot sleep.
Yes, almost every night it
bothers me. I think it’s the
reason why I feel anxious
every time.
Starts to cry.
Crying continues then looks
at the nurse.
Crying weans
Crying continues
Crying continues
Using open-ended questions
Using touch
Presenting reality
Providing general leads
Reflecting
Seeking clarification
Using touch
Clarifying time or sequence
Open-ended questions allow
the client to engage in
continued conversation.
The use of touch reinforces
caring feelings.
Presenting reality to a
depressed client keeps him
from differentiating the real
from unreal and helps
reduce anxiety.
Allowing the client to reflect
will enable them to explore
their own ideas and feelings
about a situation.
Clarifying the verbalization of
the client makes the broad
overall message more
understandable.
Clarifying the time or
sequence helps the client to
clarify the event or
happening in relation to
time.
You mean you feel nervous
because you cannot sleep
well at night?
Your doctor will be here to
help you sleep better at
night. But we can sit here
quietly for a while unless
you’re ready to talk to your
doctor.
TERMINATION PHASE: June 29, 2021 17:30
STUDENT NURSE
VERBAL
Good day Mr. Chase, my shift
is about to end, another
nurse will take over. Earlier,
Makes eye contact with Yes, and I want to sleep Crying intensifies Perception checking or This verifies the meaning of
client without thinking too much. seeking consensual specific words the client has
validation spoken rather than overall
Hands tissue to client and meaning of a message.
places hand over client’s
shoulder
Makes eye contact with None Crying weans Giving information Giving factual information
client helps in reducing anxiety of
Offering self depressed clients.
Hands tissue to client and
Using silence
places hand over client’s Staying beside the depressed
hand Using touch client facilitates positive
feedback and reduces
anxiety.
Silence allows depressed
clients to put their thoughts
and feelings into words.
The use of touch reinforces
caring feelings.
PATIENT THERAPEUTIC RATIONALE
COMMUNICATION
TECHNIQUE
NON-VERBAL VERBAL NON-VERBAL
Creates eye contact and Thank you, Nurse. Looks at the nurse and smile Summarizing and planning Useful at the end of
smiles. slightly. *Looks calm than assessment or interview to
review a health teaching
your doctor was able to talk before* session. It also serves as an
to and assess you. introduction to future care
Tomorrow, I will look at your planning.
feeling journal. Take care.