TIDEWATER COMMUNITY COLLEGE - NURSING PROGRAM

PROCESS RECORDING
SAMPLE
Name (Students)
INTERACTION BETWEEN
NURSE & CLIENT

COMMUNICATION
TECHNIQUE & IDENTIFY
IF THERAPEUTIC OR
NON-THERAPEUTIC

STUDENT
ANALYSIS/SYNTHESIS
OF ANALYSIS

SITUATION: The client is a 47 yr B/F who was

hospitalized on 3/10/94 because she had a
Adiabetic reaction. The client is in room
402A, unit 4South MVH. Shes resting
quietly in bed after bathing in the bathroom
at the sink. Its 10:30 a.m.
Pre-interactional Phase - I went to the
clients room 30 minutes before the nurseclient interaction so that I would be able to
recognize her later and view the conditions
of the setting. The client was going into the
bathroom. We did not speak at this time. I
was placed at ease because of her pleasant
demeanor.

Gathering data about the client

and the setting

Seeing the client and the

setting allowed me to make
adjustment in my feelings
and preconceived ideas.

Introductory Phase
Nurse: AHello, I was told by the staff nurse
that you are Mrs. C.K. (Entered the clients
personal zone and stood at the bedside
which is approximately 18 inches near the
client.)

Giving recognition, and giving

information

A greeting to the client was

appropriate and hello seemed
friendly and somewhat
informal

Client: Yes, that is correct, I am C.K.

Giving information, requesting

collaboration and making an
observation

Nurse: My name is Mildred Bower. I am a

nursing student at Tidewater Community
College. Do you mind if I sit down and talk
with you while you are resting? Smiles and
points to chair at bedside.
Client: No, I would be pleased to have
someone to talk with for a while. What is

These techniques were

selected as a means of
conveying my concern and
respect for the client smiled
as a means of being
congruent.

INSTRUCTOR
ANALYSIS

your name again?@

Nurse: I am Mildred Bower.

INTERACTION BETWEEN
NURSE & CLIENT
Nurse: My responsibility as a nursing
student is to communicate with clients and
encourage them to share their concerns
regarding the care and progress theyve
experienced since hospitalization. I would
like to talk with you for the next 20 to 30
minutes about how you feel concerning
these matters. (Touched the clients
shoulder gently, shared eye contact).

COMMUNICATION
TECHNIQUE
Accepting, offering self,
focusing, giving information,
suggesting collaboration

STUDENT
ANALYSIS/SYNTHESIS OF
ANALYSIS
I identified the goals for the
interaction and set time
limits. The nonverbal
gestures were used to
encourage further trust
acceptance of myself as a
helper. Direct eye contact is
the usual cue that a person is
willing to interact.

Interactional Phase
Client: I am learning a lot about how to care
for myself when I return home. I do not
want to faint and become ill again as I did
when I came to the hospital this time.
Nurse: Please continue, tell me more about
what youve learned.
Client: I now realize that I must eat the
foods required on my diet an that I must eat
food at the designated meal and snack
times.

Giving a broad opening

The client has begun to share
insight and identify new
coping mechanism.

Exploring

Nurse: I assume you have not been doing

this in the past. Will you explain the reason
you have not been eating properly?

I wanted to know if the client

lived alone and was
disinterested in cooking or
eating alone, or if the reason
was due to lack of money.

Client: I eat alone and most of the time I

prefer not to cook. But this is going to
change now that I know who important it is
to eat the right foods at the right time.
Termination Phase
Nurse: Well Mrs. K., our time is nearly over
and weve both discovered some new and
helpful information. I wish you success in

Seeking

The time indicated for the

interaction was nearly over

INSTRUCTOR
ANALYSIS

maintaining your good health after leaving

the hospital. Remember you have made a
new resolution--to eat the meals listed on
your diet and to eat them at the
recommended meal and snack times.
Rev 7/10

Clarification
Restating

and to maintain a desirable

level of trust with the client it
was appropriate to
discontinue the interaction.
However, it was very
important to review the
significant information, goals
and progress of therapy.