SAMPLE PROCESS RECORDING

NURSE PATIENT ANALYSIS

VERBAL NONVERBAL VERBAL NONVERBAL THEMES THERAPEUTIC
TECHNIQUES
Good morning! I am Having an open (No response) Vacant stare. Not Content – Giving information
Nurse Annie. I am posture, leaning looking at nurse. orientation , setting
from Wesleyan forward, maintain of contract,
University – eye to eye contact. introducing oneself
Philippines in
Cabanatuan City. I
will be your student
nurse starting today
until Friday.
What do you Hand is flat on (pause) Maria Is looking at floor. Content – oriented Broad opening,
preferred to be desk; is looking at to person questioning, active
called? patient listening
Maria, we will be (Same as above) (pause) I couldn’t Is turning head Content – describes Giving information,
better able to help get out of bed. slightly, still fatigue and effects. questioning.
you if we know (pause) I was so looking at the floor, Mood – sadness.
more about you. tired. is not smiling or Interaction – opens
What has happened frowning. up with nurse.
to your life
recently?
How long have you Looking at patient I don’t know. (Same as above) Content - unsure of Placing event in
been feeling so (pause) A week. I time frames, marital time or sequence,
tired? guess. separation, possible active listening
divorce
What happened a Leans toward (pause) My husband Tears are in eyes; Mood – sadness, Focusing, using
week ago? patient. Moves (pause) left. tries to open purse. guilt. empathy and
tissue box. Looks at Is nodding head; Interaction – in silence, questioning
 patient; both arms That he was fed up. raises eyes slightly; conflict with
are on lap. is still not looking at husband, is more
I can see this is That he wanted an the nurse. trusting of nurse.
difficult for you to annulment. Starts to cry; gets
talk about? tissue.
Sobs occasionally.
What did he say Leans slightly I don’t know. I Is crying quietly. Content – difficulty Focusing, active
when he left? toward patient. don’t remember. describing listening
What did you say to One arm is on lap, Maybe I asked him situations, short
him? the other is on arm to stay. term memory
of chair. disturbance
Then what (Same as above) It’s all blur; I think I (same as above) Mood – sadness, Focusing
happened? cried all day. guilt.
Interactions –
abandonment,
loneliness
Who did you talk (Same as above) I was so scared of Is the same but Content – did not Focusing
to? being alone. I crying less often ask for help,
thought I’d rather be avoidance of
dead. divorce issue
Mood – sadness
Interaction –
perceived lack of
support.
When you were (Same as above) (pause) I was so Looks at nurse for Content – aware of Questioning
feeling so tired, did scared of being the first time, both fears, suicidal
you have thoughts alone. I thought I’d hands are in lap. ideation but no plan,
of killing yourself? rather be dead. difficulty with
problem solving
How did you think (Same as above) I couldn’t think of Looks at floor Mood – sadness, Focusing
about killing anything. again; fumbles in depression.
yourself? I don’t know what purse. Interaction –
to do. abandonment, lack
 of support, open
with nurse.
Are you still Hands patient a Not really. But Blows nose and Content – Focusing
thinking about tissue. (pause) I still wish I then puts hands in minimizing suicidal
suicide? were dead. I don’t lap; looks at nurse. ideation, but
know what to do. ambivalent,
helplessness.
Mood - sadness
While you were Leans forward. (Silence) Looks at floor; Interaction – asking Suggesting
here, we are going Looks at patient. crying has stopped; for help collaboration,
to help you consider Both hands on lap. looks at nurse. verbalizing the
some options about implied, active
what to do so you listening
won’t feel so alone
and scared. (pause)
It will help us if I Listens attentively Okay. Looks at nurse. Giving information.
ask you some to the patient.
questions.
Uh-oh. The time is Holding the Okay. Looks at the nurse Giving information.
up already. We will patient’s hand and and stands.
be ending our looking patiently.
interaction today
but we will continue
tomorrow. Let us
now be ready for
our activity for
today.

-------- End of First Day Interaction ---------