NURS 223L Interpersonal Process Analysis
NURS 223L Interpersonal Process Analysis
Student: Date:
Clinical Instructor:
Name (initials only): Unit:
Current Legal Status (Vol., 5150, 5250, 30 day, T-Con, LPS-Conservatorship):
Multiaxial Diagnostic System: Axis I (Clinical Disorder):
Axis II (Personality Disorder / Mental Retardation):
Axis III (General Medical Conditions):
Axis IV (Psychosocial and Environmental Problems):
Axis V (Global Assessment of Functioning Scale):
- Description of the patient: Age? Sex? Ethnicity? Marital Status? What precipitated hospitalization? Number of days in the hospital? Mental Status, etc.
- Description of environmental setting where interaction took place. Explain the reasons for a supportive or non-supportive environment. (e. noise, distractions, light, temperature, etc.)
INTERPERSONAL PROCESS ANALYSIS
NAME: DATE:
| Student:
· Verbal (quotes) and Nonverbal Communication (behavior, tone of voice, eye contact, mannerisms, etc.) · Document at least 5 interactions · Goal for each interaction (realistic and measurable) |
Patient:
Verbal (quotes) and Nonverbal Communication (behavior, tone of voice, eye contact, mannerisms, etc.) |
Communication Techniques
· Identify communication technique used then define your communication techniques · Was the communication therapeutic or non- therapeutic? · Which defense and coping mechanisms didthe patient use? Rationale based on your patient. |
Critique and Analysis
(effective or not effective? Could have said…) Document your thoughts and feelings during the interaction. Was your goal met? |
| Goal:
Verbal: Nonverbal: |
Verbal: Nonverbal: |
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| Goal:
Verbal: Nonverbal: |
Verbal: Nonverbal: |
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| Goal:
Verbal: Nonverbal: |
Verbal: Nonverbal: |
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| Goal:
Verbal: Nonverbal: |
Verbal: Nonverbal: |
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| Goal:
Verbal: Nonverbal: |
Verbal: Nonverbal: |
INTERPERSONAL PROCESS ANALYSIS SUMMARY
- Evaluation: After analyzing the interaction, provide a description on how the interaction progressed. Identify the reasons for successful process or unsuccessful process. What did you learn from the interaction with your patient?
- How did you personally feel about the interaction? What would you change if you had to redo the interaction?
