ARCC Mental Health Nursing Interpersonal Process Recording Worksheet

Description

Strict instructions. This is a “role play exercise,” in which you are the nurse and Mrs. Alvarez is your patient. In this assignment, you the nurse will be demonstrating the therapeutic nurse-client relationship and analyzing the therapeutic and nontherapeutic techniques used, by naming every single one of them and giving in text citations.
Attached is the template of the IPR that is to be used.
Mrs. Alvarez is a 34-year-old female who has lived in this country for the past 10 yrs. She is a stay-at-home mom with three small children. Her husband works two jobs to support the family. Lately, she has been extremely anxious and fears that her children will become ill or injured. This seems to be an unrealistic concern, but she has been unable to sleep well and has lost 15 lbs. in the past month. She is a voluntary admission and states she knows she needs help.
Diagnosis: Generalized Anxiety Disorder
Nursing Diagnosis: Ineffective coping 

The first column is for you, the nursing student’s, comments/ questions, and responses. You may want to include the introduction process. It is understandable if the initial conversation is more superficial to establish rapport. You may not want to include all of this but move on to more focused interaction. Your nonverbal communication is included here.
Then, the conversation will move to a focus on the client’s feelings, concerns, issues as he/she has identified them. After the introduction, it may be beneficial to establish with the client a short- term goal for the interaction.
The second column is for the client’s comments, questions, responses. Also, the nonverbal reactions of the client are included in this column.
The middle column is for you to write what you are thinking or feeling.
The last two columns are for you to document the techniques that you used in that portion of the conversation. If it is a non – therapeutic response, you are to write the response and think of how you could revise to more therapeutic response. You can change any response if you think of how, you could have responded differently but, identify and change all non – therapeutic responses.Mental Health Nursing
Interpersonal Process Recording (IPR)
Student Name________________________________________________________________________________________Date______________
Brief information about this client___________________________________________________________________________________________
Student Goal for this interaction____________________________________________________________________________________________
Setting/Time:___________________________________________________________________________________________________________
Nurse Communication
(Verbal & Non-verbal)
1.
2.
3.
4.
5.
6.
7.
8.
9.
Client communication
(Verbal & Non-verbal)
Nurse’s Thoughts &
Feelings Related to the
Interaction
Communication Technique
(Therapeutic/Non-Therapeutic)
Alternative or Revised
Response
Nurse Communication
(Verbal & Non-verbal)
10.
11.
12.
13.
14.
15
16.
17.
18.
19.
20.
Client communication
(Verbal & Non-verbal)
Nurse’s Thoughts &
Feelings Related to the
Interaction
Communication Technique
(Therapeutic/Non-Therapeutic)
Alternative or Revised
Response

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