IPR Recording Mental health nursing

Nurse Communication

(Verbal & Non-verbal)

Client communication

(Verbal & Non-verbal)

Nurse’s Thoughts &

Feelings Related to the

Interaction

Communication Technique

(Therapeutic/Non-Therapeutic)

Alternative or Revised Response

1.

Good morning Mr. Jones, I am student, and I will be your student nurse today.

(Smiling and offering my hand to the client for a salutation)

Good morning.

(He smiles and shakes my hand)

Patient is quiet and reserved and seems to have an introverted personality.

Used therapeutic communication by offering myself to greet the patient good morning and offering a friendly introduction

Good morning sir. I am …., a student nurse and I would like to learn from you today.

2.

How do you feel about being here? (Smile, inquisitive and genuine look)

I am not okay. I don`t deserve to be here.

(Patient folds hands together and sits quietly)

Patient is quiet and feels sad about his situation. possibly reticent

Therapeutic: I made observations of the patient`s current mood and feelings.

Do you like staying here?

3.

So, tell me, why are you here? (Leans forward and looks at the patient directly)

It is because my daughter called the police on me and they forced me into this place. (Fists clenched and the face and neck redden)

Patient is angry about being admitted there.

Non-therapeutic

Why then would you be here if you don`t like the place?

4.

Why would your daughter call the police on you? (Gestures interest into the conversation)

Because she thinks that I wanted to commit suicide (Patient looks on the floor).

Patient is reticent.

Therapeutic: I reflect on the patient`s effect.

What did you do that made your daughter call the police?

5.

And why does your daughter think that you wanted to commit suicide? (Seems concerned)

I locked myself in a bathroom and refused to come out (Patient is still looking at the floor).

Patient becomes more engaged in the conversation.

Non therapeutic: I repeated the patient`s words and made him feel uncomfortable.

Have any thought of suicide crossed your mind?

6.

What made you do that?(Gestures interest at the conversation)

I have got no reason to live since my wife died. (Tears start to well up in his eyes).

Feels sorry for the patient.

Therapeutic: I encouraged the patient make an explanation of why he locked himself.

What were you thinking while locked up in the bathroom?

7.

Committing suicide is not a solution. You can live and honor your wife`s memories (small frown).

I don`t know how I can do that. (Wipes his eyes)

Patient is feeling sad about the situation.

Non therapeutic. Am being insensitive.

Did any thoughts of suicide cross your mind

8.

I can understand that it is very difficult going on with life without your wife (Hands over a tissue to the patient).

(Patient is silent and wipes his tears)

Patient is quiet possibly complacent.

Therapeutic: I accepted and gave a recognition of the patient`s situation.

I understand life is not easy after you lost your wife.

9.

You can join support groups and also be close to other family members like your daughter. Whenever you feel so low and the thoughts of suicide cross your mind, call the suicide hotline (explains the points keenly).

I am going to do those things.

(Looks directly at the nurse and smiles).

Patient`s know kind and genuine.

Therapeutic. I made a description of the activities the patient can do.

Non therapeutic: Advises the patient on what to do.

Are there any other people that you can rely on for support

10.

It won`t be easy, but do not give up. Life goes on even after a major loss (Standing and looks at the patient smiling).

I also want to continue with my life. Thank you for understanding me. (Standing and smiling at the nurse).

Patient expresses gratitude

Therapeutic. Allows the patient to be in terms with reality.

If you get enough support, it will help you move on with your life.

Nurse Communication

(Verbal & Non-verbal)

Client communication

(Verbal & Non-verbal)

Nurse’s Thoughts &

Feelings Related to the

Interaction

Communication Technique

(Therapeutic/Non-Therapeutic)

Alternative or Revised Response

1.

Good morning Mrs. Alvarez. Am a student nurse and I would love to learn from you today (Offering a seat to the patient.)

Good morning. I am glad. (Patient smiles and takes the seat).

Patient is open minded

Therapeutic. Because I offered self by introducing myself to the client.

Good morning Mrs. Alvarez. I will be your student nurse today.

2.

Why are you here today?

Lately I am unable to sleep well and have lost 15lbs.I need your help ((The patient is sad)

The patient feels sad about her situation.

Therapeutic. I am concerned about the patient.

Why do you think you need help

3.

What are you always thinking about when it is time to sleep?

I am scared about my children (Her face is worried).

Th patient is really worried

Therapeutic. I encourage descriptions of the patient`s thoughts.

What do you think makes you not to be able to sleep

4.

Why would you be scared about your kids?

I am in constant fear that they will be ill or injured

Patient becomes more engaged into the conversation.

Non-therapeutic. I repeated the patient`s statement.

What makes you worried about your kids?

5.

What makes you think that your children might be in that kind of danger?

I am unable to protect them alone because they are still small.

Nurse feels sad about the patient

Non therapeutic. I made the patient uncomfortable by repeating her concerns.

What exposes your children to illness or injury

6.

Do you think that your husband working to jobs a day might have increased your concern about the children?

I understand that he has to provide for the family but I wish he could be more present to help me protect them (Patient expresses concern).

I think the client is afraid his husband is not able to spend enough time with them.

Therapeutic. I gave the patient a broad opening to discuss her thoughts.

How has your husband working two jobs affected your family

7.

Kids do not need parents to be there all the time for them not to get ill or injured.

(Patient is silent and looks at the nurse blankly.)

The client feels sad about their situation.

Non therapeutic. Made a comment that is against the client`s thoughts.

You can get other people to help you with the kids.

8.

Do you have other family members within the country?

Yes. My parents live in the next town.

Patient is still tensed about her situation

Therapeutic. I showed concern by inquiring about other family members.

Apart from your husband is there anyone else in your family that can help you with the kids?

9.

Do you think maybe you can request them to come in from time to time and help you in taking care of your kids?

Actually, that is a nice idea. I am going to do that. (Patient smiles and talks with calmness)

Patient is calm and happy about the idea.

Therapeutic. Reflecting. I allowed the patient make her own decision.

It can help ease your mind knowing someone else is taking good care of them.

10.

Incase the lack of sleep worsen, you can always come back (Stands and smiles to patient)

Thank you. (Patient smiles as she leaves)

Patient is happy as she leaves.

Therapeutic.

I wish you luck. You are going to be okay.