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PROCESS RECORDING / (IPA) FORMAT

CLIENT STATEMENT NURSE STATEMENT THERAPEUTIC ANALYSES &


VERBAL/NON-VERBAL VERBAL / NONVERBAL TECHNIQUE EVALUATION
USED BY NURSE & DISCUSSION
(Approached pt. in the dayroom
where he was sitting alone at a
table reading the newspaper.)
Hello Josh. How are you
doing today? (I leaned against a
chair slightly to try to hide my
nervousness).
1G
(Looks up and studies my face.)
Im alright I guess. You look
familiar- do I know you?
(Looks at my nametag.)

My name is Kathy and Im a


student nurse from
Southwestern. We met last 2F, G
week when you were admitted
to the unit I helped you with
your meal tray when (Interrupts) Oh-yeah- when they
had me tied down and drugged
like an animal.
PROCESS RECORDING / (IPA) FORMAT

CLIENT STATEMENT NURSE STATEMENT THERAPEUTIC ANALYSES &


VERBAL/NON-VERBAL VERBAL / NONVERBAL TECHNIQUE EVALUATION
USED BY NURSE & DISCUSSION
(Pause 5 seconds)
Are you sure your name is
Kathy? Your nametag says 3E,F
Kathleen.

Yes it does. Most people call


me Kathy. You look like youre
doing much better this week. I
was hoping we could talk for a
little while, 10-15 minutes-

(Interrupts)
About what?

Well, since youre doing so


much better, I thought we could
talk about the progress youve
made over the past week.

Laughs & folds the newspaper)


So, you can stand up and
present me as a case study to
your classmates like they do in
medical school? Actually, that
would be fun. I certainly am an
PROCESS RECORDING / (IPA) FORMAT

CLIENT STATEMENT NURSE STATEMENT THERAPEUTIC ANALYSES &


VERBAL/NON-VERBAL VERBAL / NONVERBAL TECHNIQUE EVALUATION
USED BY NURSE & DISCUSSION
interesting person! Im really 4E, F, G
good in psychology. I could
help you get As!

Well , Im not presenting a case


study. (said nervously) what we
talk about is confidential. If
you happen to say something
that I think the staff should
know in order to help you, then
I will share that information.

(Smiling) yeah, well the staffs


not too sharp around here. I
think they have a combined IQ
of 80. My IQ is 150, whats
yours? It has got to be higher
than that nurse over there 5E,F,G
(points to the nursing station.)

Actually, that nurse and the rest 6A 6B,C, D,


of the staff are quite competent.
Ive been very impressed with
them.
PROCESS RECORDING / (IPA) FORMAT

CLIENT STATEMENT NURSE STATEMENT THERAPEUTIC ANALYSES &


VERBAL/NON-VERBAL VERBAL / NONVERBAL TECHNIQUE EVALUATION
USED BY NURSE & DISCUSSION
Yeah, well it doesnt take much
to impress a student nurse- Id
guess your IQ is about 110, 120,
-am I close? Oh oh,(shaking his
finger at me) from the look on 7E,F,G
your face I may have guessed
too high.- Its OK. Ill help
you out with your psychology
course.
Im more interested in hearing
about how you are doing. Can I
sit down?

Sure. Go ahead Shoot. Ask


me anything you want.
Last week, when you came in, I
noticed you were pretty upset
about someone being after you.

(Laughs and leans a little closer


to me) Didnt you read my
chart? Honey, someone was
after me Probably still is
Getting locked up probably
PROCESS RECORDING / (IPA) FORMAT

CLIENT STATEMENT NURSE STATEMENT THERAPEUTIC ANALYSES &


VERBAL/NON-VERBAL VERBAL / NONVERBAL TECHNIQUE EVALUATION
USED BY NURSE & DISCUSSION
saved my life!

You think someone is still after 8A 8B, 8C, 8D


you?

For a student nurse, youre not


listening very well (looks
around the room surprisingly) I
dont think (makes
exaggerated quotations marks in
the air) I KNOW someone;
more that one, is on my trail.

Who is looking for you?

People in Washington are


looking for me (said in a half-
whisper, speech is becoming
more pressured) Id appreciate it
if you would keep your voice
down I dont want you to
blow my cover. Im not
worried about the lunatics in
here nobody would believe
them anyways But, if they
interrogate you, I could be
PROCESS RECORDING / (IPA) FORMAT

CLIENT STATEMENT NURSE STATEMENT THERAPEUTIC ANALYSES &


VERBAL/NON-VERBAL VERBAL / NONVERBAL TECHNIQUE EVALUATION
USED BY NURSE & DISCUSSION
in a lot of danger and so could
you. They wont stop looking 9E, 9F, 9G
until they find me. I

Who are they? 10A 10B, 10C, 10D

(Shifts chair a little closer to


student nurse, and puts his arm
on the back of the students
chair) They work underground
for the President. Its really
the President who needs me.

What does he want? 11A 11B, C, D

(Scoots chair over even closer 11E, F,G


to the student) I have to go
before nine judges on the
Supreme Court.

(Said nervously) You know


what? I felt more comfortable
talking to you when your chair
was back farther. Would you
move it back a little please?
PROCESS RECORDING / (IPA) FORMAT

CLIENT STATEMENT NURSE STATEMENT THERAPEUTIC ANALYSES &


VERBAL/NON-VERBAL VERBAL / NONVERBAL TECHNIQUE EVALUATION
USED BY NURSE & DISCUSSION
I guess. Im not going to hurt 12F, 12G
you though. I love young
beautiful ladies like you (smiles
raises eye brows)

We were going to talk about the 13A 13B, 13C, 13D


progress youve made.

Okay, Okay. Im not in


restraints Im not getting shop
up every two hours anymore. I
take my medicine like a good
little patient. (Pats self on the
hand)

Tell me about your medicine.


What brand do you take?

I take lithium carbonate 600 mg


twice a day whether I need it
or not.

What do you mean?


14A
I have to play their little game if
I want to get out of here.
PROCESS RECORDING / (IPA) FORMAT

CLIENT STATEMENT NURSE STATEMENT THERAPEUTIC ANALYSES &


VERBAL/NON-VERBAL VERBAL / NONVERBAL TECHNIQUE EVALUATION
USED BY NURSE & DISCUSSION
What game?

The corporation/termination
game. I take the medicine,
behave like a good little boy, go
before the Judge and look like
the sanest person on earth, the
judge scolds the psychiatrist for
locking up such a goal-oriented
upstanding citizen and he
terminated our Dr. / patient 15E, 15F
relationship. There you have it
same old same old. Get it!

Yes, I understand what you are


saying. (pause 5 sec)

It must be hard on you to be in 16A 16B, C, D


and out of the hospital so many
times.

Most times its unnecessary and


a waste of time, but Im on my
feet and back to work within a
couple weeks. Then I quit
taking that useless medicine and
PROCESS RECORDING / (IPA) FORMAT

CLIENT STATEMENT NURSE STATEMENT THERAPEUTIC ANALYSES &


VERBAL/NON-VERBAL VERBAL / NONVERBAL TECHNIQUE EVALUATION
USED BY NURSE & DISCUSSION
I can finally get some work
done. The government needs
me you know.

I think you need to keep taking 17A 17B, C, D


the medicine after you leave
here, so you dont have to keep
going back to the hospital.

The medicine has nothing to do


with it! If people werent so
jealous of me, they would leave
me alone instead of trying to
destroy me. (Agitated mildly 18E, F, G
hostile tone of voice)
(This nurse interrupts @ this
point saying the Dr. wants to
see the patient in his office).

Maybe we can continue our talk


about your progress after youre
though with the Dr.

Hell probably discharge me


after lunch. Ill say goodbye
before I leave. (Gets up and
PROCESS RECORDING / (IPA) FORMAT

walks away)

Okay. Thank you for your time. See directions for summarizing

(Waves while walking away)

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