psychological process recording.

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Health Medical

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For this assignment, please use the attached file to assist yourself. Conduct 3 differentprocess recordings,(similar to, but not identical to the attached example: each should be conducted with different dialog) with an imaginary patient (Use initials ..for example : J.T). Each process recording should be 10- 15 pages. Use these 6 different communication techniques for the dialog of each of the process recordings. (ex: 1. introduction, 2. silence, 3.exploring, 4. open-ended, 5.reflection, 6. communication)

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Running Head: Process Recording Student: Client’s first Name: Liaison: 1 Date: Agency: Spring Groove Hospital Center Purpose of Interview: To establish a positive rapport with client upon introduction Content Nurse Client Hi, my name is Chioma I am a student nurse from Bowie State University. Was wandering if you might be willing to speak with me. Sure Nurse I will like to know what brought you to this place. Client I joined wrong group of friends in my neighborhood that introduced me to drugs at a young age. How old exactly where you when you began doing drugs? Nurse Client( Still maintaining eye contact) 12 years old. I had started with marijuana, and later to ecstasy at the age of 15.I got so Skill Used Your gut Reaction Introduction: An Client was introduction refers relaxed to a beginning, act of introducing something. Your Analysis The approach was therapeutic because it was initiating a conversation He was open to conversation I became reassured Client’s response was encouraging. Broad Opening : This technique allows patient to set the tone of the conversation He felt free I used a broad opening so that he could feel in charge and set the tone I like the fact that he began from the on the onset It worked more than I anticipated. Clarification : An act of making a statement more clear Did not want to form opinions or guess when it all began. Clarification- to know exactly how young he started I felt it was parental neglect. He was not proud of his action Client could think back memory functioning. Running Head: Process Recording Nurse Client Nurse Client Nurse Client addicted that my mind was messed up and then I saw myself here. I have been in and out of here. Listening I have been granted conditional release twice but somehow I still went back to drugs and they sent me back. Where your parents aware of what was going on with you when all this started? I Was leaving with my mother, who did not know by the time she found out it was too late. Then what effort did she make to help you? My mom tried, cried, and prayed because 2 Active listening: An act of full concentration on what is being said I wandered how his parents let this happen Clarification- the action of making a statement or situation less confusing and more comprehensible. Being inquisitive Client had a about his supposedly good upbringing. upbringing but just could not put it together. Broad Opening: It allows the patient to set the direction of the conversation Most times children from abusive home tend to wander off in life, could this be the reason? Seems client does not want apportion any blame on his parents Client maintained straight face no hideous expression May be I should not have not have asked this question hoping it will not block our conversation. He tried to defend his mother, I still He did not express sad countenance maybe the question was not bad at all. Client’s voice getting weaker, showing regret. Running Head: Process Recording Nurse Client ( looking down) Nurse Client Nurse she is a good Christian How about school, did you go to school? 3 Probing: This is an act of getting him talk more about his opinion and feelings I did but stopped after high school. Although I took my GED and passed very well but mind was messed up with ecstasy. How do you Reflecting – This feel about it? is the act of thinking deeply or carefully about something I feel horrible. I have made terrible choices in the past that I wish I never did. By now I am supposed to have finished school and probably working somewhere. Let’s take a Focusing- This is look at what a central point of you said earlier, attention Client What exactly? Nurse When you said in and out of here do you Restating- saying something in a new way. feel that she did not play her part Making enquiry of his as academic background I could feel his disappointment for making wrong choices Seems client has some form of education speaks and articulates. well Regrets is inevitable I asked him that question to know how he feels about everything. I sincerely felt empathic thinking of all the wasted years. Just to know if he has a sense of remorse at all. Curious to know what his experience at the supervisory home was like. Thinking he might not want to continue as his voice breaking down. Give the client the reassurance Analyzing client’s strength and weaknesses. Holding unto this feeling would help him to pull through and turn over a new leaf, for a fresh start. Assessing patient’s cognitive ability. Running Head: Process Recording Client Nurse Client Nurse Client Nurse 4 mean conditional release? Yes, but I have not been able to meet the requirement. Because the system is designed for you to fail Can you tell me Exploring – more about inquire into or that? discuss in detail The time I was out, government was giving me money every month but the supervisor takes most of it and give me just $60. “Hmm” I understand I make a lot of money selling drugs. That’s why am always tempted to fall back. So you were not only taking it but also selling drugs? Accepting – believe or come to recognize an opinion as valid or correct. that I was paying attention Guess this is how he sees it, he feels deceived. Showing anger in his voice now My heart skipped a beat, that statement is too deep. Just thinking now how I will be able to tackle this point so that I don’t end up giving him wrong impression. The client seems to be giving up hope with this statement. The client feels he is been cheated as long as that continues he might not be able. I am a bit Client appealing confused it is to the nurse’s what it is conscience however I did not want to show the confusion on my face. Still maintaining eye contact I don’t think he seems very willing to give up drugs at this point. What should I do to make him more willing? He has a rational for his action Running Head: Process Recording Client Nurse Client Nurse Client Nurse 5 That was the only way I could pay bills and support my girlfriend through school Do you think Restating that was the only way you could have survived? Now you are here are those needs been met for your girlfriend? No, she is taking care of herself. She warned me to stop doing drugs though. Going back to Suggesting the conditional tentative. release requirements. What if it set up to test your patience, or ability to survive in the society? Maybe. I have not thought of it that way. What would you do if you walk through the door next time you are granted conditional release Encouraging formulation of a plan of action Justifying his actions Giving him options other than what he thinks and believe. Evaluation of purpose. Client might not have thought in this direction Seems very proud he can take care of someone. Societal pressure seems part of his problem I feel the system is set up for basis of training and correction and not to punish, that why I made the suggestion. Not so sure that’s the case though. Purpose here is to help him set a goal Memory is very much in tact can recall stuff easily Feel it would be better if it comes from him Shows client’s willingness and eagerness for a change. Running Head: Process Recording Client Nurse Client Nurse I have leant from my mistakes. I want to live a normal life, go back to school have my own family not getting younger That is the best decision but you have to start practicing that from here keeping away from trouble to facilitate your release. I hope to succeed this time 6 Was amazed by his response. Believe he is getting it together At this point I feel the client is willing and ready to do all it takes to lead a better life. Client presents positive mental assessment, shows he is maintaining his drug regimen Positive mindset with positive behavior yields positive result Thank you very much for your time hope to see you when next I come around. During my therapeutic nurse-patient interaction, I realized that I need more patience than I think and still need to listen more. I learned that speaking therapeutically is much harder than just talking with patients. Contrary to what I thought, A.N was very co-operative which made me more comfortable talking. Talking to A.N has helped me demonstrate what I learned about therapeutic communication and nurse-patient relationship, because it is a base for providing behavioral Running Head: Process Recording change in mental health patients. To sum it all, I have learnt that my response as a nurse goes a long way to produce a therapeutic outcome thereby achieving optimal health. 7
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Explanation & Answer

attached is the update of my answer

Running head: PSYCHOLOGICAL PROCESS RECORDING #1

Psychological Process Recording #1
Course’s Name
Student’s Name
Professor’s Name
Institution
Due Date

1

Running head: PSYCHOLOGICAL PROCESS RECORDING #1

2

Psychological Process Recording #1
Student: Nurse
Client’s first Name: K.J.
Date: March 25th, 2019.
Liaison: 234-612-7061
Agency: The Grand Hospital Center
Purpose of Interview: I planned a visit at NY Presbyterian with my client in regards to
her nowadays hospitalization as well as Medicaid concerns. I will work with her to set up
aftercare when she is discharged from the emergency clinic.
1. Introduction
Content

Skill Used

Your gut
Reaction

Nurse

Client

Hi, how are you?

Introduction: I

At first, I was

have a verbal

nervous

greeting to my

because I was

client and allow

not sure how

my patient to

the client would

know me.

respond to me.

I am great.

2. Silence

Your Analysis

Running head: PSYCHOLOGICAL PROCESS RECORDING #1
Content

Skill Used

Your gut
Reaction

Nurse

I’m sorry about hearing

Silence: I want to

My face looks

that, I am happy you are

give my client an

sad and

alright.

opportunity to

sympathetic to

express

my client.

something.
Client

Thanks.

Nurse

Please continue.

Silence: I realize
that it is better to
let the client
express herself at
this moment.

Client

I do see that your client
was released from The
Grand. In the case that
you might want to claim
that case, if you don't
mind sending over a
PRIMP and whatever
records you have since
your customer has been
at New York

3
Your Analysis

Running head: PSYCHOLOGICAL PROCESS RECORDING #1

4

Presbyterian. You can
fax this over to 234-6127061.

3. Exploring
Content

Skill Used

Your gut

Your Analysis

Reaction
Nurse

How has everything

Exploring: I want

I felt this could

been going since you

to know if my

have been

have been in the

client found the

forestalled in

hospital?

hospital

the event that

comfortable and

she remained at

helpful for her

the hospital.

treatment.
Client

It has been alright. I

She seems

talked to a specialist

relaxed but

about the nervous

worried

system quickly and he

because she

should return today.

doesn’t want to
stay in the
hospital long.

Nurse

On the telephone, you

Exploring: I want

Running head: PSYCHOLOGICAL PROCESS RECORDING #1
referenced something

to know if my

that was not right with

patient would

your Medicaid. May I

allow me to have

have more information

access to some of

about that?

her private

5

information to
help her.
Client

Sure, Health First is

At first my

never again covering

client hesitated,

me, that is the reason

but eventually,

they were releasing me

my client

from the Grand. Also, I

agreed to

was advised I should

provide me

change over to straight

with

Medicaid since I would

information.

probably get home care,
social labourer, nurture,
as well as extra
administrations.
Nurse

May I have their phone

Exploring: I want

There was an

numbers? Is it alright

to know if my

unfair

with you we can call

patient is willing

treatment to her

those numbers today to

to give me the

by Health First,

Running head: PSYCHOLOGICAL PROCESS RECORDING #1
have more information?

6

contact

and my job was

information of

to make sure

those people.

that every one
of her needs
could be
required upon
the hospital
discharge.

Client

Yes, that is fine, and
those numbers are in my
phone.

4. Open-ended
Content

Skill Used

Your gut

Your Analysis

Reaction
Nurse

What happened?

Open-ended:
Because there
can be many
possible reasons
for the patient’s
uncertainty.

Client

I was getting released

As the client

Running head: PSYCHOLOGICAL PROCESS RECORDING #1

Nurse

7

from the excellent,

has clarified

preparing to return

that she had a

home. The following

seizure while

thing I recollect that I

being released,

woke up in the medical

I felt thoughtful

clinic. They revealed the

about her

fact that I had a seizure.

circumstance.

Alright, that is

Open-ended: The

With a smile to

something we can begin

patient has many

appear friendly

with today. Have you

ways to answer

to my client.

completed anything with this question of
this yet?

whether she has
done anything so
far.

Client

Indeed, I was on the

She nodded her

telephone with the

head.

medicinal services at
home yesterday.

5. Reflection
Content

Skill Used

Your gut
Reaction

Your Analysis

Running head: PSYCHOLOGICAL PROCESS RECORDING #1
Nurse

8

OK, that is great, do

Reflection: I

I was

they have a release date

affirmed that she

additionally

for you yet?

was helped in the

furious that the

hospital, and I

insurance for

want more

health released

information

her with the

about how long it

condition she

takes her to stay

was in.

in the hospital.
Client

No, I was not told

The patient

anything yet.

shakes her
head.

Nurse

Hi, I am the coordinator

Reflection: I am

I could observe

for care with NADAP. I

contacting the

that she was

am approaching on

coordinator of

not in a

behalf of my customer.

my client to get

situation to be

It can be my

more useful

the advocate

understanding that you

information that

for her. I felt it

talked quickly with her

would help my

was significant

yesterday in regards to

client in advance.

for me to move

home medicinal services

forward and

and changing over to

talk on behalf

straight Medicaid. I

of hers.

Running head: PSYCHOLOGICAL PROCESS RECORDING #1

9

have explained
everything about the
management of long
term care. She
additionally expressed
that the doctor has
communicated that your
specialist might be
impervious to marking
this. Do you prefer to
call your specialist
today?
Client

I would need to address
the specialist about this;
however, I can give you
our fax number so that
you can fax the
paperwork over.

Nurse

I just talked with your

Reflection: I

I thought that it

essential consideration

want to

was stunning

specialist's office.

summarize the

when Health

Meanwhile, I am going

issue of my

First asserted

to call our navigator for

patient, and

my client was

Running head: PSYCHOLOGICAL PROCESS RECORDING #1
benefits to ask about the

therefore provide

abusing her

way toward changing to

a solution to her.

protection.

Medicaid. I am sitting
with one of my
customers right now in
the hospital. She was
released from the Grand
by Health First however
because of her ailment.
Anyway, she is unfit to
return home because of
her illness condition. Do
you know anything
about this procedure or
have the capacity to help
me?
Client

Yes, they have informed

The client

me that I was abusing

agreed with me.

my protection and
surpassed my cutoff.
Nurse

10

I had a sense that they

Reflection: I

I went into the

were not telling the truth

repeated what the...


Anonymous
Awesome! Perfect study aid.

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