Process Recording 1

Nurses Behavior
Please indicate that
your behavior was t
for therapeutic or n
for non therapeutic
Inferences Patients
Behavior
Inferences Behavioral
Concepts
Indicate what
you could do
better/different in
future
ood after noon!
"y na#e is $avid
%earley! I a# a
student nurse fro#
National &niversity!
It is nice to #eet
you!' ()*tending
hand and offering
hand sha+e while
sitting facing the
patient with good eye
contact!, t
I a# here to help
you! -hat do you
need help with
today.' t
/ou are at 0harp
"esa 1ista in 0an
$iego which is a
#ental health
hospital!' t
Introduction to
establish
identity and to
ease into a
conversation!
2tte#pting to
find out what is
bothering the
patient and
what +ind of
help is thought
that is needed
by the patient!
2tte#pting to
reorient patient
to location!
"y na#e is
CC! It is nice
to #eet you!
2re you here to
help #e.'
(3ffered hand
in response to
#y outstretched
hand and shoo+
hand while
#aintaining
brief eye
contact!,
I do not +now
where I a# or
why I a# here!
-here are #y
children.'
(4oo+ing
around at
surroundings!,
-hy a# I
here. -here
are #y
children.'
Reaction to
introduction
with an
atte#pt to
elicit help and
introduce self!
!
)*pressing a
desire to be
infor#ed of
where the
patient is5 why
there are here5
and e*pressing
a desire to see
fa#iliar
people!
&nable to
accept that she
is in a hospital
for behavioral
health reasons!
6his could have
been done #ore
effectively with a
broad s#ile!
2ssurance that I
a# going to help
the patient wor+
through the
confusion and
atte#pt to
reorient the
patient!
)*pressing
an*iety about
unsuredness of
being in the
hospital and
wishing to have
her children
present to help
ease her an*iety!
/ou dont +now why
you are here.' t
-hen you were at
your nursing ho#e
did you loc+ yourself
in the bathroo# and
threaten to har#
yourself.' t
/ou #ight have said5
why do you thin+ you
are here5 can you tell
#e. 6ell #e #ore
about your
children!!!how old are
they and did you live
w the#. 6his would
establish how far off
her thin+ing is and
alleviate the agitation
an*iety that is li+ely
to follow with your
previous 7uestion!
CC5 what can you
re#e#ber that led to
you being placed in
this hospital.' t
8ow #any children
do you have CC.'
2tte#pting to
engage patient
in tal+ing about
her #ental
illness!
2tte#pting to
have patient
recall
precipitating
events that led
to her
hospitali9ation!
)ncouraging
the patient to
try and ta+e
so#e
responsibility
as to why she is
in the hospital!
8oping to
deescalate
patients
an*iety! /ou
thought this
would de
escalate the
patients
an*iety.
Reestablishing
rapport with
-ell there
#ust so#e
reason why I
a# here!'
No5 I do not
re#e#ber that
happening!'
(4oo+ing at
ground and
starting to
fidget!,
I dont +now
why I a# here!
I told you that
before! 8ave
you seen #y
children.'
(Beco#ing
agitated and
ruffling blan+et
nervously while
loo+ing around
for her
children!,
I have three
daughters!'
(4oo+ing
around for
children,!
6hey all live in
California!'
("aintaining
eye contact and
grinning!,
2tte#pting to
reali9e why
she is in the
hospital!
Patient
refusing to
accept her
actions that
lead to
hospitali9ation!

6rying to cope
with the fact
that she either
truly does not
+now or
cannot
re#e#ber why
she is in the
hospital!
4oo+ing for
children for
co#fort or to
tal+ for her!
8aving her
children with
her #ay help
her to reali9e
why she is in
the hospital!
6al+ing about
her children
brings her
happiness!
Reinforce the
reasons for the
patients
hospitali9ation!
Patient could be
in denial or
repressing
thoughts as a
way of coping!
In the future loo+
for #ore clues
that #ay indicate
the patient
beco#ing #ore
an*ious/agitated!
CC obviously
has the desire for
co#panionship
fro# her fa#ily!
-ith the sub:ect
on her children it
ta+es the
pressure off CC
and diverts her
an*iety!a#en!
you are on the
(0#iling5 while
touching patients
hand affectionately!, t
$o your daughters
live here in 0an
$iego. (0#iling and
holding patients
hand!, t
patient!
-ell what
happened ne*t.
right trac+ :ust a
bit slow!
ood process recording5 6ry not to be a bull in a china shop! /ou are on the right trac+
but you need to slowly and gently go into the psyche! I# i#pressed! "