CL EV ELAND STATE COMMUNITY COLLEGE
In terpersonal Process Record – NRSG 1340
Name: Shealeigh Brewer
Situational Context:
52-year-old male. Diagnosis of Schizophrenia and Paranoia. Appears distraught and desiring to be heard, inpatient at a psychiatric hospital. Client appears
restless, anxious, paranoid, and distraught.
Non-verbal Behavior
- Client
Non-verbal
Behavior - Student
Client/Nurse Interaction
(Verbatim dialogue between client and student)
Communication
Technique
Identify effective/ineffective
communication and rationale (include
citations if source other than
Videbeck)
Client rocking back
and forth.
Fidgeting with
palms/hands.
Furrowing of brows.
Pressured speech.
Abrupt movements.
Eye contact.
Calm, therapeutic,
matter-of -fact
tone.
Positioned beside
the client in a car.
Open body
language.
Nodding as a
means of
understanding
statements made
by the client.
Client: “I am here because of my porn server. I watched
porn and now my family is going to die.”
Nurse: “Why do you believe that your family will die
because you watched porn?”
Client: “What I did was wrong. I am a porn star. My
brothers gave me a server and I used it for bad. I am a bad
person.”
Nurse: “I can assure you that you are not a bad person.
How old are you?”
Client: “I am 20 years old. No, I am 12 years old. I’m just a
little boy ma’am.”
Nurse: “How are you feeling today?”
Client: “Depressed and dizzy. Hey! I am not guilty, okay?
Caleb is. He is the one who is why I am here. I am just a
little boy. Can I go home now?”
Nurse: “Who is Caleb?”
Client: “my neighbor who talks to me.”
Nurse: “Can you hear Caleb talking to you right now?”
Client” Yeah!”
Nurse: “Okay, what are you hearing exactly?”
Client:” He is talking to me about strawberry shortcake
drink.”
Nurse: “Do you know where you are right now?”
Client: “Cleveland State Hospital.”
Open-ended questions.
Active Listening.
Conversational tone and
pace.
Focus fully on patient.
Asking for clarification.
Inquiring further about
answers.
Paraphrasing.
Effective Communication, Open-
ended questions are for “seeking
information—seeking to make clear
that which is not meaningful or that
which is vague.” Videobeck 96.
Ineffective Communication, asking his
age. This is because it was “Rejecting
—refusing to consider or showing
contempt for the client’s ideas or
behaviors.” Videobeck 100.
Ineffective Communication, asking
how are you feeling today. This is
because it was “Introducing an
unrelated topic—changing the
subject.” Videobeck 100.
Effective Communication, inquiring
about who Caleb is because
“Exploring—delving further into a
subject or an idea.” Videobeck 96.
Effective communication, inquiring if
