Description
Instructions
It will be carried out with two students working together. This is a “role play exercise,” in which one student is the student nurse, and the other will role play as a client. In this assignment, the nursing student will be demonstrating the therapeutic nurse-client relationship and analyzing the therapeutic and nontherapeutic techniques used. You will take turns in the roles.
This is not about always having therapeutic responses. It is about learning from practice and review. It is expected that you will think of other ways to respond or interact with the client that may be more therapeutic after the interaction is terminated. After the conversation is over, you will complete in IPR form.
The client roles are:
Mr. Jones is a 69-year-old retired engineer. He was admitted to the in-patient psychiatric unit the previous day. His daughter had called the police when he locked himself in his bathroom and refused to come out. She thought he was suicidal. He was brought to the hospital by the police and was admitted on involuntary status. He has been reticent since admission but told his daughter he had no reason to live since his wife died.
Diagnosis: Major Depressive Disorder
Nursing Diagnosis: Risk for suicide.
Mrs. Alvarez is a 34-year-old female who has lived in this country for the past 10 yrs. She is a stay at home mom with three small children. Her husband works two jobs to support the family. Lately, she has been extremely anxious and fears that her children will become ill or injured. This seems to be an unrealistic concern, but she has been unable to sleep well and has lost 15 lbs. in the past month. She is a voluntary admission and states she knows she needs help.
Diagnosis: Generalized Anxiety Disorder
Nursing Diagnosis: Ineffective coping
You will select the role you wish as a client and take turns switching roles. After the conversation, you will document the interactions using the form provided and following the guidelines instructions for each column.
IPR Form Explanation
The first column is for you, the nursing student’s, comments/ questions, and responses. You may want to include the introduction process. It is understandable if the initial conversation is more superficial to establish rapport. You may not want to include all of this but move on to the more focused interaction. Your nonverbal communication is included here.
Then, the conversation will move to a focus on the client’s feelings, concerns, issues as he/she has identified them. After the introduction, it may be beneficial to establish with the client a short- term goal for the interaction.
The second column is for the client’s comments, questions, responses. Also, the nonverbal reactions of the client are included in this column.
The middle column is for you to write what you are thinking or feeling.
The 4th Column document the following 3 items:
Was it Therapeutic or Non-therapeutic
Technique used from book page 126-130
From the book use the Explanation/Rationale from Page 126-130
The 5th column is use when a NON-therapeutic technique was used in Column 4. Using the book 128-130 they give you better alternative to re-write the question to make it therapeutic. Rewrite the question to make it therapeutic.
Remember, this is an assignment that will assist you in all communication with others.
Explanation of the Rubric Criteria for Interpersonal Process Recording (IPR)
Communication
Criteria 1 Nursing Interaction (verbal and nonverbal) – Nursing statements and questions demonstrate a positive, caring approach and show insight into the client needs. These interchanges will include the introduction process, but not the more superficial interchanges. Nonverbal communication techniques are also recognized. Thoughts and feelings are identified and documented. 20 Non-verbal and 20 Verbal
Criteria 2 – The client verbal statements and questions are documented. Nonverbal communication is also observed and interpreted. You may also identify defense mechanism(s) used by the client. 20 Non-verbal and 20 verbal
Criteria 3 – All communication techniques used are identified (using titles previously reviewed). Again you should have 3 items in column 4.
Was it Therapeutic or Non-therapeutic
Technique used from book page 126-130
From the book use the Explanation/Rationale from Page 126-130
Criteria 4 – All non-therapeutic techniques to be identified and changed to a therapeutic method. If in the review of the interaction, a more appropriate or therapeutic approach (verbal or nonverbal) is identified, document how this response/ statement would be changed
Unformatted Attachment Preview
Interpersonal Process Recording (IPR)
Client Diagnosis: _______________________________________________________________________________________________________
Student Goal for this interaction____________________________________________________________________________________________
Description of the Milieu: _________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
Nurse Communication
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