Interpersonal Process Recording form

Interpersonal Process Recording form - Name& Rationale...

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Keiser University - Sarasota NUR2230C Advanced Adult Health – Mental Health Interpersonal Process Recording (IPR) Client Name/Age: Student Name: Brief Information about this Client: Student Goals For this interaction: Setting/Time: Nurse Communication (Verbal & Non Verbal) Client Communication (Verbal & Non Verbal) Nurse’s Thoughts & Feelings Related to the Interaction Analysis of the Interaction (Effectiveness, Technique,
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Unformatted text preview: Name & Rationale) Response from Client 1. 2. 3. 4. 5. 6. 7. 8. Nurse Communication (Verbal & Non Verbal) Client Communication (Verbal & Non Verbal) Nurse’s Thoughts & Feelings Related to the Interaction Analysis of the Interaction (Effectiveness, Technique, Name & Rationale) Response from Client 9. 10 . 11 . 12. 13 . 14 . 15. 16 . 17 . 18 . 19. 20....
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