KINGSBOROUGH COMMUNITY COLLEGE

Of

The City University of New York

NURSING 20 PROCESS RECORDING

Planned Goals/Nursing Actions For Interaction:

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2. ______

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3.______

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Interaction

Student Verbal/Nonverbal Technique/ Rationale Patient response/ Analysis

Student Verbal/Nonverbal Technique/ Rationale Patient response/ Analysis

Student Verbal/Nonverbal Technique/ Rationale Patient response/ Analysis

Student Verbal/Nonverbal Technique/Rationale Patient response/ Analysis

Student Verbal/Nonverbal Technique/ Rationale Patient response/ Analysis

Assessment

STRENGTHS WEAKNESSES

Appearance
Affect/Mood/ Attitude
Behavior/ Activity
Communication
Thought Process
Thought Content
Perception
Insight
Defense Mechanisms
Support system
Occupation/ skills
Stressors/ Coping Skills

Student ______Date(s) Experience ______

NURSING CARE PLAN

Nursing Diagnosis / Expected Outcome & Criteria for Measuring / Nursing Actions / Rationale / Evaluation of Outcome
Problem:
Etiology (related to)
Signs & Symptoms
(as evidence by)

Student ______Date(s) Experience ______

NURSING CARE PLAN

Nursing Diagnosis / Expected Outcome & Criteria for Measuring / Nursing Actions / Rationale / Evaluation of Outcome
Problem:
Etiology (related to)
Signs & Symptoms
(as evidence by)

Student ______Date(s) Experience ______

NURSING CARE PLAN

Nursing Diagnosis / Expected Outcome & Criteria for Measuring / Nursing Actions / Rationale / Evaluation of Outcome
Problem:
Etiology (related to)
Signs & Symptoms
(as evidence by)

Student ______Date(s) Experience ______

NURSING CARE PLAN

Nursing Diagnosis / Expected Outcome & Criteria for Measuring / Nursing Actions / Rationale / Evaluation of Outcome
Problem:
Etiology (related to)
Signs & Symptoms
(as evidence by)

Nursing 20 PROCESS RECORDING GRADING SHEET

Name______Section______

NOTE WELL: STUDENTS MUST SUBMIT A MINIMUM OF 5 PROCESS RECORDINGS: ONLY ONE IS TO FOCUS ON THE CONTRACT(INITIAL PHASE); THREE--FOUR ARE TO FOCUS ON THE WORKING PHASE AND ONLY ONE IS TO FOCUS ON TERMINATION PHASE.

*PLEASE REFER TO SYLLABUS REGARDING PENALTY FOR LATE SUBMISSION

Objectives / Possible points / 1 / 2 / 3 / 4 / 5
1. Identify goals/ planned actions appropriate for client / 0- 20
2. Describe verbal/ nonverbal interaction verbatim (Word For Word) / ----
3. Identify techniques used- indicate if therapeutic/ non-therapeutic; describe your purpose for using this technique / 0-20
4. Evaluate interaction( How/ why you interacted; how/why you might have interacted differently; what future techniques/ approaches you will use / 0-20
5. Assess client’s strengths/ weaknesses for each assessment area / 0-10
6. Develop psychosocial nursing care plans (a minimum of four) based on assessment data. / 0-30

COMMENTS:

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Signatures: Students______

Faculty______

Revised spring 2007

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