NPI Process Recording

Nurse-Patient Interaction
Nurse/Student Patient Inference

Verbal and Non- Verbal and Non-Verbal
Verbal Client’s Defense
Mechanism
Therapeutic Communication Critique/Analysis
“Good morning Mr. “Who are you and where Giving recognition- I was feeling nervous. He
Santos”” the devil am I?” Gazes Acknowledging a client by attempted suicide and I don’t
around with a confused name can enhance self-esteem know if I could help him.
look on his face. and communicates that the Initially I was feeling
Defense: Displacement client is viewed as an individual somewhat overwhelmed of
Coping: Maladaptive by the nurse. his history.
“I am Sarah. I am a “What am I doing Giving Information- I felt a bit
student Nurse from here? How did I get Informing the client intimidated who is
Colegio San Agustin- here?” of facts needed to raised his voice.
Bacolod and you are Spoken in a loud , make decisions or
at the National demanding voice. come to a realistic
Center for Mental Defense: conclusions.
Health. I would like Displacement/ Offering Self-
to spend some time Denial Making oneself
with you today.” Coping: Maladaptive available to the
client
“ You were brought “ Oh…Yeah.” Silence Giving Information- I was uncomfortable
in by your wife last for 2 minutes. Giving needed facts with silence, but
night after Shoulders slumped. so that the client since I didn’t have
swallowing a bottle Mr. Santos stares at can orient himself anything useful to
of aspirin. You had the floor and drops and better evaluate say so I stayed with
to stay to have your his head. his situation. him in silence for 2
stomach pumped” Coping: Palliative minutes.
Types of
Coping
Type of Coping Description Common use Patient Example

Adaptive Solves the problem Anxiety about an Anxiety about the discharge from the
that is causing the upcoming hospital is handled by writing down
anxiety, so that examination is medications, dates and times of
anxiety is reduced by studying follow-up appointments, and self-
decreased. effectively and help meetings in calendar. The
The patient is passing the patient keeps appointment and
objective, rational examination with a attends two-self meetings, takes
and productive grade of 95%. medication and returns to work.
Palliative Temporarily decreases Anxiety about the Anxiety about discharge
the anxiety but does not examination is is handled by watching
solve the problem, so temporarily reduced by television in the evening.
the anxiety eventually jogging for half an hour. In the morning, the
returns. Temporary relief Effective studying is then patient takes the
allows the patient to possible and a grade of discharge instructions
return to problem 95% is still achievable. written by the nurse and
solving. puts them in his pocket.
He keeps his first follow
up appointments and
attend self-help meeting.
He takes his medications
and able to return to
work.
Maladaptive Unsuccessful attempts to Anxiety about Anxiety about the
decrease the anxiety examination is first discharge is handle by
without attempting to ignored by going to a saying that he
solve the problem. The movie and then handled remembers all the
anxiety remains by frantically cramming appointments and
for a few hours. A passing meetings, and that
grade of 75% is obtained. directions for the
medication will be on the
bottles . He misses the
meetings and his
appointment, but makes
another appointment
when called. He takes his
am and pm medication
but forgets the noon
dose all week. He goes to
work but complains of
being anxious all day
Dysfunctional Is not successful in Anxiety about the Anxiety about the
reducing anxiety or examination is first discharge is handled by
solving the problem. ignored by going out ignoring the nurse and
Even minimal drinking with friends starting an argument
functioning becomes and then escaped by with another patient.
difficult, and new passing out for the When asked to take
problems begin to night. A grade of 68% time out, the patient
develop. results, and the course leaves the hospital
has to be repeated. without being
discharged; his bill is
not paid by insurance.
He does not get his
prescriptions and is
brought back to the
hospital in 3 weeks.

NPI Process Recording

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NPI Process Recording

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Nurse-Patient Interaction

Nurse/Student Patient Inference

Type of Coping Description Common use Patient Example

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