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    Nurse Process Recording

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    mmcgee002
    This document contains sections for recording a nurse-client interaction, including the client's background information, presenting problems, physical status, and environmental setting. The recording includes the nurse's thoughts and feelings, the client's non-verbal responses, and the nurse's interpretation of whether techniques used were effective. At the end is a summary statement and references.

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    Nurse Process Recording

    Uploaded by

    mmcgee002
    3K views3 pages
    This document contains sections for recording a nurse-client interaction, including the client's background information, presenting problems, physical status, and environmental setting. The recording includes the nurse's thoughts and feelings, the client's non-verbal responses, and the nurse's interpretation of whether techniques used were effective. At the end is a summary statement and references.

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    This document contains sections for recording a nurse-client interaction, including the client's background information, presenting problems, physical status, and environmental setting. The recording includes the nurse's thoughts and feelings, the client's non-verbal responses, and the nurse's interpretation of whether techniques used were effective. At the end is a summary statement and references.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC or read online from Scribd
    Download as doc
    3K views3 pages

    Nurse Process Recording

    Uploaded by

    mmcgee002
    This document contains sections for recording a nurse-client interaction, including the client's background information, presenting problems, physical status, and environmental setting. The recording includes the nurse's thoughts and feelings, the client's non-verbal responses, and the nurse's interpretation of whether techniques used were effective. At the end is a summary statement and references.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC or read online from Scribd
    Download as doc
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    Nurse Process Recording

    CLIENT’S NAME: ______________________________ STUDENT’S NAME: ______________________________

    DATE AND TIME OF INTERACTION: ______________________________

    CLIENT’S BACKGROUND INFORMATION: AGE ______ SEX ______ RELIGION __________


    CULTURAL/ETHNIC FACTORS: ______________________________

    PRSENTING PROBLEMS: __________________________________________________________________________________________


    __________________________________________________________________________________________

    TENTATIVE DIAGNOSIS: __________________________________________________________________________________________


    __________________________________________________________________________________________

    PHYSICAL STATUS: __________________________________________________________________________________________


    __________________________________________________________________________________________

    ENVIRONMENTAL SETTING: ____________________________________________________________


    GOALS: ____________________________________________________________

    NURSE/CLIENT INTERACTION:
    NURSE CLIENT INTERPRETATION
    (include thoughts and feelings) (include non-verbal observation) (include techniques used and whether effective)
    NURSE CLIENT INTERPRETATION
    (include thoughts and feelings) (include non-verbal observation) (include techniques used and whether effective)
    NURSE CLIENT INTERPRETATION
    (include thoughts and feelings) (include non-verbal observation) (include techniques used and whether effective)

    SUMMARY STATEMENT: __________________________________________________________________________________________

    __________________________________________________________________________________________

    __________________________________________________________________________________________

    __________________________________________________________________________________________

    REFERENCES/RESOURCES:
    __________________________________________________________________________________________

    __________________________________________________________________________________________

    __________________________________________________________________________________________

    __________________________________________________________________________________________

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