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Mental Health Nursing
Interpersonal Process Recording (IPR)
Student Name________________________________________________________________________________________Date______________
Brief information about this client___________________________________________________________________________________________
Student Goal for this interaction____________________________________________________________________________________________
Setting/Time:___________________________________________________________________________________________________________
Nurse Communication
(Verbal & Non-verbal)
Client communication
(Verbal & Non-verbal)
Nurse’s Thoughts &
Feelings Related to the
Interaction
Communication Technique
(Therapeutic/Non-Therapeutic)
Alternative or Revised Response
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Nurse Communication
(Verbal & Non-verbal)
Client communication
(Verbal & Non-verbal)
Nurse’s Thoughts &
Feelings Related to the
Interaction
Communication Technique
(Therapeutic/Non-Therapeutic)
Alternative or Revised Response
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