This document provides instructions for an interpersonal process recording (IPR) assignment between two students. The assignment involves one student role playing as a nurse and the other role playing as one of two clients with different mental health diagnoses. After the conversation, students will complete an IPR form to document the interaction and analyze therapeutic and non-therapeutic techniques used. The IPR form includes columns for comments, client responses, nurse thoughts, and identification of techniques. The goal is for students to practice communication skills and identify ways to make responses more therapeutic.
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Helping depressed and anxious clients through communication
1. IPR Recording Mental health nursing
Module 02 ContentInterpersonal Process Recording (IPR)PurposeThis assignment will help
prepare you for conversations with clients with mental health conditions.Course
CompetencyDescribe the foundations of mental health nursing.Transferable
SkillCommunication: Displaying capability in writing, reading, and oral communication;
understanding of non-verbal language.InstructionsIt will be carried out with two students
working together. This is a “role-play exercise,” One student is the student nurse, and the
other will role-play as a client. In this assignment, the nursing student will demonstrate the
therapeutic nurse-client relationship and analyze the therapeutic and nontherapeutic
techniques used. You will take turns in the roles.This is not about always having therapeutic
responses. It is about learning from practice and review. It is expected that you will think of
other ways to respond or interact with the client that may be more therapeutic after the
interaction is terminated. After the conversation is over, you will complete in IPR form.The
client roles are: Mr. Jones is a 69-year-old retired engineer. He was admitted to the in-
patient psychiatric unit the previous day. His daughter had called the police when he locked
himself in his bathroom and refused to come out. She thought he was suicidal. He was
brought to the hospital by the police and was admitted on involuntary status. Since
admission, he has been reticent but told his daughter he had no reason to live since his wife
died.Diagnosis: Major Depressive DisorderNursing Diagnosis: Risk for suicide.Mrs. Alvarez
is a 34-year-old female who has lived in this country for the past 10 yrs. She is a stay-at-
home mom with three small children. Her husband works two jobs to support the family.
Lately, she has been extremely anxious and fears that her children will become ill or injured.
This seems to be an unrealistic concern, but she has been unable to sleep well and has lost
15 lbs. in the past month. She is a voluntary admission and states she knows she needs
help.Diagnosis: Generalized Anxiety DisorderNursing Diagnosis: Ineffective copingYou will
select the role you wish as a client and take turns switching roles. After the conversation,
you will document the interactions using the form provided and following the guidelines
instructions for each column.IPR Form ExplanationThe IPR is completed with the form to
guide you and the rubric to explain the grading process for content.IPR FormThe first
column is for you, the nursing students, comments/ questions, and responses. You may
want to include the introduction process. It is understandable if the initial conversation is
more superficial to establish rapport. You may not want to include all of this but move on to
the more focused interaction. Your nonverbal communication is included here.Then, the
conversation will focus on the client’s feelings, concerns, issues as they have identified
2. them. After the introduction, it may be beneficial to establish a short-term goal for the
interaction with the client.The second column is for the client’s comments, questions,
responses. Also, the nonverbal reactions of the client are included in this column.The middle
column is for you to write what you are thinking or feeling.The last two columns are for you
to document the technique that you used in that portion of the conversation. If it is a non –
therapeutic response, you must write the response and think of how to revise it to more
therapeutic response. You can change any response if you think of how you could have
responded differently but, identify and change all non – therapeutic responses.