Nurse-Patient Interaction: University of The East #64 Dona Imelda, Aurora Boulevard, Quezon City

University of the East
RAMON MAGSAYSAY MEMORIAL MEDICAL CENTER INC

#64 Dona Imelda, Aurora Boulevard, Quezon City
College of Nursing
NURSE-PATIENT
INTERACTION
Submitted by:
Fadriquela, Rachel Anne F.
N3B
Submitted to:
Prof. Rover Capili
(Clinical Intructor, National Center for Mental Health)
I. Client’s Profile
Name AA
Age 29 y/o
Sex Male
Nationality Filipino
Status Single
Education Grade 5
Occupation Farmer
Primary Language Spoken Filipino
Primary Care Provider National Center for Mental Health
II. Mental Status Examination
Appearance and Behavior

Patient A appears much older than his chronological age. During the interaction,
the client is obtunded; with rigid posture; stumbling gait; and slow movements;
responds slowly with confusion; with skin lesions on both lower extremities; dirty nails
noted; foul odor noted; with poor eye contact upon interaction.
Speech and Language

Upon the interaction, Patient A responds to “yes” or “no” without elaboration;
slow response noted; some contents of client’s speech is irrelevant to the questions
being asked; slow rate of speech noted; difficulties of finding words noted.
Mood
Patient A shows restricted affect noted; anxious mood response noted upon the
interaction; smiles little as he responds; appears dull and uninterested in some points of
the interaction; stares upon the conversation.
Thought Processes; Though Content; Perceptions

Upon the interaction, patient is confused; obtunded; responds slowly to the
questions asked; shows inhibited thinking on some points of the conversation; shows
tangential thinking; shows thought blocking; inconsistent with the content of the
conversation; expressed thoughts are jumbled; ; coherence lacking in necessary details;
unable to follow directions through with directives such as brushing up and down.
Cognitive Functions
Patient A is oriented to place; unable to maintain attention span.
Intellectual Performance
Patient could not recall remote events; short attention span noted; responds slowly
upon showing a picture.
Judgement
Patient A could not answer question based on sound rationale.
III. Nurse Patient Interaction(Process Recording)
Nurse Client Therapeutic Analysis

Communication
“Good morning.” Smile. Stares. Giving Therapeutic: Greeting the
Information client by name, indicating
awareness of change, or
nothing effort the client has
made all show that the nurse
recognizes the client as a
person, as an individual.
(Reference: Videbeck.
Psychiatric Mental Health
Nursing. P 112)
“Andito po ako ngayon, Stares with eye Giving Therapeutic: Greeting the
bukas at hanggang contact. Information client by name, indicating
Wednesday para po awareness of change, or
makipagkwentuhan sa nothing effort the client has
made all show that the nurse
inyo.”
recognizes the client as a
person, as an individual.
“May gusto po ba “Wala naman.” Broad openings Therapeutic: Broad openings
kayong pag-usapan?” make explicit that the client
has the lead in the interaction.
Ilang taon na po kayo? “20.” Exploring Therapeutic When client deal
with topics superficially,
exploring can help them
examine the issue more fully.
Any problem or concern can
be better understood if
explored in depth. If the client
expresses an unwillingness to
explore a subject, however,
the nurse must respect his or
her wishes.
Nursing. P 112)
“Kailan po kayo “June” Focusing Therapeutic: The nurse
ipinanganak?” encourages the client to
concentrate his or her
energies on a single point,
which may prevent a
multitude of factors or
problems from overwhelming
the client. It is also a useful
technique when a client jumps
from one topic to another.
Nursing. P 112)
“June po, tama po ba?” “Oo.” Restating Therapeutic: Indicates nurse is
listening and validates,
reinforces, or highlights
something patient has said.
Nursing. P 112)
“Tapos po?” Stares with eye General leads Therapeutic: General leads
contact. indicate that the nurse is
listening and following what
the client is saying without
taking away the initiative for
the interaction. They also
encourage the client to
continue if he or she is
hesitant or uncomfortable
about the topic.
Nursing. P 112)
“Saan po kayo “Aklan” Exploring Therapeutic: When client deal
nakatira?” with topics superficially,
her wishes.
Nursing. P 112)
“Ahh sa Aklan po.” “Oo.” Restating Therapeutic: Indicates nurse is
listening and validates,
Nodding reinforces, or highlights
Nursing. P 112)
“Ano pong trabaho niyo “Araro” Encouraging Therapeutic: To understand
po dun?” description of the client, the nurse must see
perception things from his or her
perspective. Encouraging the
client to describe ideas fully
may relieve the tension the
client is feeling, and he or she
might be less likely to take
action on ideas that are
harmful or frightening.
Nursing. P 112)
“Ano po ang inaarero “Talong” Encouraging Therapeutic: Encouraging the
niyo po?” description of client to describe ideas fully
perception may relieve the tension the
client is feeling, and he or she
might be less likely to take
action on ideas that are
harmful or frightening.
Nursing. P 112)
“Ano po ang naitutulong “Pagkain. Kita.” Focusing Therapeutic: The nurse
sa inyo ng pag-aararo?” encourages the client to
which may prevent a
Nursing. P 112)
“Ano pong “Masaya.” Encouraging Therapeutic: The nurse asks
nararamdaman niyo expression the client to consider people
nung nabanggit niyo ang and events in light of his or her
pag-aararo? own values. Doing so
encourages the client to make
his or her own appraisal rather
than to accept the opinion of
others.
Nursing. P 112)
Ahh. Silence. Accepting Therapeutic: An accepting
response indicates the nurse
Nodding. has heard and followed the
train of thought. It does not
indicate agreement but is
nonjudgmental.
Nursing. P 112)
Paano po kayo napunta “May kaso” Focusing Therapeutic: The nurse
dito sa Manila? encourages the client to
which may prevent a
Nursing. P 112)
Pwede ko po bang “Homicide.” Exploring Therapeutic: When client deal
malaman kung ano yung with topics superficially,
kaso mo? exploring can help them
her wishes.
Nursing. P 112)
Pwede ko po bang Silence. Exploring Therapeutic: When client deal
malaman kung anong with topics superficially,
nangyari? exploring can help them
her wishes.
Nursing. P 112)
Sige po. Silence Silence Therapeutic: Silence often
encourages the client to
Silence. verbalize, provided that it is
interested and expectant.
Silence gives the client time to
organize thoughts, direct the
topic of interaction, or focus
on issues that are most
important.
Much nonverbal behavior
takes place during silence, and
the nurse needs to be aware
of the client and his or her
own nonverbal behavior.
Nursing. P 112)
“Nasabi niyo po na nag- “Oo.” Restating Therapeutic: Indicates nurse is
aararo po kayo sa listening and validates,
Aklan.” reinforces, or highlights
Nursing. P 112)
Sino po ang kasama niyo “Pamilya ko.” Focusing Therapeutic: The nurse
doon? encourages the client to
which may prevent a
Nursing. P 112)
“Ilan po ba kayo sa “Apat.” Exploring Therapeutic: When client deal
bahay niyo doon?” with topics superficially,
her wishes.
Nursing. P 112)
“Sinu-sino po?” “Nanay, Tatay, Exploring Therapeutic: Thought blocking:
ako,.....” stopping abruptly in
the middle of a sentence or
Stop to answer. train of thought;
sometimes unable to continue
the idea
Nursing. P 162)
“Nabanggit niyo po si Stares for a while. General lead Therapeutic: General leads
Nanay, Tatay, ikaw at “Magulang” indicate that the nurse is
sino po yung isa?” listening and following what
the client is saying without
taking away the initiative for
the interaction. They also
encourage the client to
continue if he or she is
hesitant or uncomfortable
about the topic.
Nursing. P 112)
“Magulang po?” “Oo.” Consensual Therapeutic: For verbal
Validation communication to be
meaningful, it is essential that
the words being used have the
same meaning for both (all)
participants.
Nursing. P 112)
“Sino po ulit, nanay mo Stares. Clarification Therapeutic: Help to clarify
po, tatay mo po, ikaw patient’s feelings; ideas; and
at? perceptions; provides explicit
correlation to patient’s actions
Nursing. P 112)
Sige po. Hindi ko na po Stares with eye Silence Therapeutic: Silence often
ipipilit kung sino yun. contact encourages the client to
verbalize, provided that it is
Silence. interested and expectant.
Silence gives the client time to
organize thoughts, direct the
topic of interaction, or focus
on issues that are most
important.
Much nonverbal behavior
takes place during silence, and
the nurse needs to be aware
of the client and his or her
own nonverbal behavior.
Nursing. P 112)
“Nabanggit niyo po na “Oo.” Seeking Therapeutic: The nurse should
nag-aararo kayo sa information seek clarification throughout
Aklan, tama po ba? interactions with client.
Nursing. P 112)
“Sino pong kasama “Tatay ko.” Focusing Therapeutic: The nurse
niyong nag-aararo?” encourages the client to
which may prevent a
Nursing. P 112)
“May mga ginagawa po “Wala naman” Encouraging Therapeutic: The nurse asks
ba kayo sa Aklan na comparison the client to consider people
ginagawa niyo rin dito.” and events in light of his or her
own values. Doing so
others.
Nursing. P 112)
“Napapansin ko lang po Looks at his foot Making Therapeutic: Client cannot
palagi po kayo while scratching observation verbalize or make them
nagkakamot.” understood.
Observe the patient
Nursing. P 112)
scratching his foot.
“Pwede ko po bang “Galis.” Exploring Therapeutic: When client deal
malaman kung ano po with topics superficially,
yung mga sugat na exploring can help them
yan?” examine the issue more fully.
her wishes.
Nursing. P 112)
“Galis po?” “Oo.” Clarification Therapeutic: Help to clarify
patient’s feelings; ideas; and
perceptions
Nursing. P 112)
“Pwede ko po bang Still looking at his Exploring Therapeutic: When client deal
malaman kung saan niyo foot and with topics superficially,
nakuha yan?” scratching exploring can help them
her wishes.
Nursing. P 112)
“May ikukuwento po ba “Wala naman.” Broad Opening Therapeutic: Broad openings
kayo sa akin?” make explicit that the client
has the lead in the interaction.
For the client who is hesitant
about talking, broad openings
may stimulate him or her to
take the initiative.
Nursing. P 112)
“Ano pong ginawa niyo “Exercise” Exploring Therapeutic: When client deal
kanina?” with topics superficially,
her wishes.
Nursing. P 112)
“Ano pong naramdaman “Masaya.” Encouraging Therapeutic: The nurse asks
niyo nung nag-exercise expression the client to consider people
tayo?” and events in light of his or her
own values. Doing so
others.
Nursing. P 112)
“Pagkatapos po ng “Basketball” Placing event in Therapeutic: Putting e vents in
exercise, ano po yung time or proper sequence helps both
next na ginawa natin?” sequence the nurse and client to see
them in perspective
Nursing. P 112)
“Ano pong “Masaya.” Encouraging Therapeutic: Expression of
naramdamanan niyo expression feelings encourages the client
nung naglalaro?” to make his or her own
appraisal rather than to accept
the opinion of others.
Nursing. P 112)
“Gusto niyo po bang “Oo.” Focusing Therapeutic: The nurse
maulit magbasketball?” encourages the client to
which may prevent a
Nursing. P 112)
“Ganun po ba?” “Oo.” Clarification Therapeutic: Help to clarify
patient’s feelings; ideas; and
perceptions (Reference:
Videbeck. Psychiatric Mental
Health Nursing. P 112)
Nakakatuwa naman po Smile Giving Therapeutic: Such recognition
na nag-enjoy kayo sa recognition does not carry the notion of
pagbasketball. value, that is, of being “good”
or “bad (Reference: Videbeck.
Nursing. P 112)
“Ano pa pong “Kumain.” Exploring Therapeutic: When client deal
nagustuhan niyong with topics superficially,
ginawa natin ngayong exploring can help them
araw?” examine the issue more fully.
her wishes.
Nursing. P 112)
“Kumain? Masarap po “Sarap.” Encouraging Therapeutic: Expression of
ba yung pagkain? expression feelings encourages the client
to make his or her own
appraisal rather than to accept
the opinion of others.
Nursing. P 112)
“Ano po bang kinain “Spaghetti” Focusing Therapeutic: The nurse
niyo?” encourages the client to
which may prevent a
Nursing. P 112)
“Ano pong lasa?” “Masarap Exploring Therapeutic: When client deal
with topics superficially,
her wishes.
Nursing. P 112)
“Ahh.” Smile Accepting Therapeutic: An accepting
response indicates the nurse
Nodding. has heard and followed the
train of thought. It does not
indicate agreement but is
nonjudgmental.
Nursing. P 112)
IV. Evaluation:
In this process recording that I conveyed to Patient A, I have used many therapeutic
techniques to the patient mostly focusing, exploring and validating. This techniques aid Patient
A to respond normally to the questions that I have asked to him. Not only I have established
rapport to Patient A, I also get the chance to know the feelings of Patient A as well as his mental
status during the interview.
However there is still lack of sharing of information from Patient A since he responds
shortly to the questions. Patient A still have the hesitation to share to me his feelings that will
decrease his anxiety.
V. Goals and Objectives:

In line with the evaluation above, the goal for the communication growth of this
nurse-patient interaction is that after 1 hour of nursing intervention, Patient A
will be able to increase the level of trust and self-confidence in conveying the
information.
Objectives:
After 1 hour of nurse-patient interaction, Patient A will be able to:
 Report his reasons of depression and anxiety
 Describe his plan of action in decreasing his level of anxiety
 Report his feeling of self-worth and satisfaction in life
After 1 hour of nurse-patient interaction, I, the student nurse will be able to:
 Jot down the additional recording of Patient A’s feelings

 Demonstrate additional therapeutic communication techniques

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University of the East

RAMON MAGSAYSAY MEMORIAL MEDICAL CENTER INC

II. Mental Status Examination

Appearance and Behavior

Speech and Language

Thought Processes; Though Content; Perceptions

III. Nurse Patient Interaction(Process Recording)

Nurse Client Therapeutic Analysis

V. Goals and Objectives:

 Jot down the additional recording of Patient A’s feelings

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