NURSE-PATIENT INTERACTION
Clients Profile: Mr. JDA, a 21 year old male residing in Urbistondo, Pangasinan diagnosed with Paranoid Schizophrenia. Stopped studying until
2nd year high school due to financial problems and worked as a construction worker in Tanza, Cavite. He admitted usage of substance such as
alcohol and cigarette. This is his 1st time to be admitted due to his condition and his 9th day since admission.
Objectives: After 1 hour of Nurse Patient Interaction, client will be able to verbalize her concerns and feelings.
NPI
Inference/Analysis
Nurse
Nurse: Good afternoon Sir! Ano
pong pangalan niyo?
-Non-therapeutic
-Question is relevant for the
client to be identified and
establish rapport with the
nurse.
Patient: Jonard
Nurse: Ah okay po. Ako po si MelHanie Mabatas, kami po ay mga
student nurses po sa SLU. Uhm,
kamusta naman po kayo dito sir?
Patient: Okay lang, okay lang
naman.
Modification
Patient
-Greetings acknowledge clients presence
as well as creating a good start of the
conversation. However, I shouldve
introduced myself first before asking his
name.
-Client recognizes the
presence of student
nurse with good eye
contact.
-Appropriate response
-Therapeutic
-Self-introduction as well as
setting of contract with the
patient.
-Inappropriate response
- Appropriate response
Nurse: Ano pong nararamdaman
niyo sa araw na ito?
-Therapeutic
- Asking Relevant
Questions- To seek
information needed for
decision making. Asking
only one question at a time
and fully exploring one
topic before moving to
another area. Open-ended
questions allows for taking
the conversational lead and
introducing pertinent
information about a topic.
Patient: Okay naman, masaya
(laughs)
Nurse: Nakakakain at nakakatulog
ka naman po ng ayos dito?
Patient: Oo, mas malakas nga
akong kumain ngayon eh.
-Appropriate response
-Patient is able to cope
up with the events
happening to him.
-Patient shows humor
type of defense
mechanism by focusing
on funny aspects of his
situation.
-Therapeutic
-Relevant
-Encourages the client to be
aware of physical
appearance and health.
-Appropriate response
-Patient shows a positive
attitude towards illness.
Nurse: Anu-anong mga hilig mong
foods?
-Therapeutic
-Relevant question to ask
-Intend to build trust and
stronger relationship with
the client.
Patient: Mahilig ako sa fish at
gulay.
Nurse: Sir, anu-ano yung mga
naranasan mo bago nila naisip na
dalhin ka sa ospital na ito?
Patient: Galit na galit ako nun,
nasaktan ko yung pamilya ko. Pati
yung uncle ko pero sinasadya ko yun
-Appropriately answered.
-Client seems to be
gaining trust with the
student nurse due that
she shares information
about self.
-Therapeutic
- Asking Relevant
Questions- To seek
information needed for
decision making. Asking
only one question at a time
and fully exploring one
topic before moving to
another area. Open-ended
questions allows for taking
the conversational lead and
introducing pertinent
information about a topic.
-Appropriate response.
-According to Freud, the
id is the most primitive of
kasi galit ako.
Nurse: Ano po yung nagtulak sa
inyo para saktan mo sila?
Patient: May mga naririnig akong
boses. Sabi niya ganito ang dapat na
gawin kaya sunod ako.
the three structures, is
concerned with instant
gratification of basic
physical needs and
urges. It operates
entirely unconsciously
(outside the conscious
thought).
-Therapeutic
-Asking Relevant QuestionsTo seek information needed
for decision making. Asking
only one question at a time
and fully exploring one
topic before moving to
another area. Open-ended
questions allows for taking
the conversational lead and
introducing pertinent
information about a topic.
-Appropriate response
-Patient seems to have
command hallucinations
as manifested by hearing
voices that tells him what
to do.
Nurse: Hanggang ngayon po ba
naririnig mo yung boses?
-Therapeutic
-Relevant
Patient: Oo, pero mahina na di
kagaya dati ang lakas.
Nangangamusta sila ngayon sakin
parang mga kaluluwang pamilyar.
Nurse: Paano kaya nagsimula yan?
Pag-uwi mo ba ng bahay bigla ka na
lang nagkaganyan?
Patient: Kasi nga sabi ng auntie ko
na albularyo, kinulam ako. Kaya ako
nagkaganito kasi kinulam ako.
-Appropriate response
-Patient evaluates
improvement of having
command hallucinations
but is still having
auditory hallucinations.
-Therapeutic
-Relevant question to ask
intended to lead the
conversation.
-Letting the client to
express
-Open-ended questions are
intended for the
client to give a broad
explanation.
-Appropriate response
-Patient seems to have
delusion of persecution
claiming that someone
used witchcraft on him
that is why he has
mental illness.
Evaluation: Goal fully met: After 1 hour of nurse-patient interaction, the client was able to verbalize her concerns and feelings towards it
