Ausa, Ryan S.
BSN – 3H Group 1
Patient Name: De Gracia, Emmanuel
Age: 49 years old
Date & Nurse
Time Verbal
J (after the program)
A Emmanuel, kama-o
N man diay ka
U musayaw ui.
A Hastang hawda
R nimu ganina
Y pagsayaw nato.
Primero pa gud to
22, nimung sayaw
sukad Lunes ba
2 pero mayo na kaayo
0 ka.
1 Diba ingon ka
0 gahapon na naa
moy balay sa
10:30am Catalunan?
Gasayaw sayaw
pud mo didto pag
naay okasyon?
Kinsa may gapuyo
didto karon sa
Psychiatric Nursing (DMH) January 23, 2009
NURSE-PATIENT INTERACTION
Diagnosis: Schizophrenia, Disorganized Ward: Open Ward
Attending Physician: Gioia Fe D, Dinglasan, MD
Patient
Interpretation Analysis
Nonverbal Verbal Nonverbal
Taps patients O. Sayaw gud. Looks at the N: Praises the patient for Giving recognition is
back nurse while his participation in the acknowledging and
waving the flag activity which he did for indicating appraisal to the
Maintains eye on his hand the first time since the client’s actions. This helps
contact start of their meeting elevate client’s self
P: Agrees with the esteem.
Smiles statement of the nurse but
did not show any emotion Mental Health and Psychiatric
nor facial expression (flat Nursing by Ann Isaacs p.197
affect)
Looks at the O. Sayaw gud. Nods head N: Tries to re-open and Giving general leads is
patient and bring in the topic guiding the client to share
smiles discussed yesterday for a certain topic or giving
further discussion encouragement to the
P: Answers the question client to continue. Shows
directly fitting to the that the nurse is eager to
nonverbal cue listen without taking away
the initiative for the
interaction.
Mental Health and Psychiatric
Nursing by Ann Isaacs p.197
Looks at the Akong anak. Spreads the N: Attempts to talk about Seeking information is
patient powder on his family matters trying to lead a patient in a
inyong balay? neck P: Answers the question conversation through
but is busy doing other questions.
things
Mental Health and Psychiatric
Nursing by Ann Isaacs p.197
Ah! Naa diay kay Leans forward (Wordless) Raises one N: Explores patient’s When clients deal with
anak? Pila diay finger family background topics superficially,
pud? P: Uses gesture to answer exploring can help them
the question examine the issue more
fully.

Mental Health and Psychiatric

Nursing by Ann Isaacs p.199

Pila man iyang Looks at the Twenty two. Taps the table N: Seeks viable Seeking information is
edad karon? patient information about the trying to lead a patient in a
subject conversation through
P: Answers the question questions.
directly
Mental Health and Psychiatric
Nursing by Ann Isaacs p.197
Pila diay edad nimu Holds patient Twenty two Looks at the N: Furthers the discussion Seeking information is
Emmanuel? nurse P: Answers the question trying to lead a patient in a
coupled with eye contact conversation through
questions.
Mental Health and Psychiatric
Nursing by Ann Isaacs p.197
Byente dos na imu Raises O. Twenty Looks at the N: Seeks clarification Clarifying is putting into
edad? eyebrows two. nurse about the point raised by words vague ideas or
patient unclear thoughts of the
P: Repeats his former client. Purpose is to help
answer nurse understand, or invite
the client to explain.
Mental Health and Psychiatric
Nursing by Ann Isaacs p.197
Ha? Twenty two Shows O. Twenty Looks away N: Expresses doubt about Voicing doubt is
ang imu edad ug confused face two. from the nurse the answer of the client expressing uncertainty
twenty two pud and holds a P: Reaffirms the answer about the reality of the
edad sa imu anak? chair again but refuses to maintain client’s perceptions.
Ka edad ra diay eye contact this time Another means of
mo? responding to distortions
of reality is to express
doubt.
Mental Health and Psychiatric
Nursing by Ann Isaacs p.197
Unsa diay Looks at the Emmanuel. Pulls the chair N: Refocus the topic to The nurse encourages the
panganlan sa imu patient the main subject client to concentrate his
anak? P: Pays limited attention energies on a sing le
the nurse 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.

Mental Health and Psychiatric

Nursing by Ann Isaacs p.201
Ah! Emmanuel pd Looks at the (Wordless) Nods head N: Paraphrase the answer The nurse repeats what the
iya nganlan? patient being made by patient client has said in
P: Answer the question approximately or nearly
with a nonverbal cue the same words the client
has used. This restatement
lets the client know that he
or she communicated the
idea effectively.

Mental Health and Psychiatric

Nursing by Ann Isaacs p.197
Sa duha ka tuig Moves closer (moment of Nods head N: Seeks viable and Seeking information is
nimu dire, gibisita to patient pause) Oo significant information trying to lead a patient in a
na ka sa imu P: Answers the question conversation through
pamilya? Imung preceded with silence or questions.
anak ug asawa? gap
Mental Health and Psychiatric
Nursing by Ann Isaacs p.197
Knus-a pa nimu sila Looks at the (Wordless) Stares blankly N: Restates the question The nurse repeats what the
nakita? patient P: Absence of verbal and client has said in
nonverbal response could approximately or nearly
indicate that the patient is the same words the client
not paying attention. has used. This restatement
lets the client know that he
or she communicated the
idea effectively.

Mental Health and Psychiatric

Nursing by Ann Isaacs p.197
Emmanuel. Sa Ushers the (Wordless) Nods head N: Temporarily Giving of clear instruction
Lunes na pud ta patient back to terminates the is important to avoid
balik magkita ha? ward conversation and contact; confusion in the client’s
Wala man gud mi Informs patient the part. Terminating
dire matag Sabado schedule for their next conversations properly is
ug Domigo so duha meeting imperative as well.
ta adlaw di sa P: Affirms the question by
magkita. Ihatod na noding Mental Health and Psychiatric
tika ron sa ward ha? Nursing by Ann Isaacs p.76 and
88
Criteria:

Format – 5% _____
Neatness – 5% _____
Interaction – 25% _____
Analysis – 35% _____
Interpretation – 30% _____