Nurse: Gives the patient and his family a warm greeting to create a positive atmosphere and establish a good

rapport N: Tries to open up a conversation by using questions that encourages patient to talk and share N: Asks a information question to seek viable

Greetings acknowledge client’s presence as well as creating a good start and knowing client’s disposition. Broad openings 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. Seeking information is used to know more about client’s feelings, thoughts and ideas. It is also used to make clear that which is not meaningful or vague. Exploring is delving further into a subject or idea. This can help patient examine the issue morefully. Any problem or concern can be better understood if explored. If patient expresses unwillingness to share, the nurse must respect his or her wishes. Clarification is putting into words vague ideas or unclear thoughts of the client. Purpose is to help nurse understand, or invite the client to explain. Focusing is concentrating on a single point; Picking up on central topics or cues given by the client. The nurse encourages the client to concentrate his energies on a sing le point, which may prevent a multitude of factors or problems from overwhelming the client. Encouraging description of perceptions is asking the client to verbalize what he or she perceives. To understand the client, the nurse must see things from client’s perspective. Encouraging the client to describe fully may relieve the tension the client is feeling, and he might be less likely to take action on ideas that are harmful or frightening. Exploring is delving further into a subject or idea. This can help patient examine the issue more fully. Any problem or concern can be better understood if explored. If patient expresses unwillingness to share, the nurse must respect his or her wishes. Mental Health and Psychiatric Nursing by Ann Isaacs p.197 Seeking information is used to know more about client’s feelings, thoughts and ideas. It is also used to make clear that which is not meaningful or vague. Psychiatric Mental Health Nursing by Frisch p 185 Focusing is concentrating on a single point; Picking up on central topics or cues given by the client. The nurse encourages the client to concentrate his energies on a sing le point, which may prevent a multitude of factors or problems from overwhelming the client. Mental Health and Psychiatric Nursing by Ann Isaacs p.197 Blocking is usually caused by affectively charged topics, delusional thoughts or preoccupations. General leads 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 is hesitant or uncomfortable about the topic. Giving recognition is acknowledging and indicating appraisal to the client’s actions. This helps elevate client’s self esteem.

N: Seeks significant information on the effect of marijuana to the patient he enjoys marijuana N: Gives information and presents reality to patient that marijuana use is not good neither beneficial N: Explores on the topic discussed to get more information

N: Attempt to evaluate patient’s understanding and perception of his own illness

N: Repeats the statement made by the client to seek clarification. Asks further questions to delve in to what the patient has said. N: Attempts to focus and bring in the discussion into a single topic

N: Assesses patient’s perception marijuana affected his illness

on how

N: Evaluates the abstract thinking of the patient of the client

N: Asks question to open and explore a certain topic. P: Retells what he experiences whenever his illness recurs. The pause in between his lines is a manifestation of blocking speech.

N: Terminates the conversation and orients patient on the scheduled meeting Recognizes effort of the patient who was accommodating to the group throughout the conversation Shows gratitude to patient for the time he and his family spared for us. Exploring is delving further into a subject or idea. This can help patient examine the issue more fully. Any problem or concern can be better understood if explored. Mental Health and Psychiatric Nursing by Ann Isaacs p.197 When it is obvious that the client is misinterpreting reality, the nurse can indicate what is real. The nurse does this by calmly and quietly expressing the nurse’s perceptions or the facts not by way of arguing with the client or belittling h is experience. Mental Health and Psychiatric Nursing by Ann Isaacs p.199 Exploring is delving further into a subject or idea. This can help patient examine the issue more fully. Any problem or concern can be better understood if explored.

N: Evaluates how the patient reacts to such stimulus P: Patient has the tendency to heed to whatever this stimulus is saying. Scratching his head is another mannerism evident in the patient. N: Tries to stimulate the patient to recall past events of his life that could have contributed to his present illness. P: Patient cannot remember any significant event which he thinks is a contributing factor. N: Assesses patients relationship towards his family P: Expresses seriousness in his tone of voice Tells the nurse how close he is to his family The pause in between his statement is again, a manifestation of blocking speech.

N: Asks question to look at the current topic being discussed for further assessment P: Strongly denies any presence of domestic violence. Seeks affirmation from the nurse by asking “Diba”. N: Commends the patient for the good insight given. Assess the patient’s childhood to get viable information P: Expresses gloom through fall of voice tone. Blocking of speech is evident. N: Uses open-ended questions to allow patient to explain P: Restricted facial expression and inconsistency of eye contact show that the patient is not interested on the topic. Circumstantiality is evident on his speech as he provides irrelevant data before answering the question. N: Changes the topic since the patient started to exhibit disinterest in the conversation P: Is interested again in the conversation as his vocal tone rises and as he gestured while talking N: Tries to explore and encourage the patient to recall his vices

To understand the client, the nurse must see things from client’s perspective. Encouraging the client to describe fully may relieve the tension the client is feeling, and he might be less likely to take action on ideas that are harmful or frightening. Questioning is a therapeutic communication technique using open-ended questions to achieve relevance and depth discussion.

Questioning is a therapeutic communication technique using open-ended questions to achieve relevance and depth discussion If in response to a direct question, the patient provides and excessive amount of irrelevant details before finally answering the question, the condition is called circumstantiality Questioning is a therapeutic communication technique using open-ended questions to achieve relevance and depth discussion.

The nurse gives recognition in a nonjudgmental way. The nurse then terminates the interaction by thanking the client for his participation and cooperation during the whole interview.

Exploring is delving further into a subject or idea. This can help patient examine the issue more fully. Any problem or concern can be