conversation feelings interpretation

Nurse: Hi, I'm is I’m happy that the Giving Information

Watson, I see you patient was willing
again. I'm glad to share her According to Videbeck,
you came back in, S. introducing oneself is
thoughts and
I've got the an act of giving
results now of the feelings to the information. Informing
blood work that psychiatrist. I can the client of facts
we did after your feel that she’s increases his or her
checkup. Okay. giving her trust to knowledge about a topic
And before we go the psychiatrist as or lets the client know
over any of that I counselor. Opening what to expect. The
really wanted to nurse is functioning as a
up yourself with
find out from you resource person. Giving
how things are someone whom information also builds
going and what you just met would trust with the client.
you're concerned be difficult but he
about. enthusiastically and
eagerly shared his
experiences. Low tone of speech

The client talks to the

nurse in a low tone of
speech. According to
Client: Well, I Kendra C. (2017) A
mean, I'm, I'm somber, downcast tone
curious about would indicate that you
because I haven't are the opposite of fine
been very well, and that perhaps there
right. I haven't is a need to inquire the
been feeling very person further.
well. Like, last
week, I threw up
some blood.

Time: 0:16
Nurse: Is that the Thoughts/feelings
first time that's Seeking information
:
happened?
If I was the one The nurse is attempting
Client: Yeah, the interviewing the to clarify something that
first time. I mean, is unclear. Seeking
client I would be a
I threw up blood. knowledge, according to
bit hesitant to ask Videbeck, S., allows the
Last weekend
then. Again, the question how nurse to avoid assuming
yesterday. So many times this that comprehension has
there's something would happen but I occurred when it has
bad going on. I really need to ask it not.
know there's because how will
something bad you know what
going What do really happened if
you think is going you don’t.
on what cancer Poor eye contact
right? I think I
probably have According to Videbeck
cancer. I'm not. S. (2017), poor eye
I'm not doing very contact indicates low
well. self-esteem, anxiety, self
consciousness, or
(poor eye contact) shame. 

Time: 0:46

Nurse: let's try to I don’t know if I

figure some of would believe the Restating 
this out. Okay. client but it would
When you said be really scary if it Reiterating the main
you were was true point made. According
throwing up to Videbeck S.,
libreria throwing restatement informs the
up bright red client that he or she is
blood? And was it effectively
like little spots, communicating the
big spots? ideas and encourages
the client to continue.

Client: It was it
was almost filling
a toilet wasn't that
much. It wasn't
like that it was
enough that I
could see it in the
toilet when I was
throwing up.

Time: 1:06
Nurse: And did Maybe because of
did you have any too much alcohol Seeking information
other symptoms? consumption she is
what time of day experiencing this The nurse is attempting
was this? kind of symptoms to clarify something that
is unclear. Seeking
Client: Well, I was knowledge, according to
feeling sick. So Videbeck, S., allows the
and I had nurse to avoid assuming
headaches and I that comprehension has
you know, I've got occurred when it has
I have headaches not.
a lot throughout
the day, but
throwing up the
blood that was in
the morning. And
then again, the
other time, it was
sort of later in the
day, but I you
know, I also wake
up in the middle
of the night like
and I'm just
covered in sweat.
I know that's
another cancer
thing.

Time: 1:27
Nurse: Look, I By listening to the Active listening 
can understand client I hope that at
why you're this point the The nurse responds by
worried. Alright, rapport is already nodding and following
because throwing established so that through the
up blood is scary. she would tell us conversation. According
And waking up, honestly what is to Rivier University,
soaked in sweat going on. Active listening involves
in the middle of showing interest in what
the night. That patients have to say,
doesn't feel right acknowledging that
either. Let me ask you’re listening and
you a couple of understanding, and
questions that engaging with them
might help explain throughout the
things. When did conversation.
you have your
last drink?

Client: Actually,
just before I came
here.

Time: 1:56
Nurse: okay, so The psychiatrist is Exploring
that was earlier exploring what kind
this morning. All of drink she is The nurse tends to use
right. What did taking by doing that the therapeutic
you have? the psychiatrist has technique called
now more exploring by delving
Client: I had information about further into a subject or
orange juice and I her an idea. When clients
had some vodka deal with topics
in it. It's the only superficially, exploring
thing actually that, can help them examine
like, steadies me the issue more fully, Any
enough to get out problem or concern can
the door. I don't be better understood if
go out that often. explored in depth.

Time:2:18

Nurse: So tell me By asking this kind Encouraging description

how it helps you. of question I now of perceptions 
know why the
Client: It's just patient indulge in The nurse asks the
steadies me alcoholic drinks client if he can hear the
steadies me like voices. According to
I'm you know, I'm Videbeck S., to
shaking all the understand the client the
time, just like nurse must see things
from his or her
perspective.Encouraging
the client to describe
ideas fully relieves the
Time: 2:35 tension the client is
feeling.

Nurse: so over I was shocked by Exploring 

the course of a how many drinks
day in order to she needs to calm The nurse is delving
steady yourself in herself down further into the subject
order to feel by asking “How many
calmer. How drinks do you end up
many drinks do having?” According to
you end up Videbeck, S. When the
having? clients deal with topics
superficially, exploring
Client: five can help them examine
the issue more fully. 

Time: 2:41
I. PREEXAMINATION
A. General Appearance
II. The client was an old woman. She was pale. She is wearing a red coat and

underneath it was a black shirt. She has a poor eye contact. She has a normal

posture. Her hair is blonde. She was a well groomed woman.

A. General Mobility
The patient was able to swing his arms freely while doing hand gestures. She
has no difficulty in sitting. He has no signs of waxy flexibility.

B. Behavior
As what we had observed to the client, she was friendly and
approachable. She always answers our questions and interacts well to the
psychiatrist.

C. Nurse-Patient Interaction
The patient is very cooperative all throughout the time we talk. She is willing
to share the things that had happened to her and why she is there for the
interview.

II. STREAM OF TALK

a. CHARACTER
 The client talks spontaneously throughout our conversation. She
responds to the questions immediately. She was able to speak in English.

b. ORGANIZATION OF TALK

The organization of thought of our client was relevant in which

every time we ask a questions she answers it in relation to the topic. The
sentence is short but appropriate to the subject matter.

c. ACCESSIBILTY

The client’s accessibility was fair, since she answers all the
questions being asked but she doesn’t execute or open other topics on her
own. It was fair enough even if her answers were brief.

III. EMOTIONAL STATE AND REACTIONS

a. MOOD
The mood of the client was depressive since she demonstrates an
average affect. She sounds worried of her health because of the blood that
she is vomitting. Her facial expression was just suitable to what she feels
and to what she says.

b. AFFECT

Our client manifests an appropriate affect in which it was

definitely fitting to her mood. Whenever she answers question
 regarding of her health she feels worried and anxious. But sometimes
we can observe some blunt affect in her.

c. DEPERSONALIZATION AND DEREALIZATION

At the start of the assessment, depersonalization and derealizations

were absent since the client did not even illustrate any manifestations of
feeling unreal, strange, and disoriented or loss of sense of reality towards
her environment. She knows that she was in the room and she also even
know the amount of drink she took when she was being asked.

d. SUICIDAL POTENTIAL
As observed in the video the client has no signs of suicidal intention
and didn’t mention any suicidal attempts.

IV. THOUGHT CONTROL

A. PERCEPTION

The client’s view about reality was intact and normal upon
assessment. There were no problems on the way she perceives things.
There were also no manifestations of the client having illusion, and
misinterpretations about the environment.

B. DELUSIONS
C.
Among the five types of delusions, there were no manifestations
even one during the assessments. There were no signs of fixed and false
beliefs.
 D. IDEAS OF REFERENCE

There were no ideas of reference noted or verbalization by our

client.

E. PREOCCUPATIONS AND RUMINATIONS

Upon interaction with the client, preoccupation and ruminants were

not noted. There were no repeated thoughts that hinder or agitate the
thinking process of the client.

F. DÉJÀ VU AND JAMAIS VU

Déjà vu and jamais vu were not present; the client didn’t verbalize
any recognizable incident during the interaction. She is aware of the things
happening to her and around her.

REFERENCES:
 Schulz, J. (2012) Eye contact: an introduction to its role in communication.
Retrieved March 23, 2021 from
https://www.canr.msu.edu/news/eye_contact_an_introduction_to_its_role_in_
communication
 Grossman, D. (2017) What you need to know about body language to
communicate effectively. Retrieved March 23, 2021 from
https://www.yourthoughtpartner.com/blog/bid/32503/what-you-need-to-know-
about-body-language-to-communicate-effectively
 Rivier University (2017) 17 Therapeutic Communications Technique.
Retrieved March 23, 2021 from https://www.rivier.edu/academics/blog-
posts/17-therapeutic-communication-techniques/
 Kendra, C. (2020) types of nonverbal communication. Retrieved March 23,
2021 from https://www.verywellmind.com/types-of-nonverbal-communication-
2795397#:~:te
 Videbeck, S. (2017) Psychiatric mental health nursing.5th ed. Lippincott
Williams & Wilkins Philadelphia.