University of St.

La Salle
College of Nursing

NURSE PATIENT INTERACTION

I. Background Information
A. Name: Marco
B. Sex: Male
C. Age: 40 yrs old
D. Civil Status: Single
E. Educational Attainment: College Level - 2nd Year
F. Occupation: None
G. Religion: Roman Catholic
H. Address: Brgy. Miranda, Hinigaran, Bacolod City

II. Objectives:

A. General Objectives (Long Term – duration of the exposure)

1. Patient Centered
- To distinguish the sickness of the client through the observation done

2. Student Centered
- To develop the therapeutic skills that needs to be applied for the patient with
mental health condition and to implement proper nursing intervention

B. Specific Objectives (Short Term – daily)

1. Patient Centered
- To be able to make the client verbalize his own feeling
- Offering self, show the patient that the student nurse is making herself available
and is concern to the patient.
-
2. Student Centered
- To build a therapeutic nurse-patient relationship
- To establish rapport, trust, and cooperation with the client

III. Actual Entry

Nurse Interaction Patient Nurse Inference Patient Inference

Interaction (Rationale/TheraCom
)

“Mayong aga ako “Mayong aga man Giving recognition – Patient smiles and
si Athena ang imo ako naman ya si shows courtesy and interacts
student nurse halin Marco.” respect to client as a accordingly
sa University of St. fellow human being.
Lasalle”
“Kamusta imo “Okay man lang Giving Broad Openings Patient nods
pamatyag Marco?” ah. Ikaw ang nurse - Allowing the client to
ko subong?” take the initiative in
introducing the topic

“Oo ako imo nga “Oo sige mam” Restating- Repeating Patient nods
nurse subong nga the exact words of
adlaw basi may patients to remind them
gusto ka nga pag of what they said and to
storyahan? Mamati let them know they are
gid ko heard

“Pila ka na ka 103 yrs old na ko Asking Question – Patient has a

tuig?” Asking open-ended confident look in
questions is to achieve his face after
relevance and depth in answering to
a discussion nurse’s question.

“40 pa lang edad Ah gale ka? Presenting Reality or Patient has a

mo subong Marco” Confronting - This is to confusing look
emphasize what is right while asking the
and what is not without nurse
arguing with the
patient.

“Ano na ta nga “December eh” Exploring - This is to Patient has a

petsa gani delve further into a confident look in
subong?” subject or an idea that his face after
will make the patient answering to
interactive. nurse’s question.

“Hunyo na ta “Ano? Daw Presenting Reality or Patient has a

subong Marco” December pa man Confronting - This is to confusing look
lang ta subong?” emphasize what is right while asking the
and what is not without nurse
arguing with the
patient.

“Sige ah Bale kun “okay ah” Offering Self- making Patient shows
ano man ang gusto self-available and participation and
nimo nga pag showing interest and nod as a sign of
estoryahan mamati concern agreeing with the
lang ko di sa imo student nurse
kag kun may mga
problema ka pwede
ta gid na
estoryahan. Tanan
nga storyahan ta di
subong parti sa
imo”
“May mga abyan “Wala kay permi Asking question - using Patient said with a
ka man di nga gina lang ko nila gina open-ended blank expression on
storya2x mo kadlawan” questions to achieve his face.
Marco?” relevance and
depth in discussion

“Ano kuno ang “Ambot wala ko Seeking clarification - A sudden change of

rason ngaa gina kabalo” asking patient to facial expression in
kadlawan ka nila restate, elaborate, or the Patient’s face.
haw?” give examples of
ideas or feelings to seek
clarification of
what is unclear

“Indi ko na sila Encouraging decisions- Patient’s mood gets

“Pro okay man kinanglan kag Indi Asking patients to make irritable
lang sa imo nga ko katulog kay a choice among options
waay ka di migo?” halin gapun may ga
hutik sakon dayon
gina kadlawan ko
nila”
“Okay. Ang mga Rehearsing- asking the Patient nods
tingog nga ga ka “Okay ah” patient for a verbal
batian mo indi ko description of what will
na mabatian. Ang be said or done in a
himoon ta sugid sa particular situation
akon kun ano gaka
batian mo para
mabuligan taka”

“Ang mga tingog “Nga hilo-an kuno Reflecting- Throwing Patient has a shift
nga gakabatian mo nila akon pagkaon back the patient’s of emotion. She
ano gina hambal para mapatay na statement in a form of suddenly became
nila sa imo? ko” questions helps the nervous
patient identify the
feelings
“Matyag mo diri sa “Indi kay patyon Asking question - using Patient got being
hospital safe ka ko di nila gaka open-ended scared
man di?” balaka na ko” questions to achieve
relevance and
depth in discussion
 “Ano gid ang gaka “Nga pulihan ko di Restating- Repeating Still being scared
balakahan mo?” nila hilo.an akon the exact words of
pagkaon kag patients to remind them
patyon ko ” of what they said and to
let them know they are
heard

“Sige ah himoon “Okay ah” Empathy- recognizing Patient gets calm

namon tanan para and acknowledging
maging safe ka patient’s feelings
lang di sa hospital”

“Gusto mo mag “Pwede man” Encouraging decisions- Patient nod and

upod saot sa Hataw Asking patients to make agree for the nurse
namon karon? Para a choice among options suggestion
mag mag-an man
pamatyag mo”

“Sige updan ta ka “Okay ah.” Offering Self - to Patien nods and had
kadto to para provide comfort to the a calm on his face
malingaw ka man.” client by means of mere
presence.

IV. Evaluation: (For daily requirement, evaluate specific objectives only)

1. Patient-Centered
- To be able to make the client verbalize his own feeling
Evaluation: The nurse allows the patient to express thoughts and feelings and
relates this to observed and reported behaviours, clarifying areas of conflict and
anxiety. The nurse identifies and maximizes the patient’s ego strengths and
encourages socialization
- Offering self, show the patient that the student nurse is making herself available
and is concern to the patient.
Evaluation: Offering self is one of the Therapeutic Communication in terms of
dealing with a Psychiatric patient. The nurse is making sure that she is available
in suggesting interest in the client and a desire to assist the client.
2. Student Centered
- To build a therapeutic nurse-patient relationship
Evaluation: Building a therapeutic relationship with the patient was done by the student
nurse it helps to determine effective communication and information-sharing, in
understanding the patient's preferences regarding their environment, enabling them to feel
safe and to trust in the care being provided.
- To establish rapport, trust, and cooperation with the client
Evaluation: Establishing rapport was done by the student nurse to gain trust from
her client. The more the student nurse know her client, and the more they get to
know her, the easier the process. The client can trust the student nurse will find
the best home for him, and she can trust them to listen her ideas and advice.