NURSE PARIENT THERA-COMMUNICATION RATIONALE ANALYSIS

INTERACTION AND DEFENSE MECHANISM

N: “Hi Ian How are you -Giving recognition -Greetings the client by name, -The nurse is acknowledging
today?” indicating awareness of the patient indicating
change, or noting efforts the awareness and gaining trust
P: “I’m ok mam!” client has made all show that
the nurse recognizes the
client as a person, as an
individual. Such recognition
does not carry the nation of
value, that is, of being “good”
or “bad”.

N: “I will ask you few
questions is that ok with
you?”
P: “ok go ahead mam”
N: “thank you! What is you
plan to achieve your goal?”
-Exploring -When client deal with topics -The nurse is delving further
superficially, exploring can into a subject or an idea.
help them examine the issue
more fully. Any problem or
concern can be better
understood if explored in
-Exploring depth. If the client expresses
an unwillingness to explore a
subject, however, the nurse
must respect his or her
wishes.

P: “I need to be ready and fix
my self before I insert my
plan, if they don’t like it, I will
not do it.”
-Reaction formation -People who used this
defense mechanism recognize
how they feel, but they
choose to behave in the
opposite manner of their
instincts.
-The patient feels he should
not express negative
emotions, such as anger or
frustration. He choose to
react in an overly positive
way
N: “Yes correct, they are the
one who knows if your ready
to go out or not”
-Accepting -An accepting response -The nurse indicates
indicates the nurse has heard reception.
and followed the train of
thought. It does not indicate
agreement but is
nonjudgmental. Facial
expression tone of voice, and
so forth also must convey
acceptance or the word lose
their meaning.

P: “I will just follow what is
the right thing for me”
-Reaction formation -People who used this
defense mechanism recognize
how they feel, but they
choose to behave in the
opposite manner of their
instincts
-The patient feels he should
not express negative
emotions, such as anger or
frustration. He choose to
react in an overly positive
way

N: “that’s correct! Is there
anything else that you like to
say?”
P: “that would be all mam”
--Accepting -An accepting response --The nurse indicates
indicates the nurse has heard reception.
and followed the train of
thought. It does not indicate
agreement but is
nonjudgmental. Facial
expression tone of voice, and
so forth also must convey
acceptance or the word lose
their meaning.

N: “we are so grateful because -Giving recognition -Greetings the client by name, -The nurse is acknowledging
you being cooperative and indicating awareness of the patient indicating
energetic in every activity, change, or noting efforts the awareness and gaining trust
and also thank you because client has made all show that
you shared your life with us, I
hope you keep doing that, it
will help you in anyway!”
P- “yes mam, thank you also”
YANTO, JHOAN MELODY. R.
MABINI COLLEGES INC.
NPI 3 (TERMINATION PHASE)
the nurse recognizes the
client as a person, as an
individual. Such recognition
does not carry the nation of
value, that is, of being “good”
or “bad”.