Mindanao State University

College of Health Sciences

Marawi City

NSG 127.4 Psychiatric - RLE

NURSE-PATIENT INTERACTION (NPI)

Student Nurse: Pundoma, Tasnimah H.

Virtual Patient Case: Developmental Disability: The aggressive patient
Student Nurse Therapeutic Patient’s Response Analysis
Communication
(Healthcare Provider)
Mr. Vector? Identifying the client – to P: Yes. Who are you? The patient is responsive and is aware
ensure it is the right of himself and environment.
(upset and hostile)
patient.
Giving recognition
My name is Tasnimah Pundoma I'm Giving information – P: *nods To start rapport.
one of the new GPs in the practice. making available facts that
P: call me vector The patient is responsive but shows
the client needs.
First of all, what would you like me to signs of being upset.
call you?
Okay, vec. I heard that you are upset Accepting – indicating P: (*nods) The patient is responsive and seems
and shouting. Why is that victor? reception. upset.
I want to leave!
Would you tell me about it?
Broad Openings -
allowing the client to take
initiative in introducing
 the topic.
Clarification - seeking to
make things clear.
Okay. Alright. I can see you are a little De-escalation technique, P: (*deep breath) My head hurts. De-escalating the aggression to
upset. Why do you want to leave? supportive body uncover the underlying problem.
(Calm)
What’s the matter? language is combined
The patient explained her problem
with validated verbal
clearly.
language.
.

All right. Okay. Can you tell me a bit
more about your head?
*nods every sentence response of the
patient.
Okay vector. I am a nurse and maybe I
can help you with your head hurting.
You said your head hurts. I understand
you are upset.
Exploring – delving P: Um... Well, My heads hurt at the To obtain more information about the
further into a subject or back. I have this terrible discomfort problems
idea. nearly all the time.
The patient explained the symptoms
he is having.
Active Listening – an The patient is participative and seems
active process of receiving calm.
information and examining
one’s reaction to messages
received
Accepting – indicating P: (Nods) . Thank you The patient is responsive.
reception.
Validation - searching for
mutual understanding, for
accord in the meaning of
words.
 Summarizing - organizing
and summing up that
which has gone before.
Okay. And how long has this been Placing event in time or P: Well I (*deep breath) yesterday. I To determine the history of the
going on. sequence – clarifying don't think my head have been really problem.
relationship of events in right since yesterday.
The patient recalls the time her
time.
condition started to occur.
mmm-hmmm. Okay. So you think it Restating - repeating the P: Yes To ensure proper understanding.
began yesterday. main idea expressed in
The patient is responsive.
different words.
Okay. Alright. Accepting – indicating P: No. I didn’t fall and no one hit me. To determine the treatments/
reception. medications the client have for her
present condition.
Exploring – delving
Did you fall? Or did someone hit your
further into a subject or The patient is responsive.
head?
idea.
Asking Question – to
achieve relevance and
depth in discussion

Right. (*nodding) Accepting and Active P: It’s just started hurting at the back To show active listening
Listening and I don’t know what to do about it.
Patient is responsive
Alright. I understand. Is that the reason
why you are angry and frustrated?
That’s very nice of you to say that. It’s
alright. We are her to help you. We’ll
do interventions to ease your head
ache.
Validation - searching for P: mm-hmm (*nodding) To ensure proper understanding.
mutual understanding, for
I’m sorry about my behavior earlier.
accord in the meaning of
words.
Accepting – indicating P: Thank you. To help patient relax and feel
reception. validated.
Praise the client’s efforts
made to feel appreciated.

Thank you too victor. You know you
can continue seeking staff when you
have a problem. We will surely help
youWell I guess if we did decide to
work together like this we can keep an
eye on your problems and help you.
We can help you to engage in
therapeutic activities like exercises and
offer medications when necessary.
How would that sound?
That’s very nice of you vector. Thank
you. I will be providing you a therapy
that will help you. Is that okay with
you?
Reassurance
Validation - searching for
mutual understanding, for
accord in the meaning of
words.
Recommend or suggest
options
Asking Question – to
achieve relevance and
depth in discussion.
Praise the client’s efforts
made to feel appreciated.
Recommend or suggest
options
P: Thank you so much. I really
appreciate you
P: (smile) I would love that. Thank you.
To reassure the client that you are
there to help.
To explain further the client's
condition and to plan the best thing for
the client.
To determine if the patient agrees to
the suggestion.
Patient shows signs of willingness to
participate. The patient agrees to the
collaboration and recommendation of
trying a new approach for her
condition.
So… I should go now. shall I see later? Asking Question – to P: Yes. Yes. To remind the client for her next visit.
achieve relevance and
depth in discussion.
Okay. Alright. Thank you vector Accepting Okay. Thank you To properly end the conversation
Bye Bye. Ending the conversation To say goodbye.