SOBERANO, MARJORIE N.

BSN 3B

PATIENT NURSE INTERACTION

Process Interaction
In Psychiatric Mental Health Nursing, it is critical that we emphasize the importance of the therapeutic
connection, especially in mental health settings in accordance with the factors that occur in the
relationship. This interaction is based on mutual trust and respect, being sensitive to one's own and others'
needs and assisting with the satisfaction of the patient's physical, emotional and spiritual needs. Empathy
allows the nurse to maintain objectivity while actively participating in a therapeutic interaction by means
of listening to the patient's concerns and responding empathically to the patient.
I. Interaction Number: 3 day Nurse-Patient Interaction
II. Date: April 29, 2022
III. Psychiatric Ward
IV. Objectives of Interaction:

 Establish rapport with the patient by being compassionate, honest, kind, and completely accepting
of his or her actions and beliefs.
 A crucial component in assisting patients in reassessing their priorities and identifying issues of
concern.
 Gain a thorough awareness of the patient's perspective on the nurse-patient interaction's concern
and empathy.
 An outlet for the exploration of new ways to achieve well-being.
 Encourage the patient to evaluate solutions
V. NPI and analysis
Name of Student: Marjorie N. Soberano
Pseudonym of Patient: Cherry Blossom

Interaction Nurse verbatim analysis and Recommendations/

patient verbatim analysis Modifications

1st Day Interaction

N: Hi, good morning po. Kumusta po
kayo?
P: Hello, mabuti nmn po.
N: Ako pop ala c Marjorie Soberano,
student nurse po ako sa University of
Cordillera at ako din po ang naka assign
sa inyo para sa tatlong araw naming
Greeting the patient:
This gesture helps in building a
therapeutic relationship with
patients and clients so that they
will feel relaxed and open to
conversation.
When you engage in a
therapeutic relationship
based on efficient
communication and
compassionate actions,
you can assist your
patient find harmony in
mind, body, and spirit.
duty dito sa facility. Pwede ko po ba
kayo makausap ngyon kung ok lang or
kung wala po kayo gagawin? At bago
ang lahat, ano nga pop ala pangalan
nyo?
P: Cherry po pangalan ko. Okay lang po
ma’am wala na po ako gagawin kasi
nakaligo na po ako.
N: mabuti naman po kung ganon, saan
nyo po gustong pumwesto para
kumportable po kayo?
P: Dun na lng po tayo sa labasan sa
hagdan kasi mahangin at maaraw pa.
While walking at the hallway, I asked
the patient…
N: Ate bakit ang aga nyo po maligo?
Nakasanayan nyo na ba maligo ng
maaga?
P: opo ma’am, habang wala pa
gumagamit ng banyo tsaka maaga din
kasi kami kumakain eh.
Arriving at the open area, the patient
sits at the stairs, basking in the sun and
trying to dry her hair then she looked at
me and smiled. Then I asked
N: ate, mukhang masya ka ngyon ah
palagi ka nakangiti
P: Kasi po malapit na ako umuwi
N: Kelan po kayo uuwi?
P: bukas daw kasi susunduin ako ng
papa ko dito
N: kaya naman pala mukhang excited
na kayo umuwi. Mabuti naman kung
ganon. Matanong ko nga pala ate
matagal nap o ba kayo ditto at bakit po
kayo napunta ditto?
P: matagal tagal na din. Pinasok ako ng
papa ko ditto kasi may mga nakikita
ako.
N: ano po yung mga nakikita nyo?
P: mga bad and good spirit kaya ako di
nkakatulog minsan nilalabanan ko ang
bad spirit hindi ako natatakot kasi
ginagabayan ako ni God.
N: ahh oo tayo lahat ginagabayan araw
araw.
After this conversation, the patient
Make direct eye
Introduction of self and asking contact. Keep in mind
for the patient’s name: that excessive eye
Introduction is the first and most contact might be scary.
important step in the treatment As you and your patient
procedure. When done correctly, converse, smile at
it can assist cut wait times by regular intervals and
giving the impression that the nod your head. Speak
patient is already being treated. slowly and quietly in
terms she understands.
Providing options:
Patients' satisfaction has been
connected to giving them options.
It has also been stated that patient
preferences are critical to
successful clinical care since the
degree to which medical
intervention meets the patient's
choices, values, and requirements
is reflected in the patient's
participation and satisfaction.
Opening Queries:
Being prepared to ask a good
inquiry saves time, builds trust,
and demonstrates that I am aware
of what to expect.
Probing/Exploring:
This is essential in empowering
nurses to strive for a deeper
understanding of each patients
and their unique qualities.
asked to go to her room and take a nap.
P: punta na ako sa kwarto inaantok kasi
ako matulog po muna ako.
N: ay sigo po ate, bukas po ulet ng
maaga nandito po ako, usap po ulet
tayo. Salamat ate.
P: sige po ma’am salamat din po
Interaction
2nd Day Interaction
N: Magandang umaga ate!
P: good morning po
N: Kumusta naman po ang tulog
nyo?
P: mahaba-haba ang tulog ko
tapos maaga ulet ako nagising.
N: mabuti naman ate para
maganda ang pakiramdam sa
umaga at dapat gawin na nating
routine yan araw-araw
N: pansin ko nakaligo na ulet
kayo ah, kumain na din po ba
kayo?
P: tapos na lahat ma’am
N: sige ituloy na natin ang
usapan kahapon ah okay lang
ba?
P? sige po
N: ano naman po ginagawa nyo
sa inyo bago kayo napasok
ditto?
P: graduate kasi ako ng vet-med
kaya nagtrabaho din ako sa
clinic. Pag uwi ako sa bahay ako
naman mag asikaso dun sa mga
pamangkin ko.
N: wow busy pala kayo. Ilan
nmn po mga kapatid nyo at saan
sila
Acknowledging their needs:
Nurses who take the time to listen
to and understand their patients'
concerns are better equipped to
deal with problems when they
emerge, resulting in better patient
outcomes.
Nurse verbatim analysis and Recommendations/
patient verbatim analysis Modifications
Greetings: It is important we should be
To make your presence known aware of the patient’s situation
and for attention. and communicate with them in
the right tone. When the patient
becomes passive, incorporate or
divert conversation to a different
activity to change their mood.
Encouraging:
Self-confidence, effort, drive,
success, self-esteem, and
validation can all benefit from
encouragement.
Seeking clarification:
It ensures that the nurse knows
what the patient is trying to say,
and it may also help the patient
think more clearly by forcing
them to rethink their thoughts.
P: apat kami lahat patay na yung
panganay kasi nagkasakit tapos
mga kapatid ko nasa abroad na
lahat ako lng nandito tapos ang
papa ko wala na din mama ko
patay na nasagasaan ng jeep
maliit palang ako noon.
N: ayy kakalungkot naman pero
okay lang kasi kaya mo naman
mga gawaing bahay at nanjan pa
nmn papa mo at mga
pamangkin.

N: bakit ka pala napunta dito?

P: umiinit ang ulo ko di ko
makontrolsarili ko sa mga
pamangkin kop ag nagiinuman
sila kasi bawal yan sabi ni God
kaya minsan nasasaktan ko sila.
N: oo masama ang uminom ng
sobra pero di din maganda ang
manakit lalo na pamangkin mo
sila. Intindihin mon a lng at
pagsabihan.
P: oo yun ang gagawin ko
magkontrol ng sarili ko
After she answered she started
to stare at the corner for a few
minutes then I asked her..
Probing:
Nurses can recognize the
patient's healthcare needs
through communication skills,
as meaningful conversation with
patients which allows nurses to
have a full understanding of
individual patients and their
particular traits and problems as
well.

N: ate, mag OT na lng muna

tayo okay lang ba? Ano gusto
mong activity? Marunong k aba
kumanta?
P: oo marunong ako. Tara na
magkaraoke po tayo sa taas.

Diversional activities:
Many patients go through
traumatic experiences and
sometimes get stuck thinking
about it for days. Divertional
activities helps the patient
redirect the issue and focus on
important things like ADL’s to
eliminate stress and anxiety.
 Interaction Nurse verbatim analysis and Recommendations/
patient verbatim analysis Modifications

3rd Day Interaction

N: Hi ate good morning! Greetings: Discharge education is advised

P: Good morning po!
N: Kumusta naman at mukhang
masaya ka ngyon?
P: kasi ngyon daw po ako
susunduin ng papa ko, uuwi nap
o ako.
N: Wow excited ka na talaga
mkauwi.
P: syempre po kasi matagal ko
na gusto umuwi
To make your presence known
and for attention.
because it offers patients and
their families with the
information they need to make
informed treatment decisions, as
well as the knowledge they need
to follow for self-care guidelines
and regain independence after
treatment.

N: naihanda mon a ba lahat ng

gamit mo?
P: yes ma’am
N: idouble check mo ah baka
kasi may makalimutan ka eh Inquiring:
hanapin mo sa inyo yun pala This is important to to address
naiwan mo. the patients concern or needs
N: gawa ka na lng muna ng
checklist ng mga gamit mo para
sure
P: ay oo nga pala yung mga
gamit ko sa bayo naiwan ko pa
N: sa checklist mo isulat mon a
din yung mga dapat mong gawin
araw araw gaya ng pag inom mo
ng gamut ha? Providing Insights:
P: opo ma’am gagawin ko na This offer the opportunity to
po. better anticipate patient needs,
detect correlations between
patient interactions and
outcomes