DUGAY, ABBY ASHLEY V.

3BSN MAIN2

Nurse Therapeutic Client Analysis

Communication

Good morning Ma’am, Offering self Hello Abby. Making yourself available
my name is Abby and I to establish a caring
will be your student relationship.
nurse today. I’m going to
be with you until the
afternoon.

Ma’am in this session we Giving information My name is Sarah May but Orientation for the client.
will be talking about you can call me Sarah, my
some stuff and I will be dad usually calls me May
asking some questions but ummm I would rather
but before that may I not talk about that. (client
know your name? becomes bothered)

You look disturbed after Broad opening I’m pretty upset with my Giving the patient the
talking about your dad, if dad, wait actually with my opportunity to share her
you want to talk about family, they keep laughing feelings
him we can do that but if at me when they visit me
you’re not comfortable here.They are insulting me
we’ll proceed to other all!
things.

Do you think they are? Reflecting I’m really not so sure but By doing this I’ll be able to
that’s what my instinct know what’s behind the
says. I’m really hurt when client’s feelings.
I see them laughing at me,
I feel terrible and
worthless.

You seem very upset Stating the observed I am. It’s not the first time Saying what’s observed
about it. they made me feel like this. will encourage the
discussion.

May I know how and Placing the event in time or As far as I remember, it Getting a clearer sense of
when are the times they sequence. happened last week. We the client’s experience.
make you feel like this? are eating lunch and they
are all talking but I can’t
really follow and I think
it’s about me.

(Leaning forward and Active listening They make me feel terrible Giving full attention to
maintaining eye contact) and I feel like I don’t the client.
 belong with them.

They didn’t involve you Seeking clarification Yes, exactly! Clarifying what’s unclear
in the conversations you
had, am I right?

If they make you feel like Encouraging formulation of Maybe I’ll just rest on my Asking the patient what
that again, what would plan of action bed and try my best to change needed.
you do next? sleep.

Have you considered Giving information I really did not think Letting the patient know
going out for a walk or about that before. that she have better
practicing some choices to make herself feel
productive self care? better

How about we practice Role playing Sure! Let’s do that. Offering the client helpful
what you will do when insights into how others
they visit you again? view their environment.
Think that I’m one of
your family.

Ma’am Sarah you Summarizing and Thank you, Abby. Stating the main points
cooperated since we Reinforcement and complimenting
started talking and we positive behaviors of the
talked about things that’s client.
probably not easy for you
to share. We also had
some ideas for your
coping and I want to say
that you did a great job
opening up and thank
you for your time and see
you again in our next
session.