Saint Louis University

Baguio City
SCHOOL OF NURSING

__________________________

In partial fulfillment of the requirement needed in our

RELATED LEARNING EXPERIENCE (JAIL)

NURSE-PATIENT INTERACTION

Submitted to:
Mrs. BANTASAN, RN
CLINICAL INSTRUCTOR

Submitted by:
DONATO, Marklin Kay A.
BSN III-A3

August 9, 2010
INTERACTION NURSE VERBALIZATION CLIENT VERBALIZATION MODIFICATION
ANALYSIS ANALYSIS
*The client went to the nurse to
have her BP taken for the second
time since she has high BP during
the morning.
P: I-BP nak man ading, baka bum-
maban.
N: Ay, sige auntie. Apay madi kayo
agbuya?
P: Madik met matarusan ading.
English gamin ket hanak nga naka-
iskwela. Awan met pang-paadal da
nanang ko idi.
N: hmmm (nods), Inya gayam
nagan yo auntie?
Transactional analysis by Eric
Berne: Complementary
Transaction Type I-the client is
sending a transactional stimulus
from her adult Ego state.
THERAPEUTIC COMMUNICATION:
>Giving recognition-it is important
for the establishment of rapport. It
also acknowledges the client’s effort.
>Making observation on non-
verbal behaviour-it is to encourage
the client to verbalize his feelings of
not watching the movie.
Transactional analysis by Eric Berne:
Complementary Transaction Type
I-the nurse responded to the client
also from her adult ego state. They
communicated in the same ego state
(adult-adult)
: Complementary
Transaction Type II-the nurse is
sending a transactional stimulus from
her adult ego state when she said
“apay madi kayo agbuya?”
> Transactional analysis by Eric
Berne: Complementary
Transaction Type II-the client
responded from her child ego
state making it Adult-child
communication.
>the nurse feels sad that the client
will not understand the movie
especially the value from it.

P: Catherine Tabacla
N: Siyak met ni MK (pointing to my
nametag). Sige ngarud auntie, i-BP
kan,agrelax ka lang.
*The nurse takes the BP of the
client while the others were busy
watching the movie entitled “Pursuit
of Happyness”.
N: 140/90 auntie, medyo bum-
maban niya balet nangato latta. Ata
ket matawag pay lang nga stage 1
HPN nga kuna da. Mabalin met nga
nabanog ka balet imbagam met nga
haan ka nabanog. Inya ba dagiti
maram-ramdamam nga sabali?
>Asking the client for personal
information will facilitate discussion
since the data is needed for the
establishment of rapport.
THERAPEUTIC COMMUNICATION:
>Accepting-it indicates that the
nurse is following the client’s trend of
thought.
> Transactional analysis by Eric
Berne: Complementary
Transaction Type I-the client
responded to the client also
from her adult ego state. They
communicated in a same ego
state (adult-adult)
THERAPEUTIC COMMUNICATION:
>Giving information-it is important
for the establishment of rapport and
building of trust
>the nurse feels the need to teach
about hypertension but at the same
time unhappy since she can only
teach limited treatments (especially
nutrition).
THERAPEUTIC COMMUNICATION:
>Giving information-it shares with
the client relevant information for her
healthcare.
>Giving broad opening-it allows the
client to take the initiative to talk

P: awan met. Ajay kasla nabiit ak
lang mabannog. Ajay lang met.
N: Basta haan ka la-unay
agbanban-nog ken nu adda agas
mo ket inumem tapno medyo
bumaba iti BPm.
P: Wen, adda met jay agas.
N: Ikwentok laengen niya ajay
buybuyaen ta damdama ket
damagen mi sikayo nu inya ti
natarusan yo.
P: ay sige man. Ammok nga mayat
balet haan ko gamin unay
matarusan jay ibagbaga da.
N: Kastuy auntie, ajay bida medyo
agrig-rigat tapos imbati pay iti
asawa na. Ajay met anak na ket
nabati kenyana. (The nurse
summarizes the story). Ajay jay
pinaka-summary na auntie sunga
damdama ket agsao kayo nu inya
natarusan ken naadal yo niya?
about the symptoms that she feels.
> Transactional analysis by Eric
Berne: Complementary
Transaction Type I-the client
responded to the nurse from her
adult ego state (adult-adult).
THERAPEUTIC COMMUNCIATION:
>Giving information-it shares with
the client relevant information for her
healthcare.
> Transactional analysis by Eric
Berne: Complementary
Transaction Type I-the client
responded to the nurse from her
adult ego state (adult-adult).
THERAPEUTIC COMMUNICATION:
>Giving information-it helps the
client understand the movie being
presented.
>Suggesting collaboration-this will
facilitate the participation of the client.
It will help the client express her own
opinion and feelings.
> Operant Reinforcement theory
by Skinner: Respondent
Behavior- the client’s response
is elicited by a specific stimulus.
>the nurse feels the desire to tell the
summary of the movie in order for the
client to understand and learn from it.
THERAPEUTIC COMMUNICATION:
>Suggesting collaboration-this will
facilitate the participation of the client.
It will also help the client to express
her own feelings about the movie
even if she did not directly watch it.
P: sige, hala, thank you ah.
N: welcome auntie.
P: Ammom, nagrigat iti biyag mi
ditoy uneg.
N: Uh hmm (nods). Kasatnum nga
naibaga ngay auntie?
P: Narigat. Lalo pay nu panunutem
dagijay anak mo nga arajay ruwar
tapos madik ammo nu inya
mangyar-yari kenyada.
N: Awan ba iti mabalin nga agaw-
awir kenyada?
>the client is thankful due to the
effort of the nurse to summarize
the story of the movie entitled
“Pursuit of Happyness”
>the nurse feels happy that the client
understands the movie even if it is
only a summary.
THERAPEUTIC COMMUNICATION:
>Giving recognition-acknowledges
the client’s feelings.
> Transactional analysis by Eric
Berne: Complementary
Transaction Type I-the client
communicated to the nurse from
her adult ego state (adult-adult).
>the nurse is curious about it.
THERAPEUTIC COMMUNICATION:
>Accepting-indicate that the nurse is
following the client’s trend of thought.
>Exploring-it encourages the client
to expand her idea of “nagrigat iti
biyag ditoy uneg”
>the client feels sad that she
doesn’t know any news about
her children.
Humanistic Theory by Abraham
Maslow: Self-Actualization-
one characteristic of the client is
that she focuses on problems
outside herself.
>the nurse wanted to know the story >”Kasatnu ngay agijay
of the client so that if she will ask anak yo?”-this will

P: Madik ammu ngarud nu adda
kadwa da isu nga dud-duma ket
isang-sangit ko laengen ah.
N: (Nods), ajay ngay asawa yo
auntie?
P: Nasapa nga natay.
N: ay,sorry auntie.
about the reason of imprisonment, it facilitate the client to
will be easier for the nurse to give more information
understand. about the matter.
NON-THERAPEUTIC
COMMUNICATION:
>Used close-ended questions-
these are questions answerable by
yes or no.
>Maslow’s Hierarchy of Human
Needs: Love and
Belongingness- the client feel
the need for her children;
affectionate relationships in
general, even a sense of
community.  Looked at
negatively, the client become
increasingly susceptible to
loneliness and social anxieties.
THERAPEUTIC COMMUNICATION: >The nurse should
>Exploring-it is used to dig the explore more the
matter and to know if there are feelings of the client
relatives or people that are helping when she said “isang-
her children. sangit ko laengen ah”.
>The nurse should not
change topic frequently.
She should focus on
one topic only.
>Maslow’s Hierarchy of Human
Needs: Love and
Belongingness- the client
needs someone to support her
and her children. The client
perceived it as not important
since her husband died long
time ago.
>the nurse feels sorry for asking the

P: Haan, ayos lang. Nabayag
ajayen.
N: Manu aya iti anak yo?
P: Lima tapos jay panganay ko ket
ka-edad mo.
N: ah. Mabalin ko ba madamag nu
inya ti rason nga naiyapan ka ditoy
auntie?
question.
THERAPEUTIC COMMUNICATION:
>Giving recognition-it is used to
acknowledge the feeling of the client.
> Transactional analysis by Eric
Berne: Complementary
Transaction Type I-the client
communicated to the nurse from
her adult ego state (adult-adult).
THERAPEUTIC COMMUNICATION: >The nurse should not
>Offering general leads-it is used to introduce new topics;
encourage the client to continue. she should focus to
most important
topic/issue.
> Transactional analysis by Eric
Berne: Complementary
Transaction Type I-the client
communicated to the nurse from
her adult ego state (adult-adult).
>The nurse already had the courage >”Inya iti napasamak
and confidence to ask about the isu nga naiyapan kayo
reason of imprisonment. ditoy?”-this will give
more information rather
NON-THERAPEUTIC than yes or no.
COMMUNICATION:
>Used of close-ended question-it is
used but does not help in expressing
the answer of the client. It is used to
get the consent of the client if she
wants to talk about it.
THERAPEUTIC COMMUNICATION:
>Accepting-this is used for the client
to feel that the nurse is listening to
her and following her trend of
thought.
P: wen, (the client moves closer), >the client wanted to tell the
drugs (she whispered to my ear). story but she wanted it to be
Ikwentok lang tun niya nu duwa ta private.
laengen baka manged gamin jay
kakadwam. >Jung’s Analytical Psychology:
Ego- Introverted Thinking
Type- the client is concerned
with privacy since she will be
talking about her reason of
imprisonment.

N: (nods) >the nurse feels unsatisfied with the

answer and still wants to ask about
the deeper reason.

THERAPEUTIC COMMUNICATION:
>Accepting- this is used for the
client to feel that the nurse is listening
to her and following her trend of
thought.
>Using non-verbal
communication-it will give an
opportunity for both the nurse and
client to collect and organize
thoughts.

P: 3 months ak pay lang ditoy >the client hopes that she will
bareng kuma nu makaruwar akon. be freed soon.

N: wen ah,basta agluwalo tayo NON-THERAPEUTIC >”Kasatno ngay ti

kenni apo diyos ken makita na met COMMUNICATION: aramidem auntie tapno
nu agsi-sisi tayo ti ba-basol tayo. >Agreeing-it is used to agree with mapabiit iti pagruwar
Basta rugyan tayo iti agbago for the the client’s response. mo?”- This will facilitate
better. >Advising-it is used in a positive way the interaction and will
and was not intended to order the urge the client to
client on what to do. express more her
feelings on the matter.
THERAPEUTIC COMMUNICATION: >The nurse should limit
>Giving information-it is used to herself in giving advices
share the opinion of the nurse on the to the client.
matter.

Transactional analysis by Eric Berne:

Positive Strokes-when the nurse
said “wen ah” to agree to the client
gives the client a feeling of being OK.

P: Payso ata. (silence). Idi naiyapan >the client is aware on the

ak itoy ket ijay ko met lang nga things she has done.
nais-isip ti bas-basol ko. Ti
pinagkunak ngarud ket, nasingpet Operant Reinforcement theory
ak nga nanay ta haan ko nga is- by Skinner: Respondent
istriktuhan agijay anak ko. Ta no Behavior- the client’s response
mas is-istriktuham isu met nga is elicited by a specific stimulus.
aramiden da iti madim kayat.
Feminine Psychology by Karen
Horney: Self-Analysis
Principle- the client analyses
her own defects and has the
capability to solve many, but not
all, her problems.

N: (laughs).payso ata auntie. >the nurse wants to focus on the >The nurse should
Kasatnum ngay naisip nga mali feelings of the client. refrain from agreeing to
gayam jay naaramid mo? the client’s idea.
NON-THERAPEUTIC
COMMUNICATION:
>Agreeing-it is used to agree with
client’s response.

P: Idi naiyapan ak itoyen ah. Idi
haan ko kadwa agijay anak kon.
(The eyes becomes teary) Idi
makitak ti rigat na ditoy unegen.
N: Kayam ata. Lalaingam lang ditoy
uneg. Basta ammom nu inya iti
malim ket syempre haan mon tu ul-
ulitenen.
P: talaga ah lalo nga ammok nu
inya ti mapasamak. Mami-miss ko
agijay anak kon. Madik ammo iti
mangyayari kenyada.
N: Tagatno kayo gayam auntie?
THERAPEUTIC COMMUNICATION:
>Focusing-it is used to point out
single idea or topic and will prevent
the client from presenting too many
topics.
>the client remembered the
difficulty inside the jail.
Socio-analytical theory by Erich
Fromm: Rootedness- the client
said that she misses the
community specially her family.
>the nurse wants to comfort the >”Inya iti naramdamam
client. ngay idi aratoy ka
unegen?” – this will help
NON-THERAPEUTIC the nurse explore the
COMMUNICATION: feelings of the client.
>Reassuring-it is intended to comfort >The nurse will refrain
the client. from using reassuring
>Advising-it is used in a positive way words like that of
and was not intended to order the “Kayama ta”.
client on what to do.
>Filipino Personality: Family
orientation- the client possess
a genuine and deep love for her
children.
NON-THERAPEUTIC >the nurse should
COMMUNICATION: organize the questions
>Changing topic-the nurse ask to be ask or it should be
questions unrelated to the topic. in sequence in order not
to interrupt the client
from giving her
thoughts.
>the client is hoping that
P: ijay Buguias. Medyo adayo ta 2
½ hours iti biyahe sunga haan met
makadalaw agijay anak ko.
Ikakararagak lattan ah isuda nga
ada kuma ti tumul-tulong kenyada.
*The film showing ended and it’s
time for lunch.
N: Auntie ituloy ta ti tungtungan ta
nu bigat niya?
P: wen ah. Ikwentok ti biyag ko
kenyam. Baka agsangit ka pay
sunga mangala ka iti tissuem.
N: (Laughs). Wen ah auntie. Adu
dapat maadal ko iti biag. Sige
ngarud auntie ta umuna kami pay.
Thank you ah ta nai-share yo
kenyak agijay nga istorya.
P: wen, basta sika.
someone is helping her children.
Filipino Personality: Faith and
Religiosity- the client have a
deep faith to God. She is
praying to God for the safety of
her children in Buguias.
> Transactional analysis by Eric >The nurse should plan
Berne: Complementary for the duration of
Transaction Type II-the nurse interview in order not to
communicated to the client from her interrupt the
adult ego state. conversation with the
client.
> Transactional analysis by Eric
Berne: Complementary
Transaction Type II-the client
communicated to the nurse from
her child ego state (adult-child).
>the nurse is excited to know the >The nurse should not
story of the client. challenge the client
especially when she
NON-THERAPEUTIC said “adu dapat maadal
COMMUNICATION: ko iti biag”. It is like
>Challenging –when the nurse said setting a goal that the
“adu dapat maadal ko iti biag” seems client needs to achieve.
like challenging the client.
THERAPEUTIC COMMUNICATION:
>Giving recognition- the nurse
acknowledges the effort of the client
in answering the questions of the
nurse.
>Transactional analysis by Eric
Berne: Complementary
Transaction Type I-the client
communicated to the nurse from
her adult ego state (adult-adult).