Saint Louis University

School of Nursing

NPI
ANALYSIS
Submitted By:

Española, Ranelle Kate O.

Submitted To:

Prof. Emily P. Abad, RN

Clinical Instructor

Date Submitted: February 10, 2018

 Name of Student: Española, Ranelle Kate O.
Client’s initial: LADY GAGA
Date and Time of Interaction: February 01, 2018, 1:20pm
Purpose/Objective:
 To analyze and evaluate Nurse and Patient interaction with the use of Psychosocial theories and concepts.
INTERACTION
N: “Anong gusto mong pag-usapan ngayon?”
C: “Ah, yung friend ko nalang. Nakita ko kasi siya
kanina. Dati kasi since bata pa kami, friend ko na
talaga siya. May barkada pa kami noon, kami yung
mga siga noon sa school. Sobrang close namin,
para na kaming magkapatid. Kaso, nung
highschool kasi kami. Meron ngay yung time na,
bigla niyang sinabi na ‘Ayaw na kitang kasama’.
Meron na kasi siyang mga bagong kaibigan, yung
mga siga din pero mapoporma. Kami kasi non,
naka t-shirt lang (laughs).”
N: (nods) Ano naman naramdaman mo?
C: “Nasaktan ako noon, umiyak pa nga ako eh.
Kaso never na kami nag usap after non. Nung
Nakita ko nga siya kanina, nung nag ‘Hi’ ako, tapos
na ‘Hi’ din siya, parang hindi kami nagsama ng 8
years, parang casual lang na magkakilala at
parang bumabalik nga nung Nakita ko siya. Yung
sinabi niya saakin dati na masakit pero di naman
yung tipong iiyak parin ako.Parang kasi kapag
kaharap ko siya, ayaw ko ng hukayin, gusto
konalang kalimutan kasi ang awkward nga.”
ANALYSIS OF NURSE INTERACTION
 Therapeutic: Broad openings was
used, allowing the client to take
the initiative in introducing the
topic.
 THERAPEUTIC:
Accepting client’s statements by
means of non-verbal
communication that indicates that
the nurse has heard and followed
the train of thought.
Encouraging expression was used,
lets the client make her own
appraisal rather than to accept
the opinion of others.
ANALYSIS OF PATIENT INTERACTION RECOMMENDATION
 Carl Rogers: Demonstrates one of the
characteristics of a fully functioning person:
Open to Experience – both positive and
negative emotions accepted.
 Abraham Maslow: Individuals seek
relationships to fulfill a need to belong
The need for love & belongingness of an
individual such as friendship.
 Alfred Adler: Inferiority Feelings- triggered by
what are called objective inferiorities, which
are inferiorities that are based on some
measurable criteria in comparison with
another.
 The concept of Interpersonal Rejection-
makes a person undergo a sudden drop of ‘
emotion (feeling of sadness).
 Erick Berne: feelings experienced during that
event are stored in the brain. The event and
the feelings are locked together, and neither
one can be recalled without the other.
 Sigmund Freud: superego is the part of a
person’s nature that reflects social
expectations.
 ego defense mechanisms, which are
methods of attempting to protect the self
and cope with basic drives or emotionally
painful thoughts, feelings, or events.
N: “How are you able to cope with the challenges?
Kung ira-rate mo from 1-10”
C: Hmm, 7. Kasi parang, it’s a matter of trying to
adjust to situations.
N: Do you find it difficult?
C: Sometimes, lalo na kapag hindi acceptable para
sa perception ko. Kunwari may changes sa flow,
tapos mag rarant ako, tapos after ko mag-rant,
narerealize ko na pwede naman palang pag-
usapan. Minsan din, pag sumasama yung loob ko,
hindi ko vineverbalize, tumatahimik lang, hanggang
sa mapuno na ako, dun ko lang nillabas”
N: “How have you been feeling lately?”
C: “Right now? I feel… pressured! Kasi ang daming
gagawin.”
N: “Pressured saan?”
C: Sa school works. Lalo na kapag may mga
gagawin, tapos hindi ka prepared.
N: “Paano naman sayo nakakapekto ang mga
ito?”
C: “Nara rattle or nate tense ako minsan. Minsan
din, pag di ko na kaya, iniiyak ko na din(laughs).”
 Asking the client this kind of
question helps the nurse to
evaluate the satisfaction of the
coping skills of the client.
 THERAPEUTIC: Encouraging
description of perceptions- the
client must see things on her own
perspective. Exploring was also
used to examine the issue more
fully so that concerns of the client
can be better understood.
 Encouraging expression was used,
lets the client make her own
appraisal rather than to accept
the opinion of others.
 THERAPEUTIC: Exploring was used
to examine the issue more fully so
that concerns of the client can be
better understood.
 Sigmund Freud: Ego works by reason,
working out realistic ways of satisfying the
id’s demands, often compromising or
postponing satisfaction to avoid negative
consequences of society. Considers social
realities and norms, etiquette and rules in
deciding how to behave.
 Stress is a feeling of strain and pressure.
Primarily a physical response. The body thinks
it is under attack and switches to ‘fight or
flight’ mode, releasing a complex mix of
hormones and to prepare the body for
physical action.

References
Berg, L. S. (2018). Learning Center. Retrieved from Adolescence: http://highered.mheducation.com/sites/0072917873/student_view0/chapter10/chapter_overview.html

Saul, M. (2014). Simply Psychology. Retrieved from Carl Rogers: https://www.simplypsychology.org/carl-rogers.html

SHEILA L. VIDEBECK, P. R. (2004). Psychosocial Theories. In Psychiatric–Mental Health Nursing FIFTH EDITION. Wolters Kluwer Health | Lippincott Williams & Wilkins.