INTERPERSONAL COMMUNICATION PROCESS RECORDING

Initial of Patient: Z.C.M. Date: April 17, 2020 (Day 1; PR 1)

Name of Student: Alyssa Jane L. Nuestro Diagnosis: Schizophrenia, catatonic type

TECHNIQUE USED
(Label for the technique used
INTERVIEWER
(T) for therapeutic and (NT) PATIENT’S VERBALIZATION PATIENT ANALYSIS
(what the student nurse said)
for non-therapeutic

Upon the arrival at the Female

ward.
“Nanay Zeny, magandang araw
po. Heto na po ang tsinelas
ninyo. Suotin niyo po ng hindi
madumihan ang inyong paa sa
paglalakad.”
Giving recognition V: “Magandang araw din. Iyan
(T) ba ang tsinelas ko? Salamat
ha.”
NV: The patient smiled at the
student nurse.
Greeting the client by name
indicates awareness of the
student nurse regarding their
identity and it shows that the
patient was recognized as a
person and an individual needing
respect and to be valued. This
may give realization to the client
that she will be taken care of thus
may result in trusting the student
nurse. Smiling back of the patient
is a good indication of
appreciation for the simple things
done which portrays concern for
them.
Greeting back indicates that she
recognize the presence of her
partner and that she has the
readiness in working with the
patient for today’s planned
activities and also in knowing
 INTERPERSONAL COMMUNICATION PROCESS RECORDING
Initial of Patient: Z.C.M.
Name of Student: Alyssa Jane L. Nuestro
While walking from the ward
towards the sink.
“Tayo na po at magsisipilyo
kayo at maghihilamos bago
tayo pumunta ng Bayanihan
hall.Ako nga pop ala si Alyssa,
ang student nurse ninyo sa loob
ng dalawang linggo mula
ngayong araw ng Lunes. Tayo
po ay magsasama mula alas-
dos hanggang alas-kwatro ng
hapon.”
Date: April 17, 2020 (Day 1; PR 1)
Diagnosis: Schizophrenia, catatonic type
V: “Osige nurse, tara na kasi
Giving information medyo mainit rin dito. Hindi
(T) parin ako nakakapaghilamos.
May muta pa.”
Introducing self
(T) NV: The patient smiled and
held the hand of the student
Setting limits of contract nurse indicating excitement.
(T) She also held her face with
her right hands as she stated
the need to wash her face.
better her assigned student nurse
and what is her purpose in
exerting time and effort to work
with her. This response falls
under the Taxonomy of
Communicating because the
patient was able to effectively
communicate with her student
nurse and respond positively as
she was greeted. (Kozier, et.al.
Fundamental of Nursing 5th
edition 2002, Taxonomy of
Nursing Diagnosis, page 123)
This statement of the patient
states her acceptance of cleaning
herself and that she has the need
to be free from any germs or
bacteria that may accumulate
within any parts of her body. This
falls under the Taxonomy of
Valuing because the patient
assigned relative worth to self
that as a human being, she has
the right as well as the need to
be free from any pathogenic
microorganisms that may be
found within her body. (Kozier,
 INTERPERSONAL COMMUNICATION PROCESS RECORDING
Initial of Patient: Z.C.M.
Name of Student: Alyssa Jane L. Nuestro
While walking from the sink
to the Bayanihan hall.
“Nanay, ano po ang iniisip
ninyo, maaari po natin yang
pag-usapan kung gusto ninyo.”
“Nanay, hindi pa po ngayon ang
ating grand socialization day
kasi po ngayon ay ang paunang
Date: April 17, 2020 (Day 1; PR 1)
Diagnosis: Schizophrenia, catatonic type
et.al. Fundamental of Nursing 5 th
edition 2002, Taxonomy of
Nursing Diagnosis, page 123)
Her gestures also show her
consciousness regarding self-
appearance because she may
think if she looks presentable or
not. This has something to do
with the patient self-esteem. An
adequate self-esteem is seen as
an acceptance of oneself despite
mistakes, defeats, failures made
in life and the deficits a person
have. (Klose and Tinius, 1992
page 5)
Broad openings V: “Pupunta ba tayo sa This statement of the patient
(T) socialization? Masaya dun, shows her way of recognizing
madaming biskwit.” past experiences especially
Offering self those happy moments pertaining
(T) NV: Patient clapped her hands to the grand socialization day
and smiled. which she remembered the most
because this day is filled with so
Giving information V: “Ay, ganun ba nurse. Osige, much to treasure and to
(T) tignan natin kung magiging remember. The patients way of
Masaya ang ating first day.” clapping her hands as she
 INTERPERSONAL COMMUNICATION PROCESS RECORDING

Initial of Patient: Z.C.M. Date: April 17, 2020 (Day 1; PR 1)

Name of Student: Alyssa Jane L. Nuestro Diagnosis: Schizophrenia, catatonic type

araw pa lamang ng ating expressed her interest in eating

pagkikita. Bale ngayon po tayo NV: The patient smiled and biscuits implies that she loves
ay magkakaroon lang ng activity walked silently with the eating and she is hungry in a
para sa inyo tungkol sa arts.” student nurse. way.

In addition, the patient’s

verbalization regarding the first
day of activity shows her
openness and willingness to
cooperate and participate as she
and her student nurse start to
establish their therapeutic
relationship with each other. This
falls under the Taxonomy of
Relating because as the two –
both the student nurse and the
patient started to share their days
with each other, this means that
they will spend time together and
in one way or another will result
in building a trusting relationship.
(Kozier, et.al. Fundamental of
Nursing 5th edition 2002,
Taxonomy of Nursing Diagnosis,
page 123)

Arrival at the Bayanihan hall.

“Nanay, uupo po ako sa tabi Offering self V: “Osige Alyssa, upo ka dito This statement of the patient
ninyo ha. Nais ko po sanang (T) sa tabi ko. Mag-usap tayo.” ” shows her willingness to start
 INTERPERSONAL COMMUNICATION PROCESS RECORDING

Initial of Patient: Z.C.M. Date: April 17, 2020 (Day 1; PR 1)

Name of Student: Alyssa Jane L. Nuestro Diagnosis: Schizophrenia, catatonic type

makipagkwentuhan sa inyo. unfolding the stories of her life to

Pag-usapan po natin ang mga NV: The patient held the hand her student nurse. This means
naiisip ninyo at kung may nga of her student nurse. that she is now ready to relay her
problema po kayo ngayon.” experiences, feelings and
concerns to her partner so that in
one way or another, she will
serve as a guide and will help her
in doing all the planned tasks
each day. Her gestures of
holding the hands of her student
nurse suggests that she is
voluntarily sharing what she
wants and that no one is telling
her to do so. This kind of gesture
indicates openness and signifies
a good start between the student
nurse and her patient which falls
under relating. Both the student
nurse and her patient are starting
to establish bond and a good
relationship with each other so
that they may achieve a good
therapeutic relationship. (Kozier,
et.al. Fundamental of Nursing 5 th
edition 2002, Taxonomy of
Nursing Diagnosis, page 123)

Sitting at the Bayanihan hall. This gestures done by the patient

 INTERPERSONAL COMMUNICATION PROCESS RECORDING
Initial of Patient: Z.C.M.
Name of Student: Alyssa Jane L. Nuestro
“Nanay Zeny, bago po tayo
magkwentuhan kukuhanan ko
lang muna po kayo ng BP dyan
sa braso ninyo at saka
temperature na din po para
malaman natin kung may lagnat
kayo o wala. Kailangan po natin
gawin ito araw-araw para
matiyak natin na ok kayo ha.”
“Saan niyo po tayo gustong
magsimula ng pag-uusap? Nais
Date: April 17, 2020 (Day 1; PR 1)
Diagnosis: Schizophrenia, catatonic type
Giving information NV: Patient nodded and
(T) looked into what the student
nurse is doing into her.
Broad openings V: “64 na ako. Ang birthday ko
indicates her suspiciousness and
also, this is understandable
because the patient and the
student nurse were just in the
introductory phase and this
indicates that the latter is still on
the process of gaining the trust of
her patient.pTrust can be
describe as reliance to someone
without any doubt or question or
the belief that the other person is
capable of assisting in times of
distress and in all likelihood, will
do so. For a patient to trust her
student nurse involves risk;
patients become vulnerable when
they share thoughts, feelings and
attitudes with the nurse.
However, this enables the patient
to express thoughts and feelings
openly which was done my
patient in a gradual manner.
(Kozier, et.al. Fundamental of
Nursing 5th edition 2002, Helping
and Communicating, page 355)
Patient’s verbalization in this way
 INTERPERSONAL COMMUNICATION PROCESS RECORDING
Initial of Patient: Z.C.M.
Name of Student: Alyssa Jane L. Nuestro
kop o sanang malaman kung
ilang taon na kayo nanay eh at
kung jailan po ang birthday
ninyo?”
“Taga-saan po kayo nanay?
Maaari ko po bang malaman
ang dahilan ng pananatili ninyo
dito?”
Date: April 17, 2020 (Day 1; PR 1)
Diagnosis: Schizophrenia, catatonic type
(T) ay May 4, 19………………48.”
Silence NV: Patient was looking up the
(T) ceiling while thinking for her
answer to the question asked.
Seeking information V: “Taga-San Antonio Valley,
(T) Cotabato City ako. Dun ako
nakatira kasama ang pamilya
ko. Dinala ako dito ni Lina
Concha yung nanay ko.”
NV: The patient became
serious and turned silent.
indicates her that she is having a
hard time in remembering
necessary detail in her life which
needs to be reinforced by her
significant others. This shows
that she started to forget those
significant information of her life
because she may feel being
along and that no one
remembers that she is still alive.
This statement of the patient
means that she still remembers
other details in her life and she is
aware regarding of the significant
others who brought and reported
her case in the mental institution.
In addition, her gestures suggest
and reflect sadness maybe
because she remembered how
she was left alone in the mental
institution with no companion and
no one to talk to. This falls under
feeling because the patient has
her subjective awareness of
detaching herself from the
society where she belongs
because she knows no one and
 INTERPERSONAL COMMUNICATION PROCESS RECORDING
Initial of Patient: Z.C.M.
Name of Student: Alyssa Jane L. Nuestro
“Nanay, ano po ang
relihiyonninyo? Madalas po ba
kayo magsimba?”
“Nanay, ang nakikita ko po sa
direksyong inyong itinuturo ay
puno. Ang simbahan po na
malapit rito ay doon pa
matatagpuan sa bayan ng
Trece. Yung inyo naman pong
simbahan sa Cotabato ay
malayo po rito.”
Date: April 17, 2020 (Day 1; PR 1)
Diagnosis: Schizophrenia, catatonic type
Seeking information V: “Katoliko ako siyempre.
(T) Madalas ako magsimba noon.
Ayun nga yung simbahan
naming oh, tignan mo.”
NV: The patient pointed on a
tree in front of her thinking that
it was the church where
usually bogies before.
Presenting reality V: “Ay, puno lang ba iyon. Oo
(T) nga ano, wala naman akong
simbahang natatandaan na
narito sa loob ng mental.”
NV: The patient smiled and
scratched her head.
that she does not trust others
readily. (Kozier, et.al.
Fundamental of Nursing 5th
edition 2002, Taxonomy of
Nursing Diagnosis, page 123)
This statement of the patient
indicates that she is still
manifesting hallucinations and
illusions and with that, she
misinterprets her reality
unconsciously which shows a
need to be reinforced. As the
patient showed an accepting
response regarding how the
student nurse presented the
reality, she was able to recognize
and accepted that the tree she
was pointing was really a tree
and appears to be one and not
like a church which she pertains
to. This falls under exchanging
because what the student nurse
presented to the patient was
understandable and that they
mutually receive and give the
same information. (Kozier, et.al.
Fundamental of Nursing 5th
 INTERPERSONAL COMMUNICATION PROCESS RECORDING
Initial of Patient: Z.C.M.
Name of Student: Alyssa Jane L. Nuestro
“Kumusta naman po kayo dito
sa loob ng mental? Ano ang
kadalasan ninyong ginagawa?”
Date: April 17, 2020 (Day 1; PR 1)
Diagnosis: Schizophrenia, catatonic type
Seeking information V: “Wala, nakaupo lang ako
(T) tapos tahimik sa isang tabi
madalas.”
NV: The patient then again
became silent for about 15
seconds.
edition 2002, Taxonomy of
Nursing Diagnosis, page 123)
The patient’s verbalization
reflects that she is a lone type of
person and she feels more
comfortable being detach than
working with others socially. This
indicates the need for
encouragement and assistance
so that the patient will be able to
acquire a socially acceptable
attitude and behavior and
eventually, it will be easy for her
to deal with other patients without
hesitating or doubting herself to
do so. This falls under feeling
since the patient has the
subjective awareness of being
detached and alone which
indicates a need for assistance of
the patient on that aspect of her
life. (Kozier, et.al. Fundamental
of Nursing 5th edition 2002,
Taxonomy of Nursing Diagnosis,
page 123)
 INTERPERSONAL COMMUNICATION PROCESS RECORDING
Initial of Patient: Z.C.M.
Name of Student: Alyssa Jane L. Nuestro
“Nakakadumi po ba kayo ng
ayos nanay. Hindi naman ba
kayo nahihirapan sa pagdumi?”
“Kwentuhan niyo pa po ako ng
tungkol dyan nanay. Ibig ninyo
po bang sabihin ay nahihirapan
kayong ilabas ang dumi ninyo
kasi matigas ito?”
“Kwentuhan niyo po ako tungkol
sa inyong pamilya. May asawa
po ba kayo nanay? May anak
po ba kayong naiwan bago
kayo dalhin dito sa CCMH?”
“Hindi po ako sigurado sa
narinig ko pero ang ibig ninyo
bang sabihin ay may anak kayo
sa pagkakasala?”
Date: April 17, 2020 (Day 1; PR 1)
Diagnosis: Schizophrenia, catatonic type
Seeking information V: “Hirap na hirap ako dumumi
(T) . Ang tagal bago ako
makatapos. Ayaw kasi agad
lumabas ng bulate sa tiyan ko.
Ang sarap sundutin.”
Exploring NV: Patient nodded and
(T) affirmed what the student
nurse said.
Restating
(T)
Seeking information V: “Hehe. Natanong pa nga
(T) kung may asawa ako. Wala
akong asawa. May anak ako
sa pagkakasala.”
NV: The patient nodded and
became silent for a while.
Restating V: “Oo, may anak ako sa
(T) pagkadalaga. Wag ka
maingay, sikreto lang natin
Silence yun.”
(T)
This verbalized concern of the
patient shows her feeling of
having a hard time in defecating
and also, this may mean that in a
day, she has less consumption of
water and fiber-rich foods were
not often offered in their ward
during the ration. More so, the
patient’s way of comparing her
stool with a worm indicates that
she has a good way of
comparing things because the
things she compared can
possibly be similar to the other
one.
This statement of the patient
implies her disinterest in
discussing her love life in the
past and her way of unfolding
and talking about whether she
became a mother or not means
that she is not revealing it and
maybe that issue was kept as a
secret for a long time. This falls
under feeling because the patient
expresses concern that her
awareness and knowledge
regarding that matter must be

Initial of Patient: Z.C.M.
Name of Student: Alyssa Jane L. Nuestro
After the exercise routine.
“Nanay, Masaya po ba yung
exercise na ginawa natin?
Sabihin niyo po sa akin pag
nakakaramdam kayo ng pag-
iritable ha, medyo mainit po kasi
ang panahon ngayon ano.”
Before the start of the art
therapy.
“Nanay, mukhang seryoso po
kayo at walang gana. Maaari ko
po bang malaman ang dahilan
ng pagiging seryoso ninyo?”
“Nanay, ano ang dahilan bakit
INTERPERSONAL COMMUNICATION PROCESS RECORDING
Date: April 17, 2020 (Day 1; PR 1)
Diagnosis: Schizophrenia, catatonic type
NV: The patient whispered
and verbalized these words
with a low voice tone.
Encouraging description of V: “Osige, sasabihin ko sayo
perceptions pag kailangan na akong ibalik
(T) sa ward. Masaya nga dito eh,
Di ba may biskwit?”
NV: The patient smiled.
Making observations V: “Ayoko magdrawing. Hindi
(T) naman ako magaling dun e.
Sila na lang magdrawing.”
NV: The patient appeared
serious and not moving.
Requesting an explanation V: “Gusto ko lang yan
kept and become a secret even if
she already shared it with her
student nurse. (Kozier, et.al.
Fundamental of Nursing 5th
edition 2002, Taxonomy of
Nursing Diagnosis, page 123)
This statement of the patient
indicates her willingness and
voluntary cooperation because
she is interested as well with the
activities provided. In addition,
she also became attracted to join
the said program because she
knows that together with the
other patients, she will be eating
and her hunger will be suffice by
the food provided to them.
The patient’s statement indicates
that she has a low self-esteem
and it affects her willingness to
cooperate with the activities
provided. This indicates the need
to be reinforced and the patient
needs to be assisted as well.
This statement of the patient
 INTERPERSONAL COMMUNICATION PROCESS RECORDING
Initial of Patient: Z.C.M.
Name of Student: Alyssa Jane L. Nuestro
bulaklak, puso at tao ang
inyong dinrawing?
“Nanay, maaari ko po bang
malaman ang dahilan ng
pagddrawing ninyo ng ibat-
ibang bagay gaya niyang ng
nasa papel ninyo ngayon?”
During the feeding time.
“Ok lang po ba kayo? Masarap
po ba ang pagkain Nanay
Zeny? Dahan-dahan lang po
ah, baka mabulunan kayo.”
“Maaari niyo po bang ikwento
ang tungkol sa inyong pagkain
ditto sa ward? Ibig po ba
ninyong sabihin ay hindi sapat
Date: April 17, 2020 (Day 1; PR 1)
Diagnosis: Schizophrenia, catatonic type
(NT) idrawing. Hindi naman kasi
ako magaling magdrawing e.”
Exploring NV: The patient smiled while
(T) looking at her drawing.
Seeking information V: “Ang sarap naman ng
(T) tinapay, gusto ko talaga
sumali sa socialization kasi
Masaya at masarap ang
pagkain. Busog ako.”
Exploring V: “Oo, kaunti lang. Hindi
(T) busog.”
Restating NV: The patient nodded while
shows that she possesses low
self-esteem and that she has no
confidence in doing the things
expected to her to be done since
she always feel detach from
others companion and that no
one give words of
encouragement to her. This falls
under feeling because she has
the subjective awareness of
having no talent in drawing an in
art making which must be the
goal and target of the student
nurse to make vanish. (Kozier,
et.al. Fundamental of Nursing 5 th
edition 2002, Taxonomy of
Nursing Diagnosis, page 123)
This statement of the patient
indicates that the ration of food in
their ward is not able to suffice
the needs of their stomach and
that most of the time, they were
given a small amount offood to
eat. Her stated purpose of joining
the activities means that she
really wants to eat more because
she knows that the food served in
 INTERPERSONAL COMMUNICATION PROCESS RECORDING

Initial of Patient: Z.C.M. Date: April 17, 2020 (Day 1; PR 1)

Name of Student: Alyssa Jane L. Nuestro Diagnosis: Schizophrenia, catatonic type

ang ibinibigay na pagkain sa
inyo sa loob ng ward?”
Return to the Female ward.
“Nanay Zeny, babalik po ako
bukas ha. Mga ala-dos ko po
ulit kayo susunduin dito. Partner
ulit tayong dalawa ha. Maaari
niyo po bang sabihin sa akin
ang pangalan ko?”
“Opo, ako po si Alyssa. Hintayin
niyo po ako ha.”
(T) eating.
Giving information V: “Balik kayo bukas ha.
(T) Hihintayin kita. Alyssa ang
pangalan mo diba?
Acknowledging NV: The patient held my
(T) hands and smiled at me.
the program can suit their hunger
and will make them feel satisfied.
This statement of the patient
means that she enjoyed the day
being with her student nurse and
that she still wants and expects
another day to be with her. It is a
good sign of trust and improved
self-esteem because the patient
is already verbalizing her
feelings. And also, expressing
her excitement means that she
will still be participating well for
the next activities scheduled.
Ending the discussion is
necessary so that the patient and
student nurse will depart with
same ideas in mind. This falls
under the Taxonomy of
Exchanging because the patient
and the student nurse mutually
receive and give necessary
information with each other
before they part. (Kozier, et.al.
Fundamental of Nursing 5th
edition 2002, Taxonomy of
Nursing Diagnosis, page 123)
 INTERPERSONAL COMMUNICATION PROCESS RECORDING

Initial of Patient: Z.C.M. Date: April 17, 2020 (Day 1; PR 1)

Name of Student: Alyssa Jane L. Nuestro Diagnosis: Schizophrenia, catatonic type