Nurse Patient Therapeutic

Themes Rationale Defense Mechanisms Evaluation

Verbal Non Verbal Verbal Non Verbal Technique

Greeting the
client by name,
indicating
At our first interaction, the
awareness of
patient admitted that she is still
change, or noting
Fixation shy and that is why she has no
efforts the client
The client is fixated in consistent eye contatct with me
Content: has made all
Erik Erikson's stage of and often looks away. So, I
Eye Contact, The patient's life show that the
"Magandang "Magandang Looked up Giving Psychosocial assured her that she can trust
smiled at the before and after nurse recognizes
umaga po." Umaga din" and smiled Recognition Development which is me and that I will not hurt her.
client she was brought the client as a
Trust vs Mistrust. She And as our interaction
here: person, as an
often thinks that other progresses, her non-verbal
individual. Such
people will harm her. communication developed. She
recognition does
began showing trust by being
not carry the
more at ease.
notion of value,
that is, of being
"good" or bad"
"Ako po si
Anna. Kayo po
Informing the
ano pong
client of facts
pangalan
increases her
niyo?"
knowledge about
a topic or lets the
"Opo,
Maintained eye Looked at client know what
magkakasama "Veronica.
contact and the nurse Mood: Giving to expect. The
po tayo Ikaw ba yung
smiled at the with plain When she talked Information nurse is
hangang nurse ko?"
client expression about her sad functionong as a
mamayang
experiences, like resource person.
hapon. Tapos
other people Giving
babalik kami
hurting her, the information also
bukas at asa
mood is sad. But builds trust with
susunod na
when talking the client.
Lunes hangnag
about activities
Miyerkules."
she had with
Broad Openings
other groups,
make explicit
client is in a
that the client
Glanced at happy
has the lead in
"Meron yung the nurse disposition.
"Meron po ba interaction. For
mga tao sa and looked
kayong Broad the client who is
Eye Contact labas, on other
gustong Openings hesitant about
sinasaktan direction
ikwento?" talking, broad
nila ako. with a sad
openings may
expression
stimulate her to
take the
initiative.
 The nurse should
seek clariication
throughout
interactions with
clients. Doing so
can help the
"Ate lakasan
Looked at nurse to avoid
niyo po boses
Leaned closer to "Yung mga the nurse, making
niyo, hindi ko
the patient and tao sa labas then smiled Seeking assumptions that
kayo marining
touched the sinasaktan shyly and Information understanding
eh. Ano po ulit
patients right arm ako.." began has occurred
yung sinasabi
talking. when it has not.
niyo?"
It helps the client
to articulate
thoughts,
feelings and
ideas more
clearly.
 Putting events in
proper sequence
helps both the
nurse and client
to see them in
perspective. The
client may gain
insight into the
cause-and-effect
behaviour and
"Noon pa. Placing
consrequences,
"Kelan po ito Eye contact with Noong bago Doen't look Event in
or the client
nangyari?" a concerned look ako ipasok at the nurse Time or
maybe able to
dito." Sequence
see that perhaps
some things are
not related. The
nurse may gain
information
about recurrent
patterns or
themes in the
clients behavior
or relationships.
 General Leads
indicate that the
nurse is listening
"Ayun… lagi
and following
nila ako
what the client is
sinasaktan. No eye
saying without
Lahat sila contatc
Nodding while taking away the
ganun with nurse General
"Tapos po?" touching the initiative for the
ginagawa sa and has a Leads
clients right arm interaction. They
akin. Wala sad
also encourage
naman ako expression
the client to
ginagawa sa
continue if she is
kanila."
hesitant or
uncomfotable
about the topic.
The nurse asks
the client to
consider people
and events in
"Paano pila "Ano…
light of her own
kayo binubugbog
values. Doing so
sinasaktan? still touching the nila ako. sad facial Encouraging
encourages the
Ano po ang clients right arm Tapos expression expression
client to make
ginagawa niyo umiiyak na
her own
kapag ganun?" lang ako."
appraisal rather
than accepting
the opinion of
others.
"Dun sa Interaction: For vrbal
"Saan po ba
labas.. Yung Our interaction is communication
iyong
puzzled facial higaan ko nga points to intermittent and Consensual to be meaningful,
binabangit
expression dun parang the floor at first the client Validation it is essential that
niyo na sa
ganyan pero could not look at the words being
labas?"
lupa yun." me directly. used have the
 "Yung mga same meaning
lalaki dun sa The client said for both (all)
labas. that she is still participants.
Sinasaktan shy because I am Sometimes
"Sino po ba
nila ako. a new nurse. words, phrases,
itong mga tao
Meron din or slang terms
sa labas na
babae." have different
sinasabi niyo?"
"Tapos meanings and
mayroong can be easily
bumulong sa misunderstood.
akin"
The nurse
repeats what the
client has said in
approximately or
nearly the same
words the client
has used. This
Repression
leaned on restatement kets
"Basta An unconscious
the chair the ckient know
bumubulong defense mechanism
"Meron pong and she
Plain facial siya sa akin employed by the ego
bumulong sa touched Restating communicated
expression binubulungan to keep disturbing or
inyo?" her back the idea
ako sa threatening thoughts
withhis left effectively. This
tenga." from becoming
hand encourages the
conscious.
client to
continue. Or if
the client has
been
misunderstiid,
she can clarify
her thoughts.
 To understand
the client, the
nursemust see
things from her
perspective.
Encouraging the
Encouraging client to describe
Description ideas fully may
of relieve the
Perception tension the client
is feeling and she
might less likely
"Ano pong
to take action on
binibulong continiously
ideas that are
sayo?" touching
"oo ganun harmful of
"Para bang her right
kapag ganun frightenig.
sinasabi niya hand and
eye contact with umiiwas na Comparing ideas,
na, Hoy yung looked at
patient ako. Baka experiences or
taomg yan the nurse
kasi saktan relationship
sasaksakin aka then at
nga ako. brings out many
nyan, layuan other
mo yan, ganun direction. recurring
po ba?" themes. The
client benefits
from
Encouraging makingthese
Comparison comparisons
because she
might recall past
coping stategies
that were
effective or
remember that
has survived a
similar situation.
 An accepting
response
Dyan sa ward indicates that the
wala ako nurse has heard
kaibigandyan, and followed the
lahat sila train of thought.
kaaway ko. It doesn not
Paanokasi looked to indicate
"Opo" Nodded minsan, wala to he Accepting agreement but is
naman ako patients nonjudgemental.
ginawa, bigla Facial expression,
ako tone of voice,
sinasampal, and so forth also
sabunutan, must convey
bayukan." acceptance or
words will lose
their meaning.
 When clients
deal with topics
superficially,
exploring can
help them
"Dati pa yon, examine the
"Tungkol po
nung bago issue more fully.
dun sa
ako pumasok Any problem or
bumubulong.
dito. Pero concern can be
Ano po eye contact with eye contact
nun pumasok Exploring better nderstood
masasabi niyo patient with nurse
ako dito, if explored in
dun? Kelan
nawala na. Di depth. If the
niyo po
ko na siya client expresses
naririnig?"
naririnig" an unwillingness
to explore a
subject, the
nurse must
respect her
wishers.