Luneta, Laica A.

BSN III NUR 105 (GROUP 2)

PROCESS RECORDING
Patient’s name: Ms. M
Date: July 14, 2021 1:00 pm
Place: Private room (standing approximately 3ft away)
Diagnosis: Schizophrenia
Phase: Orientation Phase
Objectives:
 To establish rapport
 To establish trust, acceptance, and open communication
 To be acquainted of my patient
 To understand the patient’s problem.
 To demonstrate genuine care and understanding
 To mutually formulate a contact with the patient.

Therapeutic
Verbal Response Non-Verbal Response Communication Interference
Technique
Nurse Patient Nurse Patient
“Hello po. Good morning “Hi.” Smiles Nods Giving recognition- The verbal a
po.” Eye contact greeting the client non- verbal cu
were congruent
each other. T
client recogni
 the presence of t
student nurse.
“Magandang umaga po “Magandang Maintaining Neutral Giving information The clie
Mr. A. Ako nga po pala umaga din.” eye contact Affect (letting the client know answered
si Laica Luneta, isang about the student nurse appropriate
3rd year nursing student and on what to expect. It manner.
ng Manuel S. Enverga will also build trust with
University Foundation. the client)
Ako po ang inyong
makakasama mula
ngayong araw hanggang
sa July 18, 2021 ng
hapon.”
“Ano po ang gusto “Ate M na lang.” Maintaining Neutral Seeking information – The clie
nyong itawag ko po eye contact Affect seeking to make clear answered
sainyo?” what he wants to be appropriate
called, calling the client manner.
by name, recognizes the
client as an individual
“Sige po Ate M, kamusta “Ayos lang.” Maintaining Neutral Encouraging The clie
naman po ang araw nyo eye contact Affect expression- asking the answered
ngayon? client to appraise the appropriate
Smiles quality of his or her manner.
experiences
“Kumain na po ba kayo? “Ayako” Maintaining Not looking Seeking information- Verbal a
Napansin ko po na eye contact seeking to make clear nonverbal cues
parang tamlay kayo.” that which is not suggesting that t
meaningful or that which client doesn’t ha
is vague good appetite. “
“May nararamdaman po “Wala akong Maintains Slightly Encouraging The client
ba kayo o may problema ganang kumain. open posture, agitated expression- asking the agitated becau
po ba?” Baka may nilagay with sincere client to appraise the there is someth
 kayo dyan.” voice tone quality of his or her that kee
experiences bothering him.
“Maari ko po bang “May gamot o Leaning Looks away Seeking information- The client believ
malaman kung ano ang lason dyan, forward and worried seeking to make clear there’s someth
inyong ibig sabihin?” ayoko.” that which is not on her fo
meaningful or that which Nonverbal cues
is vague related to t
Clarifying- making clear content.
what is not understood
“Okay po, gusto mo po “...sige tikman Genuine Contemplati Suggesting The clie
bang palitan ko o mo” expression ng, nods collaboration- offering to answered a lit
tikman ko yung pagkain after awhile share, to strive, to work late but answer
mo para makampante with the client for his or in appropri
kayo?” her benefits manner.
“Okay naman po yung “Okay.” Smiles, uses Nods Giving information The client starts
pagkain, wala po hand gesture -making available the trust the nurse a
kayong dapat ipag-alala. facts that the client eat her food. Ver
Pwede na po kayong needs and nonverbal cu
kumain.” convey congrue
message.
“Sige Ate M, “oo sige” Maintaining Nods Giving information The clie
Makakatulong po na eye contact -making available the understand a
kumain muna kayo facts that the client responded
bago natin simulan ang Smiles needs appropriate to t
ating gagawin. Balik na context
lang po ulit ako
mamaya, salamat po!””

Evaluation: Objectives partially met. The client is still uncomfortable on sharing his thoughts and problems.
The student nurse has successfully introduced herself and set parameters for the therapeutic relationship.
The student nurse has observed that given trust and rapport with the client are successfully established.
The the client had a delusion but was able to handle the situation after the therapeutic intervention was
established.