I.

Session: 1st Session  

                                                       
II. Date & time of interaction: February 7, 2023 – 2:45 – 2:49 pm            
                
III. Duration: 4:26 minutes                                                  

IV. Name: Bethany L. Leonin                                                 

      
V. Name of the Patient: Patient B                                

VI. Description of the setting:  

The nurse-client interaction happened around 2:45 pm and was done through face-to-face
sessions. The interview took place in a room where the temperature was cold. I was sitting,
facing my patient on a chair in a diagonally opposite position. It is also more spacious and
comfortable. Personal space is maintained by both the nurse and the client, enough for the patient
to hear my questions and also hear the patient’s response.

VII. Feelings of the Nurse/Therapist (prior)       

First, I was a little shy and nervous since it was my first time speaking with a patient
who had psychiatric problems. I am not sure what questions should be asked and worried
because I’m not sure how my patient will react to my questions.

VIII. Objectives:             
● Establishing a therapeutic relationship between the nurse and the client
● To promote the expression of feelings and thoughts
● To encourage or express her opinion on the situation
● The patient will be able to learn coping mechanisms and practices
● To improve self-awareness and identify the strength and weaknesses of the client
● The nurse will be able to understand the patient feelings and helps to know more about
the patient problem
● Both the patient and the nurse will be able to promote understanding, compassion, and
empathy.

IX. Background & Client Profile

Patient B is a 20 years old female, Filipino, single,Christian, and a student.

X. Mental Status Examination

Overall, the client presented a healthy-looking appearance. She dresses appropriately for
her age, properly zipped, well-groomed, and wearing a black watch. Her body size is
medium-built. Shows no signs of a mental disorder and appears to be in good health. I presented
myself by asking how she is. She looked calm and showed acknowledgement by establishing eye
contact. She correctly answered all of the questions without hesitation and with a relaxed manner
.
XI. Actual Verbatim

Nurse Verbal/Non-verbal Patient Verbal/Non-verbal Analysis

Kamusta ka naman at kamusta “sa ngayon okay naman, busy lang sa
ka kasama ang pamilya mo? school works at sa family naman okay
naman kami pero minsan parang hindi
ako belong sa kanila”
In this I’ve used the
therapeutic technique
broad opening to make
the patient have the
lead on the interaction.
Presenting yourself to
talk to the patient is a
great opportunity to
establish trust which is
essential to therapeutic
communication. It is
also very important to
tell her the purpose of
the interview and to
maintain eye to eye
contact with the client.
The non - verbal cues
of the patients showed
an impression that she
is open for
conversation.

Nabanggit mo na minsan hindi “Ahm, malungkot syempre pero hindi “Encouraging

ka belong sa family mo, maaari ko naman pwedeng sabihin sa kanila Expression”
ko bang malaman kung ano ang kasi baka ma-misinterpret nila This family issue is
mga nararamdaman mo tungkol proving difficult for the
dito? patient. According to
the patient’s voice, the
patient is experiencing
sadness as a result of
her current situation.
The patient has a
difficult time dealing
with these situations
since she thinks that
her family cannot
understand her
feelings. As a nurse,
we need to understand
why she is
experiencing this.
Nararamdaman mo ba na “oo kagaya nga ng sabi ko na baka pag “Verbalizing the
mag-isa ka at walang nagsabi ako sa kanila baka implied”
nakakaintindi sa’yo? ma-misinterpret nila ako at feeling ko “so ang sabi mo kasi
walang nakakaintindi sa nararamdaman dyan pakiramdam ko
ko at iniisip ko na baka sa akin lang ‘to walang nakakaintindi
at ako lang nag-iisip ng ganon” so that is the highlight
of the answer”

Since the patient said

that she is sometimes
misunderstood, putting
into words what the
client has implied or
said indirectly tends to
make the discussion
less obscure. It is
important to know
what is the real
highlight of the answer.
The nurse continues to
learn more about the
patient by asking how
she is feeling and if
she’s feeling alone in
order to better
understand what the
patient is saying. It is
also important that the
nurse allow the patient
to express her feelings
in order to determine
whether or not
affecting her mental
health,

Maaari mo pa ba i-kwento kung “Close naman kami both ng parents ko, “Exploring”
paano umabot sa ganito? kay mama at papa pero everytime na (Sequencing kaagad
nag-uusap sila at nandito ako sa manila ibig sabihin binitawan
at si ate nasa bahay ahm sa video call mo siya noong sinasabi
feel ko hindi ako kasalo dahil hindi ako niya sayo na
hinahanap, ganon din po sa lolo ko na pakiramdam ko na
everytime na pupunta ako sa kanila lagi walang nakakaintindi
niyang hinahanap sa akin yung ate ko sa akin, anong
kahit ako ang nandon” pakiramdam yon,

“Ahm kinakausap ko nalang ang aking
Ano ang mga bagay na mga kaibigan at I keep myself busy sa
ginagawa mo sa tuwing pamamagitan ng panonood po ng mga
nararamdaman mo ito? series at iniisip ko na baka tama naman
sila at ako lang itong problema na
lumalayo sa kanila. Kinakausap ko rin
po ang aking ate dahil super close kami
pero hindi ako masyadong nag-oopen
pag usapang pamilya. May mga times
naman pona kasama ko sila sa tawanan
at kwentuhan pero ngayon po tinatry ko
ang aking best na makihalubilo sa
kanila”
loneliness yon. So, you
focus on the feeling
first before you ask for
the sequence para ano
kasi yun yung time na
ready na siya to share,
you focus on the
feeling na she is
misunderstood, she is
not being heard yon.
Need to focus on that
feeling. )
The patient is ready to
share but instead of
asking if she feels
misunderstood and not
being heard, the nurse
asks if she can tell the
story how it got to that
point, how she feels
out of place every time
her family talks on
video call. The nurse
should focus on the
feelings first to
examine the issue more
fully because any
problem can be better
understood if explored
extensively.
“Formulation of Action
Plan”
The client stated that
her personal issues in
these situations are
family issues. Family
issues will have an
impact on the student
in every way. This
causes her loneliness
and feeling left out.
The client is feeling
 lonely and
misunderstood. But,
with the help of her
friends and sister, she
overcomes this
obstacle.The client also
stated that she is trying
to fit in with her family
and be close with them.
As a result, it is
important to have
someone who can tell
or voice out our
problem. The nurse
discovers that the
family problems have
an impact on the
patient's mental health,
causing her to struggle
to cope at times. With
that, the nurse showed
acceptance by
acknowledging the
patient's feelings are
true.

XII. Feelings of the nurse/therapist (after)           

Describe your feelings, how are you going to manage these feelings?

After the nurse-client interaction happened, I felt so happy because I thought I couldn’t do it, but
with the help and participation of the patient, the interview went well.

XIII. Summary & Plans                                           

During the nurse-patient interaction, we discussed how family issues affect her, how she
feels with her current situation and how she copes up. The patient began to express her emotion
openly. I learned that this patient is dealing with a mental health issue, since she stated that she
feels sad and feeling left out. She often isolates herself from her family. However, she has a
different point of view on the situation . For the next session, I plan to be more interactive and
construct a question that is effective and comfortable for the patient to answer. During the
termination phase, I will discuss new coping mechanisms and problem-solving skills that are
applicable and helpful for the patient.