Nurse Patient Interaction

You might also like

Download as pdf or txt
Download as pdf or txt
You are on page 1of 6

Nurse Patient Interaction

I. Description of the Environment


Environment is:
● Well-lit
● Quite
● Private
● Comfortable
● Adequate ventilation
● Social Zone Distance
II. Description of Patient’s Physical Appearance and Characteristic
The patient is:
● Neat from head to toe
● Dresses well according to his age
● Attentive with all the questions asked
● Calm
● Oriented to time, place and person
● Confident
● Prepared
● Sits upright facing me
● Has a positive self-concept
● Speech is clear, moderately paced and culturally appropriate
● Christ-centered
● Communicates thoughts effectively
● Facial features are symmetric with movement
III. Goal of Interaction:
● To build rapport and establish therapeutic communication with the client
● To determine the mental status of the client by assessing verbal and non-verbal responses
during the duration of the interview.
● To assess patient’s risk to harm self
● To create baseline for possible Nursing Care Plan

IV. Interaction

Interaction Therapeutic Interpretation Remarks


Communication
used

Introductory Phase ● Greeting the ● I am providing ● Client shows a


patient information to positive attitude
SN: Good Afternoon ● Giving the client as in answering
Sir, I’m Rogen Kate information well as getting the questions
Azarcon, a student ● Asking direct information from about himself,
nurse from FSUU, I'm questions the client the patient also
here po to conduct an ● Exploring ● Client is shows that he is
interview about lang sa attentive and willing to
imong self sir, if okay answers quickly participate in
lang po. ● Client shows a the interview.
P: Oo okay lang gesture of
(nodding) nodding
SN: May I know your
name sir?
P: Ako diay si Chris
Charle Butcon

SN: Pilay edad nato?


P: 22

SN: Unsay status?


Married na ba sir or
Single?
P: Single pa kay bata
pa

SN: Imong Address


sir?
P: Emily Homes,
Libertad

SN: Unsa man sir nag


trabaho na ka or
studyante pa?
P: Student pa

SN: Unsa may course


nato sir?
P: Civil Engineering

SN: Kumusta man ka ● Giving Broad ● Client is ● Client shows a


sir? Unsa may Openings attentive and positive attitude
paminaw nimo ● Asking direct answers quickly in answering
ron?Comfortable ra ba question ● Client’s the question
ka ron? nonverbal cues
P: Okay ra man maam are smiling and
(Smiles and gives direct
direct eye contact) eye-contact

Working Phase ● Exploring ● Client ● Client gives


verbalized his information
SN: Mag ask ko sir daily routine directly and
about sa imong and easily shows interest
Lifestyle? Kanang kuan recalled his in answering
lang sir mga daily activities of the question
routines nimo. Kung daily living.
unsa imo ginabuhat
pag mata nimo hangtud
sa kanang pagka
gabie.
P: Kuan ra maam,
manglimpyo sa balay,
workout kay student
athlete man, tuon
ginagmay tapos klase
dayun, usahay magluto
ug maglaag.
SN: About sa imong ● Exploring ● Client tells he ● Client shows
health sir naa kay ● Asking direct doesn’t take positive attitude
ginatake na mga questions any drugs in answering
drugs? Like vitamins except of his the question
P: Vitamins lang, vitamins which
Enervon is enervon and
states he
SN: Kanang sa alcohol doesn’t drink
sir, gainom ka? Like alcohol
mga beer
P: Dili ra ba maam

SN: Recently sir ● Exploring ● Client states he ● When talking


nasakit ba ka or na ● Asking direct hasn’t been about health,
confine ba ka sa questions recently the client gives
hospital? ● Making admitted to the a positive
P: Wala pa man nuon observations hospital and answer.
● Active listening only gets cold
SN: So wala kay mga sometimes.
sakit2 ug uban pang ● Client gives
gipang bati? importance to
P: Kuan lang kanang his health, as
mahilantan panagsa ug he stated that
sipon health is
important to
SN: So para sa imo everyone.
importante gd diay ang
health kay ingon man
ka ganina nga ga
workout ka?
P: Oo importante gd na
sa tao

SN: Unsa pa gane date ● Asking direct ● Client is ● Client answers


nato ron sir? questions oriented to time, with ease and
P: June 30,2022 ● Seeking place and confidence
information person
SN: Ang oras sir?
P: Mga alas 4 na

SN: Unsa pa gane


name nako sir?
P: Rogen Kate
Azarcon, Student
Nurse sa FSUU

SN: Gapuyo pa ba ka ● Asking direct ● Client states ● Client answers


sir uban imong questions that he still lives directly and is
parents? Or Kanang ● Exploring with both of his not hesitant on
kinsa ra man kuyog parents and answering
nimo sa inyong balay? says their home questions
P: Uban gehapon ang is a comfortable related to his
parents kay only child place to live in , family and
man however home.
sometimes he
gets stressed
SN: Para sa imo because of their
comfortable ra ba ka dogs and daily
nga mao na imong household
balay or kanang chores.
ganahan ka didto
magpuyo or kanang ma
stress ka?
P: Comfortable ra man
nuon, usahay ma
stress lang kanang way
sud an ug daghan po’y
iro

SN: Together pa ba
tuod imong parents sir?
P: Oo, together

SN: So mao na ma
stress ka gamay kay
daghay mga iro?
P: Oo kay mag
limpyo2

SN: About sa imong ● Seeking ● Client admits he ● Client shows a


pag skuyla sir, kumusta information gets stressed positive mindset
man? ● Restating with his school in dealing with
P: Okay ra man maam ● Encouraging tasks but knows stressors
evaluation how to handle
SN: Kay diba medyo these stressors.
lisud ng Civil ● Client stated
engineering different ways
P: Lisud gd sya maam, on how he
pero in the first place copes up when
nadawat naman nako he gets
daan na lisud gyud sya stressed.
maong andam gd
permi, mastress gd

SN:So makaingon gyud


ka nga ma stress kas
imong pagskuyla
P: (nods)

SN: So unsaon man


nimo pag deal sa mga
stressors? Kay ana
man ka nga medyo ma
stress ka. Unsa imo
ginabuhat para ma
cope up nimo imo
stress?
P: Kuan maghatag ra
ko ug break sa akong
self sa acads, kay
importane man gd ang
mental health nato, kay
kung magpalabi ta dira
nata makaingon ug “d
na gd kaya

N: So para sa imo
strong gd ang imong
state of mind?
P: Oo kay mao man gd
mindset nako

N: So other than
school, unsa pa man
imo ginabuhat na
activities kanang mga
hobbies nimo, if
kanang d ka busy sa
pagskuyla
P: Workout, mag gym
or mag dula ug
basketball

N: Kanang sir naa ba ● Exploring ● Client admitted ● Client is


kay mga phobias, ● Asking direct he has some self-aware
kanang mga questions phobias and is
ginakahadlokan nimo? aware of what
P: wala raman nuon they are and
N: So D diay ka why he is afraid
mahadlok ug bisag of them.
kanang mga multo or
mga ilaga?
P: Dili ra, dagat ra kay
lalom, kay d man ko
kabalo mulangoy

N: Mag ask pud ko sa ● Exploring ● Client states ● Client is a firm


imong religion sir. Unsa ● Asking direct that he and his believer of his
man imong religion? questions family is religion and
P: Roman Catholic religious and admits that they
N: So do you often go goes to church are religious
to church? every sunday
P: yes, every sunday
N: Kanang dyosnon mo
sa imong family
P: Oo

Termination Phase ● Evaluating ● Client shows ● Client shows a


self-awareness positive a
N: Wala na kay lain and admits positive mental
gipang bati sir, kanang again that there health
mga gababag sa imo? are no things
P: Wala raman nuon bothering him

N: So para sa imo sir, ● Summarizing ● Client has a ● Client is open


unsa man imong gusto positive outlook with regards to
mahitabo sa imong in life his plan for his
future? Kanang imong ● Client thinks future and
paglantaw sa imong about a good answers
kaugmaon future for positively.
P: Kanang stable lang himself
life ug stable ug
income, ug dili kaayo
stressful nga life

V. Analysis
Overall the client is not showing any symptoms that are alarming and requires immediate intervention,
however the patient deals with some stressors in his daily task, like his studies and at home,but he
knows how to deal with it or on how to cope up when these stressors come in his way. Client has a
positive self-concept, as per the interview he believes in himself and knows how to handle different
circumstances and thinks of a successful future for himself.

VI. Evaluation
The patient was examined accordingly in the following areas: physical appearance and characteristics,
speech, orientation, memory, mood and affect, awareness, as well as content of thought. The patient
showed no signs and symptoms of poor mental health that requires immediate intervention and lastly
the whole duration of the interview was done effectively and the client was reassured of confidentiality.

You might also like