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    The student nurse greeted the client warmly to start their counseling session. The client agreed to discuss their family problems. The client explained that their childhood experiences with their mother were difficult, as their mother would physically harm them, especially when angry. As a child, the client's mother would hit them, leaving marks on their body. The client would make up excuses to teachers about the marks to hide the abuse. The nurse listened empathetically to understand the client's experiences and challenges within their family.

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    The student nurse greeted the client warmly to start their counseling session. The client agreed to discuss their family problems. The client explained that their childhood experiences with their mother were difficult, as their mother would physically harm them, especially when angry. As a child, the client's mother would hit them, leaving marks on their body. The client would make up excuses to teachers about the marks to hide the abuse. The nurse listened empathetically to understand the client's experiences and challenges within their family.

    Copyright:

    Attribution Non-Commercial (BY-NC)
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    1K visualizzazioni9 pagine

    Npi

    Caricato da

    Bernard
    The student nurse greeted the client warmly to start their counseling session. The client agreed to discuss their family problems. The client explained that their childhood experiences with their mother were difficult, as their mother would physically harm them, especially when angry. As a child, the client's mother would hit them, leaving marks on their body. The client would make up excuses to teachers about the marks to hide the abuse. The nurse listened empathetically to understand the client's experiences and challenges within their family.

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    Attribution Non-Commercial (BY-NC)
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    di 9

    NURSE-PATIENT INTERACTION ANALYSIS MODIFICATIONS

    NURSE CLIENT
    Nurse: Hello Angel! (smiles) • Greeting – recognition.
    This statement is used to start the conversation with
    the client. Smiling will let the patient be at ease with
    the student nurse.

    Client: Hello Cleng! (smiles back) • Shows that the client is willing to talk with the
    student nurse.
    • Transactional analysis by Eric Berne-
    Because when the student nurse acknowledge the
    presence of the client by saying hello it is the
    transactional stimulus, and when the client
    responded something that is related to the
    stimulus then it is transactional response.
    Nurse: Sabi mo ito ung time na pwede nating • Giving information- this statement shows the
    umpisahan yung counseling session natin. overview of counseling. Student nurse giving
    Makikinig at kakausapin kita tungkol sa information that the clients needs to know.
    problema mo.

    Client: Oo, pwede ngayon bago ko pupuntahan • The statement shows that the client is willing
    naman yung patient ko sa Camp Dangwa. Sinabi to accept what the student nurse has to offer
    ko naman na mga 4 pa ko pupunta sa kanila. and is willing to cooperate.
    Nurse: Ano naman gusto mong pagusapan natin • Giving Broad openings- it shows that the
    ngayon? client can take the lead in the conversation
    and that she can freely choose the topic of
    discussion.

    Client: Kahit ano, magtanong ka lang sasagutin • Filipinos are generally passive and lacks
    ko naman. Cge magtanong ka lang. initiative. This is shown in the statement use
    by the client.
    Nurse: Sinabi mo sa akin nung tinanong kita • offering general leads- allows the client to
    kung pwede kitang maging client na mayroon take direction in the conversation
    kang family problem. Ano ba itong tinutukoy
    mo?

    • Filipinos are generally passive and lacks


    Client: Ahh yun, Tungkol sa family ko. Nahihiya initiative. This is shown in the statement use
    ku sayo. (lowers head) by the client.
    • The client has great love for the family to
    meet her needs for love and belongingness.
    This is the third level in Maslow’s hierarchy
    of needs.
    • Rootedness by Erich Fromm – the need to
    attachment or sense to family to fulfill
    psychological needs. The client is concerned
    with her family problem since she is attached
    to the family especially to her mother where
    she find the feeling of being loved.
    Nurse: Paused (maintained eye contact) • Using Silence- it gives the client time to
    collect thoughts or think through a point.

    Client: ahhhhmm (thinking) • Thinking (analytical, psychological by Carl


    Medyo magulo kasi yung family ko, childhood Jung)- means evaluating thoughts or ideas
    experience ko, ahhh ganito yon dati kasi rationally and logically
    sinasaktan ako ng mommy ko. • The client has great love for the family to
    meet her needs for love and belongingness.
    This is the third level in Maslow’s hierarchy
    of needs.
    • Rootedness by Erich Fromm – the need to
    attachment or sense to family to fulfill
    psychological needs. The client is concerned
    with her family problem since she is attached
    to the family especially to her mother where
    she find the feeling of being loved.
    Nurse: ha? Bakit? Pano? (shocked) • Untherapeutic – belittling feelings expressed Nurse: Ikwento mo nga
    by client sakin kung ano at pano
    nagyari?
    Client: Kasi lalo na nung bata ako, sinasaktan • Instinct by Freud– to keep the body free of
    niya ko physically. Konting bagay lang pag tension or hurt. The statement that said that
    nagagalit siya yun sinasaktan niya na ako. “Kasi sinasangga ko alangan naman ung
    Minsan pa nga pumapasok me sa school may muka ku db?” Justify this theory.
    mga naiwang marks sa katawan ko, nung high • The client has the need for safety and security,
    school pa ko nun, lalo na sa mga legs at kamay.
    Kasi sinasangga ko, alangan naman ung muka ku so by blocking her hands to stop her mom to
    db? Pero pag tinatanung nila sa school kung san hit her means she protects herself. This is the
    ko nakuha snsabi ko nalng na nauntog ako ganun in the second level of Maslow’s hierarchy of
    o nascratch, basta di ko sinasabi yong totoo. needs.
    • Neglect and Rejection by Alfred Alder-
    children whose parents are hostile go through
    infancy and childhood as characterized by a
    lack of love and security. Because of this
    theory we can relate why the client does not
    tell others what really happened to her since
    as a result of this she view others with
    distrust.

    Nurse: Mayroon bang ginagamit yung mommy • offering general leads- allows the client to
    mo pag sinasaktan ka? O ung kamay niya lang? take direction in the conversation

    Client: Gumagamit siya ng stick minsan sinturon. • Neglect and Rejection by Alfred Alder-
    Meron pa ung one time hinawakan niya ung children whose parents are hostile go through
    mouth ku (using gestures) nagsusugat ung labi ko infancy and childhood as characterized by a
    nun. Natatakot nga ko nung bata ko sa kanya iyak lack of love and security. Because of this
    ng iyak sinasabi ku “mama tama na wag na po, theory we can relate why the client does not
    huwag niyo napo akong saktan”. tell others what really happened to her since
    as a result of this she view others with
    distrust, becomes emotional or even feels
    anger.
    • Neurotic anxiety by Freud- the unconscious
    fear of being punished. This was felt by the
    patient, she tells her mom to stop hitting her.

    Nurse: Hanggang ngayon ba sinasaktan ka pa ng • offering general leads- allows the client to
    mommy mo? take direction in the conversation
    • Exploring- examining certain ideas,
    experiences more fully.

    Client: Hindi naman na. pero pinaka last eh • The idea that it is horrible when things are not
    malaki nako nun, siguro mga 2nd year college. the way we like them to be by Albert Ellis-
    Pero halos lage kame nagaaway. since the client is being hurt physically by the
    mother and also they fight together often she
    sees this things as bad.
    Nurse: Sinabi mong halos lage kayo ngaaway, • Seeking clarification- clarifying unclear
    gaano kadalas naman ito? thoughts can help client clarify their own
    thoughts ad well as maximizes mutual
    understanding between the student nurse and
    client.
    • Exploring- examining certain ideas,
    experiences more fully.

    Client: Sa isang week siguro mostly sa araw na • Neglect and Rejection by Alfred Alder-
    yon nagaaway kami. Siguro kasalanan ko rin children whose parents are hostile go through
    kung minsan kung bakit niya koh nasasaktan. infancy and childhood as characterized by a
    lack of love and security. Because of this
    theory we can relate why the client does not
    tell others what really happened to her since
    as a result of this she view others with
    distrust.
    • The idea that we have virtually no control
    over our emotions and we cannot help feeling
    disturbed about things. – the patient said that
    it is her fault but we really have control over
    our emotions and that we can change our
    destructive thinking or emotions.
    Nurse: Paano mo naman nasabi na kasalanan • Seeking clarification- clarifying unclear
    mo? Ano yong mga instances na tinutukoy mo? thoughts can help client clarify their own
    thoughts ad well as maximizes mutual
    understanding between the student nurse and
    client.
    • offering general leads- allows the client to
    take direction in the conversation
    Client: Meron yong isang beses nakatulog ako sa • Faith and Religiosity strength of a Filipino.
    salas, di ko napatay ung ilaw at TV, nagulat na Since she want to serve her faith in the means
    lang ako nung hinampas niya ko sa muka, as in of YFC, this leads to the fight with her mom.
    sa muka talaga. (using gestures) tska meron pa Also this character makes the Filipinos daring
    ung one time sa YFC kasi ineexplain ko sa kanya and also develop courage.
    na gusto ko tlga magserve doon, eh pinaglalaban
    ko yung faith ko eh di nya ata nagustuhan ayun
    nasaktan niya ulit ako. Meron din yong nsasagot
    ko siya kaya un nasasaktan niya na ako. Yun ung
    mga times na nasasaktan niya na ako.
    Nurse: Ano naman naramdaman mo tungkol • Exploring- examining certain ideas,
    dito? experiences more fully
    • Encourages also description

    • Rationalization by Freud - interpreting our


    own behavior to make it more acceptable and
    Client: Di naman ako galit kay mommy sa less threatening to us. The client said she is
    katunayan love ko parin siya, kahit matagal na not angry though she is sad.
    rin niya ko sinasaktan, kaso syempre nasasad • The preconscious by Freud- storehouse
    ako, bakit kelangan pa niyang manakit? Tska pati where it we are unconscious at the moment
    sa kapatid ko nagagawa niya na rin yon, naawa but can summon easily. The patient can still
    nga aku sa kapatid ko eh. Yong mga ginawa niya picture herself being hurt by her mother.
    sakin malaki yong impact hanggang ngayon • Passivity and lack of initiative as a Filipino
    siguro kasi, hanggang ngayon fresh parin na trait- because Filipinos are too patient and can
    naalala ko at napipicture ko ung sarili ko na endure long suffering they are mostly easily
    sinasaktan niya. Dati nga pag kinekwento ko oppressed and exploited.
    tong nangyari sakin iyak ako ng iyak ngaun hindi
    nmn na.
    Nurse: May gusto ka pa bang idagdag? • Exploring- examining certain ideas,
    experiences more fully

    Client: ahhmmm ( thinking) • Thinking (analytical, psychological by Carl


    Ai oo pala, after naman naming mag away ni Jung)- means evaluating thoughts or ideas
    mommy nagsosorry naman ako eh, example sa rationally and logically
    text ganon, minsan binibigyan ko pa nga siya ng • Joy and humor as another Filipino trait-
    flower eh. Malambing kasi akong person eh! despite the presence of the problem the client
    (laughs) can still laugh and jokes around.
    • Undoing by Freud- things that are done to
    cancel out unpleasant thoughts or feelings
    after they have already occurred. Like saying
    sorry and giving flowers.
    Nurse: Ano naman nagging reaction ng mommy • offering general leads- allows the client to
    mo pag nagsosorry ka? O natry mo na bang take direction in the conversation
    kausapin yong mommy mo tungkol sa pananakit • Exploring- examining certain ideas,
    niya? experiences more fully

    Client: Parang wala lang. no reaction siguro. Oo, • The client expresses desire to solve her
    pero hindi talaga yong tinanong kung bakit ka problem by Erich Fromm- man has the ability
    nananakit, sinabi ko mama sorry pero hindi to solve problems. The client says sorry and
    naman ako lang may kasalanan e, pati ikaw. tries to talk to the mother.
    Sasabihin niya, hindi! ikaw lang ang may • The client has great love for the family to
    kasalanan wala akong kasalanan ganon. meet her needs for love and belongingness.
    This is the third level in Maslow’s hierarchy
    of needs.
    • Rootedness by Erich Fromm – the need to
    attachment or sense to family to fulfill
    psychological needs. The client is concerned
    with her family problem since she is attached
    to the family especially to her mother where
    she find the feeling of being loved.
    Nurse: Natry mo nabang makipag usap ulit sa • Non therapeutic. Should use open ended Nurse: mayroon ways ka pa
    mommy mo? questions. bang nagawa para
    makausap mo ung mommy
    Client: hndi na, kasi naman baka magalit ulit siya • Filipinos are generally passive and lacks mo tungkol sa siruation
    sakin eh. Lagi naman niya sinasabi kasalanan ko initiative. This is shown in the statement use niyo?
    lahat. by the client.
    • Irrational Belief by Albert Ellis- that one can
    not and must not face life difficulties and it is
    easier to avoid them.
    Nurse: Uhuh… • Accepting- acknowledging client’s statement.
    Does not necessarily indicate agreement but it
    is non judgemental.

    Client: Alam mo ba nun nung kinekwento ko toh • Pychogenic needs by Henry Murray
    sa iba iyak ako ng iyak. Pero ngaun medyo hindi (Personology) arise indirectly from primary
    na. needs and are concerned with emotional
    satisfaction and include psychological eeds
    such as affiliation.
    Nurse: ahhh.. nasasabi mo sa iba tong experience • Restating- repeating the idea expressed
    mo.

    Client: Oo, ikaw na siguro ung fourth na group or • Extreme family centeredness as a Filipino
    person pero recently lang mga college na ksi dati trait. We tend to cover up for the mistake of
    ayaw ko tlgang pagusapan yon. Kasi mabait our family member so as to have a good
    naman mommy ko eh.. baka pag nalaman niyang perception or name in the community.
    kinekwento ko sa iba baka isipin niya sinisiraan • Denial by Freud- refusal to admit the
    ko siya. Tsaka yaw ko ksaing isipin ng ibang existence of an external threat or traumatic
    masama siyang tao porket sinasaktan niya ako event.
    kasi mabait naman talaga siya.
    Nurse: ahmmm may 10 minutes pa tayo may • Giving information regarding the time left for
    gusto ka pa bang sabihin? the conversation. This is making available
    facts that clients need.

    Client: Yan muna sa susunod ko nalang ikkwento • This means that the client is willing to talk to
    yong iba sayo. the student nurse again, rapport has been
    gained.
    Nurse: Ok, napagusapan natin yong mommy mo • Summarizing- collecting all the important
    na sinasaktan ka niya physically at di ka namn points of discussion to enhance
    galkit sa kanya pero nasasad ka. understanding.

    Client: Oo un.. (nods) ahmm set tayo ng date at • Indicates that the client agreed on the
    time para sa next meeting natin. summary of discussion given by the student
    nurse and is interested for the next counseling.
    Nurse: Ok kelan ba bakante mo? Kung kelan ka • Setting the contract so that the client will
    pwede kasi db magppc ka rin . para di conflict sa know when to see the student nurse again.
    schedule mo.

    Client: Oo cge ( smiles) sa Tuesday nalang 11-1 • Shows that the client is willing to talk again
    vacant ko. with the student nurse.
    Nurse: Sige sabay nalang tayo kain.. salamat ha? • Therapeutic ending or appropriate closure to
    Isip ka ng paguusapan natin next time bbye! the counseling session
    (smiles, kiss in cheek and waves)

    Client: Ok bbye cleng (kiss back smiles and also • Marks the end of the counseling sessioin
    waves) • Complementary Transaction by Eric Berne-
    two persons are sending and receiving the
    same ego state.

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