part 4 npi day 1

7/28/2019 Part 4 NPI Day 1

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NURSE-PATIENT INTERACTION

Name: Patient JG Sex: Male

Date: Nov. 27, 2012 (Tuesday) Place of NPI: Dining Hall

Time: 4:30-5:00pm Length of NPI: 30 minutes

QUESTION TYPE/S OFTHERAPEUTIC

COMMUNICATION

ANSWER ANALYSIS

SN: Goodmorning sir, I’mLyka Avila, astudent nursefrom RooseveltCollege, Cainta.I’ll be your companion for 30mins. and wewill be herestarting for todayand by Tuesdayand Wednesday.You can talk tome and sharesomething and I’llassure you that itwill remainconfidential. Sosir what’s your name?

SN: So sir Jonathan, is theresomething you’dlike to talk about?

GivingInformation

Broad Openings

P: Oh hi, I’mJonathan. (offeringhis hand for handshake)

P: Umm. Walanaman, kaw langkung anu gusto mo.

Interpretation:

A handshake ismore than just agreeting. It is alsoa message about

personality andconfidence level. Itis an importanttool in making theright firstimpression.

Analysis:

Making availablethe facts that theclient needs.

Interpretation:

Giving back thequestion is a cuethat the patientwas ready to

answer and givingthe nurse achance to askmore about him.

Analysis:

Allowing the clientto take the

7/28/2019 Part 4 NPI Day 1


SN: Um, sir canyou please stateyour full nameagain?

SN: Me sir? I’m20yrs. old. Andyou sir?

SN: ah. So wheredo you live when

you are outside? Are you with your parents?

SN: Can you tellme more aboutyourself sir ?

Anyway sir is itokay to you thatI’m speakingTagalog?

Clarifying

Reflecting

Exploring:

P: I’m JonathanGarrido. How old areyou?

P: You’re only 20? Ako kase 28 na.

P: I live in MayfieldPark in Pasig. I’mwith my dad and mydog Eminem.

P: Um, My dad wasin Pasig together withmy dog. My Mom

and my Sister Katrinawas in California.Yeah, sure. I canunderstand Tagalognaman eh. In fact 8years na nga ako2itto sa Philippines.

initiative inintroducing thetopic.

Interpretation:

Giving your nameand introducingself determine themost relevantpieces aboutyourself.

Analysis:

Clarifying issearching for mutualunderstanding, for

accord in themeaning of thewords. Reflectingor directing clientactions, thoughts,and feelings backto client.

Interpretation: Heis starting to openup with his

7/28/2019 Part 4 NPI Day 1


SN: 8 years?

SN: So , sir canyou state to methe reason thatyou are here?

SN: Can youstate to me the

reason that youare using drugs.

Focusing: directclient back to bepursued.

Exploring:knowing moreabout the client.

P: Yeah, 8 years nadin ako pabalik’balikin different rehabs. 1week plang ako dito.

P: Detox.. becauseI’m using drugsbefore.

P: Well, just having

fun.

background andstarting to gaintrust from the SN. Analysis: whenclients deal withtopics superficially,

exploring can helpthem examine thisissue more fully.

Any problem or concern can beexplored in depth.

Interpretation:

The client wasstarting to addmore answers tothe question.

Analysis:

The nurseencourages theclient toconcentrate his or her energies on asingle point.

Interpretation:

He answeredwithout hesitancy.

Analysis: whenclients deal withtopics superficially,exploring can help

them examine thisissue more fully.

Any problem or concern can beexplored in depth.

7/28/2019 Part 4 NPI Day 1


SN: Go on sir, I’mlistening.

SN: What do youusually do in your everyday lifeoutside, beforeyou have beenhere.

SN: Um, how is itdifferent now?

SN: So you aremad? How wasthe effect of notsmoking weeds?

General Leads:Indicates that thenurse is listening,more prompting.

Placing event intime or sequence: Clientgains insight tocause and effectbehaviors.

P: That’s it.

P: Oh, I love music,biking with my friendsand draw graffitiwhen í’m bored.Sometimes, I’mhanging out with myfriends, drinking beer and smoking weedsfor trip lang. Perokapag nasa houseako, I used to writesongs, you cansearch it on Youtube.Type membster.

P: It’s different here,sobrang boring and

I’m mad kase walangfreedom, hindi ko nanagagawa mgabagay na nagagawako dati.

P: A bit okay, but Iwill not stop smokingunless they will stopme from sending torehab.

Interpretation:

He is getting tocontrolled with hisanswer withregards to thetopic.

Analysis:

Indicate that thenurse is listeningand following whatthe client is sayingwithout takingaway the initiativefor the interaction.They also

encourage theclient to continue if he or she ishesitant or uncomfortableabout the topic.

Interpretation:

The patient isgetting seriousabout the topic.

Analysis:Putting events inproper sequencehelps both thenurse and theclient to see themin perspective.The client maygain insight intocause-and-effectbehavior andconsequences, or

the client may beable to see thatperhaps somethings are notrelated. The nursemay gaininformation aboutrecurrent patterns

7/28/2019 Part 4 NPI Day 1


SN: Sir, our 30minutesconversation aredone, during thepast hour Youand I discussedabout your parents, hobbiesand your feelingstowards your situation. And I’m

thanking you for beingcooperative. I’llassure you thatthe thisconversation willremainconfidential.Thank you sir for the time.Goodbye.

Summarizing:

give the gist of thediscussion.Organizing andsumming up thatwhich has gonebefore.

P: Okay, thank youtoo, bye.

or themes in theclient’s behavior or relationships.

Interpretation:

The client acceptsthe terminationand end of theconversation.

Analysis:

Seeks to bring outthe importantpoints of thediscussion and toincrease theawareness andunderstanding of

both participants.It omits theirrelevant andorganizes thepertinent aspectsof the interaction.It allows bothclient and nurse todepart with thesame ideas andprovides a senseof closure at the

completion of eachdiscussion.

part 4 npi day 1

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