ORIENTATION PHASE

March 11, 2024 @ 6:00 a.m.

I. General Objective

After 1 week of student nurse-patient therapeutic interaction, the patient will be able to
maintain optimum level of functioning.

II. Specific Objectives

After 30 minutes of student nurse-patient interaction, the patient will be able to:

 identify the student nurse’s name;

 gain information on the purpose of student nurse’s duty; and,
 acquire a sense of trust to the student nurse as evidenced by a voluntary conversation with the
student nurse.

II. Illustration

III. Description

My patient is 42 years of age, and was diagnosed of Schizophrenia. Before interaction, patient was
seen sitting on a chair. She appears tidy wearing bestida dress, with a pair of slippers. She already took
her bath.

IV. Student-Nurse Patient Interaction

STUDENT NURSE-CLIENT THERAPEUTIC RATIONALE

INTERACTION COMMUNICATION TECHNIQUE
USED

SN: Maayong buntag Ate! GIVING RECOGNITION Greeting client by name,

indicating awareness of change,
PATIENT:Maayong buntag! or noting efforts the client has
made all show that the nurse
recognizes the client as a person.
(Videbeck, 2011)

SN: Unsay pangalan nimo ate? SEEKING INFORMATION The nurse should seek
clarification throughout
PATIENT: Shasha Cañega
interactions with clients. Doing
so can help the nurse to avoid
making assumptions that
understanding has occurred
when it has not. It helps client
articulate thoughts, feelings, and
ideas more clearly. (Videbeck,
2011)

SN: Ako diay si Rolyn usa ka GIVING INFORMATION

student nurse gikan sa Biliran. Informing the client facts
Naa mi karon diri para mutabang increases her knowledge about a
sa pang adlaw adlaw na buhaton topic on lets the client know
sulod sa lima ka adlaw. what to expect. The nurse is
functioning as a resource person.
PATIENT: NODDING Giving information also builds
trust with the client.

EXPLORING When the clients deal with topics

SN: Pila na diay imong edad ate?
superficially, exploring can help
PATIENT: 20 years old. them examine the issue more
fully. Any problem or concern
SN: Kanus-a man diay imong can be better understood if
birthday? explored in Depth. If the clients
expresses unwillingness to
PATIENT: September 18, 1976 explore a subject; however the
nurse must reject her wishes.

SN: Nakahinumdum paka ate

Shasha kung kanus a ka na
admit?

PATIENT: Oo, September

The nurse can offer his or her

SN: Ahw, sige ate, basta kung presence, interest, and desire to
naa kay kinahanglanon nako OFFERING SELF understand. It is important that
tawaga lang ko. this offer is unconditional; that
is, the client does not have to
respond verbally to get the
PATIENT: Oo nurse’s attention.

V. Evaluation

The purpose of the interaction was met. The patient was able to provide the nurse’s name.
Further, the patient was able to understand the purpose of the nurse.

On the one hand, the nurse was able to gather some information about the patient. This
information will help the nurse in the future nurse-patient therapeutic interaction.
 WORKING PHASE

March 12-14, 2024 @ 7:30 a.m.

I. Specific Objectives

After 30 minutes of student-nurse-patient interaction the patient will be able to:

 increase communication with the student nurse, and continue building rapport.
 verbalized and express feelings better after conversation.

II. Illustration

III. Description

Before my initial interaction with my patient, patient was seen sitting on a chair. she appears
tidy wearing bestida dress, with a pair of slippers, and she already took her bath.

When I asked her if she already took his bath, she replied “yes”.

IV. Student-Nurse Patient Interaction

STUDENT-NURSE-CLIENT THERAPEUTIC RATIONALE

INTERACTION COMMUNICATION TECHNIQUE
USED

SN: Maayong buntag Ate GIVING RECOGNITION Greeting client by name,

Shasha! indicating awareness of change,
or noting efforts the client has
PATIENT: Maaayung buntag made all show that the nurse
recognizes the client as a person.
 GIVING INFORMATION The nurse should seek
clarification throughout
SN: Ako diay tong imong student interactions with clients. Doing
nurse gahapon ate. so can help the nurse to avoid
PATIENT: Aah, oo. making assumptions that
understanding has occurred
when it has not. It helps client
articulate thoughts, feelings, and
ideas more clearly.

The nurse should seek

clarification throughout
SEEKING INFORMATION interactions with clients. Doing
SN: Human naka ligo te? so can help the nurse to avoid
making assumptions that
PATIENT: Oo, tapos na
understanding has occurred
when it has not. It helps client
articulate thoughts, feelings, and
ideas more clearly.

The nurse should seek

SEEKING INFORMATION
clarification throughout
SN: Human naka kaon te?
interactions with clients. Doing
PATIENT: Oo, tapos na so can help the nurse to avoid
making assumptions that
SN: Ahw, mayo te? understanding has occurred
when it has not. It helps client
PATIENT: NODDING
articulate, thoughts, feelings and
ideas more clearly.
SEEKING INFORMATION
SN: Human na pud ba ka ten a The nurse should seek
BP-han ? clarification throughout
interactions with clients. Doing
PATIENT: Oo, human na so can help the nurse to avoid
SN: Sige te, mulakaw isa mi kay assumptions that understanding
kay mag andan mis inyong has occurred when it has not. It
helps client articulate thoughts,
medisina.
feelings and ideas more clearly.
PATIENT: Ahh, sige

SN: 7: Salamat te Shasha

SN: Maayong buntag Ate

Shasha!

PATIENT :Maayong buntag

SN: Kumusta mn te?

PATIENT: Okey ra ko

SN: Nikaon nka te?

PATIENT: Oo

SN: .Nabusog ka te?

PATIENT: Oo

SN: Ahw, mayo te

PATIENT: Unsa gani to inyong GIVING INFORMATION

skwelahan?

SN: Biliran State University po sa

Biliran, Leyte. Informing the client facts
increases his knowledge about a
PATIENT: Ahh, sa Leyte topic on lets the client know
what to expect. The nurse is
SN: Sila (other patients), kilala
functioning as a resource person.
mo ba sila?
Giving information also builds
SN: Te, naa ta activity unya, trust with the client.
manayaw ta apil te huh.

PATIENT: Oo sige
GIVING RECOGNITION
SN: Sige te mulakaw ra isa ko

PATIENT: NODDING Greeting client by name,

SN: Salamat te Shasha indicating awareness of change,
or noting efforts the client has
made all show that the nurse
recognizes the client as a person.

V. Evaluation

Goal partially met, the student nurse was able to increase communication and build rapport.
 TERMINATION PHASE

March 15, 2024 @ 9:30 a.m

I. Specific Objectives

After 30 minutes of student-nurse-patient interaction the patient will be able to:

 maintain professionalism until the end of the relationship,

 prevent separation anxiety,
 facilitate healthy closure of the relationship between the student-nurse and the client; and
 develop independence care.

II. Illustration

III. Description

Before my initial interaction with my patient, patient was seen sitting on a chair, she appears
tidy wearing bestida dress, with a pair of slippers. She already took her bath.

When I asked her if she already took her bath, she replied “yes”.
IV. Student-Nurse Patient Interaction

STUDENT-NURSE-CLIENT THERAPEUTIC RATIONALE

INTERACTION COMMUNICATION TECHNIQUE
USED

SN: Maayong buntag ate GIVING RECOGNITION Greeting client by name,

Shasha! indicating awareness of change,
or noting efforts the client has
PATIENT: Maayung buntag! made all show that the nurse
recognizes the client as a person.

SN: Naligo na ka? The nurse should seek

SEEKING INFORMATION clarification throughout
PATIENT: Oo, human na. interactions with clients. Doing
so can help the nurse to avoid
SN: Nagkaon na ka?
making assumptions that
PATIENT: Wala pa understanding has occurred
when it has not. It helps client
SN: Kumusta man imong articulate thoughts, feelings, and
paminaw ron? ideas more clearly

PATIENT: Ok lang

SN: Nakatulog kag maayo gabii?

PATIENT: Oo

SN: Dili diay sila saba diri?

PATIENT: Dili man.

GIVING INFORMATION
SN: Ate Shasha, last day na namo Informing the client facts
ron diri. Manguli na mi unya, increases his/her knowledge
basig di na ‘ta mag kita sunod. about a topic on lets the client
know what to expect. The nurse
PATIENT: Ahh. Mubalik mo?
is functioning as a resource
SN: Dili na baya te. Pero te may person. Giving information also
program mi unya tapos may mga builds trust with the client.
activity pa na buhaton. May
mukanta, sayaw, exercise tas
manghatag mi og snacks te. Apil
jud te huh?

PATIENT: Oo

AFTER THE PROGRAM

SN: Sa tanan na among patient,

salamat kayo sa tanan.

PATIENT: Salamat pud, balik mo?

SN: Dili nami kabalik pa kay GIVING INFORMATION

mubalik naman mi og Biliiran. Informing the client facts
PATIENT: Ahh. increases his / her knowledge
about a topic on lets the client
SN: Paayo mong tanan! know what to expect. The nurse
is functioning as a resource
PATIENT: Oo, salamat! person. Giving information also
SN: Mulakaw nami. Bye Ninyo builds trust with the client.
tanan!

PATIENT: Ba-bye!

V. Evaluation

Goal met after the termination phase, the student was able to maintain professionalism until
the end of the relationship, prevented separation anxiety and facilitated healthy closure of the
relationship between the student nurse and the patient and developed independence care.

Submitted by:

MA. ROLYN JANE M. AREMALA

Student Nurse