Name: Felicity Tragico Activity 10 - Therapeutic Communication

Princess Jane Napigkit

1- BSN B

Instructions: WORK WITH PAIR: LOOK FOR A PARTNER: ASSUME THAT YOUR PARTNER IS YOUR PATIENT: COMPLETE
THE TABLE.

STUDENT NURSE NAME Felicity D.S. Tragico

CLIENT DIAGNOSIS Ms. Napigkit, an 18-year-old female admitted for severe depression with associated anxiety.

NURSE (Verbal & Non- PATIENT (Verbal & Non- ANALYSIS: THERAPEUTIC
Verbal) Verbal) COMMUNICATION DESCRIPTION/ ANALYSIS
TECHNIQUE
PRE- INTRODUCTORY PHASE
Verbal: N/A Verbal: N/A Technique used: Rationale:
Making observations This technique allows the
nurse to consider her
Non-Verbal: Non-Verbal: knowledge, anxieties, and
Upon commencing the The patient acknowledged and missed concepts before
interaction, I have made eye gave a wistful grin while dealing with the patient.
contact and smiled affably as appearing helpless and empty. Observations regarding the
the interaction started as a cue While looking exhausted and patient's appearance, attitude,
to present a good social appearing to have sunken eyes, or conduct can aid in
motive and as to also establish the patient maintains eye identifying aspects that may
social bonds. My feet were flat contact. She holds a book in her be detrimental to them. With
on the ground, and I hands and stands with a slightly the use of making
am standing up with my hunched shoulder. The observation, the nurse was
hands resting by my sides. patient's feet are lying flat on able to start the initial
the ground. assessment and gauge her
own reaction to learning more
Name: Felicity Tragico Activity 10 - Therapeutic Communication
Princess Jane Napigkit
1- BSN B

Instructions: WORK WITH PAIR: LOOK FOR A PARTNER: ASSUME THAT YOUR PARTNER IS YOUR PATIENT: COMPLETE
THE TABLE.

about the client. The following

observations will aid in setting
goals for the introduction
period.

INTRODUCTORY PHASE

Verbal: Verbal: Technique used: Rationale:

“Hi, my name is Felicity Patient responded by saying. Offering- Self This technique is used and
Tragico, you can call me Nurse “Morning, my name is Princess indicates to the patient that
Fel, and I am a Nursing Jane Napigkit and we can sit the nurse offers their time. It
student at Ateneo De down and talk, let me just go gives value to the patient that
Zamboanga University, I put my book away and then I someone is willing to give her
would like to talk to you today will meet you back here.” time and attention.
for about 10 minutes about
what is going on, are you
available to sit down and talk
with me? Non-Verbal:
Patient is making eye contact.
Non- Verbal: She is standing with slightly
I have made eye contact. I am slumped shoulders while
standing up with my hands holding a book. The patient’s
feet are flat on the floor.
Name: Felicity Tragico Activity 10 - Therapeutic Communication
Princess Jane Napigkit
1- BSN B

Instructions: WORK WITH PAIR: LOOK FOR A PARTNER: ASSUME THAT YOUR PARTNER IS YOUR PATIENT: COMPLETE
THE TABLE.

resting on my sides and my

feet were flat on the floor.

Verbal: Verbal: Technique used: Rationale:

When the Patient came back Patient responded by saying, “I Broad Opening (Opening
after placing her book in her have been struggling with my Remarks) This technique is used based
room, I asked the client, “What depression and things have not on the initial assessments and
would you like to talk about?” been getting better.” observations of the patient;
she directs the flow of the
Non- Verbal: Non-Verbal: conversation or interaction
I have made eye contact. I am Patient is unable to maintain and decides what to talk
sitting down with my hands effective eye contact. Patient is about. It allows the patient to
resting on my sides and my sitting down with slightly discuss what’s on their mind.
feet were flat on the floor. slumped shoulders with hands
resting on his legs and feet
placed flat on the floor.

Verbal: Verbal: Technique used: Rationale:

I told the client to continue by Patient responded by saying, Active Listening This technique helps the
stating, “Tell me more about “Well things at home have not (Encouraging elaboration) patient continue to describe
that.” been great and sometimes I do the key elements related to
not know what I can do to feel her problems more fully. It
Non- Verbal: better and on top of that my involves showing interest in
Name: Felicity Tragico Activity 10 - Therapeutic Communication
Princess Jane Napigkit
1- BSN B

Instructions: WORK WITH PAIR: LOOK FOR A PARTNER: ASSUME THAT YOUR PARTNER IS YOUR PATIENT: COMPLETE
THE TABLE.

I have made eye contact. I am boyfriend has been having a what the patient has to say,
sitting down with my hands hard time as well. Things were acknowledging that I am
resting on my sides and my not okay for one second but at listening and understanding
feet were flat on the floor. some point, I don’t remember which engages them an
why things became the way interactional conversation. It
they are.” guides the flow of the
conversation to propel it
Non-Verbal: forward.
Patient is unable to maintain
effective eye contact. Patient is
sitting down with slightly
slumped shoulders. Patient
begins to play with hands and
the patient’s legs are shaking
with feet bouncing on the floor.
WORKING PHASE

Verbal: Verbal: Technique used: Rationale:

I responded to the client’s Patient responded by saying, “I Placing the Event in Time This technique is used to
statement by saying, “You want to get better so that I can or Sequence constrain the patient to think
have talked about several be there for my family and for about the sequence of events
problems. Which one bothers others. I often become down and prompts her to remember
you the most?” that I am this way.” something she otherwise
wouldn’t. Asking questions
Name: Felicity Tragico Activity 10 - Therapeutic Communication
Princess Jane Napigkit
1- BSN B

Instructions: WORK WITH PAIR: LOOK FOR A PARTNER: ASSUME THAT YOUR PARTNER IS YOUR PATIENT: COMPLETE
THE TABLE.

Non- Verbal: Non- Verbal: about certain events occurred

I have made eye contact. I am Patient is unable to maintain in relation to other events can
sitting down with my hands effective eye contact. Patient is help the patient (and the
resting on my sides and my sitting down with slightly nurse) get a clearer sense of
feet were flat on the floor. slumped shoulders. Patient the whole picture.
begins to play with hands and
the patient’s legs are shaking
with feet bouncing on the floor.

Verbal: Verbal: Technique used: Rationale:

I responded by saying, “Are Patient responded by saying, Seeking clarification This technique helps the
you saying you are feeling “at times, yes.” patient put into words some
hopeless?” of her thoughts or ideas that
Non- Verbal: may be unclear. It helps me, as
Non- Verbal: Patient is unable to maintain a nurse to understand what
I have made eye contact. I am effective eye contact. Patient is was being said and can help
sitting down with my hands sitting down with slightly the patient process their ideas
resting on my sides and my slumped shoulders. Patient more thoroughly.
feet were flat on the floor. begins to play with hands and
the patient’s legs are shaking
with feet bouncing on the floor.

Verbal: Verbal: Technique used: Rationale:

Name: Felicity Tragico Activity 10 - Therapeutic Communication
Princess Jane Napigkit
1- BSN B

Instructions: WORK WITH PAIR: LOOK FOR A PARTNER: ASSUME THAT YOUR PARTNER IS YOUR PATIENT: COMPLETE
THE TABLE.

“Are you having any thoughts Patient denies having any of Encouraging evaluation These techniques are used to
currently about harming these thoughts by saying, “I do with components of confirm information related to
yourself or harming others?” not have any thoughts by seeking for clarification the client’s safety and well-
saying, “I do not have any from the patient / being. Often, patients can
Non- Verbal: thoughts about harming Encouraging Comparisons draw upon experience to deal
I have made eye contact. I am myself, but at times I tend to with current problems. By
sitting down with my hands blame myself and how I am.” encouraging them to make
resting on my sides and my comparisons, the nurse can
feet were flat on the floor. help the patient discover
Non- Verbal: solutions to their problems.
Patient is unable to maintain
effective eye contact. Patient is
sitting down with slightly
slumped shoulders. Patient
begins to play with hands and
the patient’s legs are shaking
with feet bouncing on the floor.

Verbal: Verbal: Technique used: Rationale:

“I realize that it is difficult for Patient responded by saying, Silence This technique allowed the
you to talk about this.” “Yes, they tell me that I am a conversation to pause for a
burden to the people around moment for the nurse and the
Non- Verbal: me.” patient to think about what is
being talked about currently.
Name: Felicity Tragico Activity 10 - Therapeutic Communication
Princess Jane Napigkit
1- BSN B

Instructions: WORK WITH PAIR: LOOK FOR A PARTNER: ASSUME THAT YOUR PARTNER IS YOUR PATIENT: COMPLETE
THE TABLE.

I have made eye contact. I am Non- Verbal:

sitting down with my hands Patient is unable to maintain
resting on my sides and my effective eye contact. Patient is
feet were flat on the floor. sitting down with slightly
slumped shoulders. Patient
begins to play with hands and
the patient’s legs are shaking
with feet bouncing on the floor.

Verbal: Verbal: Technique used: Rationale:

“What are some goals that Patient responded by saying, “I Focusing As the client mention
you have today to help with want to be able to talk more something particularly
what you are dealing with?” during group sessions because important, this technique
everyone keeps telling me that helps the nurse focus on their
Non- Verbal: it will make me feel better." statement, prompting
I have made eye contact. I am patients to discuss it further.
sitting down with my hands Non- Verbal: The patient explicates a key
resting on my sides and my Patient is unable to maintain characteristic that would be
feet were flat on the floor. effective eye contact. Patient is beneficial to him subjectively
sitting down with slightly stating that she feels better to
slumped shoulders. Patient talk during group sessions.
begins to play with hands and
the patient’s legs are shaking
with feet bouncing on the floor.
Name: Felicity Tragico Activity 10 - Therapeutic Communication
Princess Jane Napigkit
1- BSN B

Instructions: WORK WITH PAIR: LOOK FOR A PARTNER: ASSUME THAT YOUR PARTNER IS YOUR PATIENT: COMPLETE
THE TABLE.

Verbal: Verbal: Technique used: Rationale:

“It is important for you to The patient did not say Confronting/ Giving This technique entails
actively engage in your anything but acknowledges Information providing the patient with
treatment process. The staff that this was heard from the pertinent information for a
here supports you and will non- verbal cue by nodding her well-being therapy process
continue to encourage you head with agreement. that is effective. Therefore, it
even when you do not feel like may be crucial for the patient's
doing your best.” Non- Verbal: care if I disagree with them. It
Patient is unable to maintain might stand in the way of
Non- Verbal: effective eye contact. Patient is challenging their
I have made eye contact. I am sitting down with slightly presumptions or bringing
sitting down with my hands slumped shoulders. Patient them face to face with reality.
resting on my sides and my begins to play with hands and
feet were flat on the floor. the patient’s legs are shaking
with feet bouncing on the floor.
TERMINATION PHASE
10
Verbal: Verbal: Technique used: Rationale:
“Unfortunately, our time has Patient responded by saying, Encouraging evaluation This technique implemented
come to an end, thank you for “the conversating helped me to towards the end of the
taking the time to talk to me. try to speak more later on today discussion could help the
Before I let you go, what were during the group meeting.” patient reflect upon the
conversation that was held to
Name: Felicity Tragico Activity 10 - Therapeutic Communication
Princess Jane Napigkit
1- BSN B

Instructions: WORK WITH PAIR: LOOK FOR A PARTNER: ASSUME THAT YOUR PARTNER IS YOUR PATIENT: COMPLETE
THE TABLE.

your thoughts on our Non- Verbal: help the patient continue to

conversation today?” Patient is unable to maintain engage actively in the
effective eye contact. Patient is treatment process related to
Non- Verbal: sitting down with slightly the main theme from this
I have made eye contact. I am slumped shoulders. Patient conversation.
sitting down with my hands begins to play with hands and
resting on my sides and my the patient’s legs are shaking
feet were flat on the floor. with feet bouncing on the floor.