I.

Demographic Data
Name: Virgilio Extra Age: 28 y/o Sex: Male
Impression: Schizophrenia Undifferentiated

II. Working Phase:

A. Statement Of Goals and Objectives
By the end of the working phase the patient will:
• View the student nurse as honest, open and concerned about his welfare
• View the student nurse as a competent professional capable of helping
• Maintain a therapeutic relationship with the student nurse
• Explore his thoughts and feelings

B. Description of setting
The nurse patient interaction happened around 9am. The weather was slightly cloudy and a bit humid. Our
activity was held at their quadrangle and we were in what seems like a cat walk. I was sitting on the bench and my patient
is in front of me with a space of half a meter. Though it was a bit noisy because we are all talking at the same time, the
patient was cooperative and replies in an audible manner.

C. Thoughts and feeling of the nurse before Nurse Patient Interaction

I felt slightly nervous even though we already met because we will never know how a mentally ill person will
suddenly behave, so therefore they are very unpredictable. But my nervousness is very minimal because I already
had an experience handling a mentally ill patient. I was more of excited because of the activities that we will do. We
prepared games and therapies that they will definitely enjoy.
 Nurse’s Response Patient’s Response Inferences Communication Technique

“Hello po! Naalala nyo pa Oo, ikaw si Gladys The patient is able to recall my name and
po ba ako?” is able to retrieve recent memories.

“tama po! (claps) The patient smiles The patient feels his verbalizations are Giving recognition
recognized
Anong araw na po Miyerkules na ngayon The patient is aware of the day during
ngayon? NPI

Anong buwan na po? September, mali, october The patient is aware of the month during Orienting patient to time,
na pala nayon NPI place and person
Anong taon? 2009 na The patient is aware of the year during
NPI
Nasaan po kayo? Ako ay nasa Mandaluyong The patient is aware where he is.
sa Pavilion 11
Galing naman ni Kuya The patient smiles again The patient feels his verbalizations are
Giving Recognition
Extra, nasagot lahat” recognized
(claps)

Kamusta naman po kayo? Ok lang naman ako The patient is able to state his overall
feeling
May naririnig pa po ba Wala na naman. Dati The patient verbalizes that he does not
kayong mga boses meron pag nakakalabas ako experience any auditory hallucinations
ngayon? dito.

Ilang taon na po ba kayo 13 years na akong pabalik- The patient can still recall the past events
dito? balik dito.Kapag nasa labas that took place in his life and the reason
na kasi ako hindi na ako that he comes and go in the institution
umiinom ng gamot tapos
gumagamit na ulit ako ng
shabu.

Punta po tayo dyan sa Puno ng niyog ang iginuhit The patient is able to describe what he
drawing nyo, ano po yang ko drew
na-drawing nyo?

Ano po naalala nyo sa Naalala ko ang Cebu. Kasi The patient was able to recall where he
niyog? malaki ang lupain namin grew up. But he is showing grandiosity in
dun. May sampung ektarya his response.
ng puno ng niyog kami
dun.
Malaki po pala ang lupa Maliit lang yun. Kasi The patient firmly believes that his family Restating
nyo, sampung ektarya po naghihirap na kami kaya owns 10 hectares of land
ba? Tama ba ang naibenta na na yung iba
pagkakarinig ko? naming lupain

Sino po sa magulang nyo Yung nanay ko. Mayaman The patient was able to recall that his
ang taga-Cebu? kasi yung lolo ko dun dun mother was the one who came from
sa sampung ektaryang lupa Cebu. His grandiose delusions are still
namin may bundok pa demonstrating.
doon.

Namimiss nyo na po bang Oo, matagal na kasi akong The patient misses the place where he
umuwi ng Cebu? hindi umuuwi dun eh. grew up

Kailan po ba kayo huling Matagal na eh, di na kasi The patient verbalizes that it has been a
umuwi ng Cebu? ako pinabalik dun kasi long time since he came home to Cebu,
yung mga kaibigan ko din he was not allowed by his parents because
doon adik. his friends there are drug addicts.

Sa kanila po ba kayo Oo. Sila nagtro sa akin na The patient remembers that his friends Consensual Validation
natutong gumamit ng mag-marijuana muna tapos from Cebu are the ones who taught him to
ipinagbabawal na gamot? gumamit na rin kami ng use illicit drugs
shabu.