Date: January 9, 2012

Objectives: Establish trust. Explain purpose of activity. Secure verbal consent.

Interaction
Student Nurse: Hello po.
Kumusta? (Smiles)
Client: Hello din. Sakto lang.
(Laughs)

Student Nurse: Ganito ang

gagawin natin ngayon. May
requirement ako ngayon na
peer counseling. Tutulungan
kita na hanapan ng solusyon
ang mga problema mo
within 4 weeks. Pero dapat
kumpletuhin natin yung 4
weeks. Monday, Tuesday,
Wednesday tayo
magmimeet. Pag pumayag
ka, hindi ka na pwedeng
magback-out. Payag ka ba?
Client: O sige. (Nods)
SN: Ang makakaalam lang
sa lahat ng sasabihin mo ay
ako, mga groupmates ko at
ang instructor ko. Pero hindi

Analysis
Patient
Nurse
Client responds
Student nurse
appropriately to
acknowledges the
transactional stimulus and clients presence. SN
is aware of student
tries to establish nursenurses presence.
patient relationship in
order for SN to be able
to help client.
Client understands the
purpose of the activity
and agrees to be part of
the activity. Nodding
enhances clients
eagerness to be part of
the activity.

SN informs the client of

facts about the activity
to enhance his
knowledge about the
activity. In therapeutic
communication
techniques, giving
information builds trust
with the client.

Client understands the

terms and conditions that
accompanies the activity.
Clients nodding

SN assures client of
confidentiality to
protect the clients
dignity and to gain

Modification/Evaluation

malalaman ng mga
groupmates ko ang identity
mo. Tapos sa 4 weeks na
yun, merong isang araw na
kakausapin ka ng instructor
ko ng personal. Parang ako
at ang instructor ko lang ang
makakaalam na ikaw yung
nagsabi nun. Okay lang ba?
Client: Sige. Okay lang.
(Nods)
SN: Sabi sakin ng girlfriend
mo, may mga times daw
dati na tinangka mong
magpakamatay.
Client: Oo. Nakipagbreak
siya sakin nun eh.

SN: Panu mo ginawang

magpakamatay?
Client: Dati ah nung lasing
ako, binaseball bat ko yung
ulo ko. Tapos meron pa yung
binasag ko yung bote sa ulo
ko. (Laughs)

emphasizes his
agreement to the
conditions of the activity.

clients trust in order to

obtain needed data.

Client has ability to harm

self because he does not
want to let go of the
relationship. According to
Sullivans Theory of
Interpersonal
Relationship, a person on
the stage of adolescence,
there is a need for sharing
relationships with the
opposite sex.
According to Freud, in
order to protect self and
cope up with painful
feelings, ego uses ego
defense mechanisms. The
client displaced his
feelings towards himself
instead of the one who
aroused those feelings.

SN tries to get
information by probing
the client. She used a
non-therapeutic
communication
technique.

SN tries to dig more in

the situation by using
therapeutic
communication
technique. According to
Peplau, therapeutic
information is
important in
establishing a nursepatient relationship.

SN can try to gather

information by using broad
openings.

SN: Bakit?
Client: Nakikipagbreak siya
eh. Ayoko namang
maghiwalay kami. (Appears
sad)

According to Sullivans
Theory of Interpersonal
Relationship, a person on
the stage of adolescence,
there is a need for sharing
relationships with the
opposite sex. Client does
not want to end the
relationship with his
girlfriend. Client appears
sad to intensify answer.

SN tries to find reason

for previous answer.

Client: Bukas nalang ulit

noh?
SN: Ahh. Sige. Pagusapan
natin yan bukas. Thank you.
(Smiles)
Client: Sige tol. (Smiles)
Evaluation. Goal fully met because the client understood the purpose and agreed to be part of the activity. The client
also gave his trust to the student nurse.
Date: January 10, 2011
Objective: Extract information.
Interaction
SN: Hello. Kumusta?(Smiles)
Client: Ganun pa din.
(Smiles)

SN: Ituloy natin yung

Analysis
Patient
Client responds
appropriately to
transactional stimulus and
is aware of student
nurses presence.
According to Freud, in

Nurse
SN uses broad opening
to gather information.
She is therapeutic in
communicating with
the client.
SN summarizes the

Modification/Evaluation

kahapon noh. Sabi mo kasi

na lagi kayo nagaaway ng
girlfiend mo. Ano ba lagi
niyong pinagaawayan?
Client: Nanlalalake siya eh.
Para nga akong tanga eh.
Dati nung nakipagbreak siya
sakin, uminom akong gamot
pero wala nahilo-hilo lang
ako. Meron pa yung
bumabagyo tas nagpunta
ako sa shop nila hanggang
11 ng gabi tapos nilinis ko
yung buong shop nila.
(Smiles)
SN: Bakit mo nagagawa
yun?
Client: Parang
pinaparusahan ko yung sarili
ko. Hindi ko ngai alam kung
bakit. Dati pa nung sa baba
pa ako nagaaral drinop ko
klase para lang makasama
siya tapos nung pinabababa
na ako, naglayas ako at
tumira dun sa katropa ko.
Kaya tatlong beses ako nagfirst year high school. Tapos
malalaman ko lang na
nanlalalake na pala.
(Laughs)
SN: Ano pa mga nagagawa

order to protect self and

cope up with painful
feelings, ego uses ego
defense mechanisms. The
client displaced his
feelings towards himself
instead of the one who
aroused those feelings.
Client smiled as he
remembers past
experiences because he
accepted the situation.

topic from previous

session to gather more
information about the
problem.

According to Sullivan a
non-satisfying relationship
produce anxiety which is
a basis for all emotional
problems. According to
Freud, in order to protect
self and cope up with
painful feelings, ego uses
ego defense mechanisms.
The client suppressed the
previous feeling of
sadness during the
experience by laughing.

SN listened to the
problem of the client
and observed nonverbal cues in order to
identify the problem of
the client. She is nontherapeutic when she
used the word why.

. According to Freud, in

SN tries to dig more in

She should try to restate her

question on order to be more
therapeutic in her approach.

mo pag nagaaway kayo?

Client: Inom ng alak.

SN:Umiinom ka talaga?
Client: Oo. Simula first year
high school. Halos arawaraw din nun pero ngayon
hindi na masyado. Parang
katuwaan lang. Minsan din
pag nagaaway kami nun eh
nagshashot ako.
SN: Bukod sa pagiinom ng
alak, ano pa yung mga bisyo
mo?
Client: Yosi. Dati
nagdrodroga din ako.
Ngayon hindi na sa droga.
Tapos sa bahay kasi parang
yung mga magagandang
nagagawa ko eh hindi
napapansin. Kulang ako sa
atensyon kaya
nagpapapansin. Tsaka pag
nagkapatong-patong na mga
problema sa bahay, sa

order to protect self and

cope up with painful
feelings, ego uses ego
defense mechanisms.
Client tries to cope up
with painful stressor by
drinking alcohol. This is
not an effective coping
mechanism.
According to Freud, a
person who is fixated on
the oral stage may
manifest alcoholism.
Client may also be coping
up with stressors by
drinking alcohol.

According to Sullivan a
non-satisfying relationship
produce anxiety which is
a basis for all emotional
problems. Client had a
non-satisfying relationship
with others. This may be
the reason why he chose
to do those things.
According to Freud, a
person who is fixated on
the oral stage may
manifest alcoholism,
smoking and drugs. This

the situation by using

therapeutic
communication
technique. According to
Peplau, therapeutic
information is
important in
establishing a nursepatient relationship.
SN tries to confirm
answer by restating
previous answer. SN
used a therapeutic
communication
technique which
according to Peplau is
important in nurseclient relationship.
SN used a therapeutic
communication
technique which
according to Peplau is
important in nurseclient relationship. SN
tries to gather more
information about the
problem.

school, sa lahat dun ako

napapabisyo. (Stares at the
floor)

may also be his coping

mechanism. Client stares
at the floor maybe
because he is feeling
previous emotions from
the past.

Client. Wala na. Pwedeng

bukas nalang ulit?
SN: Sige. Ikaw bahala.
Salamat sa oras. (Smiles)
Evaluation: Goal fully met because SN has been able to gather significant information.